PMID- 31892574 OWN - NLM STAT- MEDLINE DCOM- 20200110 LR - 20200110 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 40 IP - 1 DP - 2020 Jan TI - The Rectus Sheath Block (RSB) Analgesia Following Laparotomy Could Affect Malonidialdehyde (MDA) Concentrations in Benign Disease and Cancer. PG - 253-259 LID - 10.21873/anticanres.13947 [doi] AB - BACKGROUND/AIM: The aim of the study was to compare the MDA (malonidialdehyde) plasma concentrations versus CAT (catalase)/NT (nitrotyrosine) plasma concentrations, patient satisfaction and pain score at rest/pressure to the wound area in laparotomy patients with rectus sheath block (RSB) analgesia. PATIENTS AND METHODS: Initially, 56 patients were randomized to four groups; control group (n=12), single-dose (n=16), repeated-dose (n=12) and continuous infusion (n=16) RSB analgesia groups. The plasma concentrations of CAT, NT and MDA markers were measured just before, immediately after and 24 h after operation. RESULTS: The RSB analgesia enhanced significantly patient satisfaction (p=0.001). The plasma MDA decreased immediately after operation (POP1) and the postoperative decrease between the preoperative and the POP1 values in the MDA marker were statistically significant (p<0.001). In linear mixed model, the time effect in both the single group and in the benign group in plasma NT biomarker was statistically significant (p=0.001, p=0.013, respectively). The median plasma MDA concentrations (ng/ml) following surgery were significantly lower in patients with cancer versus patients with benign disease (589 vs. 852, p=0.021). Jitterplots of the individual plasma NT versus plasma MDA showed that there was significant correlation in benign and cancer patients (r=0.347, p<0.001). CONCLUSION: Plasma MDA decreased significantly after operation in all patients and cancer patients had significantly lower MDA concentrations following surgery than patients with benign disease. CI - Copyright(c) 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Ruottinen, Maiju AU - Ruottinen M AD - Department of Surgery, Kuopio University Hospital and School of Medicine, University of Eastern Finland, Kuopio, Finland. FAU - Kuosmanen, Viivi AU - Kuosmanen V AD - Department of Surgery, Kuopio University Hospital and School of Medicine, University of Eastern Finland, Kuopio, Finland. FAU - Saimanen, Iina AU - Saimanen I AD - Department of Surgery, Kuopio University Hospital and School of Medicine, University of Eastern Finland, Kuopio, Finland. FAU - Kaaronen, Viivi AU - Kaaronen V AD - Department of Surgery, Kuopio University Hospital and School of Medicine, University of Eastern Finland, Kuopio, Finland. FAU - Rahkola, Dina AU - Rahkola D AD - Department of Surgery, Kuopio University Hospital and School of Medicine, University of Eastern Finland, Kuopio, Finland. FAU - Holopainen, Anu AU - Holopainen A AD - Department of Clinical Chemistry, Eastern Finland Laboratory Center, Kuopio University Hospital, Kuopio, Finland. FAU - Selander, Tuomas AU - Selander T AD - Science Service Center, Kuopio University Hospital, Kuopio, Finland. FAU - Kokki, Hannu AU - Kokki H AD - Department of Anaesthesiology and Intensive Care, Kuopio University Hospital and School of Medicine, University of Eastern Finland, Kuopio, Finland. FAU - Kokki, Merja AU - Kokki M AD - Department of Anaesthesiology and Intensive Care, Kuopio University Hospital and School of Medicine, University of Eastern Finland, Kuopio, Finland. FAU - Eskelinen, Matti AU - Eskelinen M AD - Department of Surgery, Kuopio University Hospital and School of Medicine, University of Eastern Finland, Kuopio, Finland matti.eskelinen@kuh.fi. LA - eng PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 3604-79-3 (3-nitrotyrosine) RN - 42HK56048U (Tyrosine) RN - 4Y8F71G49Q (Malondialdehyde) RN - EC 1.11.1.6 (Catalase) SB - IM MH - *Analgesia MH - Catalase/blood MH - Female MH - Humans MH - *Laparotomy MH - Male MH - Malondialdehyde/*blood MH - Middle Aged MH - Neoplasms/*blood MH - *Nerve Block MH - Tyrosine/analogs & derivatives/blood OTO - NOTNLM OT - Benign disease OT - cancer OT - lipid peroxidation OT - pain following surgery OT - plasma malonidialdehyde EDAT- 2020/01/02 06:00 MHDA- 2020/01/11 06:00 CRDT- 2020/01/02 06:00 PHST- 2019/12/02 00:00 [received] PHST- 2019/12/10 00:00 [revised] PHST- 2019/12/12 00:00 [accepted] PHST- 2020/01/02 06:00 [entrez] PHST- 2020/01/02 06:00 [pubmed] PHST- 2020/01/11 06:00 [medline] AID - 40/1/253 [pii] AID - 10.21873/anticanres.13947 [doi] PST - ppublish SO - Anticancer Res. 2020 Jan;40(1):253-259. doi: 10.21873/anticanres.13947.