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Obstructive jaundice and wound healing.

L Grande1, J C Garcia-Valdecasas, J Fuster

  • 1Department of Surgery, Hospital Clinic i Provincial, University of Barcelona, Spain.

The British Journal of Surgery
|April 1, 1990
PubMed
Summary
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Jaundiced patients exhibit impaired wound healing due to lower collagen synthesis, indicated by reduced skin prolylhydroxylase activity. This significantly increases the risk of abdominal wound dehiscence, a complication linked to low enzyme levels.

Area of Science:

  • Biochemistry
  • Surgical Research
  • Gastroenterology

Background:

  • Jaundice, a condition characterized by yellowing of the skin and eyes, can impact physiological processes.
  • Collagen synthesis is crucial for effective wound healing.
  • Skin prolylhydroxylase activity serves as a biomarker for collagen production.

Purpose of the Study:

  • To investigate the relationship between jaundice and wound healing.
  • To assess collagen synthesis in jaundiced patients using skin prolylhydroxylase activity.
  • To determine the correlation between jaundice, collagen synthesis, and the incidence of abdominal wound dehiscence.

Main Methods:

  • A comparative study involving 95 jaundiced patients and 123 anicteric controls.
  • Measurement of skin prolylhydroxylase activity as an indicator of collagen synthesis.

Related Experiment Videos

  • Analysis of abdominal wound dehiscence rates in both groups.
  • Main Results:

    • Jaundiced patients showed significantly lower preoperative skin prolylhydroxylase activity compared to controls (40.1 vs. 369.2 c.p.m./mg protein).
    • Activity levels differed between benign (55.0 c.p.m./mg protein) and malignant biliary obstruction (25.2 c.p.m./mg protein).
    • Abdominal wound dehiscence occurred more frequently in jaundiced patients (6/95) than in anicteric patients (2/123), correlating with low prolylhydroxylase activity.

    Conclusions:

    • Jaundice is associated with reduced collagen synthesis, evidenced by decreased skin prolylhydroxylase activity.
    • Low prolylhydroxylase activity in jaundiced patients is linked to an increased risk of abdominal wound dehiscence.
    • Biliary obstruction type influences prolylhydroxylase activity, with malignant obstruction showing poorer recovery of enzyme levels.