Page 15 - Journal of Laparoscopic Surgery
P. 15

WJOLS



                                 Laparoscopic Vasectomy vs Laparoscopic Sterilization in Dogs: A Comparison of Two Techniques
                                                 21
          in response to tissue trauma and inflammation.  However,  Superoxide dismutase
                                       22
          on the contrary, Earley and Crowe  reported that surgical   In the present study, SOD activity was significantly lower in
          castration did not affect any of the hematological parameters   group II upto 3rd postoperative day, but it reached to base
          from day 0 to 3 after surgery and indicate that the health of   values on 5th postoperative day. The SOD, an antioxidant
          the animals was not compromised.                    enzyme it catalyzes the conversion of superoxide anion
             Alkaline phosphatase is a zinc metalloenzymes present
          in most of the tissues and having very high sensitivity in the   radicals into hydrogen preroxide and oxygen molecule.
                                                              The decreased SOD after operation attributed to decreased
                                  23
          dog in comparison to the cat.  In the present study, plasma   LPO in this group. Fridovich  reported that the increased
                                                                                      28
          ALP level in animals of both the groups were within the   activity of SOD dismutases the superoxides and results in
          normal limit. But, significant increase (p < 0.05) in this   the generation of H O , which is decomposed by CAT into
          enzyme was observed on 3rd postoperative day in both the   H O and O .  2  2
          groups. Increase may be attributed to tissue injury as a result   2  2
          of ischemia reperfusion induced oxidative stress in liver   Reduced glutathione
                                           24
          and kidney following capnoperitoneum.  It returned to the
          base level values on 7th day of operation. Acid phosphatase   In both the groups a significant increase in the reduced gluta-
          activity derived from lysosomal compartment of cells,   thione was observed immediately after operation and on 1st
                                                                                      26
          predominantly in bone and some extent in other cells, like   postoperative day. Bisla et al  also reported a significant
                                      25
          platelets, erythrocyte and spleen.  A significant increase   increase in malondialdehyde (MDA), a main indicator of
          of plasma ACP was observed on 1st and 3rd postoperative   lipid peroxidation, GSH and oxidative stress factor (OSF)
          day. As there was no significant change between the groups,   occurred after herniorrhaphy in buffaloes. Enhanced expres-
          so the changes in serum ACP levels could not be correlated   sion of GSH-dependent enzyme GPx has been documented
          with the type of tissue injury occurred in both the groups   to inhibit ROS-induced apoptosis in human breast cancer
                                                                                29
          because it is a weak marker of soft tissue injury.  cell lines Gouaze et al . Reduced glutathione was required
                                                              for the disposal of H O  from erythrocytes by a reaction
                                                                                  2
                                                                                2
          estimation of oxidative Stress                      catalyzed by GPx. This reaction was important because
                                                              accumulation of H O  might decrease the lifespan of erythro-
                                                                               2
                                                                             2
          A mild, transient increase in LPO was observed in both   cytes by increasing the rate of oxidation of hemoglobin to
          groups after operation up to 3rd postoperative days. The   methemoglobin. The present study showed that enhanced
          values returned to base level on 7th postoperative day in all   production of reduced glutathione occurred in both the
                             26
          the groups. Bisla et al  also reported significant increase   groups in order to prevent oxidative stress due to different
          in lipid peroxidation values after herniorrhaphy in buffa-  surgical procedures made on these animals.
          loes. In both the groups, the catalase activity significantly
          increased on 1st and 3rd postoperative day. This showed   Ceruloplasmin
          that the production of catalase as an antioxidant enzyme
          against  reactive  oxygen  species  (ROS)  enhanced  by     The ceruloplasmin level in plasma remained elevated nonsigni-
          increased lipid peroxidation. Comparatively, the catalase   ficantly up to 7th postoperative day in all the groups. Conner
                                                                 30
          activity was significantly higher in group II on 1st day   et al  also reported increase ceruloplasmin level in plasma
          postoperatively. Whereas in group I, significant increase was   after surgical trauma due to acute phase inflammatory process
                                                                               31
          observed immediately after operation. The result of the present   in the dog. Solter et al  reported that haptoglobin and cerulo-
          study was supported with findings of Kumaraguruparan    plasmin have greater sensitivity as determinants of inflamma-
              27
          et al.  The increase in lipid peroxidation was accompanied   tion in dogs. Acute phase proteins (APPs) level increases in the
          by an enhanced antioxidant status, and also the SOD and   circulation after surgery and its associated tissue damage 32,33
          CAT provide the first line of defence against ROS-induced   and are particularly associated with inflammation. 34
          damage. The increase in catalase level indicates that these
          enzymes were not utilized against H O  because the produc-  hormonal estimation
                                       2
                                          2
          tion of these radical from superoxide radical lowered due to  Surgically induced stress responses are evoked by noci-
          decreased activity of SOD. However, the catalase level was  cep tive afferent activity induced by tissue damage and

          significantly higher in group II indicating more oxidative  manipulation, even in patients that are receiving adequate
                                                                              35
          stress. The increased activity of SOD dismutases the super  general anesthesia.  A significant increase (p < 0.05) in
          oxides produced and results in the generation of H O , which  plasma cortisol was observed immediately after operation
                                                     2
                                                  2
                                            28
          is decomposed by CAT into H O and O .               in both the groups.  It might be attributed to the effect of
                                   2
                                           2
          World Journal of Laparoscopic Surgery, January-April 2014;7(1):7-15                               13
   10   11   12   13   14   15   16   17   18   19   20