PMID- 29457605 OWN - NLM STAT- MEDLINE DCOM- 20180817 LR - 20190606 IS - 1643-3750 (Electronic) IS - 1234-1010 (Print) IS - 1234-1010 (Linking) VI - 24 DP - 2018 Feb 19 TI - Negative Pressure Therapy in the Regeneration of the Sciatic Nerve Using Vacuum - Assisted Closure in a Rabbit Model. PG - 1027-1033 AB - BACKGROUND The aim of this study was to investigate the effects of negative pressure therapy in the regeneration of the rabbit sciatic nerve using vacuum assisted closure (VAC). MATERIAL AND METHODS Thirty male New Zealand white rabbits underwent surgical injury of the sciatic nerve, followed by negative pressure therapy using vacuum assisted closure (VAC), in three treatment groups: Group A: 0 kPa; Group B: -20 kPa; Group C: -40 kPa. At 12 weeks following surgery, the following factors were studied: motor nerve conduction velocity (MNCV); the number of myelinated nerve fibers; the wet weight of the gastrocnemius muscle. Gastrocnemius muscle and sciatic nerve tissue samples were studied for the expression of S100, and brain-derived neurotrophic factor (BDNF) using Western blot. RESULTS At 12 weeks following VAC treatment, the MNCV, number of myelinated nerve fibers, and wet weight of the gastrocnemius muscle showed significant differences between the groups (p<0.05), in the following order: Group B >Group A >Group C. The sciatic nerve at 12 weeks following VAC in Group B and Group C showed a significant increase in expression of S100 and BDNF when compared with Group A; no significant differences were detected between Group B and Group C results from Western blot at 12 weeks. CONCLUSIONS The findings of this study, using negative pressure therapy in VAC in a rabbit model of sciatic nerve damage, have shown that moderate negative pressure was beneficial, but high values did not benefit sciatic nerve repair. FAU - Wu, Jian-Ping AU - Wu JP AD - Department of Orthopaedics, Yixing Hospital of Jiangsu Unversity, Yixin, Jiangsu, China (mainland). FAU - Jiang, Zhen-Huan AU - Jiang ZH AD - Department of Orthopaedics, Yixing Hospital of Jiangsu Unversity, Yixin, Jiangsu, China (mainland). FAU - Feng, Xiao-Jun AU - Feng XJ AD - Xishan People's Hospital of Wuxi, Wuxing, Jiangsu, China (mainland). FAU - Jiang, Jian-Nong AU - Jiang JN AD - Department of Orthopaedics, Yixing Hospital of Jiangsu Unversity, Yixin, Jiangsu, China (mainland). FAU - Cheng, Mao-Hua AU - Cheng MH AD - Department of Orthopaedics, The Second Affiliated Hospital of Soochow, Suzhou, Jiangsu, China (mainland). LA - eng PT - Journal Article DEP - 20180219 PL - United States TA - Med Sci Monit JT - Medical science monitor : international medical journal of experimental and clinical research JID - 9609063 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (S100 Proteins) SB - IM MH - Animals MH - Brain-Derived Neurotrophic Factor/metabolism MH - Disease Models, Animal MH - Male MH - Motor Neurons/pathology MH - Muscle, Skeletal/pathology MH - Myelin Sheath/metabolism MH - *Negative-Pressure Wound Therapy MH - Nerve Fibers/pathology MH - *Nerve Regeneration MH - Neural Conduction MH - Organ Size MH - Rabbits MH - S100 Proteins/metabolism MH - Sciatic Nerve/pathology/*physiopathology PMC - PMC5827701 COIS- Competing interests None. EDAT- 2018/02/20 06:00 MHDA- 2018/08/18 06:00 PMCR- 2018/02/19 CRDT- 2018/02/20 06:00 PHST- 2018/02/20 06:00 [entrez] PHST- 2018/02/20 06:00 [pubmed] PHST- 2018/08/18 06:00 [medline] PHST- 2018/02/19 00:00 [pmc-release] AID - 906696 [pii] AID - 10.12659/msm.906696 [doi] PST - epublish SO - Med Sci Monit. 2018 Feb 19;24:1027-1033. doi: 10.12659/msm.906696.