VENTRAL MEDIAN AND LATERAL FLANK APPROACH FOR OVARIOHYSTERECTOMY IN CAT

Bella Vera, R. Siswandi, R. H. Soehartono
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Abstract

This study was conducted to compare Ventral Median Approach (OHM) and Lateral Flank Approach (OHF) for feline ovariohysterectomy (OH). Fifteen healthy local female cats (Felis catus) with body weights ranged 2-4 kg and aged 1-2 years were divided into two groups, OHM (n= 8) and OHF (n= 7). Prior to OH, the cats were anesthethized using ketamine-xylazine and the sugery was performed by the same operator. The wound scoring showed a significantly higher difference in the OHM group on day 3 and 4 post-surgery. Scores of erythematous, swelling and dehiscence showed no significant differences. The 4Avet pain scale was significantly higher in OHF at the 2, 6, and 12-hours post surgery. The pain response was evaluated using baseline tactile Semmes-Weinstein Monofilaments and was significantly higher in OHF than OHM on day 1 to day 5 post surgery. Blood hematology, blood glucose and wound healing duration did not differ significantly between groups. The OHF approach showed greater post-operative pain than the OHM approach. Wound dehiscence was observed in two cats (25%) in OHM group from day 4 post-operative. The OHM approach showed a greater risk of complications than the OHF group and therefore requires better post-operative care. The OHF group showed a smaller risk of complications but requires better post-operative analgesic therapy.
猫腹正中外侧入路卵巢子宫切除术
本研究旨在比较腹正中入路(OHM)和侧腹入路(OHF)在猫卵巢子宫切除术(OH)中的应用。选取15只体重2 ~ 4 kg、年龄1 ~ 2岁的健康本地母猫(Felis catus),分为OHM组(n= 8)和OHF组(n= 7)。在OH之前,使用氯胺酮-二嗪麻醉猫,由同一操作人员进行手术。OHM组在术后第3天和第4天的伤口评分差异显著。红斑、肿胀和裂开的评分差异无统计学意义。术后2小时、6小时和12小时,OHF的4Avet疼痛评分明显升高。使用基线触觉semes - weinstein单丝评估疼痛反应,术后第1天至第5天OHF明显高于OHM。血液学、血糖、创面愈合时间组间差异无统计学意义。OHF入路术后疼痛明显大于OHM入路。OHM组术后第4天创面裂开2只(25%)。OHM方法比OHF组显示出更大的并发症风险,因此需要更好的术后护理。OHF组出现并发症的风险较小,但需要更好的术后镇痛治疗。
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