[Changes in cellular and humoral immunity in the postoperative period (author's transl)]
Insights
Post-surgery, infants and children experience a temporary drop in cellular immunity, particularly after major abdominal procedures. Humoral immunity remains unaffected, with IgM levels increasing post-operation.
Area of Science:
- Immunology
- Pediatric Surgery
Context:
- Post-operative immune response in pediatric patients.
- Impact of surgical procedures on immune function in children.
- Age-related differences in immune deficiency after surgery.
Purpose:
- To investigate the impact of surgery on cellular and humoral immune defenses in infants and children.
- To assess factors influencing post-operative immune status, including age and surgical complexity.
Summary:
- Surgery temporarily reduces E-rosettes forming lymphocytes, indicating a weakened cellular immune defense in pediatric patients.
- This deficiency is more pronounced in newborns and infants undergoing major abdominal surgery.
- Pre-operative complications correlate with lower initial immune values and increased risk of post-operative infections.
- Humoral immune defense remains intact, with a notable increase in IgM concentrations post-surgery.
Impact:
- Highlights the transient nature of cellular immune deficiency following pediatric surgery.
- Identifies newborns and infants as a vulnerable group requiring closer post-operative monitoring.
- Suggests that pre-existing conditions significantly affect post-operative immune outcomes.
- Provides insights into the differential impact of surgery on cellular versus humoral immunity.
Abstract:
The decrease of E-rosettes forming lymphocytes in infants and children after surgery indicates a temporary deficiency of the cellular immune-defence, which depends on the age of the patients and the duration of the procedure. It finds its most marked expression in newborns and infants respectively, after major abdominal surgery. Children suffering from pre-operative complications like shock, ileus or infection have lower initial values and get post-operative infections more frequently. The humoral immune-defence is not impaired, the IgM-concentrations even show a significant post-operative increase.
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