Yoon Hun-Young, Lee Suhwon, Jeong Soon-Wuk
Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University, Seoul 143-701, Korea.
Department of Statistics, University of Missouri, Columbia, MO 65211, USA.
J Vet Sci. 2015;16(1):93-8. doi: 10.4142/jvs.2015.16.1.93. Epub 2015 Mar 18.
The levels of pain, duration of approaching and closure, and surgical exposure associated with intercostal thoracotomy were compared between muscle-sparing and traditional techniques in 20 dogs. Postoperative pain was assessed based on numerical pain scores using behavioral observation, heart rate, respiratory rate, and wound palpation. Time for approaching and closure were measured, and the extent of intrathoracic organ exposure for the surgical procedures was described for each technique. There were significant differences in numerical pain scores at 2 h as well as 1, 2, 3, 4, 5, 6, and 7 days after surgery between the two groups (p < 0.0001). There was no significant (p = 0.725) difference in times for approaching and closure between the two groups. Compared to the traditional method, the muscle-sparing technique also achieved the desired exposure without compromising exposure of the target organs. Our results suggest that the muscle-sparing technique is more effective than the traditional method for providing a less painful recovery during the first 7 days after intercostal thoracotomy. Additionally, the muscle-sparing technique is as effective as the traditional modality for providing an appropriate time for approaching and closure during intercostal thoracotomy as well as adequate organ exposure for the surgical procedures.
在20只犬中,比较了保留肌肉技术和传统技术在肋间开胸术中的疼痛程度、进胸和关胸时间以及手术暴露情况。术后疼痛通过行为观察、心率、呼吸频率和伤口触诊,基于数字疼痛评分进行评估。测量进胸和关胸时间,并描述每种技术在手术过程中胸腔内器官的暴露范围。两组在术后2小时以及术后1、2、3、4、5、6和7天的数字疼痛评分存在显著差异(p < 0.0001)。两组在进胸和关胸时间上无显著差异(p = 0.725)。与传统方法相比,保留肌肉技术在不影响目标器官暴露的情况下也实现了所需的暴露。我们的结果表明,在肋间开胸术后的前7天,保留肌肉技术在减轻疼痛恢复方面比传统方法更有效。此外,在肋间开胸术中,保留肌肉技术在提供合适的进胸和关胸时间以及为手术提供足够的器官暴露方面与传统方式一样有效。
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