Publicação
Comparison of clinical and physiologic parameters, complications, and techniques, between laparoscopic ovariectomy and ovariohysterectomy in dogs
| Resumo: | Gonadectomy is one of the most frequently performed surgical procedures in veterinary medicine, this can be achieved by several techniques, for example ovariohysterectomy (OVH) or laparoscopic ovariectomy (LapOVE). Given that these procedures are performed routinely, the objective of this work is to compare the parameters temperature and glucose, complications (intraoperative and post-operative), the time it takes to execute the surgical techniques and pain to evaluate if one is superior to the other. This study was done throughout the six months of traineeship at Kingston Veterinary Group at Park Street Hospital. To accomplish it, two groups were used, - the LapOVE with 14 animals and the OVH with 10 animals, in which the parameters above mention, were recorded and compared. We can conclude from the results obtained, that the time to prepare the patient, perform the surgical procedure and the total procedure is longer for the LapOVE group as opposed to the OVH group. To evaluate if there was a significant effect of the procedure over temperature and glucose a linear mixed model analysis was performed. There was a significant effect of the procedures over time on temperature levels (P <0.0003) with OVH having a less impact on the patient, given that the temperature before and after the surgery varied less. The procedure chosen had a significant effect on glucose P (<0.016). Which can mean less operative pain in the LapOVE procedure. Regarding post-operative pain, although a very slight difference existed in the first three hours after the patients were extubated, there were no major differences between the two procedures, even when the pain score in the OVH group was higher than the LapOVE. In the LapOVE group there were more intraoperative and postoperative complications. Even though the laparoscopic technique presented several advantages, for this specific procedure, gonadectomy, they were not substantial or important enough to choose performing a LapOVE over a conventional OVH. |
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| Autores principais: | Mendes, João Filipe Antunes |
| Assunto: | Laparoscopic Ovariectomy Ovariohysterectomy Glucose Pain scores Surgery Ovariectomia por laparoscopia Ovariohisterectomia Pontuação de dor Cirurgia |
| Ano: | 2019 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| Resumo: | Gonadectomy is one of the most frequently performed surgical procedures in veterinary medicine, this can be achieved by several techniques, for example ovariohysterectomy (OVH) or laparoscopic ovariectomy (LapOVE). Given that these procedures are performed routinely, the objective of this work is to compare the parameters temperature and glucose, complications (intraoperative and post-operative), the time it takes to execute the surgical techniques and pain to evaluate if one is superior to the other. This study was done throughout the six months of traineeship at Kingston Veterinary Group at Park Street Hospital. To accomplish it, two groups were used, - the LapOVE with 14 animals and the OVH with 10 animals, in which the parameters above mention, were recorded and compared. We can conclude from the results obtained, that the time to prepare the patient, perform the surgical procedure and the total procedure is longer for the LapOVE group as opposed to the OVH group. To evaluate if there was a significant effect of the procedure over temperature and glucose a linear mixed model analysis was performed. There was a significant effect of the procedures over time on temperature levels (P <0.0003) with OVH having a less impact on the patient, given that the temperature before and after the surgery varied less. The procedure chosen had a significant effect on glucose P (<0.016). Which can mean less operative pain in the LapOVE procedure. Regarding post-operative pain, although a very slight difference existed in the first three hours after the patients were extubated, there were no major differences between the two procedures, even when the pain score in the OVH group was higher than the LapOVE. In the LapOVE group there were more intraoperative and postoperative complications. Even though the laparoscopic technique presented several advantages, for this specific procedure, gonadectomy, they were not substantial or important enough to choose performing a LapOVE over a conventional OVH. |
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