UNIVERSIDAD COMPLUTENSE DE MADRID FACULTAD DE ...
UNIVERSIDAD COMPLUTENSE DE MADRID FACULTAD DE ...
UNIVERSIDAD COMPLUTENSE DE MADRID FACULTAD DE ...
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8 SUMMARY<br />
8. SUMMARY<br />
Introduction<br />
The ischaemia in different organs is involved in a wide variety of human and<br />
animal pathological processes, being common cause of death in the westem world.<br />
Paradoxically, the relief of the ischaemic status by means of the reperfusión can<br />
increase the damage.<br />
Ihe purpose ofthis work is to study in experimental New Zeland rabbits, the acute<br />
ischaemia of the artery mesenteric cranealis, the quantification of te lipid peroxidation<br />
occasioned by oxygen free radicals (RLO) during the repermeabilización phase, and te<br />
therapeutic effectiveness of superoxide dismutase (SOD). Ihe specific objectives looked<br />
are:<br />
• Developing an adequate experimental technique of production of acute ischaemia<br />
in intestinal region in te rabbit by surgical obstruction ofte arteria mesenteric<br />
cranealis (AMC), followed by a period of reperfusión.<br />
• Performing with tli.is model a study of survival at different times of isehaemia<br />
(sham, 15, 30, 60 and 120 minutes), establishing the time in which an approximate<br />
rate of 50% of mortality takes place.<br />
• Vaulting te tisular damage caused by te ischaemia - reperfusión on te intestinal<br />
territory in-igated by this artery, studying te morphologic alterations taken place in<br />
te different times.<br />
• Determining te degree oflipid peroxidation tat take place in te small bowel as a<br />
consequence ofthis isehaemia-reperfusión, vaulting te production of oxygen free<br />
radicals (RLO) with the test ofte thiobarbituric acid (TBA).<br />
• Checking te therapeutic effect over te ischaeniia lesions of antioxidative<br />
substances like Zn-superoxide-dismutase over te lipid peroxidation, vaulting te<br />
modifications on te survival rates, te production of oxygen free radicals in te<br />
organs and morphologic and functional changes.<br />
Material and method<br />
The study was carried out in the surgical rooms and animal experimentation<br />
facilities of the Service of Experimental Medicine and Surgery, in the Military Central<br />
Hospital Gómez Ulla, in Madrid.<br />
165 animals were used distributed in 11 series. For the study of survival, 5 series<br />
of20 rabbits each one were employed and subjected at 0, 15, 30, 60 and 120 minutes of<br />
ischaemia respectively, letting later a free repermeabilization. For the clinical assay of<br />
survival wit SOD, two series of 10 animals were used, being subjected to 60 minutes<br />
of ischemia, and applying in one of them a preventive therapy of SOD and in the other<br />
one, used as control, physiologic salme solution. Finally, three series of 15 animals werc<br />
used to evaluate the basal levels of MDA, one of them as a control in non ischemic<br />
animals and oter two subjected to 60 minutes of ischemia, treated with SOD or<br />
physiologíc salme solution respectively.<br />
The anaesthesia was induced wit an endonasal mixture of ketamine and xilazine<br />
and maintained with oxygen and nitrogen protoxide gas mixture, in which isofluorano<br />
were vaporised, through of an anaesthesia equipment Boyle.<br />
The surgical operations were performed in an experimental surgical room with<br />
habitual equipment. employing a estándar box of abdominal surgery, added of a specific<br />
material as a dissection clamp, vessel-loop rubber strips, and a microclamp of plastic<br />
140