R Moxon, E Yarwood, H Hawkins, J Came, G C W England
{"title":"在母狗中，腹腔镜卵巢切除术与经子宫切除的卵巢子宫切除术相比，提供了良好的围手术期和术后结果。","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":"{\"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}","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
摘要
目的：探讨经腹腔镜卵巢切除术或开放式卵巢子宫切除术（celiotomy）绝育母狗的围术期和术后效果。材料和方法：回顾性分析519只在英国兽医诊所（VP）通过腹腔镜卵巢切除术（LAP-OVE, n = 213，在VP1进行）或卵巢子宫切除术（OVH-CEL, n = 306，在VP1-4进行）绝育的母狗。将LAP-OVE、所有OVH-CEL和VP1 OVH-CEL的围手术期和术后并发症数据进行比较（提供同一实践中手术之间的比较）。使用广义线性混合模型检查手术持续时间的差异。结果：LAP-OVE手术与所有OVH-CEL手术或VP1 OVH-CEL手术的手术时间无显著差异。术中并发症发生率分别为2.3%的LAP-OVE、2.9%的OVH-CEL和1.7%的VP1 OVH-CEL手术。0.5%的LAP-OVE手术、1.0%的OVH-CEL手术和0%的VP1 OVH-CEL手术报告了出院前的术后并发症。术后创面红肿的LAP-OVE发生率低于OVH-CEL （16.3% LAP-OVE， 36.6% OVH-CEL和43.1% VP1 OVH-CEL）。12.9%的LAP-OVE犬、16.3%的OVH-CEL犬和24.0%的VP1 OVH-CEL犬报告了术后需要兽医关注的并发症。腹腔镜卵巢切除术后的母狗食欲不振、不适、不寻常的舔食或咀嚼身体部位的情况比卵巢子宫切除术后的母狗少。临床意义：本研究结果为以下观点提供了证据：在母狗进行腹腔镜绝育手术后，术后并发症（包括与伤口愈合相关的并发症和需要进一步兽医干预的并发症）低于开放式绝育手术。
Laparoscopic ovariectomy provides favourable peri- and postoperative outcomes compared with ovariohysterectomy via celiotomy in bitches.
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
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