Metabolic response to abdominal surgery: the 2-wound model.

Abstract:

:An abdominal operation combines a somatic abdominal wall wound with a second autonomic wound to the peritoneal cavity and viscera and little attention has been paid the autonomic/peritoneal wound that communicates directly to the brain by the vagus nerve. Moreover, vagal input originating from the peritoneum modulates and regulates postoperative recovery. Consequently, blockade of the afferent neural and inflammatory input from this autonomic/peritoneal wound will reduce postoperative neurohormonal stress and enhance patient recovery from an abdominal operation.

journal_name

Surgery

journal_title

Surgery

authors

Kahokehr A,Sammour T,Srinivasa S,Hill AG

doi

10.1016/j.surg.2010.10.020

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

301-4

issue

3

eissn

0039-6060

issn

1532-7361

pii

S0039-6060(10)00584-2

journal_volume

149

pub_type

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