Fig. 4. Topical antibiotic treatment applied to rat anastomotic tissues prevents leak.
Effect of intramuscular (IM) cefoxitin (systemic antibiotic treatment) versus direct topical antibiotic treatment with ciprofloxacin, flagyl and neomycin via enema on post-operative day (POD) 0 and 6. (A–C) Shown are the effects of systemic and topical antibiotic treatment on leak rate, collagen-degrading activity of whole microbial communities, and intestinal collagen content in rats that underwent surgical resection, anastomosis, and devascularization (n=10, *P<0.01, Student t-test). (D, D′). Effect of IM cefoxitin versus topical antibiotic treatment on intestinal tissue MMP9 activity (n=3, *P<0.05, Student t-test).