Midline and Flank approaches in cat surgery

Midline and Flank approaches in cat surgery
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Abstract
Birth control among the animals has been a recommended process to discourage the unnecessary high birthrates among the particular groups of animals. For managing this process, surgery has been the most familiar recommended technique. In cats, Ovariohysterectomy has been the standard form of surgery that is carried out. However, the surgical operation takes multiple numbers of approaches which include midline though is considered one traditional approach. Another method is flank, and many other procedures are laparoscopic. In this study, twenty-four adult and mongrel cats were sampled randomly for the study where they were categorized into four groups. These groups were two for each approach, midline, and flack though using either nylon clamp or nylon thread. Various variables were measured, but the important ones for the clinical question were the time taken for each approach and the edema incidences occurring. The flank approach was found to take longer than midline while midline had more early edema incidences than flank.
Keywords: Surgical, clamps, midline, flank, celiotomy, surgery, feline, and animals

Midline and Flank approaches in cat surgery
Critical appraisal worksheet
Clinical question: Which is the least painful surgical option between midline and flankfor spraying a cat?
Search engines https://scholar.google.com/
Search terms and combinations Clamps, midline, flank, celiotomy, surgery, feline
Paper 1 Nylon Clamps and Mononylon for Ovariohysterectomy in Cats
Paper 2 Pros and Cons of Neutering
Paper 3 Feral Cat Management
PAPER: (https://repositorio.

bc.ufg.br/xmlui/bitstream/handle/ri/13978/Artigo%20-%20Tales%20Dias%20do%20Prado%20-%202015.pdf?sequence=5&isAllowed=y)
Introduction
Are the aims/hypothesis clearly stated (state them here)? The aim of the study is clearly defined which was to evaluate the provision of hemostasis in ovarian arteriovenous ligation using nylon clamps during ovariohysterectomy in cats. The process was subjected to midline and flank approaches.
Methods
What type of study is used (e.g., case study, cohort study, meta-analysis)? The study used in the paper is cohort study where the sampled cats were grouped in four groups and exposed to the similar treatment.
What population of animals was being studied (detailed description)? The population of the animals under the study included the twenty-four healthy, mongrel and adult cats.
Overall, are the methods described in enough detail that you could repeat them (give examples)? Yes, the method described offer enough detail that one could repeat using them. The cats under the study were first grouped into four categories two for each approach midline and frank either with monofilament nylon or nylon clamp. Then followed with preoperative and anesthetic which included the laboratory tests, weighing of animals and premedication, anesthesia surgical plan and administering of drug therapy.
Results
What were the main findings/key results (state them here)? The main findings indicated that there was a significant difference for the dieresis time mean between the midline and flank groups. Flank dieresis demonstrated to take longer time than the midline dieresis (Hardie, 2011). There was a higher incidence of edema in the animal group exposed to midline approach on the seventh day after surgery than in those exposed to flank.
Discussion and conclusion Does the discussion reflect the results (what are the authors’ conclusions)? The discussion presented reflects the results. The discussion tends to support the fact that flank dieresis takes longer than midline. However, tend to expose animals to edema than flank which is related to the lower dehiscence incidence (Prado, Barboza, Moni, Borges, & Damasceno, 2015).
Interpretation Clinical bottom line (your recommendation based on the literature reviewed):
According to the medical question, the need was to find a less painful approach; flank proves to have less edema despite the long time it takes. There is a need for further research on this concept since less is found about it.
References
Hardie, E (2011). Pros and Cons of Neutering.Prado, T. D. D., Barboza, S., Moni, Â. F., Borges, N. C., & Damasceno, A. D. (2015). Nylon clamps and mononylon for ovariohysterectomy in cats.