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野生和流浪猫腹中线与侧腹卵巢切除术的术中伤害感受及临床比较

Intraoperative nociceptive and clinical comparisons between ventral midline and flank ovariectomy in feral and stray cats.

作者信息

Martins João, Grossinho Afonso, Martins Liege, Cabral Patrícia, Dos-Santos José Diogo, Campos Sónia

机构信息

Faculty of Veterinary Medicine of Lisbon, Lusófona University, Lisbon University Center, Portugal.

Animal and Veterinary Research Center (CECAV) Faculty of Veterinary Medicine Lusófona University-Lisbon University Centre.

出版信息

J Feline Med Surg. 2024 Dec;26(12):1098612X241283626. doi: 10.1177/1098612X241283626.

Abstract

OBJECTIVES

The aim of the present study was to evaluate the differences in intraoperative nociception, incision size and operative time between midline (OVE) and flank ovariectomy (OVE) in feral or stray cats.

METHODS

Two groups of animals, the OVE group (n = 19) and the OVE group (n = 19), were evaluated at six intraoperative time points. Cats assigned to both groups were premedicated with dexmedetomidine (20 μg/kg IM) and methadone (0.2 mg/kg IM). General anaesthesia was induced with intravenous propofol to effect and maintained with isoflurane in 100% oxygen. The data collected included heart rate, non-invasive systolic and median blood pressure, respiratory rate, weight, body condition score, surgical time, incision size and rescue analgesia.

RESULTS

Significant differences were observed between surgical approaches, with larger incision size ( <0.001) and longer surgery time ( = 0.04) in the OVE group. No significant differences between surgical approaches were detected regarding intraoperative nociception ( >0.05).

CONCLUSIONS AND RELEVANCE

Based on intraoperative nociception, there is no strong reason to advocate a preferred surgical approach for feline OVE in sterilisation programmes; however, considering surgery time and incision size, the OVE approach may contribute to the sterilisation of more animals and reduce the risk of wound dehiscence as it allows for smaller incisions to be made in animals where postoperative wound control is difficult or impossible.

摘要

目的

本研究的目的是评估在野生或流浪猫中,中线卵巢切除术(OVE)和侧腹卵巢切除术在术中伤害感受、切口大小和手术时间方面的差异。

方法

两组动物,OVE组(n = 19)和OVE组(n = 19),在六个术中时间点进行评估。两组猫均预先使用右美托咪定(20μg/kg肌肉注射)和美沙酮(0.2mg/kg肌肉注射)进行预处理。静脉注射丙泊酚诱导全身麻醉至起效,并用异氟醚在100%氧气中维持麻醉。收集的数据包括心率、无创收缩压和平均血压、呼吸频率、体重、身体状况评分、手术时间、切口大小和补救镇痛。

结果

观察到手术方法之间存在显著差异,OVE组的切口尺寸更大(<0.001),手术时间更长(=0.04)。在术中伤害感受方面,未检测到手术方法之间的显著差异(>0.05)。

结论及相关性

基于术中伤害感受,在绝育计划中没有充分理由提倡对猫OVE采用首选手术方法;然而,考虑到手术时间和切口大小,OVE方法可能有助于更多动物的绝育,并降低伤口裂开的风险,因为它允许在术后伤口控制困难或不可能的动物中进行更小的切口。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db72/11682575/3e229429dbbe/10.1177_1098612X241283626-fig1.jpg

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