Assessment of postoperative inflammatory markers and pain in cats after laparoscopy and miniceliotomy ovariectomy.

Autor: Conceição MEBAMD; Department of Veterinary Medicine and Surgery, College of Agricultural Sciences and Veterinary Medicine, São Paulo State University 'Julio de Mesquita Filho', Jaboticabal, Brazil., Uscategui RAR; Preventive Veterinary Medicine and Animal Reproduction, College of Agricultural Sciences and Veterinary Medicine, São Paulo State University 'Julio de Mesquita Filho', Jaboticabal, Brazil., Bertolo PHL; Department of Animal Pathology, College of Agricultural Sciences and Veterinary Medicine, São Paulo State University 'Julio de Mesquita Filho', Jaboticabal, Brazil., de Souza DC; Department of Veterinary Medicine and Surgery, College of Agricultural Sciences and Veterinary Medicine, São Paulo State University 'Julio de Mesquita Filho', Jaboticabal, Brazil., Rolemberg DDS; Department of Veterinary Medicine and Surgery, College of Agricultural Sciences and Veterinary Medicine, São Paulo State University 'Julio de Mesquita Filho', Jaboticabal, Brazil., de Moraes PC; Department of Veterinary Medicine and Surgery, College of Agricultural Sciences and Veterinary Medicine, São Paulo State University 'Julio de Mesquita Filho', Jaboticabal, Brazil., Teixeira PPM; Veterinary Medicine College, Federal University of Para (UFPA), Castanhal, Brazil., Dias LGGG; Department of Veterinary Medicine and Surgery, College of Agricultural Sciences and Veterinary Medicine, São Paulo State University 'Julio de Mesquita Filho', Jaboticabal, Brazil.
Jazyk: angličtina
Zdroj: The Veterinary record [Vet Rec] 2018 Dec 01; Vol. 183 (21), pp. 656. Date of Electronic Publication: 2018 Sep 25.
DOI: 10.1136/vr.104776
Abstrakt: Videosurgery is increasingly used in veterinary medicine. Compared with open surgery, it has been shown to cause minimal pain and promote a more rapid recovery. There are various methods of assessing pain and postoperative inflammation in cats, although their particular behaviours may make these assessments difficult. The aim of this study was to compare levels of postoperative pain and inflammation after laparoscopic ovariectomy with an open minimally invasive technique. Twenty queens were randomly divided into two groups based on the method of haemostasis and surgical technique: (1) laparoscopic ovariectomy using a miniloop (miniloop group (MG)); and (2) minilaparotomy using a Snook hook (control group (CG)). Heart rate (HR), respiratory rate (RR), end tidal CO 2 (EtCO 2 ) and body temperature were assessed using a multiparametric monitor during anaesthesia and surgery at defined surgical time points (preincision, left ovary manipulation, right ovary manipulation and skin suture). Blood samples (2 mL each) were collected from the jugular vein before surgery and 1, 12, 24, 48 and 72 hours, and 10 days, after endotracheal extubation for blood count analysis and to assess total protein and acute phase proteins (APP). EtCO 2 and RR were significantly higher in MG patients (P<0.001). HR was higher in the CG group for the duration of surgery (P=0.01). Temperature was significantly lower in MG patients (P<0.001). Pain assessment by dynamic interactive visual analogue scale showed no difference between groups or at specific moments of time within groups. Segmented neutrophil counts increased at 24 hours postoperatively and peaked at 48 and 72 hours in MG (P=0.01). The most important result among APPs was haptoglobin, which peaked at 72 hours in MG patients (P=0.001). Patients undergoing minilaparotomy and laparoscopy showed comparable postoperative pain. However, inflammatory changes such as APPs and neutrophil counts were increased in the laparoscopic group.
Competing Interests: Competing interests: None declared.
(© British Veterinary Association 2018. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE
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