Other language title :
ﻣﻘﺎﻳﺴﻪ ارﺟﺤﻴﺖ روش ﻋﻘﻴﻢ ﺳﺎزي ﺑﺮ داﺷﺖ ﺗﺨﻤﺪان ﺑﺎ ﻻﭘﺎروﺳﻜﻮﭘﻲ دو ﭘﻮرﺗﻲ و ﺟﺮاﺣﻲ ﺑﺎز در ﮔﺮﺑﻪ
Title of article :
Ovariectomy in Queens: Two Portals Laparoscopy vs Conventional Approach
Author/Authors :
Salmanzadeh Zahedani, Navid Department of Surgery & Radiology - Faculty of Veterinary Medicine - University of Tehran , Bakhtiari, Jalal Department of Surgery & Radiology - Faculty of Veterinary Medicine - University of Tehran , Khalaj, Alizera Department of Surgery - Faculty of Medicine, Shahed University , Vafadari, Behnam Department of Surgery & Radiology - Faculty of Veterinary Medicine - University of Tehran , Niasari-Naslaji, Amir Department of Theriogenology - Faculty of Veterinary Medicine - University of Tehran
Pages :
6
From page :
31
To page :
36
Abstract :
Objective- The purpose of this study was to compare two portal laparoscopy and conventional approach for ovariectomy in queen. Design- Retrospective study. Animals- Adult healthy queens (n=24). Procedures- Queens referred to the small animal hospital, Faculty of Veterinary Medicine, University of Tehran for neutering were randomly assigned for two-portal laparoscopy (n=12) and midline open ovariectomy (conventional approach; n=12). General anesthesia was performed using the combination of ketamin (5.5 mg/kg; i.v.; Ketalar®, Alfasan) and diazepam (0.27 mg/kg; Valium®, Caspian, i.v.) followed by isoflurane in oxygen entubation. Results- Surgical time, length of surgical incisions and recovery time were significantly lower in laparoscopic (11.9±0.95 min, 15.9±0.18 mm, 40.4±4.29 min) compared to conventional ovariectomy (20.7±0.95 min, 27.4±1.27 mm, 58.5±5.58 min; P<0.05). Conclusion and Clinical Relevance- In conclusion, two portals laparoscopy is a simple, safe and suitable approach for elective neutering in queen.
Farsi abstract :
