Kedilerde Medyan ve Flank Laparotomik Ovaryohisterektomi Operasyonlarının Karşılaştırılması

Öz

Çalışma, sağlıklı dişi kedilerde ovariohisterektomide flank laparotomik ve geleneksel medyan yaklaşımın operatif ve postoperatif etkilerini karşılaştırmayı amaçladı. Kediler medyan (MOHE, n=17) ve sol flank yaklaşım (FOHE, n=15) gruplarına ayrıldı. İntraoperatif dönemde ameliyat süresi, kesi uzunluğu, intraoperatif komplikasyonlar ve cilt sütür sayıları takip edildi. Ameliyat sonrası erken dönemde iyileşmeyi izlemek için çeşitli değişkenler (saldırganlık, ajitasyon, gönüllü yiyecek ve su alımının başlangıcı, tam uyanma süresi, uygun yürüme süresi, yiyecek ve çöp kutusuna gitme davranışı) izlendi. Ameliyat sonrası 3. günde yarada ağrı/hassasiyet, kızarıklık, ödem, akıntı ve kedilerin yarayı yalama davranışları izlendi. Cerrahi stres yanıtını değerlendirmek için ameliyattan 0 ve 2 saat sonra kan serumunda IL-6 konsantrasyonu ölçüldü. Cerrahi yaklaşımlar arasında kas hasarının ve iyileşmesinin değerlendirilmesi amacıyla 0. Gün, postoperatif 3. ve 10. gün kan serumlarında LDH, AST ve CK enzim seviyeleri belirlendi. FOHE grubundaki insizyon uzunluğu MOHE grubuna göre anlamlı derecede kısaydı (p˂0.05). Her grubun numune alma günleri arasındaki CK değişimi anlamlı derecede farklıydı (p˂0.05). Gruplarda izlenen diğer parametreler arasındaki fark anlamlı değildi (p˂0.05). Sonuç olarak, lateral laparotomi ve medyan ovariohisterektomi ameliyat komplikasyonları, cerrahi stres yanıtı, ameliyat sonrası iyileşme ve komplikasyonlar açısından farklılık göstermedi. Yöntemlerin birbirine üstünlüğü bulunmadığından elektif kısırlaştırmada seçilecek yaklaşımın veterinerin tercihine göre şekillenebileceği kanısına varıldı.

Anahtar Kelimeler

• Ameliyat
• Dişi Kedi
• Kısırlaştırma

Comparison of Median and Flank Laparotomy Approaches of Ovariohysterectomy Surgery in Cats

Abstract

The study aimed to compare the operative and postoperative effects of flank laparotomy and traditional median approach in ovariohysterectomy in healthy female cats. Cats divided into median (MOHE, n=17) and left flank approach (FOHE, n=15) groups. In the intraoperative period, surgery duration, incision length, intraoperative complications and skin suture numbers were monitored. Various variables (aggression, agitation, onset of voluntary food and water intake, overall recovery from anesthesia effect, end of the stumble waking, voluntarily using the litter box, going to food bowl behavior) were monitored to monitor recovery in the early-postoperative period. On the 3rd postoperative day, pain/tenderness, erythema, edema, discharge in the wound and the cats' licking behavior on the wound were monitored. To evaluate the surgical stress response, Interleukin-6 concentration was measured in blood serum at 0 and 2 hours post-surgery. In order to evaluate muscle damage/recovery between groups, Lactate dehydrogenase, Aspartate transaminase and Creatinine kinase enzyme levels were determined in blood serum on day 0, postoperative day 3 and day 10. The incision length in the FOHE group was significantly shorter than the MOHE group (P˂0.05). The change in Creatinine kinase between the sampling days of each group was significantly different (P˂0.05). The difference between the other parameters monitored was not significant in the groups (P>0.05). In conclusion, lateral laparotomy and median ovariohysterectomy did not differ in terms of operative complications, surgical stress response, postoperative recovery, and complications. Since the methods do not have superiority over each other, it was concluded that the approach to be chosen in elective sterilization according to the vet's preference.

Keywords

• Intraoperative Complication
• Quenn
• Spaying
• Surgery

Kaynakça

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