A scoping review on intraoperative and postoperative surgical castration complications in domesticated equids.

Autor: Rodden EBK; School of Veterinary Medicine and Science, University of Nottingham, Nottingham, UK., Suthers JM; B&W Equine Hospital, Berkeley, UK., Busschers E; Bell Equine Veterinary Clinic, Mereworth, Maidstone, Kent, UK., Burford JH; School of Veterinary Medicine and Science, University of Nottingham, Nottingham, UK., Freeman SL; School of Veterinary Medicine and Science, University of Nottingham, Nottingham, UK.
Jazyk: angličtina
Zdroj: Equine veterinary journal [Equine Vet J] 2024 Nov; Vol. 56 (6), pp. 1115-1128. Date of Electronic Publication: 2024 Jul 12.
DOI: 10.1111/evj.14122
Abstrakt: Background: Castration is the most common surgical procedure in domesticated equids; surgical techniques used and perioperative management vary considerably.
Objectives: To identify and chart the current evidence on perioperative complications associated with different methods of surgical castration in domesticated equids.
Study Design: Joanna Briggs Institute systematic scoping review.
Method: CAB Abstracts, Medline and Embase databases were searched using terms related to equine castration complications. Two authors independently and blindly screened publications against eligibility criteria. Data on study methods, perioperative management, surgical techniques, and perioperative complications were extracted. Surgical techniques were grouped into categories depending on technique; open, closed or half-closed, and whether the parietal tunic was open or closed at the end of surgery.
Results: The search identified 1871 publications; 71 studies met the final inclusion criteria. The data reported 76 734 castrations, most of which were open or closed, with the vaginal tunic remaining open at the end of surgery. Twenty-five studies reported information regarding surgical techniques and perioperative management, allowing detailed charting and comparisons, of which analgesia and antimicrobial usage varied notably. Eighteen different complications were reported, with swelling or oedema being the most common. Evisceration was most commonly reported in draught breeds and Standardbreds, and the risk appeared low if the parietal tunic was closed at the end of surgery.
Main Limitations: Grey literature and studies not available in English were not included. Existing studies varied greatly in perioperative management, surgical techniques and reporting of outcomes, making evidence consolidation problematic.
Conclusion: A lack of consensus regarding complication definitions creates uncertainty and discrepancies between complication rates associated with different surgical techniques and perioperative management. The implementation of standardised systems for describing surgical techniques and complications is recommended for future studies. A number of studies did not follow current recommendations for perioperative analgesia and use of antimicrobials.
(© 2024 The Author(s). Equine Veterinary Journal published by John Wiley & Sons Ltd on behalf of EVJ Ltd.)
Databáze: MEDLINE
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