ﻫﺪف- ﻣﻘﺎﻳﺴﻪ ارﺟﺤﻴﺖ ﻫﻤﻮﺳﺘﺎز ﺗﻚ ﻗﻄﺒﻲ و دو ﻗﻄﺒﻲ در ﺟﺮاﺣﻲ ﺑﺮداﺷﺖ رﺣﻢ و ﺗﺨﻤﺪان ﺑﻪ روش ﻻﭘﺎروﺳﻜﻮﭘﻲ در ﺳﮓ ﻃﺮح- ﻣﻄﺎﻟﻌﻪ ﺗﺠﺮﺑﻲ اﻧﺘﺨﺎﺑﻲ ﺣﻴﻮاﻧﺎت- ﺑﻴﺴﺖ و ﭼﻬﺎر ﮔﺮﺑﻪ ﻣﺎده ﺑﺎﻟﻎ روش ﻛﺎر- ﺑﻴﺴﺖ و ﭼﻬﺎر ﮔﺮﺑﻪ ارﺟﺎﻋﻲ ﺑﻪ ﺑﻴﻤﺎرﺳﺘﺎن داﻣﻬﺎي ﻛﻮﭼﻚ داﻧﺸﻜﺪه داﻣﭙﺰﺷﻜﻲ ﺑﺮاي ﻋﻘﻴﻢ ﺳﺎزي ﺑﺎ ﻣﻮاﻓﻘﺖ ﺻﺎﺣﺒﺎن ﮔﺮﺑـﻪ ﻫـﺎ در دو ﮔﺮوه ﻣﺴﺎوي ﺑﺮاي ﺟﺮاﺣﻲ ﺑﻪ روش ﻻﭘﺎروﺳﻜﻮﭘﻲ دو ﭘﻮرﺗﻲ)ﮔﺮﺑﻪ 12 و ﺟﺮاﺣﻲ ﺳﻨﺘﻲ ﺑﺎز ﮔﺮﺑﻪ 12 ﺗﺤﺖ ﺑﻴﻬﻮﺷﻲ ﻋﻤﻮﻣﻲ ﺑـﺎ ﻣﺨﻠـﻮط ﻛﺘـﺎﻣﻴﻦ )5/5 ﻣﻴﻠﻲ ﮔﺮم در ﻫﺮ ﻛﻴﻠﻮ ﮔﺮم وزن ﺑﺪن داﺧﻞ ورﻳﺪي( و دﻳﺎزﭘﺎم 0/27 ﻣﻴﻠﻲ ﮔﺮم در ﻫﺮ ﻛﻴﻠﻮﮔﺮم وزن ﺑﺪن داﺧﻞ ورﻳﺪي( در ﺣﺎﻟﺖ ﺧﻮاﺑﻴﺪه ﺑﻪ ﭘﺸﺖ و زاوﻳﻪ 30 درﺟﻪ ﻧﺴﺒﺖ ﺑﻪ ﺧﻂ اﻓﻖ ﺑﻪ ﻃﻮرﻳﻜﻪ ﺳﺮ در ﺳﻄﺢ ﭘﺎﻳﻴﻦ ﺗﺮي ﻧﺴﺒﺖ ﺑـﻪ ﺑـﺪن ﻗـﺮار داﺷـﺖ و ﺑـﻪ اﻳﺰوﻓﻠـﻮران و اﻛﺴـﻴﮋ ن ﻣﺘﺼـﻞ ﮔﺮدﻳﺪﻧĤﻣﺎده ﺷﺪﻧﺪ. در ﮔﺮوه ﻳﻚ ﺗﺮوﻛﺎر 5 ﻣﻴﻠﻴﻤﺘﺮي ﺑﺮاي ﻋﺒﻮر دورﺑﻴﻦ در ﻧﺎﺣﻴﻪ ﻧﺎف ﻛـﺎر ﮔﺬاﺷـﺘﻪ ﺷـﺪ ﺳـﭙﺲ ﭘـﻮرت5 ﻣﻴﻠﻴﻤﺘـﺮي دوم در 5 ﺳــﺎﻧﺘﻴﻤﺘﺮي ﺧﻠﻔــﻲ ﻧــﺎف ﻛــﺎر ﮔﺬاﺷــﺘﻪ ﺷــﺪ. ﭘــﺲ از ﺷﻨﺎﺳــﺎﻳﻲ ﺗﺨﻤــﺪاﻧﻬﺎ، ﻟﻴﮕﺎﻣﻨــﺖ ﻣﻌﻠﻘــﻪ و ﭘﺎﻳــﻪ ﻋﺮوﻗــﻲ ﺗﺨﻤــﺪاﻧﻬﺎ، در ﮔــﺮوه ﻳــﻚ ﭘــﺲ از اﻟﻜﺘﺮوﻛﻮاﮔﻮﻻﺳﻴﻮن ﻗﻄﻊ ﺷﺪﻧﺪ و در ﮔﺮوه دوم ﻫﻤﺎﻧﻨﺪ ﮔﺮوه ﻳﻚ ﻛﻠﻴﻪ ﮔﺮﺑﻪ ﻫﺎ ﺑﺮ روي ﻣﻴﺰ ﺟﺮاﺣـﻲ ﺑـﺪون زاوﻳـﻪ ﺧﻮاﺑﺎﻧﻴـﺪه و ﭘـﺲ از ﺷﻨﺎﺳـﺎﺋﻲ ﺗﺨﻤﺪاﻧﻬﺎ ﺑﻪ روش روﺗﻴﻦ ﻟﻴﮕﺎﺗﻮر ﺑﺎ ﻧﺦ وﻳﻜﺮﻳﻞ دو ﺻﻔﺮ ﻛﺎر ﮔﺬاﺷﺘﻪ و ﺗﺨﻤﺪاﻧﻬﺎ ﻗﻄﻊ و ﺧﺎرج ﮔﺮدﻳﺪﻧﺪ. در ﻛﻠﻴﻪ ﮔﺮﺑـﻪ ﻫـﺎي ﻫـﺮ دو ﮔـﺮوه ﭘـﺲ از اﻃﻤﻴﻨﺎن از ﻫﻤﻮﺳﺘﺎز ﻛﺎﻣﻞ، ﺑﻪ روش روﺗﻴﻦ ﻻﻳﻪ ﻫﺎي ﺷﻜﻢ ﺑﺨﻴﻪ ﮔﺮدﻳﺪ. ﻛﻠﻴﻪ ﺟﺮاﺣﻲ ﻫﺎ ﺑﺎ ﻣﻮﻓﻘﻴﺖ اﻧﺠﺎم ﺷﺪ و ﻫﻴﭽﮕﻮﻧﻪ ﻋﻮارﺿﻲ ﺣﻴﻦ ﺟﺮاﺣﻲ و ﭘﺲ از آن در ﮔﺮﺑﻪ ﻫﺎ دﻳﺪه ﻧﺸﺪ. ﻧﺘﺎﻳﺞ- در اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻓﺎﻛﺘﻮرﻫﺎي ﻣﺨﺘﻠﻔﻲ ﺷﺎﻣﻞ ﻣﺪت زﻣﺎن ﺟﺮاﺣﻲ، ﻣﻴﺰان ﺑﺮش ﺧﻂ ﺟﺮاﺣﻲ و ﻣﺪت زﻣﺎن رﻳﻜﺎوري ﮔﺮﺑﻪ ﻫﺎ ﺑﺘﺮﺗﻴـﺐ در ﮔـﺮوه ﻳﻚ )11/9±0/95 دﻗﻴﻘﻪ ،15/9±0//18 ﻣﻴﻠـﻲ ﻣﺘـﺮ، 40/4±4/29 دﻗﻴﻘـﻪ در ﻣﻘﺎﻳﺴـﻪ ﺑـﺎ روش روﺗـﻴﻦ ﺳـﻨﺘﻲ ﺟﺮاﺣـﻲ ﺑـﺎز20/7±0/95 دﻗﻴﻘـﻪ ،27/4±1/27 ﻣﻴﻠﻲ ﻣﺘﺮ،58/5±5/58 دﻗﻴﻘﻪ( ارزﻳﺎﺑﻲ ﮔﺮدﻳﺪ. ﻧﺘﻴﺠﻪ ﮔﻴﺮي- ﮔﺮوه ﻳﻚ در ﻣﻘﺎﻳﺴﻪ ﺑﺎ ﮔﺮوه دو روﺷﻲ ﺳﺎده، ﻣﻄﻤﺌﻦ و ﻣﻨﺎﺳﺐ ﺑﺮاي ﺗﻐﻴﻴﺮ ﺷﻴﻮه ﺟﺮاﺣﻲ اﻋﻼم ﮔﺮدﻳﺪ.
Keywords :
Queen , Ovariectomy , Laparoscopy
Journal title :
Astroparticle Physics
Serial Year :
2014
Record number :
2446193
Link To Document :
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