Abstract

This study assessed the postoperative severity after three different visceral surgical interventions in rats by using objective parameters pertaining to various disciplines. The objective was to evaluate whether the degree of severity increases with the invasiveness of the intervention and whether this is in accordance with the EU Directive 2010/63. 136 adult male WistarHan rats were assigned to three groups: Sham-laparotomy (Sham) [7 days post-surgical survival time]; 50% partial hepatectomy (PH); 70% PH [PH groups with 1, 3, or 7 days post-surgical survival times]. Post-surgical severity assessment was performed via several multimodal assessment tools: I) model-specific score sheet focusing on body weight, general condition, spontaneous behavior, and the animals' willingness to move as well as on wound healing; II) Open Field tests evaluating the total distance and velocity an animal moved within 10 minutes and its rearing behavior during the test; III) telemetric data analyzing heart rate and blood pressure; and IV) analysis of blood (AST, ALT, and hemogram) and fecal samples (fecal corticosterone metabolites). Significant differences among the experimental groups and models were observed. We demonstrated that the Open Field test can detect significant changes in severity levels. Sham-laparotomy and removal of 50% of the liver mass were associated with comparable severity (mild-moderate); the severity parameters returned to baseline levels within seven days. Removal of 70% of the liver tissue seemed to be associated with a moderate severity grade and entailed a longer recovery period (>7 days) for complete regeneration. We recommend the use of Open Field tests as part of multimodal objective severity assessment.

Highlights

  • After laparotomy or liver resection, body weight in all groups showed a decrease from POD1 until POD3 latest (70% PH), compared to post-surgical baseline values

  • In the Sham and 50% partial hepatectomy (50% PH) group, all animals reached the intended end of the study; in the 70% partial hepatectomy (70% PH) group, two animals died due to major bleeding during PH and one animal had to be euthanized during post-surgical recovery phase due to stenosis

  • Further wound healing disorders occurred in the post-surgical recovery period: two skin sutures had to be fixed with additive wound clips (PH70%); one skin suture had to be re-sutured under short general anesthesia (SHAM group); six animals got a hernia of the muscle layer and had to be re-sutured under general anesthesia (PH70%)

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Summary

Objectives

The objective of this study was to assess the extent to which these subtle differences in postoperative severity can be determined using common, objective assessment methods

Methods
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