Severe inflammatory reaction induced by peritoneal trauma is the key driving mechanism of postoperative adhesion formation

<p>Abstract</p> <p>Background</p> <p>Many factors have been put forward as a driving mechanism of surgery-triggered adhesion formation (AF). In this study, we underline the key role of specific surgical trauma related with open surgery (OS) and laparoscopic (LS) conditions in postoperative AF and we aimed to study peritoneal tissue inflammatory reaction (TIR), remodelling specific complications of open surgery (OS) versus LS and subsequently evaluating AF induced by these conditions.</p> <p>Methods</p> <p>A prospective randomized study was done in 80 anaesthetised female Wistar rats divided equally into 2 groups. Specific traumatic OS conditions were induced by midline incision line (MIL) extension and tissue drying and specific LS conditions were remodelled by intraperitoneal CO₂insufflation at the 10 cm of water. TIR was evaluated at the 24^th, 72^nd, 120^thand 168^thhour by scoring scale. Statistical analysis was performed by the non-parametric t test and two-way ANOVA using Bonferroni post-tests.</p> <p>Results</p> <p>More pronounced residual TIR was registered after OS than after LS. There were no significant TIR interactions though highly significant differences were observed between the OS and LS groups (p < 0.0001) with regard to surgical and time factors. The TIR change differences between the OS and LS groups were pronounced with postoperative time p < 0.05 at the 24^thand 72^nd; p < 0.01 - 120^thand p < 0.001 - 168^thhrs. Adhesion free wounds were observed in 20.0 and 31.0% of cases after creation of OS and LS conditions respectively; with no significant differences between these values (p > 0.05). However larger adhesion size (41.67 ± 33.63) was observed after OS in comparison with LS (20.31 ± 16.38). The upper-lower 95% confidential limits ranged from 60.29 to 23.04 and from 29.04 to 11.59 respectively after OS and LS groups with significant differences (p = 0.03). Analogous changes were observed in adhesion severity values. Subsequently, severe TIR parameters were followed by larger sizes of severe postoperative adhesions in the OS group than those observed in the LS group.</p> <p>Conclusions</p> <p>MIL extension and tissue drying seem to be the key factors in the pathogenesis of adhesion formation, triggering severe inflammatory reactions of the peritoneal tissue surrounding the MIL resulting in local and systemic consequences. CO₂insufflation however, led to moderate inflammation and less adhesion formation.</p

Optimization of Supercritical Carbon Dioxide Extraction of <i>Saussurea costus</i> Oil and Its Antimicrobial, Antioxidant, and Anticancer Activities

Saussurea costus is a medicinal plant with different bioactive compounds that have an essential role in biomedicine applications, especially in Arab nations. However, traditional extraction methods for oils can lead to the loss of some volatile and non-volatile oils. Therefore, this study aimed to optimize the supercritical fluid extraction (SFE) of oils from S. costus at pressures (10, 20, and 48 MPa). The results were investigated by GC/MS analysis. MTT, DPPH, and agar diffusion methods assessed the extracted oils’ anticancer, antioxidant, and antimicrobial action. GC/MS results showed that elevated pressure from 10 to 20 and 48 MPa led to the loss of some valuable compounds. In addition, the best IC50 values were recorded at 10 MPa on HCT, MCF-7, and HepG-2 cells at about 0.44, 0.46, and 0.74 μg/mL, respectively. In contrast, at 20 MPa, the IC50 values were about 2.33, 6.59, and 19.0 μg/mL, respectively, on HCT, MCF-7, and HepG-2 cells, followed by 48 MPa, about 36.02, 59.5, and 96.9 μg/mL. The oil extract at a pressure of 10 MPa contained much more of á-elemene, dihydro-à-ionone, patchoulene, á-maaliene, à-selinene, (-)-spathulenol, cedran-diol, 8S,13, elemol, eremanthin, á-guaiene, eudesmol, ç-gurjunenepoxide-(2), iso-velleral, and propanedioic acid and had a higher antioxidant activity (IC50 14.4 μg/mL) more than the oil extract at 20 and 48 MPa. In addition, the inhibitory activity of all extracts was higher than gentamicin against all tested bacteria. One of the more significant findings from this study is low pressure in SFE enhancement, the extraction of oils from S. costus, for the first time. As a result, the SFE is regarded as a good extraction technique since it is both quick and ecologically friendly. Furthermore, SFE at 10 MPa increased the production and quality of oils, with high antioxidant activity and a positive effect on cancer cells and pathogens

Bio-Growth Stimulants Impact Seed Yield Products and Oil Composition of Chia

Chia (Salvia hispanica L.) is a specialty crop capable of providing healthy food and metabolites. The goal of our study was to explore the possibility of expanding seed yield, oil production, and metabolites of chia in response to amino acid, barthenosteriode, and algae extract treatments used as bio-stimulants. The experiment was conducted in the field in a randomized complete block design with three repeats. The treatments were (1) control (spray only with water), (2) amino acids with nutrients (2 mL/L vs. 4 mL/L), (3) brassinolide (5 mL/L vs. 10 mL/L), and algae extract (2 mL/L vs. 4 mL/L). The growth and yield measurements of chia, such as chlorophyll, carotenoids, amino acids, indoles, phenols, macro- and micronutrients, carbohydrates, total oil, and fatty acids were analyzed. The chia plants sprayed with growth stimulant materials showed increases in most studied characteristics, particularly algae extract at 4 mL/L, followed by algae extract at 2 mL/L during the first and second seasons. Meanwhile, amino acids at 4 mL/L led to the third-highest increases in most cases. Conversely, all bio-stimulant treatments decreased total phenols in leaves (mg/100 g f.w.), especially seaweed at 4 mL/L, compared to high levels in the control during both seasons. Control plants showed the lowest levels of the measurements mentioned previously when scored by barthenosteriode at 5 mL/L during the first and second seasons. GLC for fixed oil in chia showed the recognition of four biocomponents. i.e., oleic, linoleic, palmitic, and &alpha;-&alpha; linolenic acids. The main biocomponent was &alpha;-&alpha; linolenic acid and reach (49.7 to 57.9%). The application of seaweed at 4 mL/L could be exploited to improve growth, seed crop, fixed oil production, chemicals and bio-constituents, especially the fixed oil composition of chia (Salvia hispanica L.) plant