2018, Number 4
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Rev Fac Med UNAM 2018; 61 (4)
Immunity and inflammation in the surgical act
López-Bago A, González RRE, Ruíz SJE, Rivera JJ
Language: Spanish
References: 28
Page: 7-15
PDF size: 238.07 Kb.
ABSTRACT
Every surgical procedure results in a direct trauma to the
organism because of an exposure to molecules that are not
normally found in the extracellular environment, yet they
can be recognized by the immune system and initiate an
acute inflammatory response resulting in the production
of messenger proteins called pro-inflammatory cytokines.
This will produce changes in the connective and vascular
tissues, leading to vasodilation and afterwards, the release
of fluid into the extracellular space, allowing leukocytes and
the soluble effector proteins to reach the injury in order to
respond to the aggressor’s stimulus with innate and adaptive
mechanisms. Once the aggressor’s stimulus has been controlled,
the normal physiological response will lead to the
production of anti-inflammatory mediators that will allow
an adequate tissue repair. In this way, the injured tissues by
the surgical lesion will return to its normal state.
REFERENCES
Abbas AK, Litchman AH, Pillai S. Cellular and molecular immunology. 7th Philadelphia: Elsevier; 2012.
Kumar V, Abbas AK, Fausto N, Aster JC. Robbins y Cotran. Patología Estructural y Funcional. 8va. Barcelona: Elsevier; 2010.
Fitch K, Engel T, Bochner A. Cost Differences Between Open and Minimally Invasive Surgery. Manag Care. 2015; 24(9):40-8.
Terrence MF, Joseph AL, Bijan JB, Candace LG. Comparison of the clinical and economic outcomes between open and minimally invasive appendectomy and colectomy: evidence from a large commercial payer database. Surg Endosc. 2010;24:845-53.
Skjold Kingo P, Palmfeldt J, Nřrregaard R, Borre M, Jensen JB. Perioperative Systemic Inflammatory Response following Robot-Assisted Laparoscopic Cystectomy vs. Open Mini-Laparotomy Cystectomy: A Prospective Study. Urol Int. 2017;1:1-10.
Jess P, Schultz K, Bendtzen K, Nielsen OH. Systemic inflammatory responses during laparoscopic and open inguinal hernia repair: a randomised prospective study. Eur J Surg. 2000;166(7):540-4.
Rubartelli A, Lotze MT. Inside, outside, upside down: damage-associated molecular-pattern molecules (DAMPs) and redox. Trends Immunol. 2007;28(19):429-36.
Manson J, Thiemermann C, Brohi K. Trauma alarmins as activators of damage-induced inflammation. Br J Surg. 2012;99Suppl 1:12-20.
Zhang Q, Raoof M, Chen Y, Sumi Y, Sursal T, Junger W, et al. Circulating mitochondrial DAMPs cause inflammatory responses to injury. Nature. 2010;464(7285):104-7.
Arias JI, Aller MA, Arias J. Surgical inflammation: a pathophysiological rainbow. Journal of transl med. 2009;7:19.
Jawa RS, Anillo S, Huntoon K, Baumann H, Kulaylat M. Interleukin-6 in surgery, trauma, and critical care part II: clinical implications. Journal of intensive care medicine. 2011;26(2):73-87.
Kawamura T, Wakusawa R, Katsuya I. Interleukin-10 and interleukin-1 receptor antagonists increase during cardiac surgery. Can J Anaesth. 1997;44(1):38-42.
Stow JL, Murray RZ. Intracellular trafficking and secretion of inflammatory cytokines. Cytokine & growth factor reviews. 2013;24(3):227-39.
Sims JE, Smith DE. The IL-1 family: regulators of immunity. Nature reviews Immunology. 2010;10(2):89-102.
Khalil AA, Hall JC, Aziz FA, Price P. Tumour necrosis factor: implications for surgical patients. ANZ journal of surgery. 2006;76(11):1010-6.
Cook-Mills JM, Deem TL. Active participation of endothelial cells in inflammation. J Leukoc Biol. 2005;77(4):487-95.
Sumpio BE, Riley JT, Dardik A. Cells in focus: endothelial cell. Int J Biochem Cell Biol. 2002 Dec;34(12):1508-12.
von Hundelshausen P, Weber C. Platelets as immune cells: bridging inflammation and cardiovascular disease. Circulation research. 2007;100(1):27-40.
Borregaard N, Sorensen OE, Theilgaard-Monch K. Neutrophil granules: a library of innate immunity proteins. Trends in immunology. 2007;28(8):340-5.
Duffield JS. The inflammatory macrophage: a story of Jekyll and Hyde. Clinical science. 2003;104(1):27-38.
Shimaoka M, Hosotsubo K, Sugimoto M, Sakaue G, Taenak N, Yoshiya I. The influence of surgical Stress on T Cells: Early phase Lymphocyte Activation. Anest Analog. 1998 (87):1431-5.
Shimotakahara A, Kuebler JF, Vieten G, Kos M, Metzelder ML, Ure BM. Carbon dioxide directly suppresses spontaneous migration, chemotaxis, and free radical production of human neutrophils. Surg Endosc. 2008;22(8):1813-7.
West MA, Hackam DJ, Baker J, Rodriguez JL, Bellingham J, Rotstein OD. Mechanism of decreased in vitro murine macrophage cytokine release after exposure to carbon dioxide: relevance to laparoscopic surgery. Ann Surg. 1997 Aug;226(2):179-90.
Ure BM, Niewold TA, Bax NM, Ham M, van der Zee DC, Essen GJ. Peritoneal, systemic, and distant organ inflammatory responses are reduced by a laparoscopic approach and carbon dioxide versus air. Surg Endosc. 2002;16(5): 836-42.
Choileain N, Redmond P. Cell Response to Surgery. Arch Surg. 2006;141: 1132-40.
Lord JM, Midwinter MJ, Chen YF, Belli A, Brohi K, Kovacs EJ, et al. The systemic immune response to trauma: an overview of pathophysiology and treatment. Lancet. 2014;384(9952):1455-65.
Hotchkiss RS, Monneret G, Payen D. Immunosuppression in sepsis: a novel understanding of the disorder and a new therapeutic approach. Lancet Infect Dis. 2013;13:260-68.
Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sever Sepsis and Septic Shock: 2012. Crit Care Med. 2013;41(2):580-637.