Abstract

To assess the action of iodine cadexomer in the healing process of surgical wounds in rats and if cytotoxicity occurs with the systemic absorption of iodine. Thirty six Wistar rats were used and performed 53 wounds with surgical punch of 6 mm diameter on them. Two lesions were made diametrically opposed on groups with distilled water (GAD) and sodium chloride (GCS); on the right lesions were used bandage with distilled water and on the left ones dressing with sodium chloride. In cadexomer iodine (GCI) group, a punch injury was made only on the left side and the dressing was carried out with cadexomer iodine. The groups were divided in two sub-groups according to the day of death (7 and 14). Microscopically was used H&E staining, through which the inflammation could be observed and also the neovascularization. Staining with Masson trichrome studied fibrosis. TSH and free T4 were used for absorption recognition of iodine, and its toxic potential was performed before death with the animal anesthetized. Microscopic analysis showed more marked intensity of inflammation in group GAD, subgroup 14 days. Neovascularization showed be discrete in GCS sub-group 14 days. Fibrosis was more pronounced in the group GCI. Comparing the types of treatment, there was statistical significance between groups GCI and GCS (p<0.013). The TSH and T4, showed no difference between the control group and GCI in relation to the absorption of iodine. In evaluating the GCI and control groups, within each treatment, statistical significance was found between them (p<0.001) when compared the days of observation. Cadexomer iodine had beneficial effects in all phases of the healing process without cytotoxicity due iodine absorption.

Highlights

  • Wound healing consists in a coordinated interaction of cellular and molecular events to tissue rebuilt[1]

  • This study aims to evaluate the results of the use of iodine cadexomer in second intention wound healing and to demonstrate if cytotoxicity occurs by absorption of iodine

  • In iodine cadexomer group (GCI), the entire length of lesion was covered with 0.5ml of cadexomer iodine gel and covered with a layer of dry gauze over the gel

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Summary

Introduction

Wound healing consists in a coordinated interaction of cellular and molecular events to tissue rebuilt[1]. This event is a dynamic process that involves biochemical and physiological phenomena to ensure lesion restoration. The factor that triggers the tissue healing is based on the type of damage. It can go to dermis, partially or completely, reaching the subcutaneous tissue or even neighbor involvement, defining the extent of the wound[2]. During the healing process the fibroblasts are the major cells in synthesis. When there is the formation of granulation tissue, proliferation moves into the wound, causing extracellular matrix production, connective tissue fibers and neovessels[3]

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