Assessment of Postoperative Pain in Cats After Ovariectomy by Laparoscopy, Median Celiotomy, or Flank Laparotomy
Objective To compare postoperative pain, duration of surgery, and duration of anesthesia for 3 methods of ovariectomy in cats: (1) conventional ventral median open approach (Midline), (2) right flank approach (Flank), and (3) median 2‐portal laparoscopic procedure (Lap). Study Design Randomized, pro...
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| Veröffentlicht in: | Veterinary surgery 2015-07, Vol.44 (S1), p.23-30 |
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| creator | Gauthier, Olivier Holopherne-Doran, Delphine Gendarme, Thalia Chebroux, Alexandre Thorin, Chantal Tainturier, Daniel Bencharif, Djemil |
| description | Objective
To compare postoperative pain, duration of surgery, and duration of anesthesia for 3 methods of ovariectomy in cats: (1) conventional ventral median open approach (Midline), (2) right flank approach (Flank), and (3) median 2‐portal laparoscopic procedure (Lap).
Study Design
Randomized, prospective clinical trial.
Animals
Healthy, sexually intact female cats (n = 60).
Methods
Cats were randomly assigned to 1 of 3 groups: Midline (n = 20), Flank (20), and Lap (20) were evaluated 1, 2, 4, 6, and 12 hours after endotracheal extubation. Postoperative pain was scored using the 4A‐vet pain scale that combines a subjective numerical pain rating and objective scoring of physiologic and behavioral variables including the response to stimulation of the surgical site. Pain scores (PS) were compared between groups.
Results
There was a significant difference in the PS between groups. PS for Midline and Flank were not significantly different but were both significantly higher compared with Lap. Depending on time, 5–20% of the cats had intense postoperative pain in both Midline and Flank groups. None of the Lap cats had intense postoperative pain.
Conclusions
Laparoscopic ovariectomy, although slower, appeared less painful compared with conventional ventral midline and flank ovariectomy. Postoperative pain did not differ significantly between midline and flank groups. |
| doi_str_mv | 10.1111/j.1532-950X.2014.12150.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1694964269</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3731569481</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5060-e8208f0812843a22f174b9f547eeef4e75d98e74f7ed12bbcfedd61f4e0410223</originalsourceid><addsrcrecordid>eNqNkU1v1DAQhi1ERbeFv4AsceHQBNtx7OSCtCy0IG0_JCggLpaTjCVvk3Wws-3m3-N0t3voCcuSR55nXo_nRQhTktK4PqxSmmcsKXPyO2WE8pQympN0-wLNDomXaEaooEnGy_IYnYSwIoSUnGev0DHjvOAZyWaon4cAIXSwHrAz-MaFwfXg9WDvAd9ou8ZxL_QQ8NwM4PH1vfYW6sF1I65GvNS99i7Urh_P8CU0VkcaWusm4Aw7j89bvb7bc9Pla3RkdBvgzf48RbfnX34svibL64tvi_kyqXMiSAIFI4UhBWWxUc2YoZJXpcm5BADDQeZNWYDkRkJDWVXVBppG0JghnBLGslP0fqfbe_d3A2FQnQ01tLEdcJugqCh5KTgTZUTfPUNXbuPXsbuJYrkQkstIFTuqjh8OHozqve20HxUlanJFrdQ0fDUNX02uqEdX1DaWvt0_sKk6aA6FTzZE4OMOeLAtjP8trH5-v30Mo0CyE7BhgO1BQPs7JWQmc_Xr6kJdsT_kM_1EFc3-AdnSqow</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1692566747</pqid></control><display><type>article</type><title>Assessment of Postoperative Pain in Cats After Ovariectomy by Laparoscopy, Median Celiotomy, or Flank Laparotomy</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Gauthier, Olivier ; Holopherne-Doran, Delphine ; Gendarme, Thalia ; Chebroux, Alexandre ; Thorin, Chantal ; Tainturier, Daniel ; Bencharif, Djemil</creator><creatorcontrib>Gauthier, Olivier ; Holopherne-Doran, Delphine ; Gendarme, Thalia ; Chebroux, Alexandre ; Thorin, Chantal ; Tainturier, Daniel ; Bencharif, Djemil</creatorcontrib><description>Objective
To compare postoperative pain, duration of surgery, and duration of anesthesia for 3 methods of ovariectomy in cats: (1) conventional ventral median open approach (Midline), (2) right flank approach (Flank), and (3) median 2‐portal laparoscopic procedure (Lap).
Study Design
Randomized, prospective clinical trial.
Animals
Healthy, sexually intact female cats (n = 60).
Methods
Cats were randomly assigned to 1 of 3 groups: Midline (n = 20), Flank (20), and Lap (20) were evaluated 1, 2, 4, 6, and 12 hours after endotracheal extubation. Postoperative pain was scored using the 4A‐vet pain scale that combines a subjective numerical pain rating and objective scoring of physiologic and behavioral variables including the response to stimulation of the surgical site. Pain scores (PS) were compared between groups.
