Document Type : Commentaries and Perspectives
Authors
1
Assistant Professor of Surgery, Department of Surgery, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
2
Assistant Professor, Department of Anesthesiology, Lorestan University of Medical Sciences
10.22087/hmj.2026.572590.1043
Abstract
Karimian et al. investigated the anti-inflammatory and analgesic effects of the hydroalcoholic extract of Quercus infectoria fruit hulls (Jaft-e-Baloot) in male mice using a formalin-induced pain and inflammation model. The study demonstrated a dose-dependent reduction in paw edema and nociceptive behavior, with the 200 mg/kg dose showing effects comparable to diclofenac, suggesting bioactive compounds modulate inflammatory mediators. However, translational relevance to surgical settings is limited, as postoperative pain involves tissue injury, ischemia-reperfusion, immune activation, and wound healing—factors not captured by the formalin model. Critical perioperative considerations such as hemostasis, wound repair, infection risk, and interactions with anesthetic agents were not addressed. Additionally, the study’s exclusive use of male NMRI mice and intraperitoneal administration limits generalizability and clinical translation. For anesthesiology, the extract’s effects on central analgesic pathways, sedative properties, and cardiovascular or respiratory safety remain unknown. Overall, while promising, the findings are exploratory. Future research should include surgical pain models, pharmacokinetics, safety profiling, and evaluation within multimodal analgesic regimens to establish clinical relevance.
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