ROLE OF INTRAPERITONEAL PROPOLIS TREATMENT IN PREVENTING POSTOPERATIVE PERITONEAL ADHESIONS

BİRKAN BİRBEN, GÖKHAN AKKURT, TUGAN TEZCANER, EDA ÖZTURAN ÖZER, FİRDEVS ZEYNEP TAŞTEPE, FEZA KARAKAYALI, GÖKHAN MORAY

Medical Journal of Islamic World Academy of Sciences - 2020;28(1):12-17

Ankara City HospitalAnkara City Hospital, Department of General Surgery, Ankara, Turkey

 

This study aimed to evaluate the anti-inflammatory and anti-oxidant properties of propolis and its effect on the fibrinolytic system in postoperative adhesions. The rats were randomly divided into 3 groups of 10, and a modified cecal abrasion model was created. Group 1 was the sham group. Group 2 received 0.4 mL of ethanol (96%), while Group 3 was administered 0.4 mL of propolis (900 mg/kg) and ethanol (96%) solution intraperitoneally. The adhesions were evaluated macroscopically and microscopically. The adhesion in the propolis group was significantly higher according to the scores of Nair (ethanol–propolis P > 0.002 and sham–propolis, P > 0.023) and Zühlke (ethanol–propolis P > 0.033 and sham–propolis P > 0.024). Propolis administration was significantly associated with increased fibrosis (P > 0.01) and vascular proliferation (P > 0.01). The increase in peritoneal adhesion in the propolis group might have been due to propolis being retained in the abdomen longer than normal and the higher concentration of the solvent.