Assessment of postoperative pain after unilateral mastectomy using two different surgical techniques in dogs

Detalhes bibliográficos
Autor(a) principal: Minto, Bruno W. [UNESP]
Data de Publicação: 2013
Outros Autores: Rodrigues, Lisiane C. [UNESP], Steagall, Paulo V. M. [UNESP], Monteiro, Eduardo R. [UNESP], Brandao, Claudia V. S. [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1186/1751-0147-55-60
http://hdl.handle.net/11449/112478
Resumo: Background: There are few studies reporting pain and postoperative analgesia associated with mastectomy in dogs. The aim of this study was to evaluate postoperative pain after unilateral mastectomy using two different surgical techniques in the dog.Findings: Twenty female dogs were assigned (n=10/group) to undergo unilateral mastectomy using either the combination of sharp and blunt dissection (SBD) or the modified SBD (mSBD) technique, in which the mammary chain is separated from the abdominal wall entirely by blunt (hand and finger) dissection except for a small area cranial to the first gland, in a prospective, randomized, clinical trial. All dogs were premedicated with intramuscular acepromazine (0.05 mg/kg) and morphine (0.3 mg/kg). Anesthesia was induced with intravenous ketamine (5 mg/kg) and diazepam (0.25 mg/kg), and maintained with isoflurane. Subcutaneous meloxicam (0.2 mg/kg) was administered before surgery. Postoperative pain was evaluated according to the University of Melbourne pain scale (UMPS) by an observer who was blinded to the surgical technique.. Rescue analgesia was provided by the administration of intramuscular morphine (0.5 mg/kg) if pain scores were > 14 according to the UMPS. Data were analyzed using t-tests and ANOVA (P>0.05). There were no significant differences between the groups for age, weight, extubation time, and duration of surgery and anesthesia (P>0.05). There were no significant differences for postoperative pain scores between groups. Rescue analgesia was required in one dog in each group.Conclusions: The two surgical techniques produced similar surgical times, incidence of perioperative complications and postoperative pain. Multimodal analgesia is recommended for treatment of postoperative pain in dogs undergoing unilateral mastectomy.
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spelling Assessment of postoperative pain after unilateral mastectomy using two different surgical techniques in dogsDogCancermastectomyanalgesiaSurgeryBackground: There are few studies reporting pain and postoperative analgesia associated with mastectomy in dogs. The aim of this study was to evaluate postoperative pain after unilateral mastectomy using two different surgical techniques in the dog.Findings: Twenty female dogs were assigned (n=10/group) to undergo unilateral mastectomy using either the combination of sharp and blunt dissection (SBD) or the modified SBD (mSBD) technique, in which the mammary chain is separated from the abdominal wall entirely by blunt (hand and finger) dissection except for a small area cranial to the first gland, in a prospective, randomized, clinical trial. All dogs were premedicated with intramuscular acepromazine (0.05 mg/kg) and morphine (0.3 mg/kg). Anesthesia was induced with intravenous ketamine (5 mg/kg) and diazepam (0.25 mg/kg), and maintained with isoflurane. Subcutaneous meloxicam (0.2 mg/kg) was administered before surgery. Postoperative pain was evaluated according to the University of Melbourne pain scale (UMPS) by an observer who was blinded to the surgical technique.. Rescue analgesia was provided by the administration of intramuscular morphine (0.5 mg/kg) if pain scores were > 14 according to the UMPS. Data were analyzed using t-tests and ANOVA (P>0.05). There were no significant differences between the groups for age, weight, extubation time, and duration of surgery and anesthesia (P>0.05). There were no significant differences for postoperative pain scores between groups. Rescue analgesia was required in one dog in each group.Conclusions: The two surgical techniques produced similar surgical times, incidence of perioperative complications and postoperative pain. Multimodal analgesia is recommended for treatment of postoperative pain in dogs undergoing unilateral mastectomy.Sao Paulo State Univ, UNESP, Sch Vet Med & Anim Sci, Dept Vet Clin & Surg, Jaboticabal, SP, BrazilSao Paulo State Univ, UNESP, Sch Vet Med & Anim Sci, Dept Vet Clin & Surg, Jaboticabal, SP, BrazilBiomed Central Ltd.Universidade Estadual Paulista (Unesp)Minto, Bruno W. [UNESP]Rodrigues, Lisiane C. [UNESP]Steagall, Paulo V. M. [UNESP]Monteiro, Eduardo R. [UNESP]Brandao, Claudia V. S. [UNESP]2014-12-03T13:10:44Z2014-12-03T13:10:44Z2013-08-19info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4application/pdfhttp://dx.doi.org/10.1186/1751-0147-55-60Acta Veterinaria Scandinavica. London: Biomed Central Ltd, v. 55, 4 p., 2013.0044-605Xhttp://hdl.handle.net/11449/11247810.1186/1751-0147-55-60WOS:000323390200001WOS000323390200001.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengActa Veterinaria Scandinavica1.497info:eu-repo/semantics/openAccess2023-10-19T06:03:21Zoai:repositorio.unesp.br:11449/112478Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-10-19T06:03:21Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Assessment of postoperative pain after unilateral mastectomy using two different surgical techniques in dogs
