Jeong Changwoo, Yi Kangwoo, Yu Yong, Heo Suyoung
Department of Surgery, College of Veterinary Medicine, Jeonbuk National University, Iksan-si, Republic of Korea.
Front Vet Sci. 2024 Dec 19;11:1519773. doi: 10.3389/fvets.2024.1519773. eCollection 2024.
Laparoscopic surgery is increasingly utilized for its minimally invasive nature, leading to reduced postoperative pain and faster recovery. This study aimed to compare postoperative pain, surgical complications, and recovery between laparoscopic-assisted ovariohysterectomy (LAOHE) and open ovariohysterectomy (OHE) in dogs.
A total of 40 healthy female dogs were randomly assigned to undergo either LAOHE ( = 20) or OHE ( = 20). Pain scores were assessed using the Glasgow Composite Pain Scale at 1, 4, 8, 12, and 24 h postoperatively. Blood samples were collected to measure cortisol levels as a stress biomarker. Complications were recorded intraoperatively and postoperatively.
Dogs in the LAOHE group exhibited significantly lower pain scores compared to the OHE group at 1, 4, and 8 h postoperatively ( < 0.05). Cortisol levels were also significantly lower in the LAOHE group ( < 0.05). There were no significant differences in surgical time or postoperative complications between the two groups.
The findings suggest that LAOHE results in reduced postoperative pain and stress in dogs compared to OHE, without increasing surgical time or complications. LAOHE may be a preferable technique for elective ovariohysterectomy in dogs.
腹腔镜手术因其微创特性而越来越多地被采用，这导致术后疼痛减轻且恢复更快。本研究旨在比较犬腹腔镜辅助卵巢子宫切除术（LAOHE）和开放式卵巢子宫切除术（OHE）术后的疼痛、手术并发症及恢复情况。
总共40只健康雌性犬被随机分配接受LAOHE（n = 20）或OHE（n = 20）。术后1、4、8、12和24小时使用格拉斯哥综合疼痛量表评估疼痛评分。采集血样以测量皮质醇水平作为应激生物标志物。术中及术后记录并发症。
LAOHE组犬在术后1、4和8小时的疼痛评分显著低于OHE组（P < 0.05）。LAOHE组的皮质醇水平也显著较低（P < 0.05）。两组之间手术时间或术后并发症无显著差异。
研究结果表明，与OHE相比，LAOHE可减轻犬术后疼痛和应激，且不增加手术时间或并发症。LAOHE可能是犬择期卵巢子宫切除术的一种更优技术。
