Costa Matheus Roberto da Mota, Oliveira André Lacerda de Abreu, Ramos Renato Moran, Vidal Leonardo Waldstein de Moura, Borg Niklas, Höglund Odd V
Department of Animal Clinical and Surgery, Universidade Estadual Norte Fluminense, UENF/RJ, Av. Alberto Lamego, 2000, Campos dos Goytacazes, RJ, Brazil.
Department of Veterinary Surgery and Anaesthesia, Universidade Iguaçu, UNIG/RJ, BR-356/KM 02, Itaperuna, RJ, Brazil.
BMC Res Notes. 2016 Apr 27;9:245. doi: 10.1186/s13104-016-2042-2.
Ligation of the mesovarium in female dogs may be cumbersome with risk of complications and is associated with intense noxious stimuli. A resorbable implant, a self-locking loop designed for surgery, was developed as an alternative to traditional ligation. The study aimed to test the feasibility of ligating the canine ovarian pedicle with the implant and to compare its performance to traditional suture ligation.
In total 45 intact female dogs destined for elective ovariohysterectomy and adoption were included. In 21 dogs the new resorbable implant was used to ligate the mesovarium, and in 24 control dogs traditional suture was used with one encircling ligature. Mean weight of implant dogs was 10.7 ± 5.6 kg (range 3.5-22.0), and mean weight of control dogs was 12.8 ± 6.4 kg, (range 4.1-27.0). The body weight of dogs did not differ between groups (P = 0.25). In total, 42 ovarian pedicles were successfully ligated with the implant. In one control dog, intraoperative haemorrhage from the left ovarian pedicle was diagnosed. The mesovarium was re-ligated and haemostasis was confirmed. All dogs recovered uneventfully. The ligation time of the mesovarium was significantly shortened (P = 0.02) by using the self-locking implant versus a single ligature (3'28'' ± 1'05'' and 5'29'' ± 3'54'', respectively). Total duration of surgery differed between the groups (P = 0.02) with a shortened duration of surgery when using the self-locking implant (15'56'' ± 2'47'' and 20'39'' ± 8'58'', study group versus control group, respectively). In both groups, duration of surgery and time required to ligate the ovarian pedicle were longer in larger dogs than smaller dogs.
The results of this feasibility study suggested the implant can be used to ligate the canine mesovarium. Compared with traditional suture ligation, the results suggested that time to ligate the ovarian pedicle and duration of surgery were significantly reduced with the implant. More time was required to perform surgeries in larger dogs.
在雌性犬类中,卵巢系膜结扎操作可能较为繁琐,存在并发症风险,且会伴随强烈的有害刺激。一种可吸收植入物,即一种专为手术设计的自锁环,被开发出来作为传统结扎术的替代方法。本研究旨在测试使用该植入物结扎犬类卵巢蒂的可行性,并将其性能与传统缝合结扎术进行比较。
总共纳入了45只准备进行择期卵巢子宫切除术并可供领养的未绝育雌性犬。21只犬使用新型可吸收植入物结扎卵巢系膜,24只对照犬使用传统缝线进行单环结扎。植入物组犬的平均体重为10.7±5.6千克(范围3.5 - 22.0千克),对照组犬的平均体重为12.8±6.4千克(范围4.1 - 27.0千克)。两组犬的体重无差异(P = 0.25)。总共成功使用植入物结扎了42个卵巢蒂。在一只对照犬中,术中诊断出左侧卵巢蒂出血。重新结扎卵巢系膜并确认止血。所有犬均顺利康复。与单环结扎相比,使用自锁植入物结扎卵巢系膜的时间显著缩短(P = 0.02)(分别为3分28秒±1分05秒和5分29秒±3分54秒)。两组手术总时长存在差异(P = 0.02),使用自锁植入物时手术时长缩短(研究组与对照组分别为15分56秒±2分47秒和20分39秒±8分58秒)。在两组中,体型较大的犬手术时间和结扎卵巢蒂所需时间均比体型较小的犬更长。
这项可行性研究结果表明,该植入物可用于结扎犬类卵巢系膜。与传统缝合结扎相比,结果显示使用植入物结扎卵巢蒂的时间和手术时长显著减少。体型较大的犬进行手术需要更多时间。