Impact of Ovarian Suspensory Ligament Rupture on Surgical Stress in Elective Ovariohysterectomy in Bitches.

Autor: dos Santos, Pauline Silva, de Oliveira, Victor Mendes, Oltramari, Keli Cristina Corbellini, Guimarães, Vitória Santos, Fernandes, Sarah, Ferreira, Carla Eduarda dos Santos, Malinski, Agatha Costa, de Oliveira, Vinícius Cardoso, Corrêa, Jéssica, Moutinho, Izabelle, Benvegnú, Dalila Moter, Dalmolin, Camila, Freitas, Gabrielle Coelho, Dalmolin, Fabíola
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Zdroj: Veterinary Sciences; Dec2024, Vol. 11 Issue 12, p658, 13p
Abstrakt: Simple Summary: There is evidence indicating that rupturing the ovarian suspensory ligament (OSL) in bitches—a common step during open ovariohysterectomy (OVH)—may provoke adverse effects, even though it facilitates hemostasis of the ovarian arteriovenous complex. The response to surgical stress may compromise patient recovery and should ideally be minimized. This study evaluated the effects of OSL rupture on the surgical stress response in healthy bitches, aiming to promote faster recovery. Clinical and laboratory assessments revealed that OSL rupture provokes greater hemostatic changes compared to techniques that preserve the ligament. Ovariohysterectomy (OVH) is a common procedure in bitches, where ovarian suspensory ligament (OSL) rupture facilitates hemostasis but may also have adverse effects. Given the importance of minimizing the surgical stress response, this study aimed to evaluate the impact of OSL rupture in 20 healthy bitches undergoing elective open OVH; a celiotomy via the ventral midline was performed, and hemostasis achieved using bipolar coagulation, either with OSL rupture (OSL-R) or without (OSL-NR). Pain was assessed over 24 h post-surgery using the Visual Analogue Scale and the Short Form of the Glasgow Composite Measure Pain Scale. The physical parameters, complete blood count, glucose levels, erythrocyte sedimentation rate, and neutrophil oxidative and phagocytic functions were evaluated pre-surgery and at 6, 12, 24, and 48 h, as well as 10 days after. Oxidative metabolism was assessed through vitamin C and protein thiols, reduced glutathione, and thiobarbituric acid reactive substances. No differences in trans- and postoperative pain were observed between techniques, except for analgesic rescue rates. Differences were noted in the heart rate, total leukocyte count, segmented neutrophils, eosinophils, and monocytes. Both techniques resulted in low oxidative and phagocytic changes. Overall, OSL rupture appears to elicit a slightly more intense surgical stress response than the non-rupture technique. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index