You are here

Dynamics of hematological and biochemical parameters in pigs using platelet-enriched fibrin during herniotomy of large hernias

In general, abdominal wall hernias remain a significant problem because they cause considerable discomfort and lead to a number of complications, and the choice of treatment methods depends on the size of the hernial orifice and hernial sac. Herniotomy is the main and most effective method of treating abdominal wall hernias. Techniques that improve soft tissue healing include the use of platelet-enriched f ibrin. The aim of the study was to establish the dynamics of hematological and biochemical parameters during herniotomy of large hernias in pigs using platelet-enriched autofibrin. Control and experimental groups of animals were formed, each of which included pigs with umbilical hernias. After general and local anesthesia, herniotomy was performed in the control group using the classical method, and in the experimental group, platelet-enriched fibrin was additionally used. Blood for morphological and biochemical studies was collected before surgery, on the 3rd, 7th, and 14th days. It was found that in the experimental group there was an early slight increase in the level of leukocytes and platelets. Differences in the leukogram were characterized by an increase in the proportion of eosinophils and segmented neutrophils, a decrease in the proportion of lymphocytes in the experimental group, and an increase in the percentage of monocytes in both groups. Based on the dynamics of acute phase proteins, it was found that in the experimental group, haptoglobin levels were 1.4-1.6 times higher throughout the study period (p<0.001) compared to the control group. The peak concentration of ceruloplasmin was established on the third day in both groups, but no significant differences between the groups were found. The use of platelet-enriched fibrin in the treatment of abdominal wall hernias in pigs does not cause a significant systemic effect on the body and provides a more intense manifestation of the inflammatory resorptive phase. Keywords: platelets, PRF, erythrocytes, leuko cytes, ceruloplasmin, haptoglobin, hernias. > <0.001) compared to the control group. The peak concentration of ceruloplasmin was established on the third day in both groups, but no significant differences between the groups were found. The use of platelet-enriched fibrin in the treatment of abdominal wall hernias in pigs does not cause a significant systemic effect on the body and provides a more intense manifestation of the inflammatory-resorptive phase.

Keywords: platelets, PRF, erythrocytes, leukocytes, ceruloplasmin, haptoglobin, hernias.

  1. Lionetti, R., Neola, B., Dilillo, S., Bruzzese, D., Ferulano, G.P. (2011). Sutureless hernioplasty with light-weight mesh and fibrin glue versus Lichtenstein procedure: a comparison of outcomes focusing on chronic postoperative pain. Hernia. Vol. 16, no. 2, pp. 127–131. DOI:10.1007/s10029011-0869-y
  2. Nowacka-Woszuk, J. (2020). The genetic background of hernia in pigs: A review. Livestock Science, 104317 p. DOI:10.1016/j.livsci.2020.104317
  3. Luijendijk, R.W., Hop, W.C.J., van den Tol, M.P., de Lange, D.C.D., Braaksma, M.M.J., IJzermans, J.N.M., Boelhouwer, R.U., de Vries, B.C., Salu, M.K.M., Wereldsma, J.C.J., Bruijninckx, C.M.A., Jeekel, J. (2000). A Comparison of Suture Repair with Mesh Repair for Incisional Hernia. New England Journal of Medicine, Vol. 343, no. 6, pp. 392–398. DOI:10.1056/nejm200008103430603
  4. Ovchynnikov V.A., Shapovalov V.O. (2016). Krovopostachannia ta anatomo-funktsionalni osoblyvosti biloi linii zhyvota u tvaryn [Blood supply and anatomical and functional features of the white line of life in animals]. Visnyk Sumskoho natsionalnoho ahrarnoho universytetu [Bulletin of Sumy National Agricultural University]. Veterynarna medytsyna [Veterinary Medicine]. Issue 9 (40), pp 45–48. (In Ukrainian).
