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Original Research Open Access

The effect of tirofiban hydrochloride on colon anastomosis healing in hypoperfusion ischemia induced in rats

  • 1Department of General Surgery, Mersin City Training and Research Hospital, Turkey
  • 2Faculty of Medicine, Department of General Surgery, Mustafa Kemal University, Turkey
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Corresponding Author

Guvenc Diner, guvencdiner@yahoo.com

Received Date: November 05, 2025

Accepted Date: January 09, 2026

Abstract

Objective: Anastomotic insufficiency in colorectal surgery can lead to serious complications and high morbidity and mortality rates. This study aimed to evaluate the effect of tirofiban hydrochloride, an antiplatelet agent, on ischemic colon anastomosis healing. 

Materials and Methods: A total of 21 male Wistar albino rats were randomly divided into three groups: Group A (Sham), Group B (Ischemia-Control), and Group C (Ischemia-Tirofiban). Ischemia was induced in the colon by ligating the marginal arteries, followed by end-to-end anastomosis. Group C received intraperitoneal tirofiban (0.125 mcg/1cc) for five postoperative days. On the fifth postoperative day, bursting pressure, hydroxyproline (HP) levels, and histopathological ischemic necrosis scores were assessed.

Results: Bursting pressures were measured as 97.85±16.17 mmHg in Group B and 170.85±8.15 mmHg in Group C (p<0.0001). HP levels were 2.42±0.84 mg/g in Group A, 3.70±0.29 mg/g in Group B, and 4.80±0.99 mg/g in Group C. Histopathological scores were significantly better in Group C (p=0.024).

Conclusion: Tirofiban significantly improved ischemic colon anastomosis healing in terms of bursting pressure, collagen production, and histological tissue integrity. These findings suggest that tirofiban may be a potential agent to enhance anastomotic safety in ischemic surgical settings.

Keywords

Colon anastomosis, Ischemia, Tirofiban, Bursting pressure, Hydroxyproline

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