Private practitioner, Via C. Colombo 118, 80022 Arzano NA, Italy.
Department of Veterinary Medicine, University of Cambridge, CB3 0ES, Cambridge, UK.
Top Companion Anim Med. 2024 Sep-Oct;62:100906. doi: 10.1016/j.tcam.2024.100906. Epub 2024 Aug 8.
Ovariohysterectomy is a common surgical procedure in pet rabbits and one of its potential complications is postoperative gastrointestinal stasis, possibly exacerbated by prolonged surgery time. The objective of this prospective clinical study was to compare two techniques for surgical haemostasis with respect to procedural duration, postoperative pain, and return of gastrointestinal function, in 22 female rabbits undergoing ovariohysterectomy. Rabbits were assigned to one of two groups: conventional vessel ligation (CVL) and haemostasis with a vessel sealing device (VSD). The outcome variables for comparison between the two groups, recorded at 60-, 120-, 180-, and 360-minutes post anaesthesia, were duration of anaesthesia and surgery, postoperative Rabbit Grimace Scale scores, and measured food intake and faecal output. The vessel sealing device caused no appreciable blood loss. The duration of both surgery and anaesthesia was shorter in group VSD (20 ± 4 and 31 ± 6 minutes, respectively) than in group CVL (43 ± 9 and 54 ± 9 minutes, respectively) (p < 0.001). There were no differences between groups in time elapsed from the end of anaesthesia to both first food intake and first defecation. In both groups, the score of the Rabbit Grimace Scale decreased over time with statistically significant differences between 60 minutes and all the subsequent time points (p < 0.001). Vessel sealing devices may be recommended over conventional haemostasis for rabbit ovariohysterectomy to decrease the duration of surgery and anaesthesia, with potential beneficial effects on sustainability and practice workflow.
卵巢子宫切除术是宠物兔的一种常见手术,其潜在并发症之一是术后胃肠停滞,手术时间延长可能会加重这种情况。本前瞻性临床研究的目的是比较两种手术止血技术在 22 只行卵巢子宫切除术的雌性兔中在手术时间、术后疼痛和胃肠功能恢复方面的效果。兔子被分为两组:常规血管结扎(CVL)和血管密封装置(VSD)止血。两组之间比较的结果变量记录在麻醉后 60、120、180 和 360 分钟,包括麻醉和手术时间、术后兔子面部表情评分以及测量的食物摄入量和粪便排出量。血管密封装置不会引起明显的失血。与 CVL 组(分别为 43 ± 9 分钟和 54 ± 9 分钟)相比,VSD 组(分别为 20 ± 4 分钟和 31 ± 6 分钟)手术和麻醉时间更短(p < 0.001)。两组从麻醉结束到首次进食和首次排便的时间间隔没有差异。在两组中,兔子面部表情评分随时间推移而降低,60 分钟和所有后续时间点之间的差异均具有统计学意义(p < 0.001)。与传统止血相比,血管密封装置可能更适合用于兔卵巢子宫切除术,以缩短手术和麻醉时间,这可能对可持续性和实践工作流程有有益的影响。