Method of intramesovarian blockade of ovarian and cranial uterine nerves in dogs and fur-bearing animals of canine family

FIELD: veterinary medicine.

SUBSTANCE: intramesovarian blockade of ovarian and cranial uterine nerves is carried out by laparotomy and administration in the mesovarium of 0.5-1% solution of novocaine or lidocaine. Blockade is carried out by inserting the needle of the syringe into the mesovarium in the vicinity of the ovarian bursa and uterine horn at an acute angle to the surface of the ovarian mesenterium to a depth of 3-4 cm. At that 3 ml of anaesthetic is administered to small breeds of dogs and fur-bearing animals, and from 3 to 9 ml of anaesthetic is administered to large and giant breeds of dogs as from one and from the opposite side of the body.

EFFECT: effective implementation of intramesovarian blockade by taking into account the anatomical and the breed features of the animal category.

1 tbl

 

The invention relates to veterinary surgery, therapy, obstetrics and gynecology, and can be used in therapeutic and diagnostic operations in veterinary obstetrics and gynecology on the ovaries and uterus, as well as in veterinary therapy for pathogenetic treatment and prevention of postoperative complications.

Known way lumbar (perirenal) blockade of the autonomic nerves perinephral subfascial loose connective tissue ("adipose capsule of kidney") during surgery in dogs by I. Ya Tignino. The needle is injected at a distance of 3.5 cm from the midline of the lower back. For left-hand drive blockade needle injected at the level of the end cross-costal process of the second lumbar vertebra, and on the right at the level of the first lumbar vertebra. Needle injected into the vertical position until it stops in the territory of the respective transverse rib bone, then move the needle to the bone and still immersed to a depth of 0.5-1 cm is Injected 0.25% solution of novocaine at the rate of 3 ml per 1 kg of weight of the animal [Parshin, A. A. surgery in dogs and cats: monograph / A. A. Parshin, V. A. Sobolev, V. A. Sozinov. - M.: "Aquarium", 2003. - 232 S.].

The disadvantage of this method is low atraumatic, low pathogenic effect.

The closest to the technical nature of the claimed method is a method which lokaty nerves in ozomatli and metarie when oophorectomy pigs and bitches including laparotomy, the introduction into the abdominal cavity between intestinal loops, the end of the rubber tube 30 cm long, attached to warm anesthetic solution to the syringe, slowly push the plunger of the syringe, the introduction of 2-3% solution of novocaine in the amount of 10-20 ml per animal, the solution is distributed freely, washing of manometry and metavari [Magda I. I. Local anesthesia / I. I. Magda. ): Symptoms, 1955. - S. 200-201].

The disadvantages of this method are low atraumatic these low pathogenic effect, high toxicity.

The technical result of the invention is to increase the possible traumas, anatomical, increasing pathogenetic effect, reducing toxicity.

The technical result is achieved in that way intramuscularilly blockade ovarian and cranial uterine nerves in dogs and fur animals of the family dog, which consists in conducting laparotomy, the introduction of masouri 0,5-1% solution of novocaine or lidocaine, while small breeds of dogs and fur animals injected with 3 ml of anesthetic, and large and giant breeds of dogs injected from 3 to 9 ml of anesthetic as one, and on the opposite side of the body, through the introduction of a needle of the syringe into metavari in the immediate vicinity of ovarian bags and ro is and uterus at an acute angle to the surface of ovarian mesentery to a depth of 3-4 cm.

Introduction to metavari 0,5-1% solution of novocaine or lidocaine through the needle of the syringe into metavari at an acute angle to the surface of ovarian mesentery to a depth of 3-4 inches in the immediate vicinity of ovarian bags and horns of the uterus increases possible traumas and anatomical way. The mobility of the ovaries and uterus during evacuation in the lumen of incision increases because of the reduction of pain these manipulations and relaxation of the muscular elements of the ovarian ligament and the mesentery where they attach to the dorsal abdominal wall, and smooth muscles of the horns of the uterus, ligaments and mesentery of the ovaries and uterus, which in dogs and fur animals of the family dog sedentary due to a substantial development of fatty deposits in loose connective tissue mesovarian and manometry. In addition, there is a point specific effects on the nerves for pathogenetic treatment and analgesia supporting ligament of the ovary, metaware, ovarian bags, mesosalpinx, true ligament of the ovary, dorsomedial part manometry, ovary and the cranial part of the horns of the uterus, i.e. increased pathogenic effect.

