Canine ovariectomy by hybrid or total natural orifice transluminal endoscopic surgery: technical feasibility study and pain assessment.

Autor: Linhares MT; Department of Small Animal Clinical Sciences, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil., Feranti JPS; Department of Small Animal Clinical Sciences, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil., Coradini GP; Department of Small Animal Clinical Sciences, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil., Martins LR; Department of Small Animal Clinical Sciences, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil., Martins AR; Department of Small Animal Clinical Sciences, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil., Sarturi VZ; Department of Small Animal Clinical Sciences, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil., Gavioli FB; Department of Small Animal Clinical Sciences, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil., Machado Silva MA; Universidade Federal de Goiás, Goiânia, Goiás, Brazil., de Ataíde MW; Department of Small Animal Clinical Sciences, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil., Teixeira LG; Department of Small Animal Clinical Sciences, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil., Brun MV; Department of Small Animal Clinical Sciences, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.
Jazyk: angličtina
Zdroj: Veterinary surgery : VS [Vet Surg] 2019 Jun; Vol. 48 (S1), pp. O74-O82. Date of Electronic Publication: 2018 Jun 13.
DOI: 10.1111/vsu.12900
Abstrakt: Objective: To compare technical feasibility, surgical time, surgical complications, and postoperative pain in ovariectomy (OVE) by hybrid and total natural orifice transluminal endoscopic surgery (NOTES).
Study Design: Prospective randomized clinical trial.
Animals: Sixteen healthy and sexually intact bitches.
Methods: Dogs were randomly assigned to the hybrid NOTES group (HNG; n = 8) and the total NOTES group (TNG; n = 8) to compare surgical time, pain scores and complications. Pain was assessed by using the visual analog scale (VAS) and the Melbourne pain scale (MPS).
Results: Surgical time did not differ between the experimental groups (HNG = 46.3 ± 18.5 minutes, TNG = 54.6 ± 31.1 minutes). Exteriorization of the ovaries through the vaginal wound was the major difficulty. Complications were minor in both groups and occurred intraoperatively only in the HNG, and in both groups post operatively. No dogs required rescue analgesia in the intraoperative or postoperative period. There were no differences in VAS or MPS scores between the groups for any surgical times except for the VAS assessment at 72 hours after extubation (HNG = 1.1 ± 0.3, TNG = 0.7 ± 0.4, P = .0221).
Conclusion: Both NOTES techniques were comparable for canine OVE, with no requirement for additional analgesia in the postoperative periods. It was not possible to determine whether there was a clear advantage of one technique rather than the other.
Clinical Significance: The minimally invasive techniques proposed for laparoscopic OVE are feasible for dogs with low pain scores and low rates of complications for both groups.
(© 2018 The American College of Veterinary Surgeons.)
Databáze: MEDLINE
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