The effects of chemotherapy on murine wound healing and orocutaneous fistula closure

Am Surg. 1990 Jul;56(7):407-11.

Abstract

The effects of cisplatin and 5-fluorouracil on wound breaking strength and the rate of closure of an orocutaneous fistula were studied in 80 male rodents. Treatment rats received a total of 4.6 mg/kg cisplatin and 62 mg/kg 5-fluorouracil in six doses/12 days; control rats received 0.9 per cent saline. After treatment, 30 treatment and 30 control rats received a dorsal skin incision which was closed primarily. Wound breaking strength were tested at one, three and five weeks in ten rats from each group. An 8-mm orocutaneous fistula was made in the remaining ten treatment and ten control rats; the rate of closure was noted weekly. Cisplatin and 5-fluorouracil did not significantly impair wound breaking strength at one, three, or five weeks. The rate of closure of the orocutaneous fistula was not effected by cisplatin/5-fluorouracil. The chemotherapy caused severe facial cellulitis and death in four orocutaneous fistula rats. Combined chemotherapy with cisplatin and 5-fluorouracil should not interfere with planned surgical care of head and neck tumors. Concomitant antibiotic coverage, however, is advocated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology*
  • Cisplatin / administration & dosage
  • Cisplatin / pharmacology
  • Fistula / physiopathology
  • Fistula / surgery*
  • Fluorouracil / administration & dosage
  • Fluorouracil / pharmacology
  • Male
  • Mouth Diseases / physiopathology
  • Mouth Diseases / surgery*
  • Rats
  • Rats, Inbred Strains
  • Skin Diseases / physiopathology
  • Skin Diseases / surgery*
  • Wound Healing / drug effects*
  • Wound Healing / physiology

Substances

  • Cisplatin
  • Fluorouracil