Roberts Madeleine L, Beatty Julia A, Dhand Navneet K, Barrs Vanessa R
Faculty of Veterinary Science, The University of Sydney, Sydney, NSW, Australia.
JFMS Open Rep. 2015 Oct 29;1(2):2055116915613358. doi: 10.1177/2055116915613358. eCollection 2015 Jul-Dec.
The aim of the study was to investigate the effects of age and/or surgical approach on perioperative wound complication following ovariohysterectomy (OHE).
A retrospective search of perioperative monitoring records from a shelter desexing program was conducted to identify cats that underwent OHE between 1 June 2010 and 31 December 2012 inclusive. A wound complication was defined as gross observation of inflammation or wound dehiscence at the surgical site in the 5 day postoperative period. Cases were grouped according to age (≤12 weeks or >12 weeks) and surgical approach (flank or midline). Stratified analyses were conducted to evaluate the association between surgical approach and wound complications, after adjusting for age. Mantel-Haenszel adjusted risk ratio, Cochran-Mantel-Haenszel test statistic and their 95% confidence intervals were presented.
A total of 312 cases met the study criteria. The overall wound complication risk was low (6.09%) and was not related to age. A midline approach was associated with a 4.59-times increased risk of wound complication, compared with a flank approach in cats up to 12 weeks of age ( = 0.015) but not in older cats.
These findings support the practice of prepubertal desexing for cats.
本研究旨在调查年龄和/或手术方式对卵巢子宫切除术(OHE)围手术期伤口并发症的影响。
对一个收容所绝育项目的围手术期监测记录进行回顾性检索,以确定在2010年6月1日至2012年12月31日(含)期间接受OHE的猫。伤口并发症定义为术后5天内在手术部位肉眼观察到炎症或伤口裂开。病例根据年龄(≤12周或>12周)和手术方式(侧腹或中线)分组。在调整年龄后,进行分层分析以评估手术方式与伤口并发症之间的关联。给出Mantel-Haenszel调整风险比、Cochran-Mantel-Haenszel检验统计量及其95%置信区间。
共有312例病例符合研究标准。总体伤口并发症风险较低(6.09%),且与年龄无关。与侧腹入路相比,中线入路使12周龄及以下猫的伤口并发症风险增加4.59倍(P = 0.015),但对年龄较大的猫则无此影响。
这些发现支持对猫进行青春期前绝育的做法。