Skip to main content
Log in

Endocrine and oxidative stress characteristics in different anesthetic methods during pneumoperitoneum in dogs

  • Original Article
  • Published:
Comparative Clinical Pathology Aims and scope Submit manuscript

Abstract

General anesthesia and pneumoperitoneum are two main components of laparoscopic surgery. The aim of this study was to evaluate the effects of anesthesia on endocrine and oxidative variables during pneumoperitoneum including as follows: triiodothyronine (T3), thyroxin (T4), cortisol, malondialdehyde (MDA), and total antioxidant capacity (TAC). Twenty mixed-breed adult dogs were randomly divided into four groups: propofol and mechanical ventilation (group P-M), propofol and spontaneous ventilation (group P-S), isoflurane and mechanical ventilation (group I-M), isoflurane and spontaneous ventilation (group I-S). The dogs were pre-medicated with acepromazine, morphine, and diazepam respectively. Anesthesia was induced by propofol in all the subjects. After tracheal intubation, anesthesia was maintained in P-M and P-S groups by intravenous propofol and in I-M and I-S groups by isoflurane in oxygen, while the subjects’ lungs were mechanically ventilated in P-M and I-M groups. Pneumoperitoneum was induced in all subjects and intra-abdominal pressure (IAP) was maintained at 15 mmHg for 40 min. The concentrations of T3, T4, cortisol, MDA, and TAC were measured before and after the induction of anesthesia, 40 min after abdominal insufflation and 2, 4, 6, 12, 24, and 48 h postoperatively. There was no significant difference among four anesthetic groups in the concentrations of T3, T4, cortisol, and TAC during the sampling. Serum MDA level was significantly higher in the third sampling in P-M and P-S groups. The type of general anesthesia, during pneumoperitoneum in the absence of surgical stimuli, did not affect thyroid and cortisol hormones. It appears that the total intravenous anesthesia using propofol can increase MDA production at the end of pneumoperitoneum.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

T3 :

Triiodothyronine

T4 :

Thyroxin

MDA:

Malondialdehyde

TAC:

Total antioxidant capacity

IAP:

Intra-abdominal pressure

References

  • Baysal Z, Togrul T, Aksoy N, Cengiz M, Çelik H, Boleken ME, Kaya M, Yavuz G (2009) Evaluation of total oxidative and antioxidative status in pediatric patients undergoing laparoscopic surgery. J Pediatr Surg 44:1367–1370. https://doi.org/10.1016/j.jpedsurg.2008.11.031

    Article  PubMed  Google Scholar 

  • Benzie IF, Strain JJ (1999) Ferric reducing/antioxidant power assay: direct measure of total antioxidant activity of biological fluids and modified version for simultaneous measurement of total antioxidant power and ascorbic acid concentration. Methods Enzymol 299:15–27

    Article  CAS  Google Scholar 

  • Borner U, Klimek M, Schoengen H, Lynch J, Peschau C, Schicha H (1995) The influence of various anesthetics on the release and metabolism of thyroid hormones: results of two clinical studies. Anesth Analg 81:612–618

    CAS  PubMed  Google Scholar 

  • Braz MG, Braz LG, Freire CMM, Lucio LMC, Braz JRC, Tang G, Salvadori DMF, Yeum KJ (2015) Isoflurane and propofol contribute to increasing the antioxidant status of patients during minor elective surgery: a randomized clinical study. Medicine 94:e1266. https://doi.org/10.1097/md.0000000000001266

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Camkerten I, Sahin V, Borazan G, Gokcen A, Erel O, Das A (2009) Evaluation of blood oxidant/antioxidant balance in dogs with sarcoptic mange. Vet Parasitol 161:106–109

    Article  CAS  Google Scholar 

  • Cekic B, Geze S, Ozkan G, Besir A, Sonmez M, Karahan SC, Mentese A (2014) The effect of dexmedetomidine on oxidative stress during pneumoperitoneum. Biomed Res Int 760323:8

    Google Scholar 

  • CelicSpuzic E (2011) Effect of anesthesia on the changes in the hormones levels during and after transvesical prostatectomy. Medical Archives

  • Cheng Y, Lu J, Xiong X, Wu S, Lin Y, Wu T, Cheng N (2013) Gases for establishing pneumoperitoneum during laparoscopic abdominal surgery. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD009569.pub2

  • Chikenji T, Mizutani M, Kitsukawa Y (1990) Anaesthesia, not surgical stress, induces increases in serum concentrations of reverse triiodothyronine and thyroxine during surgery. Exp Clin Endocrinol 95:217–223. https://doi.org/10.1055/s-0029-1210955

    Article  CAS  PubMed  Google Scholar 

  • Corcoran TB, Engel A, Sakamoto H, O'Shea A, O'Callaghan-Enright S, Shorten GD (2006) The effects of propofol on neutrophil function, lipid peroxidation and inflammatory response during elective coronary artery bypass grafting in patients with impaired ventricular function. Br J Anaesth 97:825–831. https://doi.org/10.1093/bja/ael270

