The effect of laparoscopy on mast cell degranulation and mesothelium thickness in rats

Hery Poerwosusanta1,2, Gunadi3, Zairin Noor4

  • 1Doctoral Study Program, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia. herpoerwo@ulm.ac.id.

BMC Surgery
|May 26, 2020
PubMed
Abstract

Insights

Laparoscopy increases mast cell activation and decreases mesothelial thickness in rats. This suggests a link between mast cells and tissue damage following laparoscopic procedures.

Area of Science:

  • Surgical Pathology
  • Inflammatory Response
  • Tissue Engineering

Background:

  • Laparoscopy can lead to adhesions, potentially via ischemia-reperfusion injury.
  • The precise mechanisms underlying laparoscopy-induced adhesions are not fully understood.
  • Investigating cellular and morphological changes is crucial for understanding surgical complications.

Purpose of the Study:

  • To examine the effects of laparoscopy on mast cell behavior.
  • To assess morphological changes in the mesothelium after laparoscopy.
  • To elucidate the pathomechanism of laparoscopy-induced tissue injury in rats.

Main Methods:

  • Rats underwent 60-minute laparoscopy with varying carbon dioxide insufflation pressures.
  • Serum markers of oxidative stress (H2O2, MDA, OSI, CAT, SOD) were measured.
  • Histopathological analysis evaluated mast cell infiltration/degranulation and mesothelium thickness in multiple organs.

Main Results:

  • Laparoscopy significantly increased oxidative stress markers (H2O2, MDA, OSI) and decreased antioxidant enzymes (CAT, SOD).
  • Increased mast cell infiltration and degranulation were observed in laparoscopy groups.
  • Mesothelium thickness significantly decreased, correlating strongly with mast cell activation.

Conclusions:

  • Laparoscopic procedures in rats induce significant mast cell degranulation and infiltration.
  • A notable decrease in mesothelial thickness occurs post-laparoscopy.
  • Mast cell activation is closely associated with reduced mesothelial thickness following laparoscopy.

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