Topical application of lidocaine or bupivacaine in the healing of surgical wounds in dogs 1

Abstract Purpose: To analyze the anesthetic drugs interference with wound healing when used in the surgical bed. Methods: Macro and microscopic aspects of healing of surgical wounds were evaluated after instillation of topical anesthetics without vasoconstrictor or saline solution 0.9% as control in the transsurgical period. Thirty dogs, males and females were divided into two experimental groups. In both groups, two circular punch lesions of 6 mm diameter were performed in the abdomen. In group 1, lidocaine was instilled in one of the lesions and saline solution in the contralateral lesion. In group 2 the procedure was repeated with the use of bupivacaine. The macroscopic assessment of the lesions was performed on the first, third and tenth postoperative day. The excisional biopsy was performed on the tenth day and the samples were submitted for histopathological examination. Results: The macroscopic analysis had a significant difference between groups. Microscopic analysis was not significant between groups. Conclusions: The topical application of lidocaine and bupivacaine in the surgical wound is feasible and it does not influence skin healing. The benefit of such a practice, which has been the subject of other studies, seems to outweigh the risks.

[1]  Huda O. AbuBakr,et al.  Evaluation of subcutaneous infiltration of autologous platelet-rich plasma on skin-wound healing in dogs , 2017, Bioscience reports.

[2]  M. Reed,et al.  Lidocaine Impairs Proliferative and Biosynthetic Functions of Aged Human Dermal Fibroblasts , 2016, Anesthesia and analgesia.

[3]  I. Hong,et al.  Effect of autologous platelet-rich plasma application on cutaneous wound healing in dogs , 2016, Journal of veterinary science.

[4]  M. Murad,et al.  Is Local Infiltration Analgesia Superior to Peripheral Nerve Blockade for Pain Management After THA: A Network Meta-analysis , 2016, Clinical orthopaedics and related research.

[5]  S. Noble,et al.  Local anaesthetic wound infiltration in addition to standard anaesthetic regimen in total hip and knee replacement: long-term cost-effectiveness analyses alongside the APEX randomised controlled trials , 2015, BMC Medicine.

[6]  G. Ramachandran,et al.  WOUND INSTILLATION OF LOCAL ANESTHETIC BUPIVACAINE FOR POSTOPERATIVE ANALGESIA FOLLOWING LUMBAR LAMINECTOMY. , 2015, Middle East journal of anaesthesiology.

[7]  R. Giuffrida,et al.  Effects of heterologous platelet-rich plasma gel on standardized dermal wound healing in rabbits. , 2015, Acta cirurgica brasileira.

[8]  P. White,et al.  Effect of local anaesthetic infiltration with bupivacaine and ropivacaine on wound healing: a placebo‐controlled study , 2014, International wound journal.

[9]  S. Daniels,et al.  Impact of local administration of liposome bupivacaine for postsurgical analgesia on wound healing: a review of data from ten prospective, controlled clinical studies. , 2013, Clinical therapeutics.

[10]  O. Ozcan,et al.  Effects of Levobupivacaine on Wound Healing , 2013, Anesthesia and analgesia.

[11]  G. Mogoșanu,et al.  Phases of the cutaneous angiogenesis process in experimental third-degree skin burns: histological and immunohistochemical study. , 2013, Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie.

[12]  M. Albayrak,et al.  Tramadol and levobupivacaine wound infiltration at Cesarean delivery for postoperative analgesia , 2013, Journal of Anesthesia.

[13]  A. Schlicker,et al.  In vitro exposure of human fibroblasts to local anaesthetics impairs cell growth , 2010, Clinical and experimental immunology.

[14]  P. Moore,et al.  Local anesthetics: pharmacology and toxicity. , 2010, Dental clinics of North America.

[15]  S. Ganzberg,et al.  The use of local anesthetic agents in medicine. , 2010, Dental Clinics of North America.

[16]  G. Ashcroft,et al.  Clinically relevant doses of lidocaine and bupivacaine do not impair cutaneous wound healing in mice. , 2010, British journal of anaesthesia.

[17]  L. Lamont Multimodal pain management in veterinary medicine: the physiologic basis of pharmacologic therapies. , 2008, The Veterinary clinics of North America. Small animal practice.

[18]  J. McManus,et al.  Principles of basic wound evaluation and management in the emergency department. , 2007, Emergency medicine clinics of North America.

[19]  O. Uçok,et al.  The effects of articaine hydrochloride on wound healing: an experimental study. , 2003, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[20]  Michael E. Johnson,et al.  Adverse Effects of Local Anesthetic Infiltration on Wound Healing , 2003, Regional Anesthesia & Pain Medicine.

[21]  G. Bennett Update on the neurophysiology of pain transmission and modulation: focus on the NMDA-receptor. , 2000, Journal of pain and symptom management.

[22]  L. Bolton,et al.  Topical agents and wound healing. , 1994, Clinics in dermatology.

[23]  H. Paul,et al.  Effects of local anesthetics on healing of abdominal wounds in rabbits. , 1984, American journal of veterinary research.