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Chinese Archives of General Surgery(Electronic Edition) ›› 2018, Vol. 12 ›› Issue (06): 380-383. doi: 10.3877/cma.j.issn.1674-0793.2018.06.003

Special Issue:

• Original Article • Previous Articles     Next Articles

Establishment of improved liquid animal model of intra-abdominal hypertension by water sac

Hongye Wang1,(), Jiwei Yu1   

  1. 1. Department of Tumor Surgery, the Affiliated Hospital of Shanxi Datong University, Datong 037005, China
  • Received:2018-03-14 Online:2018-12-01 Published:2018-12-01
  • Contact: Hongye Wang
  • About author:
    Corresponding author: Wang Hongye, Email:

Abstract:

Objective

To investigate the establishment of intra-abdominal hypertension in rabbit model of liquid water sac, and the change rule of pressure-volume curve.

Methods

Experimental rabbits were taken as research object, five conventional water sacs (150 ml) and one pressurized water sacs were placed in the abdominal cavity. Animal model of intra-abdominal hypertension was established with injection of 0.9% sodium chloride solution (NS) into pressurized water sac. Intra-abdominal pressure (IAP) was measured and recorded after each injection of 50 ml solution. The relationship between the increase volume of intra-peritoneal solution and abdominal pressure was analyzed by drawing pressure volume curve and simple linear regression method.

Results

After tension-free abdominal surgery, the total volume of peritoneal NS solution was 750 ml, and the initial abdominal pressure was 0 cmH2O. With the injection of NS solution, abdominal pressure increased slowly until the total volume reached 900 ml, and abdominal pressure was 8 cmH2O (5.88 mmHg, 0.784 kPa). Then abdominal pressure was increased significantly followed by15 cmH2O (11.03 mmHg, 1.47 kPa) at 950 ml, 28 cmH2O (20.59 mmHg, 2.744 kPa) at 1 000 ml and55 cmH2O (40.44 mmHg, 5.39 kPa) at 1 050 ml. There was a functional relationship between abdominal pressure and peritoneal volume: Y=0.164 2X-132 (r=0.896, t=4.504, P=0.006).

Conclusions

The liquid animal model of intra-abdominal hypertension can be successfully established by the improved superposition of water sac. The pressure-volume curve is a unidirectional curve, gradually increasing with the addition of intra-peritoneal solution. After exceeding the compensatory critical point, a small amount of intra-abdominal fluid can cause significant increase in abdominal pressure with a trend of sustained growth.

Key words: Models, animal, Intra-abdominal hypertension, Aqueous capsule, Pressure-volume curve

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