Assessment of the influence of surgical technique on postoperative pain and wound tenderness in cats following ovariohysterectomy
Elective ovariohysterectomy was performed on 66 cats. Surgical approach was flank (group F) or midline (group M) allocated by block randomisation. Pre-anaesthetic medication was acepromazine (0.1 mg/kg) via intramuscular injection. Anaesthesia was induced with intravenous thiopentone, and maintained...
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description | Elective ovariohysterectomy was performed on 66 cats. Surgical approach was flank (group F) or midline (group M) allocated by block randomisation. Pre-anaesthetic medication was acepromazine (0.1
mg/kg) via intramuscular injection. Anaesthesia was induced with intravenous thiopentone, and maintained with halothane in 100% oxygen. Carprofen (4
mg/kg) was administered by the subcutaneous route immediately after induction of anaesthesia. Postoperative pain and wound tenderness were assessed at 1, 3, 6, 9, 11–12 and 20–24
h after the end of surgery, and the assessment outcome marked on visual analogue scales (VAS). Intervention analgesia (if pain VAS was >40
mm) was pethidine 4
mg/kg via intramuscular injection. Area under the curve (AUC) for VAS for pain and VAS for wound tenderness for each cat were calculated. AUC for wound tenderness was significantly greater for group F (
P
=
0.007). There was no significant difference for AUC for pain between the groups. In conclusion, wounds after flank ovariohysterectomy are significantly more tender than after midline ovariohysterectomy in the cat. This indicates that interactive methods, including wound palpation, must be used to assess postoperative pain and the findings should be appropriately weighted in the overall assessment. |
doi_str_mv | 10.1016/j.jfms.2005.06.002 |
format | Article |
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mg/kg) via intramuscular injection. Anaesthesia was induced with intravenous thiopentone, and maintained with halothane in 100% oxygen. Carprofen (4
mg/kg) was administered by the subcutaneous route immediately after induction of anaesthesia. Postoperative pain and wound tenderness were assessed at 1, 3, 6, 9, 11–12 and 20–24
h after the end of surgery, and the assessment outcome marked on visual analogue scales (VAS). Intervention analgesia (if pain VAS was >40
mm) was pethidine 4
mg/kg via intramuscular injection. Area under the curve (AUC) for VAS for pain and VAS for wound tenderness for each cat were calculated. AUC for wound tenderness was significantly greater for group F (
P
=
0.007). There was no significant difference for AUC for pain between the groups. In conclusion, wounds after flank ovariohysterectomy are significantly more tender than after midline ovariohysterectomy in the cat. This indicates that interactive methods, including wound palpation, must be used to assess postoperative pain and the findings should be appropriately weighted in the overall assessment.</description><identifier>ISSN: 1098-612X</identifier><identifier>EISSN: 1532-2750</identifier><identifier>DOI: 10.1016/j.jfms.2005.06.002</identifier><identifier>PMID: 16213762</identifier><language>eng</language><publisher>London, England: Elsevier Ltd</publisher><subject>Analgesics, Non-Narcotic - administration & dosage ; Animals ; Anti-Inflammatory Agents, Non-Steroidal - administration & dosage ; Cat Diseases - surgery ; Cats ; Female ; hysterectomy ; Hysterectomy - veterinary ; Ovariectomy - veterinary ; pain ; Pain Measurement - veterinary ; Pain Threshold ; Pain, Postoperative - drug therapy ; Pain, Postoperative - etiology ; Pain, Postoperative - veterinary ; Random Allocation</subject><ispartof>Journal of feline medicine and surgery, 2006-02, Vol.8 (1), p.15-21</ispartof><rights>2005</rights><rights>2006 International Society of Feline Medicine and American Association of Feline Practitioners</rights><rights>2006 International Society of Feline Medicine and American Association of Feline Practitioners 2006 International Society of Feline Medicine and American Association of Feline Practitioners</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c518t-fb49017e0196a7cfb3b74f5d539a49b51917c64db89efaa6cd1565a2458838333</citedby><cites>FETCH-LOGICAL-c518t-fb49017e0196a7cfb3b74f5d539a49b51917c64db89efaa6cd1565a2458838333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10832934/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10832934/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,21945,27830,27901,27902,44921,45309,53766,53768</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1016/j.jfms.2005.06.002?