  5. Nielsen, S.S. (2022). Welfare of pigs on farm. EFSA Journal, Vol. 20, no. 8. DOI:10. 2903/j.efsa.2022.7421
  6. Searcy-Bernal, R., Gardner, I.A., Hird, D.W. (1994). Effects of and factors associated with umbilical hernias in a swine herd. Journal of the American Veterinary Medical Association, Vol. 204, no. 10, pp. 1660–1664. DOI:10.2460/javma.1994.204.10.1660
  7. Prządka, P., Liszka, B., Antończyk, A., Skrzypczak, P., Kiełbowicz, Z., & Patkowski, D. (2021). Laparoscopic-assisted percutaneous herniorrhaphy as an alternative to open surgery technique in farm swines. PLOS ONE, Vol. 16, no. 9. DOI:10.1371/journal.pone.0256890
  8. Nechytailo, M.A., Chornozub, M.P. (2021). Poshyrennia ta prychyny hryzh u svynei v umovakh suchasnoho kompleksu: mizhnar. nauk.-prakt. konf. mahistrantiv "Naukovi poshuky molodi u XXI stolitti. Aktualni problemy veterynarnoi medytsyny" (BNAU,18 lystopada 2021 r.). [Prevalence and causes of hernias in pigs in the conditions of the modern complex: international scientific-practical conference of master's students "Scientific searches of youth in the 21st century. Current problems of veterinary medicine" (BNAU, November 18, 2021.)]. Bila Tserkva, pp. 82–83. Available at:http://rep.btsau.edu.ua/handle/BNAU/7960 (In Ukrainian).
  9. Chornozub, M.P., Kozii, V.I. (2015). Poshyrennia i prychyny pakhvynno-moshonkovykh hryzh u svynei v umovakh suchasnoho svynarskoho kompleksu [The prevalence and causes of inguinal-scrotal hernias in pigs in the conditions of the modern pig farming complex]. Naukovyi visnyk veterynarnoi medytsyny [Scientific Bulletin of Veterinary Medicine]. Issue 1, pp. 107–111. (In Ukrainian).
  10. Hrybnik, V.V., Parfentiiev, R.S., Parfentiieva, N.D. (2016). Suchasni metody khirurhichnoho likuvannia velykykh ventralnykh hryzh iz vidnovlenniam funktsii miaziv perednoi cherevnoi stinky [Current methods of surgical treatment of large ventral hernias with restoration of function of the anterior abdominal wall muscles]. Shpytalna khirurhiia. Zhurnal imeni L. Ya. Kovalchuka [Hospital surgery. Journal named after L. Ya. Kovalchuka], Issue 2. DOI:10.11603/2414-4533.2016.2.6402 (In Ukrainian).
  11. Gnemmi, G., Maraboli, C. (2008). Le patologie ombelicali del vitello, seconda parte: Terapia. Summa Anim. Reddito. Vol. 9, pp. 1–3.
  12. Pollicino, P., Gandini, M., Perona, G., Mattoni, M., Farca, A. (2007). Use of Elastrator rings to repair umbilical hernias in young swine. Journal of Swine Health and Production, Vol. 15, no. 2, pp. 92–95. DOI:10.54846/jshap/507
  13. Spadola, F., Neve, V.C., Interlandi, C.D., Spadaro, A., Macrì, F., Iannelli, N.M., Costa, G.L. (2022). Hernioplasty with Peritoneal Flap for the Surgical Treatment of Umbilical Hernia in Swine. Animals, Vol. 12, no. 23, 3240 p. DOI:10.3390/ani12233240
  14. Roth, J., Tharappel, J., Wennergren, J., Lee, E., Madabhushi, V., Plymale, M. (2019). A comparative analysis of ventral hernia repair with a porcine hepatic-derived matrix and porcine dermal matrix. International Journal of Abdominal Wall and Hernia Surgery. Vol. 2, no. 3, 89 p. DOI:10.4103/ijawhs.ijawhs_20_19
