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The preventive effect of omega-3 fish oil on the formation of peritoneal adhesions

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Karaman K., Çakıroğlu H., Tuncer F. B., Şekeroğlu M. R., Yılmaz F.
Polish Journal of Surgery
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2023
|
vol. 96
|
issue 1
8-14
EN
Introduction: Postoperative peritoneal adhesions that form after abdominal surgery still continue to exist as an unresolved health problem. Aim: The aim of the study is to examine whether omega-3 fish oil has a preventive effect on postoperative peritoneal adhesions. Material and methods: Twenty-one female Wistar albino rats were separated into 3 groups (sham, control and experimental), each consisting of 7 rats. In the sham group, only laparotomy was performed. In both the control and experimental group rats, the right parietal peritoneum and cecum were traumatised to form petechiae. Following this procedure, the abdomen was irrigated with omega-3 fish oil in the experimental group. The rats were re-explored on the 14th postoperative day and any adhesions were scored. Tissue samples and blood samples were taken for histopathological and biochemical analysis. Results: None of the rats that were administered omega-3 fish oil developed macroscopic postoperative peritoneal adhesions (P = 0.005). The omega-3 fish oil formed an anti-adhesive lipid barrier on the injured tissue surfaces. Microscopic evaluation revealed diffuse inflammation with excessive connective tissue and fibroblastic activity in the control group rats, while foreign body reactions were common in the omega-3 rats. The mean amount of hydroxyproline in samples from injured tissues was significantly lower in the omega-3 rats than in the control rats (P = 0.004). Conclusion: Intraperitoneal application of omega-3 fish oil prevents postoperative peritoneal adhesions by forming an anti-adhesive lipid barrier on injured tissue surfaces. However, further studies are needed to determine whether this adipose layer is permanent or will be resorbed over time.
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