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16213762$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grint, Nicola J.</creatorcontrib><creatorcontrib>Murison, Pamela J.</creatorcontrib><creatorcontrib>Coe, Richard J.</creatorcontrib><creatorcontrib>Waterman Pearson, Avril E.</creatorcontrib><title>Assessment of the influence of surgical technique on postoperative pain and wound tenderness in cats following ovariohysterectomy</title><title>Journal of feline medicine and surgery</title><addtitle>J Feline Med Surg</addtitle><description>Elective ovariohysterectomy was performed on 66 cats. Surgical approach was flank (group F) or midline (group M) allocated by block randomisation. Pre-anaesthetic medication was acepromazine (0.1
mg/kg) via intramuscular injection. Anaesthesia was induced with intravenous thiopentone, and maintained with halothane in 100% oxygen. Carprofen (4
mg/kg) was administered by the subcutaneous route immediately after induction of anaesthesia. Postoperative pain and wound tenderness were assessed at 1, 3, 6, 9, 11–12 and 20–24
h after the end of surgery, and the assessment outcome marked on visual analogue scales (VAS). Intervention analgesia (if pain VAS was >40
mm) was pethidine 4
mg/kg via intramuscular injection. Area under the curve (AUC) for VAS for pain and VAS for wound tenderness for each cat were calculated. AUC for wound tenderness was significantly greater for group F (
P
=
0.007). There was no significant difference for AUC for pain between the groups. In conclusion, wounds after flank ovariohysterectomy are significantly more tender than after midline ovariohysterectomy in the cat. This indicates that interactive methods, including wound palpation, must be used to assess postoperative pain and the findings should be appropriately weighted in the overall assessment.</description><subject>Analgesics, Non-Narcotic - administration & dosage</subject><subject>Animals</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - administration & dosage</subject><subject>Cat Diseases - surgery</subject><subject>Cats</subject><subject>Female</subject><subject>hysterectomy</subject><subject>Hysterectomy - veterinary</subject><subject>Ovariectomy - veterinary</subject><subject>pain</subject><subject>Pain Measurement - veterinary</subject><subject>Pain Threshold</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - etiology</subject><subject>Pain, Postoperative - veterinary</subject><subject>Random Allocation</subject><issn>1098-612X</issn><issn>1532-2750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUuPFCEUhStG4zz0D7hQVrOrHh4FVSQmZjJx1GQSFzqJO0JRl246VdAC1ZNe-s-l0h0fm9kAuZx7Lpyvqt4QvCKYiOvtamuntKIY8xUWK4zps-qccEZr2nL8vJyx7GpB6I-z6iKlLcZYMklfVmdEUMJaQc-rXzcpQUoT-IyCRXkDyHk7zuANLIU0x7UzekQZzMa7n3OperQLKYcdRJ3dHtBOO4-0H9BjmMuawQ8QfXEtVsjonJAN4xgenV-jsNfRhc0hZYhgcpgOr6oXVo8JXp_2y-rh7uP328_1_ddPX25v7mvDSZdr2zcSkxYwkUK3xvasbxvLB86kbmTPiSStEc3QdxKs1sIMhAuuacO7jnWMscvqw9F3N_cTDKb8OOpR7aKbdDyooJ36_8a7jVqHvSK4Y1SypjhcnRxiKEGkrCaXDIyj9hDmpFosuCRiEdKj0MSQUgT7ZwrBakGntmpBpxZ0CgtV0JWmt_--72_LiVURXB8FSa9BbcMcfcnract3xw6rg9Lr6JJ6-EYxYZhg3hJGiuL9UQEl-b2DqJJxC_vBLXjUENxTA34DV7THiQ</recordid><startdate>20060201</startdate><enddate>20060201</enddate><creator>Grint, Nicola J.</creator><creator>Murison, Pamela J.</creator><creator>Coe, Richard J.</creator><creator>Waterman Pearson, Avril E.