马匹站立腹腔镜卵巢切除术中的局部区域麻醉:文献系统回顾(2003-2023 年

Animals Pub Date : 2024-08-08 DOI:10.3390/ani14162306
G. Giambrone, Giuseppe Catone, Gabriele Marino, E. Gugliandolo, Renato Miloro, Cecilia Vullo
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引用次数: 0

摘要

腹腔镜卵巢切除术通常是在马匹站立的状态下进行的,对动物进行大量镇静剂注射,并用缰绳束缚。这种手术可能相当痛苦,因此首先必须控制术中疼痛,以完成手术,在尊重动物福利的同时确保操作人员的安全。腹腔镜手术需要多个小切口引入器械,其中一到两个切口要扩大到足以切除卵巢。手术过程必须配合有效的疼痛控制,通常采用局部区域麻醉、卵巢间质注射、卵巢间质或卵巢局部麻醉以及硬膜外麻醉。本系统性综述旨在讨论 2003 年至 2023 年期间发表的有关在立位腹腔镜卵巢切除术中进行局部麻醉并对疼痛进行评估的文章。文献综述根据系统综述和元分析首选报告项目(PRISMA)指南在三个数据库(NCBI-PubMed、Web of Science 和 SciVerse Scopus)中进行。尽管收集到的论文有 36 篇,但我们只发现了 5 篇符合条件的论文,这表明很少有研究是为了评估在马属动物的立位腹腔镜卵巢切除术中采用局部区域麻醉进行镇痛的质量。本系统综述的作者一致认为,注射和硬膜外麻醉联合使用是控制马科动物立位腹腔镜卵巢切除术术中疼痛的最佳方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Loco-Regional Anaesthesia during Standing Laparoscopic Ovariectomy in Equids: A Systematic Review (2003–2023) of the Literature
Laparoscopic ovariectomy is generally performed with equids in the standing position, with the animals heavily sedated and restrained in stocks. This procedure may be quite painful, and it is essential first to manage intraoperative pain to complete the surgery, respecting the animal’s welfare and, at the same time, ensuring the safety of the operators. Laparoscopy requires multiple small incisions to introduce the instruments, with one to two incisions enlarged sufficiently to remove the ovary. The surgical procedure must be associated with effective pain control, usually obtained with loco-regional anaesthesia, mesovarian injection, mesovaric or ovarian topical anaesthesia, and epidural anaesthesia. This systematic review aims to discuss articles published from 2003 to 2023 on treating loco-regional anaesthesia in standing laparoscopic ovariectomy in association with an evaluation of pain. The literature review was undertaken according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines on three databases (NCBI-PubMed, Web of Science, and SciVerse Scopus). Despite the collected papers numbering 36, we identified only five eligible papers, demonstrating that few studies are performed in order to evaluate the quality of analgesia with loco-regional anaesthesia in standing laparoscopic ovariectomy in equids. The authors of this systematic review agree that the association of injectable and epidural anaesthesia is the best solution to manage intraoperative pain in standing laparoscopic ovariectomy in equids.
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