Results
There was a significant difference in the PS between groups. PS for Midline and Flank were not significantly different but were both significantly higher compared with Lap. Depending on time, 5–20% of the cats had intense postoperative pain in both Midline and Flank groups. None of the Lap cats had intense postoperative pain.
Conclusions
Laparoscopic ovariectomy, although slower, appeared less painful compared with conventional ventral midline and flank ovariectomy. Postoperative pain did not differ significantly between midline and flank groups.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/j.1532-950X.2014.12150.x</identifier><identifier>PMID: 24484303</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Abdomen ; Anesthesia Recovery Period ; Animals ; Cats - physiology ; Cats - surgery ; Female ; Laparoscopy ; Laparoscopy - veterinary ; Laparotomy - veterinary ; Ovariectomy - veterinary ; Pain management ; Pain Measurement - veterinary ; Pain, Postoperative - veterinary ; Prospective Studies ; Treatment Outcome</subject><ispartof>Veterinary surgery, 2015-07, Vol.44 (S1), p.23-30</ispartof><rights>Copyright 2014 by The American College of Veterinary Surgeons</rights><rights>Copyright 2014 by The American College of Veterinary Surgeons.</rights><rights>Copyright 2015 by The American College of Veterinary Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5060-e8208f0812843a22f174b9f547eeef4e75d98e74f7ed12bbcfedd61f4e0410223</citedby><cites>FETCH-LOGICAL-c5060-e8208f0812843a22f174b9f547eeef4e75d98e74f7ed12bbcfedd61f4e0410223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1532-950X.2014.12150.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1532-950X.2014.12150.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24484303$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gauthier, Olivier</creatorcontrib><creatorcontrib>Holopherne-Doran, Delphine</creatorcontrib><creatorcontrib>Gendarme, Thalia</creatorcontrib><creatorcontrib>Chebroux, Alexandre</creatorcontrib><creatorcontrib>Thorin, Chantal</creatorcontrib><creatorcontrib>Tainturier, Daniel</creatorcontrib><creatorcontrib>Bencharif, Djemil</creatorcontrib><title>Assessment of Postoperative Pain in Cats After Ovariectomy by Laparoscopy, Median Celiotomy, or Flank Laparotomy</title><title>Veterinary surgery</title><addtitle>Veterinary Surgery</addtitle><description>Objective
To compare postoperative pain, duration of surgery, and duration of anesthesia for 3 methods of ovariectomy in cats: (1) conventional ventral median open approach (Midline), (2) right flank approach (Flank), and (3) median 2‐portal laparoscopic procedure (Lap).
Study Design
Randomized, prospective clinical trial.
Animals
Healthy, sexually intact female cats (n = 60).
Methods
Cats were randomly assigned to 1 of 3 groups: Midline (n = 20), Flank (20), and Lap (20) were evaluated 1, 2, 4, 6, and 12 hours after endotracheal extubation. Postoperative pain was scored using the 4A‐vet pain scale that combines a subjective numerical pain rating and objective scoring of physiologic and behavioral variables including the response to stimulation of the surgical site. Pain scores (PS) were compared between groups.
Results
There was a significant difference in the PS between groups. PS for Midline and Flank were not significantly different but were both significantly higher compared with Lap. Depending on time, 5–20% of the cats had intense postoperative pain in both Midline and Flank groups. None of the Lap cats had intense postoperative pain.