</creator><general>Elsevier Ltd</general><general>SAGE Publications</general><scope>FBQ</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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20060201</creationdate><title>Assessment of the influence of surgical technique on postoperative pain and wound tenderness in cats following ovariohysterectomy</title><author>Grint, Nicola J. ; Murison, Pamela J. ; Coe, Richard J. ; Waterman Pearson, Avril E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c518t-fb49017e0196a7cfb3b74f5d539a49b51917c64db89efaa6cd1565a2458838333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Analgesics, Non-Narcotic - administration & dosage</topic><topic>Animals</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - administration & dosage</topic><topic>Cat Diseases - surgery</topic><topic>Cats</topic><topic>Female</topic><topic>hysterectomy</topic><topic>Hysterectomy - veterinary</topic><topic>Ovariectomy - veterinary</topic><topic>pain</topic><topic>Pain Measurement - veterinary</topic><topic>Pain Threshold</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - etiology</topic><topic>Pain, Postoperative - veterinary</topic><topic>Random Allocation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grint, Nicola J.</creatorcontrib><creatorcontrib>Murison, Pamela J.</creatorcontrib><creatorcontrib>Coe, Richard J.</creatorcontrib><creatorcontrib>Waterman Pearson, Avril E.</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of feline medicine and surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Grint, Nicola J.</au><au>Murison, Pamela J.</au><au>Coe, Richard J.</au><au>Waterman Pearson, Avril E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of the influence of surgical technique on postoperative pain and wound tenderness in cats following ovariohysterectomy</atitle><jtitle>Journal of feline medicine and surgery</jtitle><addtitle>J Feline Med Surg</addtitle><date>2006-02-01</date><risdate>2006</risdate><volume>8</volume><issue>1</issue><spage>15</spage><epage>21</epage><pages>15-21</pages><issn>1098-612X</issn><eissn>1532-2750</eissn><abstract>Elective ovariohysterectomy was performed on 66 cats. Surgical approach was flank (group F) or midline (group M) allocated by block randomisation. Pre-anaesthetic medication was acepromazine (0.1
mg/kg) via intramuscular injection. Anaesthesia was induced with intravenous thiopentone, and maintained with halothane in 100% oxygen. Carprofen (4
mg/kg) was administered by the subcutaneous route immediately after induction of anaesthesia. Postoperative pain and wound tenderness were assessed at 1, 3, 6, 9, 11–12 and 20–24
h after the end of surgery, and the assessment outcome marked on visual analogue scales (VAS). Intervention analgesia (if pain VAS was >40
mm) was pethidine 4
mg/kg via intramuscular injection. Area under the curve (AUC) for VAS for pain and VAS for wound tenderness for each cat were calculated. AUC for wound tenderness was significantly greater for group F (
P
=
0.007). There was no significant difference for AUC for pain between the groups. In conclusion, wounds after flank ovariohysterectomy are significantly more tender than after midline ovariohysterectomy in the cat. This indicates that interactive methods, including wound palpation, must be used to assess postoperative pain and the findings should be appropriately weighted in the overall assessment.</abstract><cop>London, England</cop><pub>Elsevier Ltd</pub><pmid>16213762</pmid><doi>10.1016/j.jfms.2005.06.002</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Analgesics, Non-Narcotic - administration & dosage Animals Anti-Inflammatory Agents, Non-Steroidal - administration & dosage Cat Diseases - surgery Cats Female hysterectomy Hysterectomy - veterinary Ovariectomy - veterinary pain Pain Measurement - veterinary Pain Threshold Pain, Postoperative - drug therapy Pain, Postoperative - etiology Pain, Postoperative - veterinary Random Allocation |
title | Assessment of the influence of surgical technique on postoperative pain and wound tenderness in cats following ovariohysterectomy |
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