Postoperative pain and short-term complications after two elective sterilization techniques: ovariohysterectomy or ovariectomy in cats

Surgical sterilization of cats is one of the most commonly performed procedures in veterinary practice and it can be accomplished by two different techniques: ovariohysterectomy (OVH) or ovariectomy (OVE). Although there is an apparent preference for OVH in United States and Canada, OVE seems to be...

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Published in:	BMC veterinary research Vol. 14; no. 1; p. 335
Main Authors:	Pereira, Marco Aurélio A, Gonçalves, Lucas A, Evangelista, Marina C, Thurler, Rosana S, Campos, Karina D, Formenton, Maira R, Patricio, Geni C F, Matera, Julia M, Ambrósio, Aline M, Fantoni, Denise T
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 08-11-2018 BioMed Central BMC
Subjects:	Analgesia Analgesics Anesthesia Animals Blood Care and treatment Cat Diseases - etiology Cats Cats - surgery Complications Complications and side effects Domestic cats Family medical history Female Glucose Hysterectomy - adverse effects Hysterectomy - veterinary Ovariectomy Ovariectomy - veterinary Ovariohysterectomy Pain Pain management Pain perception Pain, Postoperative - veterinary Patient outcomes Postoperative Complications - veterinary Postoperative pain Postoperative period Prospective Studies Reproductive sterilization Sexual sterilization Short term Single-Blind Method Surgeons Surgery Surgical outcomes Surgical techniques Uterus Veterinary medicine Veterinary surgery Canada United States > US Analgesia Cats Pain Ovariectomy Ovariohysterectomy Reproductive sterilization
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Summary:	Surgical sterilization of cats is one of the most commonly performed procedures in veterinary practice and it can be accomplished by two different techniques: ovariohysterectomy (OVH) or ovariectomy (OVE). Although there is an apparent preference for OVH in United States and Canada, OVE seems to be the standard of care in many European countries due to its advantages, such as a smaller surgical incision and potentially less complications associated with surgical manipulation of the uterus. The aim of this randomized, blind, prospective study was to compare postoperative pain and short-term complications in cats undergoing ovariohysterectomy or ovariectomy. Twenty female cats were randomly assigned into two groups (OVH, n = 10 and OVE, n = 10). Pain was assessed prior to surgery (baseline) and 1, 2, 4, 8 12 and 24 h after the procedure using pain and sedation scales, physiologic parameters and blood glucose levels. Short-term complications were evaluated in the early postoperative period and reassessed at day 7 and day 10. Changes in cardiovascular parameters were not clinically relevant, however cats in OVH group had higher heart rates at T1 h compared with baseline (p = 0.0184). Blood glucose levels in OVH group were also higher at T1 h compared with baseline (p = 0.0135) and with OVE group (p = 0.0218). Surgical time was higher in OVH group (p = 0.0115). Even though no significant differences in pain scores were observed between groups or time points, cats in OVH group had greater need for rescue analgesia compared with OVE (2/10 and 0/10, respectively). Complications were not observed in any cat during surgery, at days 7 and 10 postoperatively or at discharge. Both surgical techniques promoted similar intensity of postoperative pain in cats and there were no short-term complications throughout the study's evaluation period. Therefore, both techniques may be indicated for surgical sterilization of cats, according to the surgeon's preference and expertise. Cats that underwent ovariectomy did not require rescue analgesia and surgical time was shorter in that group.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	1746-6148 1746-6148
DOI:	10.1186/s12917-018-1657-z