Toledo-Valdez Cielo, Rivera-Barreno Ramón, T. Ilse, Bustos-Varela Jocelyn, García-Herrera Ricardo, Rodríguez-Alarcón Carlos
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引用次数: 0
摘要
在兽医诊所,避孕手术是对母猫进行的最常见的手术。然而,目前还没有确定哪种手术技术是最合适的。为了减少术后疼痛、恢复时间、手术时间和外科医生的技术便利性,不同的手术技术和这些技术的变化已经被描述。这就造成了进行卵巢子宫切除术还是卵巢切除术的困境;入路类型:中线、外侧或腹腔镜;卵巢蒂结扎方法:谐波刀、塑料钛夹、双极电刀、蒂结、传统结扎。考虑到这一点,在循证医学的支持下,为了确定哪一种是雌性猫最适当的避孕手术,进行了一项系统评价。使用谷歌Scholar, Web of Science, PubMed和SciELO搜索引擎,评估以下变量:疼痛,时间和技术难度。研究发现,几乎没有证据表明任何一种手术技术比另一种手术技术优越,手术技术的选择应根据患者、外科医生的技术和材料的可用性来确定。
Revisión sistemática de las diferentes técnicas quirúrgicas de contracepción en gatas
In the veterinary clinic, contraceptive surgery is the most commonly performed surgery in female cats. However, it is not established which surgical technique is the most appropriate. In order to reduce postoperative pain, recovery time, surgery time and technical ease for the surgeon, different surgical techniques and variations of these techniques have been described. This has created the dilemma of performing ovariohysterectomy versus oophorectomy; type of approach: midline, lateral or laparoscopic; and method of ovarian pedicle ligation: harmonic scalpel, plastic and titanium clips, bipolar electrosurgical unit, pedicle knot and traditional ligation. With this in mind, with the objective of establishing which is the most adequate contraceptive surgery in female cats and supported by evidence-based medicine, a systematic review was carried out. Using Google Scholar, Web of Science, PubMed and SciELO search engines, with the following variables to be evaluated: pain, time and technical difficulty. It was found that there is little evidence to establish the superiority of any surgical technique over another and that the choice of surgical technique should be made based on the patient, the surgeon's skills and the availability of materials.