Document Type : Original Article

Authors

1 1. Graduated DVM, Private clinician, Langrod City. Langrod, Iran

2 Professor, Department of Veterinary Surgery and Radiology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran

3 Associate Professor, Department of Veterinary Pathobiology, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, Iran

4 Assistant Professor, Department of Veterinary Surgery, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, Iran

5 Graduated DVM, Private clinician, Yazd City, Yazd, Iran

Abstract

Introduction: Phenytoin ointment is a usual medicine for wound healing. Aloe vera gel promotes wound healing by directly stimulating the activity of macrophages and fibroblasts that increase both collagen and proteoglycan synthesis, thereby promoting tissue repair. The aim of this study was to evaluate the effects of phenytoin ointment1%, aloe vera gel, royal jelly and honey on skin wound healing in rabbit animal model.
Materials and Methods: 5 rabbits with 50 skin wounds were used in this study. Phenytoin ointment1%, aloe vera gel, royal jelly and honey were used in four wounds and another was considered as an untreated control. Macroscopic study was performed on days 4, 8, 12, 16 and 20 after wounding and histopathologic study was done on the days 10 and 21 from the wounds.
Results: On the 8th and 12th days in the Aloe vera gel, royal jelly and honey groups, the area of the wound had a significant difference (p < 0.05) than group1 (phenytoin), indicating a faster reduction of the wound surface than the phenytoin group. On the 16th day after surgery, the ulcer surface of the honey group was completely closed and on day 20 all the wounds were fully restored in all groups. Also, histopathologic studies on 10 and 21 days showed no significant difference between the studied groups and all wounds were completely restored on day 20.
Conclusion: Finally, the results of this Study showed that phenytoin 1% ointment, aloe vera gel, royal jelly and honey, all had a good effect on wound healing.

Keywords

Main Subjects

[1]. Atiba A, Wasfy T, Abdo W, Ghoneim A, Kamal T, Shukry M. Aloe vera gel facilitates re-epithelialization of corneal alkali burn in normal and diabetic rats. Clinical ophthalmology (Auckland, NZ). 2015;9:2019.
[2]. Sabatini AG, Marcazzan GL, Caboni MF, Bogdanov S, Almeida-Muradian L. Quality and standardisation of royal jelly. Journal of ApiProduct and ApiMedical Science. 2009;1(1):1-6.
[3]. Ramadan MF, Al-Ghamdi A. Bioactive compounds and health-promoting properties of royal jelly: A review. Journal of functional foods. 2012;4(1):39-52.
[4]. Viuda‐Martos M, Ruiz‐Navajas Y, Fernández‐López J, Pérez‐Álvarez J. Functional properties of honey, propolis, and royal jelly. Journal of food science. 2008;73(9):R117-R24.
[5]. Dat AD, Poon F, Pham KB, Doust J. Aloe vera for treating acute and chronic wounds. Cochrane database of systematic reviews. 2012;(2).
[6]. Jull AB, Cullum N, Dumville JC, Westby MJ, Deshpande S, Walker N. Honey as a topical treatment for wounds. Cochrane Database of Systematic Reviews. 2015(3).
[7]. Saddik MS, Alsharif FM, El-Mokhtar MA, Al-Hakkani MF, El-Mahdy MM, Farghaly HS, et al. Biosynthesis, characterization, and wound-healing activity of phenytoin-loaded copper nanoparticles. AAPS PharmSciTech. 2020;21(5):1-12.
[8]. Swamy S, Tan P, Zhu Y, Lu J, Achuth H, Moochhala S. Role of phenytoin in wound healing: microarray analysis of early transcriptional responses in human dermal fibroblasts. Biochemical and biophysical research communications. 2004;314(3):661-6.
[9]. Mellgren M, Bergvall K. Treatment of rabbit cheyletiellosis with selamectin or ivermectin: a retrospective case study. Acta Veterinaria Scandinavica. 2008;50(1):1.
[10].    Farhangnia I, Bigham-Sadegh A, Shirian S, Javdani M. Using Xenogenic (Calf Foetal) Osteochondral Transplantation for Articular Cartilage Defect in Rabbit Model. Iranian Journal of Orthopaedic Surgery. 2018;16(4):276-81.
[11].    Majtán J. Apitherapy--the role of honey in the chronic wound healing process. Epidemiologie, mikrobiologie, imunologie: casopis Spolecnosti pro epidemiologii a mikrobiologii Ceske lekarske spolecnosti JE Purkyne. 2009;58(3):137-40.
[12].    Majtan J, Kumar P, Majtan T, Walls AF, Klaudiny J. Effect of honey and its major royal jelly protein 1 on cytokine and MMP‐9 mRNA transcripts in human keratinocytes. Experimental dermatology. 2010;19(8):e73-e9.
[13].    Pereira CAZ, de A Alchorne AdO. Assessment of the effect of phenytoin on cutaneous healing from excision of melanocytic nevi on the face and on the back. BMC dermatology. 2010;10(1):1-7.
[14].    Hasamnis AA, Mohanty BK, Patil S. Evaluation of wound healing effect of topical phenytoin on excisional wound in albino rats. Journal of Young Pharmacists. 2010;2(1):59-62.
[15].    Shakeri F, Tebyanian H, Karami A, Babavalian H, Tahmasbi MH. Effect of topical phenytoin on wound healing. Trauma Monthly. 2017;22(5).
[16].    Takzaree N, Hadjiakhondi A, Hassanzadeh G, Rouini MR, Manayi A, Zolbin MM. Transforming growth factor-β (TGF-β) activation in cutaneous wounds after topical application of aloe vera gel. Canadian journal of physiology and pharmacology. 2016;94(12):1285-90.
[17].    Suemaru K, Cui R, Li B, Watanabe S, Okihara K, Hashimoto K, et al. Topical application of royal jelly has a healing effect for 5-fluorouracil-induced experimental oral mucositis in hamsters. Methods and findings in experimental and clinical pharmacology. 2008;30(2):103.
[18].    Shirzad H, Sedaghat A, Ghasemi S, Shirzad M. Effect of royal jelly on sterile wound healing in Balb/C mice. Armaghane danesh. 2010;15(1):38-46.
[19].    Chamani G, Zarei MR, Mehrabani M, Mehdavinezhad A, Vahabian M, Ahmadi-Motamayel F. Evaluation of Honey as a Topical Therapy for Intraoral Wound Healing in Rats. Wounds: a compendium of clinical research and practice. 2017;29(3):80-6.
 [20].  Takzaree N, Hadjiakhondi A, Hassanzadeh G, Rouini MR, Manayi A. Synergistic effect of honey and propolis on cutaneous wound healing in rats. Acta Medica Iranica. 2016:233-9.