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Original Research Article | OPEN ACCESS

Assessment of wound contraction, re-epithelialization and histological changes in full thickness excision wounds of rats treated with different concentrations of hydrogen peroxide

Sunday O Udegbunam, Sunday Ogbobe, Nnamdi H Okereke , Adaobi S Enejere, Ijeoma R Udegbunam, Toochukwu H Ezeobialu

Department of Veterinary Surgery, Faculty of Veterinary Medicine, University of Nigeria, Nsukka, Nigeria;

For correspondence:-  Nnamdi Okereke   Email: nnamdi.okereke@unn.edu.ng   Tel:+23480(3)480-6730

Accepted: 21 July 2021        Published: 31 August 2021

Citation: Udegbunam SO, Ogbobe S, Okereke NH, Enejere AS, Udegbunam IR, Ezeobialu TH. Assessment of wound contraction, re-epithelialization and histological changes in full thickness excision wounds of rats treated with different concentrations of hydrogen peroxide. Trop J Pharm Res 2021; 20(8):1623-1629 doi: 10.4314/tjpr.v20i8.11

© 2021 The authors.
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited..

Abstract

Purpose: To investigate the impact of treatment with different strengths of hydrogen peroxide (H2O2) on healing of excision-type wounds in rats.
Methods: Thirty-two (n = 8) adult wistar rats randomly assigned to four groups A - D were used for the study. Full-thickness excision-type wound was surgically made on each rat on day 0. While wounds in group A, the control, were treated with 0.9 % normal saline, wounds in groups B - D received 1, 3, and 5 % H2O2, respectively. Following the surgical wounding and treatment, the epithelialization time, wound contraction, and histological changes of the wounds were assessed.
Results: On day 21, animals in group C recorded 100% wound contraction, whereas in groups A, B and D the contraction degrees of 68.75, 79.33 and 79.00 %, respectively, were reported on the same day. Group C animals treated with 3 % of H2O2 had significantly (p < 0.05) higher degree of wound contraction and epithelialization. Histologically, by day 14, wounds of animals in group C presented with a preponderance of fibrocytes over fibroblasts spread across organized connective tissue fibres. Group C treated animals also had significantly (p<0.05) faster epithelialization. No visible side effects were observed in this group following the treatments.  However, the wounds of animals in groups A, B and D showed fibroblasts embedded in loose irregular connective tissue fibres with haemorrhagic lesions, alongside pronounced polymorphonuclear cell infiltration.
Conclusion: When compared to other concentrations used in the study, the optimum strength of H2O2 for wound dressing is 3 % in terms of rate of wound contraction, epithelialization time, histological changes and physical tissue damage.

Keywords: Excision wound, Hydrogen peroxide, Fibrocytes

Impact Factor
Thompson Reuters (ISI): 0.523 (2021)
H-5 index (Google Scholar): 39 (2021)

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