    Article  CAS  PubMed  Google Scholar 

  • Crema E, Ribeiro EN, Hial AM, Alves Junior JT, Pastore R, Silva AA (2005) Evaluation of the response of cortisol, corticotropin and blood platelets kinetics after laparoscopic and open cholecystectomy. Acta Cir Bras 20:364–367

    Article  Google Scholar 

  • Daminet S, Ferguson DC (2003) Influence of drugs on thyroid function in dogs. J Vet Intern Med 17:463–472

    Article  Google Scholar 

  • Devitt CM, Cox RE, Hailey JJ (2005) Duration, complications, stress, and pain of open ovariohysterectomy versus a simple method of laparoscopic-assisted ovariohysterectomy in dogs. J Am Vet Med Assoc 227:921–927. https://doi.org/10.2460/javma.2005.227.921

    Article  PubMed  Google Scholar 

  • Elbaradie S, El Mahalawy FH, Solyman AH (2004) Dexmedetomidine vs. propofol for short-term sedation of postoperative mechanically ventilated patients. J Egypt Natl Cancer Inst 16:153–158

    Google Scholar 

  • Eleftheriadis E, Kotzampassi K, Botsios D, Tzartinoglou E, Farmakis H, Dadoukis J (1996a) Splanchnic ischemia during laparoscopic cholecystectomy. Surg Endosc 10:324–326

    Article  CAS  Google Scholar 

  • Eleftheriadis E, Kotzampassi K, Papanotas K, Heliadis N, Sarris K (1996b) Gut ischemia, oxidative stress, and bacterial translocation in elevated abdominal pressure in rats. World J Surg 20:11–16

    Article  CAS  Google Scholar 

  • Glantzounis GK, Tselepis AD, Tambaki AP, Trikalinos TA, Manataki AD, Galaris DA, Tsimoyiannis EC, Kappas AM (2001) Laparoscopic surgery-induced changes in oxidative stress markers in human plasma. Surg Endosc 15:1315–1319

    Article  CAS  Google Scholar 

  • Green TR, Bennett SR, Nelson VM (1994) Specificity and properties of propofol as an antioxidant free radical scavenger. Toxicol Appl Pharmacol 129:163–169. https://doi.org/10.1006/taap.1994.1240

    Article  CAS  PubMed  Google Scholar 

  • Kang MY, Tsuchiya M, Packer L, Manabe M (1998) In vitro study on antioxidant potential of various drugs used in the perioperative period. Acta Anaesthesiol Scand 42:4–12

    Article  CAS  Google Scholar 

  • Kostopanagiotou G, Kalimeris K, Christodoulaki K, Nastos C, Papoutsidakis N, Dima C, Chrelias C, Pandazi A, Mourouzis I, Pantos C (2010) The differential impact of volatile and intravenous anaesthetics on stress response in the swine. Hormones (Athens, Greece) 9:67–75

    Article  Google Scholar 

  • Lee JY, Choi SH (2015) Evaluation of total oxidant and antioxidant status in dogs under different CO2 pneumoperitoneum conditions. Acta Vet Scand 57:015–0113

    Article  Google Scholar 

  • Lee JY, Kim MC (2014) Comparison of oxidative stress status in dogs undergoing laparoscopic and open ovariectomy. J Vet Med Sci 76:273–276

    Article  Google Scholar 

  • Marbut MMMB, Rahim SM, Yuusif MN (2009) Estimation of malondialdehyde as oxidative factor & glutathione as early detectors of hypertensive pregnant women. Tikrit Med J 15:63–69

    Google Scholar 

  • Marcovich R, Williams AL, Seifman BD, Wolf JS Jr (2001) A canine model to assess the biochemical stress response to laparoscopic and open surgery. J Endourol 15:1005–1008. https://doi.org/10.1089/089277901317203100

    Article  CAS  PubMed  Google Scholar 

  • Martin MF, Lima JR, Ezquerra LJ, Carrasco MS, Uson-Gargallo J (2001) Prolonged anesthesia with desflurane and fentanyl in dogs during conventional and laparoscopic surgery. J Am Vet Med Assoc 219:941–945

    Article  CAS  Google Scholar 

  • Oncul S, Karabiyik L, Coskun E, Kadioglu E, Gulbahar O (2016) Comparisons of the effects of the sevoflurane and propofol on acute ischemia reperfusion and DNA damages in rabbits. Rev Bras Anestesiol. https://doi.org/10.1016/j.bjan.2016.10.001

    Article  Google Scholar 

  • Ozkan D, Akkaya T, Yalcindag A, Hanci T, Gonen E, Gumus H, Delibas N (2013) Propofol sedation in total knee replacement: effects on oxidative stress and ischemia-reperfusion damage. Anaesthesist 62:537–542. https://doi.org/10.1007/s00101-013-2192-8

