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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Veröffentlicht in:Journal of feline medicine and surgery 2006-02, Vol.8 (1), p.15-21
Hauptverfasser: Grint, Nicola J., Murison, Pamela J., Coe, Richard J., Waterman Pearson, Avril E.
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creator Grint, Nicola J.
Murison, Pamela J.
Coe, Richard J.
Waterman Pearson, Avril E.
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
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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 &gt;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. 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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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