Effect of intraperitoneal curcumin instillation on postoperative peritoneal adhesions

Med Princ Pract. 2015;24(2):153-8. doi: 10.1159/000369020. Epub 2014 Dec 10.

Abstract

Objective: The aim of this study was to determine the effect of curcumin on adhesion formation in a rat cecum abrasion model.

Materials and methods: Thirty Wistar rats were randomized into three groups; the control group received saline, the curcumin group received 10 mg/kg of curcumin after cecal abrasion, and in the sham group the abdominal wall was closed without any abrasion to the cecum. On day 15, adhesions were assessed blindly using a standardized scale, and histopathological samples were taken and examined.

Results: There were no incisional hernias or wound dehiscences in any animals of the three groups. A comparison of adhesion scores showed a significant difference between the curcumin (median = 1) and the control group (median = 2; p < 0.05). The grade of inflammation of the curcumin (median = 1) and the sham (median = 0) group was significantly lower than that of the control group (median = 3; p < 0.01 and p < 0.001, respectively). Hydroxyproline levels were significantly lower in the sham (48.3 ± 11.8 µg/mg) and the curcumin (63.8 ± 13.9 µg/mg) group compared to the control group (85.7 ± 22.1 µg/mg; p < 0.05).

Conclusion: These data suggest that curcumin, administered intraperitoneally, was effective in the prevention of peritoneal adhesion formation.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology*
  • Cecum / drug effects*
  • Cecum / pathology
  • Curcumin / administration & dosage
  • Curcumin / pharmacology*
  • Disease Models, Animal
  • Hydroxyproline / analysis
  • Infusions, Parenteral
  • Male
  • Peritoneum / drug effects*
  • Peritoneum / pathology
  • Postoperative Complications / prevention & control
  • Random Allocation
  • Rats
  • Rats, Wistar
  • Tissue Adhesions / prevention & control*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Curcumin
  • Hydroxyproline