The effect of opioids on the development of postoperative intra-abdominal adhesions

Dig Dis Sci. 2006 Mar;51(3):560-5. doi: 10.1007/s10620-006-3170-7.

Abstract

People addicted to opium rarely develop intra-abdominal adhesions after abdominal surgery. We aimed to evaluate the effect of opium or morphine on preventing postoperative adhesions in rats. Sixty-three rats were randomly divided into a control group, opium-addicted group, and morphine-addicted group in a double-blind study. Drug dependency was checked by using naloxone. Animals were then operated on and the cecum was abraded. At reoperation 3 weeks later the magnitude of adhesions was evaluated by a scoring system. There was a significant difference between the control, opium-addicted, and morphine-addicted groups with regard to the length (P < .001), thickness (P < .05), and severity of adhesions (P < .05). Opium or morphine reduces the severity of postoperative adhesions. Elucidation of the opioid receptor(s) involved in this process would enable the use of selective ligands and offer a pharmacologic strategy in preventing adhesion formation.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Cecum / drug effects
  • Cecum / pathology*
  • Disease Models, Animal
  • Female
  • Laparotomy / adverse effects*
  • Morphine / pharmacology
  • Narcotics / pharmacology*
  • Opium / pharmacology
  • Postoperative Complications / prevention & control*
  • Random Allocation
  • Rats
  • Rats, Inbred Strains
  • Reference Values
  • Risk Factors
  • Sensitivity and Specificity
  • Tissue Adhesions / prevention & control*

Substances

  • Narcotics
  • Morphine
  • Opium