    Article  CAS  PubMed  Google Scholar 

  • Öztürk T (2011) Risks associated with laparoscopic surgery. In: Shamsa A (ed) Advanced Laparoscopy. InTech, Rijeka, pp 1–27

    Google Scholar 

  • Park YT, Okano S (2015) Influence of pneumoperitoneum and postural change on the cardiovascular and respiratory systems in dogs. J Vet Med Sci 77:1223–1226. https://doi.org/10.1292/jvms.14-0687

    Article  PubMed  PubMed Central  Google Scholar 

  • Placer ZA, Cushman LL, Johnson BC (1966) Estimation of product of lipid peroxidation (malonyl dialdehyde) in biochemical systems. Anal Biochem 16:359–364

    Article  CAS  Google Scholar 

  • Reetu SRAK (2011) Stress and hormones. Indian J Endocrinol Metab

  • Refsal MAWnADLPnASHBnAWEMnAKR (2009) Influence of isoflurane general anesthesia or anesthesia and surgery on thyroid function tests in dogs

  • Salzman R, Pácal L, Tomandl J, Kanková K, Tóthová E, Gál B, Kostrica R, Salzman P (2009) Elevated malondialdehyde correlates with the extent of primary tumor and predicts poor prognosis of oropharyngeal cancer. Anticancer Res 29:4227–4231

    PubMed  Google Scholar 

  • Saranteas T, Tachmintzis A, Katsikeris N, Lykoudis E, Mourouzis I, Anteriotis D, Alexopoulos C, Dimakopoulou A, Dimitriou V, Pantos C, Tesseromatis C (2007) Perioperative thyroid hormone kinetics in patients undergoing major oral and maxillofacial operations. J Oral Maxillofac Surg 65:408–414. https://doi.org/10.1016/j.joms.2005.12.067

    Article  PubMed  Google Scholar 

  • Sari R, Sevinc A (2004) The effects of laparoscopic cholecystectomy operation on C-reactive protein, hormones, and cytokines. J Endocrinol Investig 27:106–110. https://doi.org/10.1007/bf03346253

    Article  CAS  Google Scholar 

  • Serin G, Kiral F, Serin I (2008) Acute effect of ovariohysterectomy on lipid peroxidation and some antioxidant levels in dogs. Bull Vet Inst Pulawy 52:251–253

    Google Scholar 

  • Szczubial MKM, Albera E, Łopuszynski W, Dabrowski R (2008) Oxidative/antioxidative status of blood plasma in bitches with mammary gland tumors. Bull Vet Inst Pulawy 52:255–259

    Google Scholar 

  • Tsuchiya M, Sato EF, Inoue I, Asada A (2008) Open abdominal surgery increases intraoperative oxidative stress: can it be prevented? Anesth Analg 107:1946–1452

    Article  CAS  Google Scholar 

  • Uysal E, Kirdak T, Korun N (2015) Alterations in thyroid hormones due to increased intraabdominal pressure in rats. J Investig Surg 13(13)

  • Van Hemelrijck J, Weekers F, Van Aken H, Bouillon R, Heyns W (1995) Propofol anesthesia does not inhibit stimulation of cortisol synthesis. Anesth Analg 80:573–576

    PubMed  Google Scholar 

  • Wood MA, Panciera DL, Berry SH, Monroe WE, Refsal KR (2009) Influence of isoflurane general anesthesia or anesthesia and surgery on thyroid function tests in dogs. J Vet Intern Med 23:7–15. https://doi.org/10.1111/j.1939-1676.2008.00216.x

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We would like to thank Dr. Mohammad Reza Seddighi (Assistant Professor of Anesthesiology, University of Tennessee, Department of Large Animal Clinical Sciences, Knoxville, USA), Dr. Samaneh Ghasemi, Dr. Pouria khanzadeh, and Dr. Hamideh Zeinali (Department of Clinical Science, Faculty of Veterinary Medicine, Ferdowsi University of Mashhad, Iran) for their valuable supports and suggestions in terms of the research.

Funding

Financial support for this study was provided by the Ferdowsi University of Mashhad, Iran.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohammad Reza Emami.

Ethics declarations

Ethical approval

All procedures performed on the subjects in this study were approved by the animal ethics committee for studies on laboratory animals of the department of clinical sciences at Faculty of Veterinary Medicine of Ferdowsi University of Mashhad.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Alipour, F., Emami, M.R. & Mohri, M. Endocrine and oxidative stress characteristics in different anesthetic methods during pneumoperitoneum in dogs. Comp Clin Pathol 27, 1667–1673 (2018). https://doi.org/10.1007/s00580-018-2792-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00580-018-2792-4

Keywords

Navigation