Giambrone Giada, Catone Giuseppe, Marino Gabriele, Gugliandolo Enrico, Miloro Renato, Vullo Cecilia
Department of Veterinary Sciences, University of Messina, Polo SS. Annunziata, 98169 Messina, Italy.
Department of Chemical, Biological, Pharmaceutical and Environmental Sciences, University of Messina, Viale Ferdinando Stagno D'Alcontres, 31, 98166 Messina, Italy.
Animals (Basel). 2024 Aug 8;14(16):2306. doi: 10.3390/ani14162306.
Laparoscopic ovariectomy is generally performed with equids in the standing position, with the animals heavily sedated and restrained in stocks. This procedure may be quite painful, and it is essential first to manage intraoperative pain to complete the surgery, respecting the animal's welfare and, at the same time, ensuring the safety of the operators. Laparoscopy requires multiple small incisions to introduce the instruments, with one to two incisions enlarged sufficiently to remove the ovary. The surgical procedure must be associated with effective pain control, usually obtained with loco-regional anaesthesia, mesovarian injection, mesovaric or ovarian topical anaesthesia, and epidural anaesthesia. This systematic review aims to discuss articles published from 2003 to 2023 on treating loco-regional anaesthesia in standing laparoscopic ovariectomy in association with an evaluation of pain. The literature review was undertaken according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines on three databases (NCBI-PubMed, Web of Science, and SciVerse Scopus). Despite the collected papers numbering 36, we identified only five eligible papers, demonstrating that few studies are performed in order to evaluate the quality of analgesia with loco-regional anaesthesia in standing laparoscopic ovariectomy in equids. The authors of this systematic review agree that the association of injectable and epidural anaesthesia is the best solution to manage intraoperative pain in standing laparoscopic ovariectomy in equids.
腹腔镜卵巢切除术通常在马属动物站立时进行，动物需深度镇静并固定在保定架中。该手术可能会相当疼痛，因此首先必须控制术中疼痛以完成手术，这既关乎动物福利，同时也确保操作人员的安全。腹腔镜检查需要多个小切口来插入器械，其中一到两个切口要足够大以便切除卵巢。手术过程必须配合有效的疼痛控制，通常可通过局部区域麻醉、卵巢系膜注射、卵巢系膜或卵巢局部麻醉以及硬膜外麻醉来实现。本系统评价旨在讨论2003年至2023年发表的关于站立位腹腔镜卵巢切除术中局部区域麻醉与疼痛评估相关的文章。文献综述依据系统评价和Meta分析的首选报告项目（PRISMA）指南在三个数据库（NCBI - PubMed、科学网和Scopus）上进行。尽管收集到36篇论文，但我们仅确定了5篇符合条件的论文，这表明为评估马属动物站立位腹腔镜卵巢切除术中局部区域麻醉镇痛质量而开展的研究很少。本系统评价的作者一致认为，注射麻醉和硬膜外麻醉联合使用是控制马属动物站立位腹腔镜卵巢切除术中术中疼痛的最佳解决方案。
