Impact of two surgical techniques for umbilical hernia repair, with and without peritoneal opening, on pain response, sedation, and oxidative stress in calves

This study aimed to compare effects on homeostasis and postoperative outcomes of two surgical techniques for umbilical hernia repair in calves. Fifty-two calves were enrolled and randomly assigned to two groups: Group A (open technique) and Group C (closed technique). This was a prospective controlled clinical trial. Sedation was induced with romifidine, and butorphanol. Cardiopulmonary parameters, sedation scores, and body temperature were recorded at multiple perioperative timepoints (T0–T8). Postoperative pain was assessed using the UNESP-Botucatu UCPS-IV scale. Oxidative stress was evaluated by measuring serum malondialdehyde (MDA) and plasma serotonin (5-HT) concentrations at T0 and 36 h postoperatively T9. Physiological parameters remained within normal limits in both groups. Postoperative pain scores were significantly lower in Group C than in Group A (p < 0.001), with later onset of rescue analgesia 40 vs. 30 min post-standing, respectively, p < 0.001. MDA levels increased postoperatively in both groups, with a greater rise in Group A (p < 0.001), 5-HT decreased in Group A and increased in Group C (p = 0.020). The closed surgical technique for umbilical hernia repair, avoiding peritoneal opening, was associated with reduced postoperative pain and oxidative stress, suggesting it is a less invasive than the open surgical technique.