Similar Effects of General and Spinal Anaesthesia on Perioperative Stress Response in Patients Undergoing Haemorrhoidectomy

Surgery induces release of neuroendocrine hormones (cortisol), cytokines (interleukin-6: IL-6, tumour necrosis factor-α: TNF-α), acute phase proteins (C-reactive protein: CRP, leptin). We studied the effects of general and spinal anaesthesia on stress response to haemorrhoidectomy. Patients were ass...

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Main Authors: Unase Buyukkocak, Osman Caglayan, Cagatay Daphan, Kuzey Aydinuraz, Oral Saygun, Tahsin Kaya, Fatih Agalar
Format: Article
Language:English
Published: Wiley 2006-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/MI/2006/97257
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author Unase Buyukkocak
Osman Caglayan
Cagatay Daphan
Kuzey Aydinuraz
Oral Saygun
Tahsin Kaya
Fatih Agalar
author_facet Unase Buyukkocak
Osman Caglayan
Cagatay Daphan
Kuzey Aydinuraz
Oral Saygun
Tahsin Kaya
Fatih Agalar
author_sort Unase Buyukkocak
collection DOAJ
description Surgery induces release of neuroendocrine hormones (cortisol), cytokines (interleukin-6: IL-6, tumour necrosis factor-α: TNF-α), acute phase proteins (C-reactive protein: CRP, leptin). We studied the effects of general and spinal anaesthesia on stress response to haemorrhoidectomy. Patients were assigned to general and spinal anaesthesia groups (n=7). Blood samples were drawn before induction and 24 hours after surgery. Perioperative levels of IL-6, TNF-α, CRP, cortisol, and leptin were comparable among the groups. Twenty four hours after surgery, TNF-α and cortisol did not change; IL-6 and CRP increased significantly in all patients. Significant increase in leptin levels was found in patients undergoing spinal anaesthesia. Except for the increase in leptin levels, there was no significant difference related to the effects of general and spinal anaesthesia.
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publishDate 2006-01-01
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series Mediators of Inflammation
spelling doaj-art-d148e68ffe4a4dd1a5ce522c3ea63e0c2025-08-20T03:24:01ZengWileyMediators of Inflammation0962-93511466-18612006-01-01200610.1155/MI/2006/9725797257Similar Effects of General and Spinal Anaesthesia on Perioperative Stress Response in Patients Undergoing HaemorrhoidectomyUnase Buyukkocak0Osman Caglayan1Cagatay Daphan2Kuzey Aydinuraz3Oral Saygun4Tahsin Kaya5Fatih Agalar6Department of Anaesthesiology and Reanimation, School of Medicine, Kirikkale University, Kirikkale 71100, TurkeyDepartment of Biochemistry, School of Medicine, Kirikkale University, Kirikkale 71100, TurkeyDepartment of General Surgery, School of Medicine, Kirikkale University, Turkey 71100, TurkeyDepartment of General Surgery, School of Medicine, Kirikkale University, Turkey 71100, TurkeyDepartment of General Surgery, School of Medicine, Kirikkale University, Turkey 71100, TurkeyDepartment of Anaesthesiology and Reanimation, School of Medicine, Kirikkale University, Kirikkale 71100, TurkeyDepartment of General Surgery, School of Medicine, Kirikkale University, Turkey 71100, TurkeySurgery induces release of neuroendocrine hormones (cortisol), cytokines (interleukin-6: IL-6, tumour necrosis factor-α: TNF-α), acute phase proteins (C-reactive protein: CRP, leptin). We studied the effects of general and spinal anaesthesia on stress response to haemorrhoidectomy. Patients were assigned to general and spinal anaesthesia groups (n=7). Blood samples were drawn before induction and 24 hours after surgery. Perioperative levels of IL-6, TNF-α, CRP, cortisol, and leptin were comparable among the groups. Twenty four hours after surgery, TNF-α and cortisol did not change; IL-6 and CRP increased significantly in all patients. Significant increase in leptin levels was found in patients undergoing spinal anaesthesia. Except for the increase in leptin levels, there was no significant difference related to the effects of general and spinal anaesthesia.http://dx.doi.org/10.1155/MI/2006/97257
spellingShingle Unase Buyukkocak
Osman Caglayan
Cagatay Daphan
Kuzey Aydinuraz
Oral Saygun
Tahsin Kaya
Fatih Agalar
Similar Effects of General and Spinal Anaesthesia on Perioperative Stress Response in Patients Undergoing Haemorrhoidectomy
Mediators of Inflammation
title Similar Effects of General and Spinal Anaesthesia on Perioperative Stress Response in Patients Undergoing Haemorrhoidectomy
title_full Similar Effects of General and Spinal Anaesthesia on Perioperative Stress Response in Patients Undergoing Haemorrhoidectomy
title_fullStr Similar Effects of General and Spinal Anaesthesia on Perioperative Stress Response in Patients Undergoing Haemorrhoidectomy
title_full_unstemmed Similar Effects of General and Spinal Anaesthesia on Perioperative Stress Response in Patients Undergoing Haemorrhoidectomy
title_short Similar Effects of General and Spinal Anaesthesia on Perioperative Stress Response in Patients Undergoing Haemorrhoidectomy
title_sort similar effects of general and spinal anaesthesia on perioperative stress response in patients undergoing haemorrhoidectomy
url http://dx.doi.org/10.1155/MI/2006/97257
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