title Assessment of postoperative pain after unilateral mastectomy using two different surgical techniques in dogs
spellingShingle Assessment of postoperative pain after unilateral mastectomy using two different surgical techniques in dogs
Minto, Bruno W. [UNESP]
Dog
Cancer
mastectomy
analgesia
Surgery
title_short Assessment of postoperative pain after unilateral mastectomy using two different surgical techniques in dogs
title_full Assessment of postoperative pain after unilateral mastectomy using two different surgical techniques in dogs
title_fullStr Assessment of postoperative pain after unilateral mastectomy using two different surgical techniques in dogs
title_full_unstemmed Assessment of postoperative pain after unilateral mastectomy using two different surgical techniques in dogs
title_sort Assessment of postoperative pain after unilateral mastectomy using two different surgical techniques in dogs
author Minto, Bruno W. [UNESP]
author_facet Minto, Bruno W. [UNESP]
Rodrigues, Lisiane C. [UNESP]
Steagall, Paulo V. M. [UNESP]
Monteiro, Eduardo R. [UNESP]
Brandao, Claudia V. S. [UNESP]
author_role author
author2 Rodrigues, Lisiane C. [UNESP]
Steagall, Paulo V. M. [UNESP]
Monteiro, Eduardo R. [UNESP]
Brandao, Claudia V. S. [UNESP]
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Minto, Bruno W. [UNESP]
Rodrigues, Lisiane C. [UNESP]
Steagall, Paulo V. M. [UNESP]
Monteiro, Eduardo R. [UNESP]
Brandao, Claudia V. S. [UNESP]
dc.subject.por.fl_str_mv Dog
Cancer
mastectomy
analgesia
Surgery
topic Dog
Cancer
mastectomy
analgesia
Surgery
description Background: There are few studies reporting pain and postoperative analgesia associated with mastectomy in dogs. The aim of this study was to evaluate postoperative pain after unilateral mastectomy using two different surgical techniques in the dog.Findings: Twenty female dogs were assigned (n=10/group) to undergo unilateral mastectomy using either the combination of sharp and blunt dissection (SBD) or the modified SBD (mSBD) technique, in which the mammary chain is separated from the abdominal wall entirely by blunt (hand and finger) dissection except for a small area cranial to the first gland, in a prospective, randomized, clinical trial. All dogs were premedicated with intramuscular acepromazine (0.05 mg/kg) and morphine (0.3 mg/kg). Anesthesia was induced with intravenous ketamine (5 mg/kg) and diazepam (0.25 mg/kg), and maintained with isoflurane. Subcutaneous meloxicam (0.2 mg/kg) was administered before surgery. Postoperative pain was evaluated according to the University of Melbourne pain scale (UMPS) by an observer who was blinded to the surgical technique.. Rescue analgesia was provided by the administration of intramuscular morphine (0.5 mg/kg) if pain scores were > 14 according to the UMPS. Data were analyzed using t-tests and ANOVA (P>0.05). There were no significant differences between the groups for age, weight, extubation time, and duration of surgery and anesthesia (P>0.05). There were no significant differences for postoperative pain scores between groups. Rescue analgesia was required in one dog in each group.Conclusions: The two surgical techniques produced similar surgical times, incidence of perioperative complications and postoperative pain. Multimodal analgesia is recommended for treatment of postoperative pain in dogs undergoing unilateral mastectomy.
publishDate 2013
dc.date.none.fl_str_mv 2013-08-19
2014-12-03T13:10:44Z
2014-12-03T13:10:44Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1186/1751-0147-55-60
Acta Veterinaria Scandinavica. London: Biomed Central Ltd, v. 55, 4 p., 2013.
0044-605X
http://hdl.handle.net/11449/112478
10.1186/1751-0147-55-60
WOS:000323390200001
WOS000323390200001.pdf
url http://dx.doi.org/10.1186/1751-0147-55-60
http://hdl.handle.net/11449/112478
identifier_str_mv Acta Veterinaria Scandinavica. London: Biomed Central Ltd, v. 55, 4 p., 2013.
0044-605X
10.1186/1751-0147-55-60
WOS:000323390200001
WOS000323390200001.pdf
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Acta Veterinaria Scandinavica
1.497
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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application/pdf
dc.publisher.none.fl_str_mv Biomed Central Ltd.
publisher.none.fl_str_mv Biomed Central Ltd.
dc.source.none.fl_str_mv Web of Science
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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