  15. Yurtkap, Y., den Hartog, F.P.J., van Weteringen, W., Jeekel, J., Kleinrensink, G.J., Lange, J.F. (2020). Evaluation of a new suture material (Duramesh™) by measuring suture tension in small and large bites techniques for laparotomy closure in a porcine model. Hernia. Vol. 24, no. 6, pp. 1317–1324. DOI:10.1007/s10029-020-02140-7
  16. Saiding, Q., Chen, Y., Wang, J., Pereira, C.L., Sarmento, B., Cui, W., Chen, X. (2023). Abdominal wall hernia repair: from prosthetic meshes to smart materials. Materials Today Bio., 100691 p. DOI:10.1016/j.mtbio.2023.100691
  17. Fesseha, H. (2020). Hernias in Farm Animals and its Management technique – A Review. International Journal of Clinical Studies and Medical Case Reports, Vol. 4, no. 4. DOI:10.46998/ijcmcr.2020.04.000091
  18. Saha, T., Wang, X., Padhye, R., Houshyar, S. (2022). A review of recent developments of polypropylene surgical mesh for hernia repair. Open Nano, 100046 p. DOI:10.1016/j.onano.2022.100046
  19. Fehér, D., Ferencz, A., Szabó, G., Juhos, K., Csukás, D., Voniatis, C., Reininger, L., Molnár, K., Jedlovszky‐Hajdú, A., Wéber, G. (2021). Early and late effects of absorbable poly (vinyl alcohol) hernia mesh to tissue reconstruction. IET Nanobiotechnology. Vol. 15, no. 6, pp. 565–574. DOI:10.1049/nbt2.12015
  20. Lombardi, J., Stec, E., Edwards, M., Connell, T., Sandor, M. (2023). Comparison of mechanical properties and host tissue response to OviTex™ and Strattice™ surgical meshes. Hernia. DOI:10.1007/s10029-023-02769-0
  21. Lu, X., Khanna, A., Luzinov, I., Nagatomi, J., Harman, M. (2018). Surface modification of polypropylene surgical meshes for improving adhesion with poloxamine hydrogel adhesive. Journal of Biomedical Materials Research Part B: Applied Biomaterials, Vol. 107, no. 4, pp. 1047–1055. DOI:10.1002/jbm.b.34197
  22. Wang, M., Yang, S., Cao, Z., Hu, S. (2020). Application of Acellular Tissue Matrix for Enhancement of Weak Abdominal Wall in Animal Model. BioMed Research International. Vol. 2020, pp. 1–10. DOI:10.1155/2020/3475289
  23. Dohan Ehrenfest David, M. (2014). Classification of platelet concentrates (Platelet-Rich Plasma-PRP, Platelet-Rich Fibrin-PRF) for topical and infiltrative use in orthopedic and sports medicine: current consensus, clinical implications and perspectives. Muscle, Ligaments and Tendons Journal. DOI:10.11138/mltj/2014.4.1.0013
  24. Anitua, E., Andia, I., Ardanza, B., Nurden, P., Nurden, A. (2004). Autologous platelets as a source of proteins for healing and tissue regeneration. Thrombosis and Haemostasis. Vol. 91, no. 01, pp. 4–15. DOI:10.1160/th03-07-0440
  25. Li, Z.-H., Wu, G.-F., Song, H.-Q., Huang, K., Wu, B., Xu, X.-L., Zhu, L.-X. (2022). Artificial Dermal Scaffold Loaded with Platelet-Rich Plasma Promotes Wound Healing in Pigs by Favoring Angiogenesis. Medical Science Monitor. Vol. 28. DOI:10.12659/msm.936186
  26. Shevchenko, S.M., Rublenko, M.V. (2020). Histolohichna kharakterystyka zghustkiv fibrynu, zbahachenykh trombotsytamy i oderzhanykh za riznykh rezhymiv tsentryfuhuvannia krovi [Histological characteristics of fibrin clots enriched with platelets and obtained using various blood centrifugation regimes]. Naukovyi visnyk LNUVMB imeni S.Z. Gzhytskoho [Scientific journal of the LNUVMB named after S.Z. Gzhytskoho]. Veterynarni nauky [Veterinary sciences], Vol. 22, no. 99, pp. 84–93. DOI:10.32718/nvlvet9914 (In Ukrainian).
