Preview

Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery

Advanced search

Comparative Analysis of ”Nonequilibrium Plasma” and Cryodestruction in Surgery of Chronic Liver Abscesses in the Experiment

https://doi.org/10.16931/1995-5464.2018-1-55-64

Abstract

Aim. To compare the effects of “nonequilibrium plasma” and cryodestruction on liver abscesses in experiment.

Material and Methods. 60 experimental animals (rats, males) with liver abscess were enrolled. There were 3 groups by 20 animals.  Placebo group – abscess cavity lavage with sterile 0.9% NaCl  solution, control group – cryodestruction of abscess wall (liquid  nitrogen, temperature of −196 °C), experimental group – abscess  wall management with “nonequilibrium plasma”. Animals were  eliminated from the experiment in 1, 5, 15 and 30 days after  surgery. We examined bacterial inoculation of the abscess cavity  after exposure, performed biopsy of abscess wall and surrounding liver parenchyma specimens and biochemical analysis of blood.

Results. Bacterial growth in abscess cavity was absent in control and experimental groups. Biochemical analysis revealed only  insignificant fluctuations of the majority of indicators in all groups.  There were less significant inflammatory infiltration and edema of  the abscess capsule, as well as inflammatory infiltration of liver  parenchyma in 5 and 15 days in experimental vs. control group.

Conclusion. Cryodestruction and effect of “nonequilibrium plasma” on the internal wall of rats’ liver abscess lead to death of pyogenic  bacteria. “Nonequilibrium plasma” is associated with less severe  injury of liver parenchyma compared with cryodestruction.

About the Authors

P. S. Bushlanov
Siberian State Medical University of the Healthcare Ministry of Russia
Russian Federation

2, Moskovskiy trakt, Tomsk, 634050, Russian Federation

Phone: 8-923-424-25-94

Postgraduate Student of the Department of Surgical Disease with the Course of Traumatology and Orthopedics, Siberian State Medical University



N. V. Merzlikin
Siberian State Medical University of the Healthcare Ministry of Russia
Russian Federation

2, Moskovskiy trakt, Tomsk, 634050, Russian Federation

Doct. of Med. Sci., Professor, Head of the Department of Surgical Diseases with the Course of Traumatology and Orthopedics, Siberian State Medical University



E. V. Semichev
Central Research Laboratory of the Siberian State Medical University of the Healthcare Ministry of Russia
Russian Federation

2, Moskovskiy trakt, Tomsk, 634050, Russian Federation

Cand. of Med. Sci., Researcher of the Central Research Laboratory, Siberian State Medical University



A. N. Baykov
Central Research Laboratory of the Siberian State Medical University of the Healthcare Ministry of Russia
Russian Federation

2, Moskovskiy trakt, Tomsk, 634050, Russian Federation

Doct. of Med. Sci., Professor, Head of the Central Research Laboratory, Siberian State Medical University



V. F. Tskhay
Siberian State Medical University of the Healthcare Ministry of Russia
Russian Federation

2, Moskovskiy trakt, Tomsk, 634050, Russian Federation

Doct. of Med. Sci., Professor of the Department of Surgical Diseases with the Course of Traumatology and Orthopedics, Siberian State Medical University



V. V. Ivanov
Central Research Laboratory of the Siberian State Medical University of the Healthcare Ministry of Russia
Russian Federation

2, Moskovskiy trakt, Tomsk, 634050, Russian Federation

Cand. of Med. Sci., Researcher of the Central Research Laboratory, Siberian State Medical University



N. S. Kalanda
Central Research Laboratory of the Siberian State Medical University of the Healthcare Ministry of Russia
Russian Federation

2, Moskovskiy trakt, Tomsk, 634050, Russian Federation

Researcher of the Central Research Laboratory, Siberian State Medical University



E. S. Koshchevets
Central Research Laboratory of the Siberian State Medical University of the Healthcare Ministry of Russia
Russian Federation

2, Moskovskiy trakt, Tomsk, 634050, Russian Federation

Researcher of the Central Research Laboratory, Siberian State Medical University



N. E. Mironov
Siberian State Medical University of the Healthcare Ministry of Russia
Russian Federation

2, Moskovskiy trakt, Tomsk, 634050, Russian Federation

2-year Student of the Pediatric Faculty of Siberian State Medical University



A. A. Rukavishnikova
Siberian State Medical University of the Healthcare Ministry of Russia
Russian Federation

2, Moskovskiy trakt, Tomsk, 634050, Russian Federation

6-year Student of the Pediatric Faculty of Siberian State Medical University



References

1. Zubov A.D., Wilson D.I. Posttraumatic liver abscesses: ultrasonic diagnosis and minimally invasive ultrasound-assisted treatment. Travma. 2014; 15 (3): 89–93. (In Russian)

2. Durand C.M. The management of hepatic abscess. Current surgical therapy. Twelfth edition. Elsevier, 2017. P. 341–346.

3. Black S.M., Prabhakaran S., Vickers S.M. Liver abscess. Shackelford's surgery of the alimentary tract. Chapter 118. Elsevier, 2013. P. 1464–1478.

