Does hyperthermic preconditioning affect the rate of surgical site infection rate and inflammatory reaction in colorectal cancer patients? A prospective randomized clinical trial

Hyperthermic preconditioning has been shown to protect against different insults in experimental studies. However, clinical studies assessing its effects remain limited. The aim of this study was to investigate the effects of hyperthermic preconditioning on the rate of surgical site infection and in...

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Veröffentlicht in:Turkish journal of surgery 2018-12, Vol.34 (4), p.282-285
Hauptverfasser: Attaallah, Wafi, Şen, Leyla Semiha, Aktan, Ahmet Özdemir, Ekşioğlu, Emel Demiralp, Eti, Zeynep, Güler, Sertaç Ata, Cingi, Asım
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container_end_page 285
container_issue 4
container_start_page 282
container_title Turkish journal of surgery
container_volume 34
creator Attaallah, Wafi
Şen, Leyla Semiha
Aktan, Ahmet Özdemir
Ekşioğlu, Emel Demiralp
Eti, Zeynep
Güler, Sertaç Ata
Cingi, Asım
description Hyperthermic preconditioning has been shown to protect against different insults in experimental studies. However, clinical studies assessing its effects remain limited. The aim of this study was to investigate the effects of hyperthermic preconditioning on the rate of surgical site infection and inflammatory reaction in patients undergoing elective colorectal cancer surgery. Patients with colorectal cancer, scheduled to undergo elective surgery were enrolled in this prospective randomized study. Patients were randomly assigned to either the hyperthermic preconditioning group or control group. Postoperative superficial and deep surgical site infection were recorded. Blood samples were collected from all the patients in the hyperthermic preconditioning group prior to the application of hyperthermia 12 h before surgery, immediately prior to surgery, and 4 h and 24 h postoperatively. For the control group, blood samples were obtained within the same periods without the application of hyperthermia. Levels of interleukin-1, IL-6, and tumor necrosis factor-α were measured from blood samples. Twenty patients were randomized to the hyperthermic preconditioning group and 21 to the control group. No significant difference was found in deep or superficial surgical site infection between the groups. No significant difference in the tumor necrosis factor-α, interleukin-1, and IL-6 levels was found in serum samples collected before hyperthermia, during the operation, and postoperatively. This study showed that hyperthermic preconditioning has no effect on the surgical site infection and cytokine response in patients undergoing elective surgical intervention for colorectal cancer.
doi_str_mv 10.5152/turkjsurg.2018.3981
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A prospective randomized clinical trial</title><source>PubMed Central</source><creator>Attaallah, Wafi ; Şen, Leyla Semiha ; Aktan, Ahmet Özdemir ; Ekşioğlu, Emel Demiralp ; Eti, Zeynep ; Güler, Sertaç Ata ; Cingi, Asım</creator><creatorcontrib>Attaallah, Wafi ; Şen, Leyla Semiha ; Aktan, Ahmet Özdemir ; Ekşioğlu, Emel Demiralp ; Eti, Zeynep ; Güler, Sertaç Ata ; Cingi, Asım ; Department of Immunology, Marmara University School of Medicine, Istanbul, Turkey ; Department of General Surgery, Marmara University School of Medicine, İstanbul, Turkey ; Department of Anesthesia, Marmara University School of Medicine, Istanbul, Turkey</creatorcontrib><description>Hyperthermic preconditioning has been shown to protect against different insults in experimental studies. However, clinical studies assessing its effects remain limited. The aim of this study was to investigate the effects of hyperthermic preconditioning on the rate of surgical site infection and inflammatory reaction in patients undergoing elective colorectal cancer surgery. Patients with colorectal cancer, scheduled to undergo elective surgery were enrolled in this prospective randomized study. Patients were randomly assigned to either the hyperthermic preconditioning group or control group. Postoperative superficial and deep surgical site infection were recorded. Blood samples were collected from all the patients in the hyperthermic preconditioning group prior to the application of hyperthermia 12 h before surgery, immediately prior to surgery, and 4 h and 24 h postoperatively. For the control group, blood samples were obtained within the same periods without the application of hyperthermia. Levels of interleukin-1, IL-6, and tumor necrosis factor-α were measured from blood samples. 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subjects Blood transfusions
Cancer therapies
Colorectal cancer
Cytokines
Diabetes
Fever
Heat
Hyperthermia
Infections
Ischemia
Original
Patients
Sepsis
Studies
Surgery
Surgical site infections
Tumor necrosis factor-TNF
title Does hyperthermic preconditioning affect the rate of surgical site infection rate and inflammatory reaction in colorectal cancer patients? A prospective randomized clinical trial
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