Vinha PP, Jordão AA, Farina JA, Vannucchi H, Marchini JS, Cunha SFDCD. Inflammatory and oxidative stress after surgery for the small area corrections of burn sequelae.
Acta Cir Bras 2012;
26:320-4. [PMID:
21808847 DOI:
10.1590/s0102-86502011000400013]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2010] [Accepted: 03/15/2011] [Indexed: 11/22/2022] Open
Abstract
PURPOSE
To compare vitamin levels, inflammatory and oxidative stress markers before and after skin autograft surgery to correct burn scar areas.
METHODS
This prospective study was conducted with 8 patients with a median age of 28 years (range, 16 to 40 years) that had burn sequelae and were admitted to a Burn Unit for correction of small burn scar areas [3.3 (1.0-5.0) % of the corporal surface]. The volunteers were evaluated before and 48 hours after excision of scar tissue and skin autograft. Routine laboratory data, along with a food questionnaire and anthropometry were collected in the preoperative period. Serum vitamin A, C, E, B(12) and folic acid levels, inflammatory markers (C-protein reactive, alpha-1-acid glycoprotein, ferritin) and oxidative stress markers (reduced glutathione - GSH and Thiobarbituric Acid Reactive Substances - TBARS) were determined at preoperative and postoperative phases. Data were analyzed with two-sample Wilcoxon test.
RESULTS
All volunteers were clinically stable and had adequate nutritional status at admission. After surgery, C-reactive protein serum levels increased [0.4 (0.01-1.0) vs. 2.5 (0.6-4.7) mg/dL, p=0.01] and vitamin A levels decreased [3.4 (2.1-4.2) vs. 2.4 (1.6-4.1) µmol/L, p=0.01]. No changes occurred in other vitamins, ferrritin, alpha-1-acid glycoprotein, GSH and TBARS levels.
CONCLUSION
Minimal metabolic changes were produced after skin autograft in small areas of well-nourished patients without active infection or inflammation.
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