Coagulation, inflammatory, and stress responses in a randomized comparison of open and laparoscopic repair of recurrent inguinal hernia

Rahr, Hans B; Bendix, Jørgen; Ahlburg, P.; Gjedsted, Jakob; Funch‐Jensen, Peter; Tønnesen, Else

doi:10.1007/s00464-005-0305-4

Cited by 26 publications

(15 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Its increase is proportional to the magnitude of trauma, thus being considered more useful than WBC in postoperative evaluation (Aka et al 2004, Ceron et al 2005, Rahr et al 2006). The results found in this experiment suggest higher tissue damage in conventional surgery, as observed in studies in humans (Rorarius et al 2001, Grande et al 2002, Aka et al 2004, Rahr et al 2006. Similarity between CRP and WBC related to distribution curve was noted, although WBC apparently decreased later.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open splenectomy in dogs

et al. 2009

View full text Add to dashboard Cite

653 Pesq. Vet. Bras. 29(8):653-660, agosto 2009 RESUMO.-[Comparação entre esplenectomia laparos-cópica e convencional em cães.] Nos últimos anos, a utilização da laparoscopia em Medicina Veterinária vem expandindo e, conseqüentemente, a necessidade de pes-quisas que determinem as vantagens, desvantagens e possíveis complicações de cada procedimento. Este es-tudo teve como objetivo descrever uma técnica de esplenectomia laparoscópica, assim como as alterações decorrentes deste acesso, e compará-la ao procedimen-to convencional em cães. Foram utilizadas 15 cadelas hígidas, sem raça definida, com peso médio de 17,4 ±2,5kg. Os animais foram distribuídos em três grupos: Grupo IA de acesso convencional (por laparotomia) utili-1 M.S. 2009. Laparoscopic versus open splenectomy in dogs. Pesquisa Veterinária Brasileira 29(8):653-660. In the last few years, the use of laparoscopy in veterinary medicine has expanded and consequently so was the need for studies that establish the advantages, disadvantages and possible complications of each procedure. The purpose of the current study was to describe a laparoscopic splenectomy technique and the alterations due to this access, and compare it to the open procedure in dogs. A total of 15 healthy female mongrel dogs were used, with mean weight of 17.4±2.5kg. The animals were distributed into three groups: Group IA of open splenectomy (laparotomy) using double ligation of the vessels of the splenic hilum with poliglicolic acid, Group IB of open splenectomy (laparotomy) with bipolar electrocoagulation of the splenic hilum, and Group II of laparoscopic access with bipolar electrocoagulation of the splenic hilum. Operative time, blood loss, size of incisions, complications during and after surgery were evaluated. Other parameters included pain scores, white blood cell (WBC) counts and postoperative serum concentrations of alanine aminotransferase (ALT), alkaline phosphatase (ALP), creatine kinase (CK), C-reactive protein (CRP), glucose and cortisol. No differences were found in the evaluation of parameters between both open splenectomy techniques employed. Laparoscopic access presented significant differences (p<0,05) when compared with open surgery: Longer operative time, smaller abdominal access, decrease in blood loss, lower concentrations of CRP, higher levels of CK and ALP, and lower scores in the pain scale. Laparoscopic surgery showed fewer complications of the surgical wound. No significant differences were observed between groups in the postoperative temperature, WBC, ALT, cortisol and glucose concentrations. In conclusion, the laparoscopic technique is useful for splenectomy in dogs, being advantageous in terms of blood loss, surgical stress and surgical wounds. However, it expends more operative time and causes transitory increase in hepatic and muscular enzymes. INDEX TERMS: Spleen, minimal invasive surgery, enzymes, stress, pain. Pesq. Vet. Bras. 29(8):653-660, agosto 2009 Rafael Stedile et al. 654 zando ligadura com ácido poliglicólico no selamento vas-cular do hilo espl...

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open splenectomy in dogs

et al. 2009

View full text Add to dashboard Cite

show abstract

“…All stress markers declined during the aortic crossclamping in both LABF and OABF group (table II). Although other studies have shown lower or non-significant changes in the stress hormones among the patients operated with laparoscopic surgery as compared to open surgery [9,10,24], earlier correction of hormonal homeostasis has been observed in some studies for the laparoscopy patients [20,25,26]. Laparoscopic surgery may have a positive effect on hormonal stress response, but it has also been argued that this effect is lost in major aortic surgery [27].…”

Section: Outcomes and Estimationmentioning

confidence: 99%

“…Some studies have shown that laparoscopic surgery may lead to a decreased hormonal stress response in patients, which may result in decreased complication rates, morbidity and mortality [7,8]. The evidence has, however, not been conclusive and many studies in other fields of surgery show no statistically significant difference [5,9,10]. It has been suggested that the effect might be different in major surgery and this has been pointed out as an area for further research [5].…”

Section: Introductionmentioning

confidence: 99%

Perioperative humoral stress response to laparoscopic versus open aortobifemoral bypass surgery

Krog

Thorsby

Sahba

et al. 2017

Scandinavian Journal of Clinical and Laboratory Investigation

View full text Add to dashboard Cite

show abstract

“…The meta-analysis by Pisanu (8) contained the largest number of exclusively prospective randomized trials (RCTs) (11,12,13,14,15,16,17). All the RCTs included in that meta-analysis compared the laparo-endoscopic procedures with the open Lichtenstein technique.…”

mentioning

confidence: 99%

“…All the RCTs included in that meta-analysis compared the laparo-endoscopic procedures with the open Lichtenstein technique. Three RCTs compared the Lichtenstein operation with TAPP (13,15,17), two RCTs compared it with TEP (11,16), and two RCTs compared it with both TEP and TAPP (12,14).…”

mentioning

confidence: 99%

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

et al. 2017

View full text Add to dashboard Cite

with regard to the intraoperative complications, complication-related reoperations, re-recurrences, pain at rest, pain on exertion, or chronic pain requiring treatment. The only difference identified was a significantly higher postoperative seroma rate after TAPP, which was influenced by the surgical technique, previous open primary operation and EHS-classification medial and responded to conservative treatment. Conclusion TEP and TAPP are equivalent surgical techniques for recurrent inguinal hernia repair following previous open primary operation. The choice of technique should be tailored to the surgeon's expertise.

show abstract

Coagulation, inflammatory, and stress responses in a randomized comparison of open and laparoscopic repair of recurrent inguinal hernia

Abstract: The acute phase response was more pronounced after OR, even when this was done under local anesthesia. Both techniques seemed rather atraumatic.

Cited by 26 publications

References 20 publications

Laparoscopic versus open splenectomy in dogs

Laparoscopic versus open splenectomy in dogs

Perioperative humoral stress response to laparoscopic versus open aortobifemoral bypass surgery

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

Contact Info

Product

Resources

About