  27. Nathan, C. (2002). Points of control in inflammation. Nature. Vol. 420, no. 6917, pp. 846 852. DOI:10.1038/nature01320
  28. Souza, M.R., Ibelli, A.M.G., Savoldi, I.R., Cantão, M.E., Peixoto, J.D.O., Mores, M.A.Z., Lopes, J.S., Coutinho, L.L., Ledur, M.C. (2020). Transcriptome analysis identifies genes involved with the development of umbilical hernias in pigs. PLOS ONE, Vol. 15, no. 5. DOI:10.1371/journal.pone.0232542
  29. Antoniou, S.A., Antoniou, G.A., Granderath, F.A., Simopoulos, C. (2009). The role of matrix metalloproteinases in the pathogenesis of abdominal wall hernias. European Journal of Clinical Investigation, Vol. 39, no. 11, pp. 953–959. DOI:10.1111/j.1365 2362.2009.02199.x
  30. Grindflek, E., Hansen, M.H.S., Lien, S., van Son, M. (2018). Genome-wide association study reveals a QTL and strong candidate genes for umbilical hernia in pigs on SSC14. BMC Genomics. Vol. 19, no. 1. DOI:10.1186/s12864-018-4812-9
  31. Du, Z.-Q., Zhao, X., Vukasinovic, N., Rodriguez, F., Clutter, A.C., Rothschild, M.F. (2009). Association and Haplotype Analyses of Positional Candidate Genes in Five Genomic Regions Linked to Scrotal Hernia in Commercial Pig Lines. PLoS ONE, Vol. 4, no. 3. DOI:10.1371/journal.pone.0004837 In
  32. Bielecki, T., Dohan Ehrenfest, D.M. (2012). Platelet-Rich Plasma (PRP) and Platelet Rich Fibrin (PRF): Surgical Adjuvants, Preparations for Situ Regenerative Medicine and Tools for Tissue Engineering. Current Pharmaceutical Biotechnology. no. 13, pp. 1121–1130. DOI:10.2174/1389201128 00624292
  33. Dohan Ehrenfest, D.M., Rasmusson, L., Albrektsson, T. (2009). Classification of platelet concentrates: from pure platelet-rich plasma (P-PRP) to leucocyte- and platelet-rich fibrin (L-PRF). Trends in Biotechnology, Vol. 27, no. 3, pp. 158–167. DOI:10.1016/j.tibtech.2008.11.009
  34. Oryan, A., Alidadi, S., Moshiri, A., Bigham- Sadegh, A. (2014). Bone morphogenetic proteins: A powerful osteoinductive compound with non-negligible side effects and limitations. International Union of Biochemistry and Molecular Biology. Vol. 40 (5), pp. 459–481. DOI:10.1002/biof.1177
  35. Peck, M.T., Hiss, D., Stephen, L. (2016). Factors affecting the preparation, constituents, and clinical effcacy of leukocyte- and platelet-rich fibrin (L-PRF). SADJ. Vol. 71, no. 7, pp. 298–302.
  36. Dohan, D.M., Choukroun, J., Diss, A., Dohan, S.L., Dohan, A.J.J., Mouhyi, J., Gogly, B. (2006). Platelet-rich fibrin (PRF): A second-generation platelet concentrate. Part II: Platelet-related biologic features. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, Vol. 101, pp. 45–50. DOI:10.1016/j.tripleo.2005.07.009
  37. Arora, S., Agnihotri, N. (2016). Platelet Derived Biomaterials for Therapeutic Use: Review of Technical Aspects. Indian Journal of Hematology and Blood Transfusion, Vol. 33 (2), pp. 159–167.
