Use of a bipolar vessel sealing device in canine orchiectomy

Halit Kanca

Makale detayları

Use of a bipolar vessel sealing device in canine orchiectomy

Yazarlar:

Halit Kanca

Yayıncı:

Ankara University

Ana Başlıklar:

Veterinary Obstetrics and Gynecology

Dergi:

Ankara Üniversitesi Veteriner Fakültesi Dergisi Vol.70 Issue 4, pp.375-382

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001298849

pISSN:

1300-0861

Anahtar kelimeler:

Özet:

 Bipolar vessel sealing BVS devices are being used increasingly in veterinary medicine. The objective was to determine whether the use of a BVS device in prescrotal open orchiectomy of dogs reduced surgical time, postoperative pain and surgical site complications compared to ligation with suture. Fifty medium to large breed dogs admitted for elective castration were randomly assigned to either the ligation or BVS groups. Duration of surgery, pain score at postoperative 15 minutes, 1, 2, and 24 hours, and surgical site swelling and bruising scores at 24 hours were compared. Duration of surgery was shorter P0.001 in the BSV group median 8.30; range 7.03 to 10.17 minutes than the ligation group median 10.18; range 7.47 to 12.33 minutes. There was a significant effect of age r0.458, P0.021 and body weight r0.432, P0.031 of the animal on the duration of surgery in the BVS group. Lower pain scores were observed in the BVS group at postoperative 15 minutes P0.001 and 1 hour P0.045. Pain scores were not different between groups at 2 hours and 24 hours P0.05. The surgical site swelling score was lower P0.034 in the BVS group 0.24  0.09 compared to the ligation group 0.72  0.17. A lower bruising score P0.015 was observed in the BVS group 0.44  0.13 than in the ligation group 1.16  0.22. The use of BVS method was associated with significantly shorter surgery times and lower postoperative pain and surgical site complications than traditional ligation technique in canine open orchiectomy.

 Bipolar vessel sealing BVS devices are being used increasingly in veterinary medicine. The objective was to determine whether the use of a BVS device in prescrotal open orchiectomy of dogs reduced surgical time, postoperative pain and surgical site complications compared to ligation with suture. Fifty medium to large breed dogs admitted for elective castration were randomly assigned to either the ligation or BVS groups. Duration of surgery, pain score at postoperative 15 minutes, 1, 2, and 24 hours, and surgical site swelling and bruising scores at 24 hours were compared. Duration of surgery was shorter P0.001 in the BSV group median 8.30; range 7.03 to 10.17 minutes than the ligation group median 10.18; range 7.47 to 12.33 minutes. There was a significant effect of age r0.458, P0.021 and body weight r0.432, P0.031 of the animal on the duration of surgery in the BVS group. Lower pain scores were observed in the BVS group at postoperative 15 minutes P0.001 and 1 hour P0.045. Pain scores were not different between groups at 2 hours and 24 hours P0.05. The surgical site swelling score was lower P0.034 in the BVS group 0.24  0.09 compared to the ligation group 0.72  0.17. A lower bruising score P0.015 was observed in the BVS group 0.44  0.13 than in the ligation group 1.16  0.22. The use of BVS method was associated with significantly shorter surgery times and lower postoperative pain and surgical site complications than traditional ligation technique in canine open orchiectomy.

 Bipolar vessel sealing BVS devices are being used increasingly in veterinary medicine. The objective was to determine whether the use of a BVS device in prescrotal open orchiectomy of dogs reduced surgical time, postoperative pain and surgical site complications compared to ligation with suture. Fifty medium to large breed dogs admitted for elective castration were randomly assigned to either the ligation or BVS groups. Duration of surgery, pain score at postoperative 15 minutes, 1, 2, and 24 hours, and surgical site swelling and bruising scores at 24 hours were compared. Duration of surgery was shorter P0.001 in the BSV group median 8.30; range 7.03 to 10.17 minutes than the ligation group median 10.18; range 7.47 to 12.33 minutes. There was a significant effect of age r0.458, P0.021 and body weight r0.432, P0.031 of the animal on the duration of surgery in the BVS group. Lower pain scores were observed in the BVS group at postoperative 15 minutes P0.001 and 1 hour P0.045. Pain scores were not different between groups at 2 hours and 24 hours P0.05. The surgical site swelling score was lower P0.034 in the BVS group 0.24  0.09 compared to the ligation group 0.72  0.17. A lower bruising score P0.015 was observed in the BVS group 0.44  0.13 than in the ligation group 1.16  0.22. The use of BVS method was associated with significantly shorter surgery times and lower postoperative pain and surgical site complications than traditional ligation technique in canine open orchiectomy.