4. Kosenko Yu.A. Impact of extracorporeal ultraviolet blood radiation on oxygen status in patients with bacterial liver abscess. Ukraїns'kij zhurnal klіnіchnoї ta laboratornoї medicini. 2012; 7 (2): 108–112. (In Russian)

5. Mazza Oscar M., Santibañes M., Santibañes E. Pyogenic liver abscess. Blumgart's surgery of the liver, biliary tract and pancreas. Chapter 66. Elsevier, 2017. P. 1006–1015.

6. Lardière-Deguelte S., Ragot E., Amroun K., Piardi T., Dokmak S., Bruno O., Appere F., Sibert A., Hoeffel C., Sommacale D., Kianmanesh R. Hepatic abscess: Diagnosis and management. J. Visceral. Surg. 2015; 152 (4): 231–243. DOI: 10.1016/j.jviscsurg.2015.01.013.

7. Merzlikin N.V., Alperovich B.I., Brazhnikova N.A., Tskhay V.F., Sotnikov A.A., Komkova T.B., Avdeev S.V., Gyunter V.E., Marjina M.E., Yaroshkina T.N., Tolkaeva M.V., Klinovitskiy I.Yu. Rukovodstvo po khirurgii ochagovyh parazitarnyh zabolevanij pecheni [Handbook for surgery of parasitic focal hepatic lesions]. Tomsk: Pechatnaja manufaktura, 2013. 468 p. (In Russian)

8. Merzlikin N.V., Brazhnikova N.A., Tskhay V.F., Saipov M.B., Podgornov V.F., Tolkaeva M.V., Saenko D.S. Comparative analysis of opisthorchiasis and non-parasitic liver abscesses. Annaly khirurgicheskoy gepatologii = Annals of HPB surgery. 2015; 20 (1): 66–75. (In Russian)

9. Akhaladze G.G., Tsereteli I.Yu. Cholangiogenic liver abscesses. Annaly khirurgicheskoy gepatologii = Annals of HPB surgery. 2006; 11 (2): 30–35. (In Russian)

10. Alperovich B.I., Soloviyov M.M. Neotlozhnaja khirurgija zhivota [Emergency abdominal surgery]. Tomsk: Kursiv, 2002. 222 p. (In Russian)

11. Hirs A.M., Frame F.M., Maitland N.J., O'Connell D. Low temperature plasma: A novel focal therapy for localized prostate cancer? Biomed. Res. Int. 2014; (2014): 1–15. DOI: 10.1155/2014/878319.

12. Seeger W. Pneumology – from phthisiology to regenerative medicine. Dtsch. Med. Wochenschr. 2005; 130 (25–26): 1543–1546. DOI: 10.1055/s-2005-870860.

13. Hoffmann M., Ulrich A., Schloericke E., Limmer S., Habermann J.K., Wolken H., Bruch H.-P., Kujath P. The application of cold-plasma coagulation on the visceral pleura results in a predictable depth of necrosis without fistula generation. Interact. Cardiovasc. Thorac. Surg. 2012; 14 (3): 239–243. DOI: 10.1093/icvts/ivr109.

14. Fridman G., Brooks A.D., Balasubramanian M., Fridman A., Gutsol A., Vasilets V.N., Ayan H., Friedman G. Comparison of direct and indirect effects of non-thermal atmospheric-pressure plasma on bacteria. Plasma Processes and Polymers. 2007; 4 (4): 370–375. DOI: 10.1002/ppap.200600217.

15. Balasubramanian M., Sebastian A., Peddinghaus M., Fridman G., Fridman A., Gutsol A., Friedman G., Ari B. Dielectric barrier discharge plasma in coagulation and sterilization. Blood.2006; 108 (11): 4043. DOI: https://doi.org/content/108/11/4043.

16. Nartaylakov M.A., Mustafin A.K., Murzabaev Kh.Kh., Kayumov F.A., Kononov V.S., Demkina L.S., Gvozdik T.P., Olimov S.S. Sposob modelirovanija abscessa pecheni [Liver abscess modeling method]. Invention patent RUS 2318248 22.11.2006. (In Russian)

17. Turgunova N.D., Deneko O.I., Semichev E.V., Bushlanov P.S. Cold plasma in biological applications. Izvestija vysshih uchebnyh zavedenij. Fizika. 2013; 56 (4–2): 302–304. (In Russian)

18. Carus T., Rackebrandt K. Collateral tissue damage by several types of coagulation (monopolar, bipolar, cold plasma and ultrasonic) in a minimally invasive, perfused liver model. ISRN Surg. 2011; 2011: 518924. DOI: 10.5402/2011/518924.


Review

For citations:


Bushlanov P.S., Merzlikin N.V., Semichev E.V., Baykov A.N., Tskhay V.F., Ivanov V.V., Kalanda N.S., Koshchevets E.S., Mironov N.E., Rukavishnikova A.A. Comparative Analysis of ”Nonequilibrium Plasma” and Cryodestruction in Surgery of Chronic Liver Abscesses in the Experiment. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2018;23(1):55-64. (In Russ.) https://doi.org/10.16931/1995-5464.2018-1-55-64

Views: 400


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)