Perioperative Endothelial Dysfunction in Patients Undergoing Minor Abdominal Surgery. The POETRY Minor Study.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Myocardial Injury
- Sponsor
- Zealand University Hospital
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Change in endothelial function assessed by the EndoPat system
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This study on minor surgery serves to explore whether a dose-response relationship exists between surgical stress and endothelial dysfunction in the early postoperative period. The aim of this explorative and observational clinical study is to closely examine the endothelial function and its dynamics in the early postoperative period after minor surgery (lap. inguinal hernia repair). The endothelial function will be assessed indirectly by EndoPat and plasma biomarkers of nitric oxide bioavailability. The study will contribute to the understanding of perioperative myocardial injury, which is crucial for optimized treatment of patients at risk of cardiovascular complications.
Detailed Description
The investigators will include 60 patients undergoing elective inguinal hernia repair. The endothelial function will be measured before surgery and 4 hours after surgery with the EndoPat system. The NO-bioavailibility will be measured by plasma l-arginine, plasma ADMA and plasma biopterins.
Investigators
Sarah Victoria Ekeløf Busch
MD
Zealand University Hospital
Eligibility Criteria
Inclusion Criteria
- •Patients scheduled for a laparoscopic inguinal hernia repair
- •Patients ≥ 18 years old
Exclusion Criteria
- •Not capable of giving informed consent after oral and written information
- •Previously included in the trial  - Surgery within 7 days of the trial
Outcomes
Primary Outcomes
Change in endothelial function assessed by the EndoPat system
Time Frame: At baseline and 4 hours postoperatively
Secondary Outcomes
- Change in biomarkers of endothelial function: plasma arginine, plasma ADMA, plasma biopterins(At baseline and 4 hours postoperatively)