 Bipolar damar kapama BDK cihazları veteriner hekimlikte artarak kullanılmaktadır. Bu çalışmada köpeklerin preskrotal açık orşiektomide bir bipolar damar kapama BDK cihazının kullanılmasının cerrahi süre, portoperatif ağrı ve cerrahi bölge komplikasyonlarını azaltıp azaltılamayacağının sütur ligasyonu ile karşılaştırılarak belirlenmesi amaçlanmıştır. Elektif kastrasyon amacıyla başvuran 50 orta ve büyük ırk köpek rastgele ligasyon ve BDK gruplarına ayrılmıştır. Cerrahi süre, 15. dakika, 1, 6 ve 24 saatlerde portoperatif ağrı ve 24. saatte cerrahi bölge şişlik ve morluk skorları karşılaştırılmıştır. Cerrahi süre BDK grubunda medyan 8.30; aralık 7.03 to 10.17 minutes ligasyon grubundan medyan 10.18; aralık 7.47 to 12.33 dakika daha kısa bulunmuştur. Bipolar damar kapama grubunda köpeklerin yaş r0.458, P0.021 ve vücut ağırlığı r0.432, P0.031 cerrahi süreyi etkilemiştir. Bipolar damar kapama grubunda postoperatif 15. dakika P0.001 ve 1. saatte P0.045 ligasyon grubundan daha düşük ağrı skorları gözlenmiştir. Cerrahi bölge şişlik skoru BDK grubunda 0.24  0.09 ligasyon grubuna 0.72  0.17 kıyasla düşük P0.034 olmuştur. Bipolar damar kapama grubunda 0.44  0.13 ligasyon grubundan 1.16  0.22 daha düşük morluk skoru P0.168 gözlenmiştir. Köpeklerin açık orşiektomisinde BDK yönteminin kullanılması geleneksel ligasyon tekniğine kıyasla daha kısa cerrahi süre ve daha düşük postoperatif ağrı ve cerrahi bölge komplikayonları ile sonuçlanmaktadır.

Makale detayları

Use of a bipolar vessel sealing device in canine orchiectomy

Yazarlar:

Halit Kanca

Yayıncı:

Ankara University

Ana Başlıklar:

Veterinary Obstetrics and Gynecology

Dergi:

Ankara Üniversitesi Veteriner Fakültesi Dergisi Vol.70 Issue 4, pp.375-382

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001298849

pISSN:

1300-0861

Bipolar vessel sealing

canine

orchiectomy

postoperative complication

postoperative painBipolar damar kapama

köpek

orşiektomi

postoperatif komplikasyon

postoperatif ağrı

Sayı

Makale detayları

Yazarlar: Halit Kanca

Yayıncı: Ankara University

Ana Başlıklar: Veterinary Obstetrics and Gynecology

Dergi: Ankara Üniversitesi Veteriner Fakültesi Dergisi Vol.70 Issue 4, pp.375-382

Belge Tipi: Makale

Yayın Tarihi: 9/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001298849

pISSN: 1300-0861

Sayı

Yazarlar:

Halit Kanca

Yayıncı:

Ankara University

Ana Başlıklar:

Veterinary Obstetrics and Gynecology

Dergi:

Ankara Üniversitesi Veteriner Fakültesi Dergisi Vol.70 Issue 4, pp.375-382

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001298849

pISSN:

1300-0861