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Thermal Preconditioning for Surgery: A Systematic Review.

Hadyn K N Kankam1, Saahil Mehta2, Abhilash Jain3

  • 1Department of Surgery, St George's University Hospitals NHS Foundation Trust, London, UK.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|June 8, 2020
PubMed
Summary
This summary is machine-generated.

Thermal preconditioning, or supraphysiological heating before surgery, shows benefits in most studies, primarily in animal models. Further clinical trials are needed to confirm its efficacy in surgical patients.

Keywords:
Heat shock proteinsSurgerySurgical complicationsSurgical outcomesThermal preconditioning

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Area of Science:

  • Surgical optimization and preconditioning strategies.
  • Therapeutic applications of thermal interventions.

Background:

  • Pre-operative optimization of patients can reduce surgical complications.
  • Thermal preconditioning involves supraphysiological heating before an insult.
  • This review examines the use and effectiveness of thermal preconditioning in surgery.

Purpose of the Study:

  • To review the current application and efficacy of thermal preconditioning for surgical procedures.
  • To synthesize evidence from existing literature on thermal preconditioning in surgical contexts.

Main Methods:

  • Comprehensive literature search of Medline, Embase, and Cochrane Library.
  • Inclusion of studies evaluating supraphysiological heating prior to surgical intervention.
  • Qualitative synthesis of data due to study heterogeneity and quality appraisal using risk of bias tools.

Main Results:

  • 28 papers met inclusion criteria from 3175 initial articles.
  • Flap transfer was the most common surgical procedure studied.
  • Most studies indicated beneficial effects, including improved survival rates, though evidence quality varied.

Conclusions:

  • Thermal preconditioning for surgery is predominantly studied in animal models.
  • A beneficial effect is observed in most studies across various surgical specialties.
  • Future research should focus on large, multicenter randomized controlled trials to establish clinical significance.