Canine ovariectomy by hybrid or total natural orifice transluminal endoscopic surgery: technical feasibility study and pain assessment
| العنوان: | Canine ovariectomy by hybrid or total natural orifice transluminal endoscopic surgery: technical feasibility study and pain assessment |
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| المؤلفون: | Marco Augusto Machado Silva, Maurício Veloso Brun, Michelli Westphal de Ataíde, Letícia Reginato Martins, Vanessa Zanchi Sarturi, Marcella Teixeira Linhares, Felipe Baldissarella Gavioli, Arthur Rodrigues Martins, João Pedro Scussel Feranti, Luciana Gonçalves Teixeira, Gabriela Pesamosca Coradini |
| المصدر: | Veterinary Surgery. 48:O74-O82 |
| بيانات النشر: | Wiley, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Natural Orifice Endoscopic Surgery, medicine.medical_specialty, 040301 veterinary sciences, Visual analogue scale, Ovariectomy, Postoperative pain, Operative Time, law.invention, 0403 veterinary science, 03 medical and health sciences, Dogs, 0302 clinical medicine, Randomized controlled trial, law, Pain assessment, medicine, Animals, Clinical significance, Prospective Studies, Pain Measurement, Pain, Postoperative, General Veterinary, business.industry, 04 agricultural and veterinary sciences, Pain scale, Natural orifice transluminal endoscopic surgery, Surgery, Rescue analgesia, 030220 oncology & carcinogenesis, Feasibility Studies, Female, Analgesia, business |
| الوصف: | 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. |
| تدمد: | 1532-950X 0161-3499 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a940301a15fb45a41a719fe5f2c0feed https://doi.org/10.1111/vsu.12900 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....a940301a15fb45a41a719fe5f2c0feed |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1532950X 01613499 |
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