  38. Baca-Gonzalez, L., Serrano Zamora, R., Rancan, L., González Fernández-Tresguerres, F., Fernández-Tresguerres, I., López-Pintor, R.M., López Quiles, J., Leco, I., Torres, J. (2022). Plasma rich in growth factors (PRGF) and leukocyte-platelet rich f ibrin (L-PRF): comparative release of growth factors and biological effect on osteoblasts. International Journal of Implant Dentistry, Vol. 8, no. 1. DOI:10.1186/s40729-022-00440-4
  39. Soares, C.S., Dias, I.R., Barros, L.C., Pires, M.D.A., Carvalho, P.P. (2024). Management of canine wounds using platelet‐rich fibrin (PRF) biomaterial. A case series report. Veterinary Medicine and Science. Vol. 10, no. 3. DOI:10.1002/vms3.1236
  40. Zhang, S., Tan, H., Cheng, X., Dou, X., Fang, H., Zhang, C., Yang, G., Yang, H., Zhao, Y., Feng, T., Fan, H., Sha, W. (2024). Autologous platelet-rich fibrin enhances skin wound healing in a feline trauma model. BMC Veterinary Research. Vol. 20, no. 1. DOI:10.1186/s12917-024-04358-4
  41. Tsai, H.-C., Chang, G.R.-L., Fan, H.-C., Ou-Yang, H., Huang, L.-C., Wu, S.-C., Chen, C.-M. (2019). A mini-pig model for evaluating the efficacy of autologous platelet patches on induced acute full thickness wound healing. BMC Veterinary Research. Vol. 15, no. 1. DOI:10.1186/s12917-019-1932-7
  42. Aragosa, F., Fatone, G., Caterino, C., Cavalli, S., Piscitelli, A., Vallefuoco, R., Lamagna, F., Della Valle, G. (2025). Evaluation of the Effects of Autologous Leukocyte- and Platelet-Rich Fibrin Membranes for Treating Chronic Wounds: A Pros- pective Study. Animals. Vol. 15, no. 1, 112 p. DOI:10.3390/ani15010112
  43. Utomo, D.N., Mahyudin, F., Hernugrahanto, K.D., Suroto, H., Chilmi, M.Z., Rantam, F.A. (2018). Implantation of platelet rich fibrin and allogenic mesenchymal stem cells facilitate the healing of muscle injury: An experimental study on animal. International Journal of Surgery Open, Vol. 11. pp. 4–9. DOI:10.1016/j.ijso.2018.03.001
  44. Oncu, E., Bayram, B., Kantarci, A., Gulsever, S., Alaaddinoglu, E. (2016). Positive effect of platelet rich f ibrin on osseointegration. Medicina Oral Patología Oral y Cirugia Bucal. DOI:10.4317/medoral.21026
  45. Sam, G., Vadakkekuttical, R., Amol, N. (2015). In vitro evaluation of mechanical properties of platelet-rich fibrin membrane and scanning electron microscopic examination of its surface characteristics. Journal of Indian Society of Periodontology, Vol. 19, no. 1, 32 p. DOI:10.4103/0972-124x.145821
  46. Vidhale, G. (2015). Management of Radicular Cyst Using Platelet-Rich Fibrin & Iliac Bone Graft – A Case Report. Journal of clinical and diagnostic research. DOI:10.7860/jcdr/2015/13368.6136
  47. Simon, J. (2013). Inflammation and Acute Phase Proteins in Haemostasis. Acute Phase Proteins. pp. 31–54. DOI:10.5772/55998
  48. Melnykov, V. (2019). Osoblyvosti hostrofazovoi reaktsii ta yii korektsiia v khirurhichnii patolohii u svynei [Peculiarities of the acute phase reaction and its correction in surgical pathology in pigs]. Naukovyi visnyk veterynarnoi medytsyny [Scientific Bulletin of Veterinary Medicine]. no. 1 (149), pp. 111–118. DOI:10.33245/2310-4902-2019-149-1111-118 (In Ukrainian).
  49. Samuel, T.K., Gitlin J.D. (2006). Copper and nitric oxide meet in the plasma. Nature Chemical Biology. Vol. 2, no. 9, pp. 452–453. DOI:10.1038/nchembio0906-452
AttachmentSize
PDF icon shevchenko_2_2025_.pdf776.02 KB