Veterinary Surgery · 2012 · 11 citations · 26 references
Veterinary MedicineSurgeryVeterinary SurgeryReproductive MedicineReproductive SurgerySwine MedicinePorcine SurgerySterilization ProceduresSwine ReproductionSwine SurgeryCase Series ReviewHandling Of PigletsIntraoperative Hemorrhage ManagementMedical Records ReviewRetrospective Case AscertainmentSurgical Technique ComparisonSurgical Technique SelectionVessel Sealing Systems
OBJECTIVES: To determine if ovariectomy (OVE) by electrothermal bipolar vessel sealing (EBVS) is a safe alternative to ovariohysterectomy (OVH) by hand-tied ligatures as a method of spaying in pigs. STUDY DESIGN: Retrospective case series. ANIMALS: Intact female pigs (n = 14). METHODS: Medical records (2001-2010) of pigs admitted for sterilization were reviewed for signalment, surgical technique, intra- and postoperative complications, length of hospitalization, and outcome. Long-term follow-up was obtained by owner questionnaire. RESULTS: Mean ± SD age and mean weight was 131 ± 86 days and 13.0 ± 6.2 kg, respectively. There were 5 OVH pigs and 9 OVE pigs; age and weight were not significantly different between groups. When comparing OVE to OVH, mean incisional length was less (12 ± 6 cm OVE; 22 ± 6 cm OVH; P < .01) and surgical time was short (50 ± 9 min OVE; 103 ± 15 min OVH; P < .01). Intraoperative hemorrhage occurred in 1 OVH pig. Postoperative complications included hemorrhage (n = 1), fever (3), hypothermia (2), surgical site infection (1), and inappetence (3). Return to normal behavior and appetite was significantly shorter for OVE pigs (1.10 ± 0.93 days; 4.30 ± 0.94 days OVH; P < .01). After a mean follow-up of 36 months, no difference between groups could be observed. CONCLUSION: OVE using EBVS is a faster surgical technique with less perioperative complications when compared to OVH with ligatures. OVE can potentially replace OVH as a spaying method in pigs.
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Guideline for Prevention of Surgical Site Infection, 1999
Alicia J. Mangram, Teresa Horan, Michele L. Pearson et al. · American Journal of Infection Control · 1999 · 2.9K citations
Medicine, Microbiology, Surgery +17
Alicia J. Mangram, Teresa Horan, Michele L. Pearson et al. · PubMed · 1999 · 2.8K citations
Medicine, Infectious Disease Control, Preventive Medicine +14
Laparoscopic versus open inguinal hernia repair: randomised prospective trial
David L. Stoker, David J. Spiegelhalter, Rameet H. Singh et al. · The Lancet · 1994 · 330 citations