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[Growth hormone and surgery]
1Kirurgisk gastroenterologisk afdeling, Københavns Amts Sygehus i Gentofte.
Ugeskrift for Laeger
|April 6, 1992
Summary
Biosynthetic human growth hormone (b-hGH) aids surgical recovery by preserving protein, increasing fat oxidation, and enhancing wound healing in animal and human studies. Further research is needed to optimize its use in surgical practice.
Area of Science:
- Endocrinology
- Surgical Research
- Biomedical Engineering
Context:
- Major trauma and gastrointestinal surgery patients often experience significant protein loss and impaired healing.
- Growth hormone's anabolic properties suggest potential therapeutic benefits in surgical recovery.
- Existing research indicates positive effects in animal models and specific human wound types.
Purpose:
- To review the potential benefits of biosynthetic human growth hormone (b-hGH) in surgical patients.
- To evaluate the impact of b-hGH on protein metabolism, body composition, and tissue repair.
- To explore the efficacy of b-hGH in diverse surgical scenarios, including trauma, gastrointestinal surgery, and wound healing.
Summary:
- Biosynthetic human growth hormone (b-hGH) demonstrates protein-sparing effects, increased fat oxidation, and preservation of lean body mass in surgical patients.
- Animal studies show b-hGH accelerates tibial fracture healing and improves colon anastomosis strength.
- Human studies indicate b-hGH aids donor-site healing in burn patients and promotes chronic leg ulcer healing via topical application.
Impact:
- b-hGH may offer a novel therapeutic strategy to improve outcomes for surgical patients with major trauma and gastrointestinal complications.
- The findings suggest b-hGH could enhance recovery by mitigating muscle loss and promoting tissue regeneration.
- Further clinical trials are necessary to define patient populations and optimal dosing for integrating b-hGH into surgical practice.