Conclusions
Laparoscopic ovariectomy, although slower, appeared less painful compared with conventional ventral midline and flank ovariectomy. Postoperative pain did not differ significantly between midline and flank groups.</description><subject>Abdomen</subject><subject>Anesthesia Recovery Period</subject><subject>Animals</subject><subject>Cats - physiology</subject><subject>Cats - surgery</subject><subject>Female</subject><subject>Laparoscopy</subject><subject>Laparoscopy - veterinary</subject><subject>Laparotomy - veterinary</subject><subject>Ovariectomy - veterinary</subject><subject>Pain management</subject><subject>Pain Measurement - veterinary</subject><subject>Pain, Postoperative - veterinary</subject><subject>Prospective Studies</subject><subject>Treatment Outcome</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhi1ERbeFv4AsceHQBNtx7OSCtCy0IG0_JCggLpaTjCVvk3Wws-3m3-N0t3voCcuSR55nXo_nRQhTktK4PqxSmmcsKXPyO2WE8pQympN0-wLNDomXaEaooEnGy_IYnYSwIoSUnGev0DHjvOAZyWaon4cAIXSwHrAz-MaFwfXg9WDvAd9ou8ZxL_QQ8NwM4PH1vfYW6sF1I65GvNS99i7Urh_P8CU0VkcaWusm4Aw7j89bvb7bc9Pla3RkdBvgzf48RbfnX34svibL64tvi_kyqXMiSAIFI4UhBWWxUc2YoZJXpcm5BADDQeZNWYDkRkJDWVXVBppG0JghnBLGslP0fqfbe_d3A2FQnQ01tLEdcJugqCh5KTgTZUTfPUNXbuPXsbuJYrkQkstIFTuqjh8OHozqve20HxUlanJFrdQ0fDUNX02uqEdX1DaWvt0_sKk6aA6FTzZE4OMOeLAtjP8trH5-v30Mo0CyE7BhgO1BQPs7JWQmc_Xr6kJdsT_kM_1EFc3-AdnSqow</recordid><startdate>201507</startdate><enddate>201507</enddate><creator>Gauthier, Olivier</creator><creator>Holopherne-Doran, Delphine</creator><creator>Gendarme, Thalia</creator><creator>Chebroux, Alexandre</creator><creator>Thorin, Chantal</creator><creator>Tainturier, Daniel</creator><creator>Bencharif, Djemil</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201507</creationdate><title>Assessment of Postoperative Pain in Cats After Ovariectomy by Laparoscopy, Median Celiotomy, or Flank Laparotomy</title><author>Gauthier, Olivier ; Holopherne-Doran, Delphine ; Gendarme, Thalia ; Chebroux, Alexandre ; Thorin, Chantal ; Tainturier, Daniel ; Bencharif, Djemil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5060-e8208f0812843a22f174b9f547eeef4e75d98e74f7ed12bbcfedd61f4e0410223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abdomen</topic><topic>Anesthesia Recovery Period</topic><topic>Animals</topic><topic>Cats - physiology</topic><topic>Cats - surgery</topic><topic>Female</topic><topic>Laparoscopy</topic><topic>Laparoscopy - veterinary</topic><topic>Laparotomy - veterinary</topic><topic>Ovariectomy - veterinary</topic><topic>Pain management</topic><topic>Pain Measurement - veterinary</topic><topic>Pain, Postoperative - veterinary</topic><topic>Prospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gauthier, Olivier</creatorcontrib><creatorcontrib>Holopherne-Doran, Delphine</creatorcontrib><creatorcontrib>Gendarme, Thalia</creatorcontrib><creatorcontrib>Chebroux, Alexandre</creatorcontrib><creatorcontrib>Thorin, Chantal</creatorcontrib><creatorcontrib>Tainturier, Daniel</creatorcontrib><creatorcontrib>Bencharif, Djemil</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gauthier, Olivier</au><au>Holopherne-Doran, Delphine</au><au>Gendarme, Thalia</au><au>Chebroux, Alexandre</au><au>Thorin, Chantal</au><au>Tainturier, Daniel</au><au>Bencharif, Djemil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of Postoperative Pain in Cats After Ovariectomy by Laparoscopy, Median Celiotomy, or Flank Laparotomy</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Veterinary Surgery</addtitle><date>2015-07</date><risdate>2015</risdate><volume>44</volume><issue>S1</issue><spage>23</spage><epage>30</epage><pages>23-30</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective
To compare postoperative pain, duration of surgery, and duration of anesthesia for 3 methods of ovariectomy in cats: (1) conventional ventral median open approach (Midline), (2) right flank approach (Flank), and (3) median 2‐portal laparoscopic procedure (Lap).
Study Design
Randomized, prospective clinical trial.
Animals
Healthy, sexually intact female cats (n = 60).
Methods
Cats were randomly assigned to 1 of 3 groups: Midline (n = 20), Flank (20), and Lap (20) were evaluated 1, 2, 4, 6, and 12 hours after endotracheal extubation. Postoperative pain was scored using the 4A‐vet pain scale that combines a subjective numerical pain rating and objective scoring of physiologic and behavioral variables including the response to stimulation of the surgical site. Pain scores (PS) were compared between groups.
Results
There was a significant difference in the PS between groups. PS for Midline and Flank were not significantly different but were both significantly higher compared with Lap. Depending on time, 5–20% of the cats had intense postoperative pain in both Midline and Flank groups. None of the Lap cats had intense postoperative pain.
Conclusions
Laparoscopic ovariectomy, although slower, appeared less painful compared with conventional ventral midline and flank ovariectomy. Postoperative pain did not differ significantly between midline and flank groups.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24484303</pmid><doi>10.1111/j.1532-950X.2014.12150.x</doi><tpages>8</tpages></addata></record> |
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| ispartof | Veterinary surgery, 2015-07, Vol.44 (S1), p.23-30 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Abdomen Anesthesia Recovery Period Animals Cats - physiology Cats - surgery Female Laparoscopy Laparoscopy - veterinary Laparotomy - veterinary Ovariectomy - veterinary Pain management Pain Measurement - veterinary Pain, Postoperative - veterinary Prospective Studies Treatment Outcome |
| title | Assessment of Postoperative Pain in Cats After Ovariectomy by Laparoscopy, Median Celiotomy, or Flank Laparotomy |
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