Introduction to metavari 0,5-1% solution of novocaine or lidocaine in 3 ml of anesthetic for small breed dogs and fur animals and from 3 to 9 ml of anesthetic is La large and giant breeds of dogs as one, and on the opposite side of the body reduces the toxicity of the way.

The way intramuscularilly blockade ovarian and cranial uterine nerves in dogs and fur animals of the family dog is as follows: spend laparotomy, through an incision in the abdominal wall into the abdominal cavity deduce spatula or your fingers, ovarian and uterine mesentery and all associated organogenic online access to slight tension to the supporting ligaments of the ovary corresponding side of the body, exposing the junction of mesovarian and dorsomedial part manometry on the ovary and genialny part of the uterine horns. Then in masouri, in the immediate vicinity of ovarian bags and horns of the uterus, at an acute angle, for example 15, to the surface of ovarian mesentery, needle syringe length of 5-6 inches. The needle slowly pushed into metavariables loose connective tissue at a depth of 3-4 cm, seeking to extend the solution of novocaine or lidocaine on the maximum size of the ovarian and the cranial part of the fallopian bryzek. Injected 1% solution of novocaine or lidocaine for anesthesia, or 0.5% solution of novocaine with pathogenetic purpose. Dose in both cases is 3 ml in small breed dogs and fur animals up to 9 ml of anesthetic solution for large and giant breeds with one side of the body.

Pair side of the body carried out the same manipulation, immediately upon completion of the previous one. The amount of time elapsed before the onset of analgesia is from 1 to 3 minutes.

The proposed method intramuscularilly blockade ovarian and cranial uterine nerves in dogs and fur animals of the family dog tested at the departments of anatomy, surgery and obstetrics IVM FGBOU VPO omgau. P. A. Stolypin.

Research material was 40 clinically healthy mongrel dogs aged 6-9 years. Animals were divided into experimental and control groups of 20 animals each. Animals of the experimental group oophorectomy was performed using the method intramuscularilly blockade ovarian and cranial uterine nerves in dogs and fur animals of the family dog. In the control group oophorectomy was performed using local infiltration anesthesia.

The table below presents basic clinical parameters of the condition of the dog after ovariectomy.

Basic clinical parameters dogs after ovarioektomii.

Table
Name of indicatorExperimental groupThe control group
The day after the operation / number of animalsThe day after the operation/ number of animals
25102510
The normalization condition: rectal temperature of 39.0-38.5C, respiratory rate between 12 and 15, the pulse 140-150 beats/min20202051019
Normalization of appetite and recovery of motor activity202020-1020
Attempts rozliczania and cracking of skin sutures---20155

Basic clinical parameters the normalization condition in animals of the experimental group noted within the first 24 hours after surgery: rectal temp is the atur decreased to 41.0-41.5C to 39.0-38.5C; the frequency of respiratory movements from 27-30 up to 12-15; pulse - 210-240 up to 140-150 beats/min during all subsequent time observations to 10 days, these indicators also remained within the physiological norm. While all animals of the experimental group appetite and physical activity was observed in the early postoperative period within the first 48 hours. Attempts rozliczania and cracking of skin sutures were not observed. Animals of the experimental group operating wound healed without complications primary tension, which indicates a high pathogenic effect. Blood picture and changes also show a highly positive impact way intramuscularilly blockade ovarian and cranial uterine nerves in dogs for the treatment of post-state of the animals of the experimental group. The erythrocyte sedimentation rate, initially 1.5 times above the norm, normalizability by the time of the second examination (3 days after surgery). When the hemoglobin level was moderately high throughout the observation period and was 135-150 g/l on the background of small erythremia (to 9.7 million/l), caused by absolute erythrocytosis with a predominance of normal - and hyperchromic cells and reticulocytes. These facts, as well as lacor the MMA (regenerative leukocytosis 25,0-21,0 thousand/l with a slight neutrophilic shift to the left, and the emergence of young cells on the background of eosinophilia (up 11%) and limfozitoza (up to 52%)), serve as proof of the high resistance of the organism of experimental animals, the rapid post-traumatic recovery against the background of strengthening of hematopoiesis and cellular immunity, as in the early postoperative period and during subsequent rehabilitation. In the absence of more serious treatment of this effect could be provided only by the influence of the method intramuscularilly blockade ovarian and cranial uterine nerves in dogs.

