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双极电凝镊在母犬和母猫开放性手术卵巢切除及公犬去势术中用于止血的应用。

The use of bipolar electrosurgical forceps for haemostasis in open surgical ovariectomy of bitches and queens and castration of dogs.

作者信息

Watts J

机构信息

Wyndham Veterinary Clinic, 133 Market Road, Werribee, Victoria, 3030, Australia.

出版信息

J Small Anim Pract. 2018 Apr 2. doi: 10.1111/jsap.12838.

Abstract

OBJECTIVES

To describe a technique using bipolar electrosurgical forceps for haemostasis during open ovariectomy of bitches and queens and for castration of dogs and to determine whether these forceps reduced surgical time compared to ligation with suture.

MATERIALS AND METHODS

Bipolar electrosurgical forceps were used for haemostasis in 3744 open surgeries including ovariectomies in bitches (n=1406) and queens (n=859) and castrations in dogs (n=1335). The forceps were also used to assist with ovariohysterectomy in bitches (n=89) and queens (n=55). The effect of bipolar electrocoagulation and other likely factors influencing surgical time was examined using linear regression analysis of 367 surgeries.

RESULTS

The use of the forceps reduced surgical time by 9·7 ±2·8 minutes in bitches and by 3·0 ±1·5 minutes in queens. The complications encountered initially were small superficial skin burns requiring topical treatment and one case of haemorrhage associated with surgical technique.

CLINICAL SIGNIFICANCE

Bipolar electrosurgical forceps reduce surgical time in ovariectomies, and complications are rare. This technique has promise for widespread application in veterinary practice to assist with haemostasis in ovariectomy of bitches and queens.

摘要

目的

描述一种在母犬和母猫卵巢切除术中以及公犬去势术中使用双极电凝钳进行止血的技术,并确定与缝合结扎相比,这些钳子是否能缩短手术时间。

材料与方法

在3744例开放性手术中使用双极电凝钳进行止血,包括母犬卵巢切除术(n = 1406)、母猫卵巢切除术(n = 859)和公犬去势术(n = 1335)。该钳子还用于协助母犬(n = 89)和母猫(n = 55)的卵巢子宫切除术。使用线性回归分析367例手术,研究双极电凝及其他可能影响手术时间的因素的效果。

结果

使用该钳子使母犬手术时间缩短9.7±2.8分钟,母猫手术时间缩短3.0±1.5分钟。最初遇到的并发症是需要局部治疗的小面积浅表皮肤烧伤以及1例与手术技术相关的出血。

临床意义

双极电凝钳可缩短卵巢切除术的手术时间,且并发症罕见。该技术有望在兽医实践中广泛应用,以协助母犬和母猫卵巢切除术的止血。

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