R Moxon, E Yarwood, H Hawkins, J Came, G C W England
{"title":"Laparoscopic ovariectomy provides favourable peri- and postoperative outcomes compared with ovariohysterectomy via celiotomy in bitches.","authors":"R Moxon, E Yarwood, H Hawkins, J Came, G C W England","doi":"10.1111/jsap.70013","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the peri- and postoperative outcomes for bitches neutered via laparoscopic ovariectomy or open ovariohysterectomy (celiotomy).</p><p><strong>Materials and methods: </strong>Retrospective data were obtained for 519 bitches neutered in UK Veterinary Practices (VP) by either laparoscopic ovariectomy (LAP-OVE, n = 213, performed at VP1) or ovariohysterectomy by celiotomy (OVH-CEL, n = 306, performed at VP1-4). Data for complications in the perioperative and postoperative periods were compared for LAP-OVE, all OVH-CEL, and VP1 OVH-CEL (providing a comparison between procedures at the same practice). Differences in surgery duration were examined using generalised linear mixed models.</p><p><strong>Results: </strong>There was no significant difference in surgery duration between LAP-OVE surgeries and all OVH-CEL surgeries, or VP1 OVH-CEL surgeries. Intraoperative complications were reported for 2.3% of LAP-OVE, 2.9% of all OVH-CEL and 1.7% of VP1 OVH-CEL surgeries. Postoperative complications prior to being discharged were reported for 0.5% of LAP-OVE, 1.0% of all OVH-CEL and 0% of VP1 OVH-CEL surgeries. There were fewer LAP-OVE than OVH-CEL bitches with redness or swelling of the wound site in the postoperative period (16.3% LAP-OVE, 36.6% all OVH-CEL and 43.1% of VP1 OVH-CEL surgeries). Complications in the postoperative period that required veterinary attention were reported for 12.9% of LAP-OVE, 16.3% of all OVH-CEL and 24.0% of VP1 OVH-CEL bitches. Inappetence, discomfort and uncharacteristic licking or chewing of parts of the body were observed in fewer bitches following laparoscopic ovariectomy than following ovariohysterectomy by celiotomy.</p><p><strong>Clinical significance: </strong>The findings provide evidence to support the contention that postoperative complications, including those related to wound healing and those requiring further veterinary intervention, are lower following laparoscopic than open neutering surgeries in bitches.</p>","PeriodicalId":17062,"journal":{"name":"Journal of Small Animal Practice","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Small Animal Practice","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/jsap.70013","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: To investigate the peri- and postoperative outcomes for bitches neutered via laparoscopic ovariectomy or open ovariohysterectomy (celiotomy).
Materials and methods: Retrospective data were obtained for 519 bitches neutered in UK Veterinary Practices (VP) by either laparoscopic ovariectomy (LAP-OVE, n = 213, performed at VP1) or ovariohysterectomy by celiotomy (OVH-CEL, n = 306, performed at VP1-4). Data for complications in the perioperative and postoperative periods were compared for LAP-OVE, all OVH-CEL, and VP1 OVH-CEL (providing a comparison between procedures at the same practice). Differences in surgery duration were examined using generalised linear mixed models.
Results: There was no significant difference in surgery duration between LAP-OVE surgeries and all OVH-CEL surgeries, or VP1 OVH-CEL surgeries. Intraoperative complications were reported for 2.3% of LAP-OVE, 2.9% of all OVH-CEL and 1.7% of VP1 OVH-CEL surgeries. Postoperative complications prior to being discharged were reported for 0.5% of LAP-OVE, 1.0% of all OVH-CEL and 0% of VP1 OVH-CEL surgeries. There were fewer LAP-OVE than OVH-CEL bitches with redness or swelling of the wound site in the postoperative period (16.3% LAP-OVE, 36.6% all OVH-CEL and 43.1% of VP1 OVH-CEL surgeries). Complications in the postoperative period that required veterinary attention were reported for 12.9% of LAP-OVE, 16.3% of all OVH-CEL and 24.0% of VP1 OVH-CEL bitches. Inappetence, discomfort and uncharacteristic licking or chewing of parts of the body were observed in fewer bitches following laparoscopic ovariectomy than following ovariohysterectomy by celiotomy.
Clinical significance: The findings provide evidence to support the contention that postoperative complications, including those related to wound healing and those requiring further veterinary intervention, are lower following laparoscopic than open neutering surgeries in bitches.
期刊介绍:
Journal of Small Animal Practice (JSAP) is a monthly peer-reviewed publication integrating clinical research papers and case reports from international sources, covering all aspects of medicine and surgery relating to dogs, cats and other small animals. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. JSAP publishes high quality original articles, as well as other scientific and educational information. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of small animal medicine and surgery.
In addition to original articles, JSAP will publish invited editorials (relating to a manuscript in the same issue or a topic of current interest), review articles, which provide in-depth discussion of important clinical issues, and other scientific and educational information from around the world.
The final decision on publication of a manuscript rests with the Editorial Board and ultimately with the Editor. All papers, regardless of type, represent the opinion of the authors and not necessarily that of the Editor, the Association or the Publisher.
The Journal of Small Animal Practice is published on behalf of the British Small Animal Veterinary Association and is also the official scientific journal of the World Small Animal Veterinary Association