In the control group the first signs of normalization of the state of the animals were observed for 2-3 days after surgery: decreased temperature, recovered the frequency and quality of pulse and respiration. In some control animals temperature, pulse and respiration are normal for 3-9 days of the postoperative period. One - on the 10th day of observation after applied antibiotic therapy. All animals of the control group in the first 2 days after surgery, there was no appetite

(6 refused and drinking), it was noted weakness, involuntary movements and postures. Normalization of appetite and restoration of normal motor activity had slowed in comparison with experimental animals dynamics - from 2 to 10 days. In all the control animals were observed regularly attempts rozliczania and cracking of skin sutures, which has led to the development of purulent-ligature fistula, divergence 2-3 stitches of the seam and deep serous-purulent dermatitis around it, resulting in the healing of skin wounds passed by granulation with the formation of rough scar.

Laboratory studies on the blood of animals in the control group confirmed the clinical picture. ESR normalized no earlier than 6 days after surgery. The level of hemoglobin, comprising 150-160 g/l immediately after surgery, decreased to normal only to 5-6 days after surgery, and this decline was not gradual, political (the result ranged from 85 to 155 g/l in all control animals with mild anisogamy and anisocytosis RBCs) on the background of the General erythrocytopenia to 4.6 million/l. Leukogram high leukocytosis (28-37 th/l) also speaks of severe postoperative period, most of the control animals. Leukocyte profile differed neutrophilia with sharp regenerative (in 10% of cases with degenerative) nuclear shift to the left: up to 80% CAMPING - and up to 15% five-neutrophils, among which met a single degenerate forms.

In 6% of cases were marked lymphocytosis up to 60% on the background of agranulocytosis, which, coupled with a sharp degenerative neutrophilic shift to the left indicates severe inflammation, and reduced phagocytic activity AFL is stvie depletion of blood.

The results demonstrate the presence of high pathogenic effect intraesophageal blockade on the course and outcome of postoperative period in dogs after ovariectomy.

The proposed method intramuscularilly blockade ovarian and cranial uterine nerves in dogs and fur animals of the family dog has a high atraumatic these high pathogenic effect, low toxicity due to the introduction in masouri 0.5-1% solution of novocaine or lidocaine in the amount of 3-9 ml, through the introduction of a needle of the syringe into metavari in the immediate vicinity of ovarian bags and horns of the uterus at an acute angle to the surface of ovarian mesentery to a depth of 3-4 cm.

The way intramuscularilly blockade ovarian and cranial uterine nerves in dogs and fur animals of the family canine it is recommended to use when oophorectomy, diagnostic and treatment operations in veterinary therapy dogs and fur animals of the family dog.

Sources of information

1. Parshin A. A. surgery in dogs and cats: monograph / A. A. Parshin, V. A. Sobolev, V. A. Sozinov, - M.: "Aquarium", 2003. - 232 S.

2. Magda I. I. Local anesthesia: a guide for veterinarians / I. I. Magda. ): Symptoms, 1955. - S. 200-201 (prototype).

The way intramuscularilly blockade ovary is o and cranial uterine nerves in dogs and fur animals of the family dog, consisting in conducting laparotomy, the introduction of masouri 0,5-1% solution of novocaine or lidocaine, while small breeds of dogs and fur animals injected with 3 ml of anesthetic, and large and giant breeds of dogs injected from 3 to 9 ml of anesthetic as one, and on the opposite side of the body by insertion of the needle of the syringe into metavari in the immediate vicinity of ovarian bags and horns of the uterus at an acute angle to the surface of ovarian mesentery to a depth of 3-4 cm.



 

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2 ex

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