Occurrence and Definitions of Intra and Postoperative Complications Related to Laparoscopy in Equids: A Scoping Review.
Abstract: Laparoscopy is a common approach in equine surgery and has the advantage of improved visibility and diagnostic accuracy, decreased morbidity and hospitalization time. However, despite the numerous benefits, there can be intraoperative and postoperative complications which could have important welfare and economic consequences. The aim of this study was to perform a scoping review to identify current evidence on the occurrence, definition and classification of intra and postoperative complications in equine laparoscopy. A scoping review was conducted in scientific databases. Peer-reviewed scientific articles in the English language on laparoscopy in equids between 1992 and 2022 were included. Data on the study method, sample size, surgical procedure, intra and postoperative complications were extracted and charted. One hundred sixty-four articles met the final inclusion criteria. A definition of "intraoperative complication" was given in one study. Difference between "minor" or "major" intraoperative complications were reported in 12 articles and between "minor" or "major" postoperative complications in 22 articles. A total of 22 intraoperative and 34 postoperative complications were described. The most reported intraoperative complication was hemorrhage from ovary or mesovary (12.7%), while the most reported postoperative complications were incisional complications (64.2%) and postoperative pain (32.7%). There is a need for implementation of criteria for defining complications. The adoption of classification systems and standard definitions would help surgeons to make decisions about the most appropriate treatment, and it is also essential to allow comparisons between research results.
Publication Date: 2022-10-17 PubMed ID: 36288190PubMed Central: PMC9609183DOI: 10.3390/vetsci9100577Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Review
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research article is a scoping review that studies the occurrence, definition, and classification of complications that can arise during and after laparoscopic surgery in horses.
Methodology
- The researchers conducted a scoping review of scientific literature on laparoscopy in equids (horses, donkeys, and zebras) over a 30-year period from 1992 to 2022.
- Only English language articles from peer-reviewed journals were included in the review.
- The researchers extracted and charted relevant data from each source, including details on the study method, sample size, surgical procedure, and the nature and frequency of any intraoperative (during surgery) and postoperative (after surgery) complications encountered.
Results
- They found a total of 164 articles that met the criteria for inclusion in the review.
- Only one study provided a definition of an “intraoperative complication”.
- Twelve articles differentiated between “minor” and “major” intraoperative complications, while twenty-two made the same distinction for postoperative complications.
- Twenty-two different types of intraoperative complications and thirty-four types of postoperative complications were described across all sources.
- Among these, the most frequently reported intraoperative complication was hemorrhage (uncontrolled bleeding) from the ovary or mesovary, which was noted in 12.7% of cases.
- The most common postoperative complications were issues with the surgical incision (64.2%) and postoperative pain (32.7%).
Conclusion
- Despite the analysis of a broad range of articles, the researchers found there is no universally accepted set of criteria for defining laparoscopic complications in equids.
- They suggest this as an area requiring improvement and propose the adoption of standard definitions and classification systems for complications, arguing that these would assist surgeons in making treatment decisions.
- Standardization would also enable more meaningful comparisons between the results of different research endeavors in this field.
Cite This Article
APA
Cerullo A, Gandini M, Giusto G.
(2022).
Occurrence and Definitions of Intra and Postoperative Complications Related to Laparoscopy in Equids: A Scoping Review.
Vet Sci, 9(10), 577.
https://doi.org/10.3390/vetsci9100577 Publication
Researcher Affiliations
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco, Italy.
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco, Italy.
- Department of Veterinary Sciences, University of Turin, Largo Paolo Braccini 2-5, 10095 Grugliasco, Italy.
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 26 references
- Hendrickson DA, Wilson DG. Laparoscopic cryptorchid castration in standing horses.. Vet Surg 1997 Jul-Aug;26(4):335-9.
- Soper NJ, Brunt LM, Kerbl K. Laparoscopic general surgery.. N Engl J Med 1994 Feb 10;330(6):409-19.
- van Nimwegen SA, Van Goethem B, de Gier J, Kirpensteijn J. A laparoscopic approach for removal of ovarian remnant tissue in 32 dogs.. BMC Vet Res 2018 Nov 7;14(1):333.
- Maurin MP, Mullins RA, Singh A, Mayhew PD. A systematic review of complications related to laparoscopic and laparoscopic-assisted procedures in dogs.. Vet Surg 2020 Jun;49 Suppl 1:O5-O14.
- Ioannidis JP, Evans SJ, Gøtzsche PC, O'Neill RT, Altman DG, Schulz K, Moher D. Better reporting of harms in randomized trials: an extension of the CONSORT statement.. Ann Intern Med 2004 Nov 16;141(10):781-8.
- Weese JS. A review of post-operative infections in veterinary orthopaedic surgery.. Vet Comp Orthop Traumatol 2008;21(2):99-105.
- Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey.. Ann Surg 2004 Aug;240(2):205-13.
- Clavien PA, Sanabria JR, Strasberg SM. Proposed classification of complications of surgery with examples of utility in cholecystectomy.. Surgery 1992 May;111(5):518-26.
- Cook JL, Evans R, Conzemius MG, Lascelles BD, McIlwraith CW, Pozzi A, Clegg P, Innes J, Schulz K, Houlton J, Fortier L, Cross AR, Hayashi K, Kapatkin A, Brown DC, Stewart A. Proposed definitions and criteria for reporting time frame, outcome, and complications for clinical orthopedic studies in veterinary medicine.. Vet Surg 2010 Dec;39(8):905-8.
- Rosenthal R, Hoffmann H, Clavien PA, Bucher HC, Dell-Kuster S. Definition and Classification of Intraoperative Complications (CLASSIC): Delphi Study and Pilot Evaluation.. World J Surg 2015 Jul;39(7):1663-71.
- Strasberg SM, Linehan DC, Hawkins WG. The accordion severity grading system of surgical complications.. Ann Surg 2009 Aug;250(2):177-86.
- Kazaryan AM, Røsok BI, Edwin B. Morbidity assessment in surgery: refinement proposal based on a concept of perioperative adverse events.. ISRN Surg 2013;2013:625093.
- Cook JL. Outcomes-based patient care in veterinary surgery: what is an outcome measure?. Vet Surg 2007 Apr;36(3):187-9.
- Cook JL. Canine Orthopedic Outcome Measures Program: where are we now?. Vet Surg 2014 Mar;43(3):229-31.
- Giuffrida MA. A systematic review of adverse event reporting in companion animal clinical trials evaluating cancer treatment.. J Am Vet Med Assoc 2016 Nov 1;249(9):1079-1087.
- . Veterinary cooperative oncology group - common terminology criteria for adverse events (VCOG-CTCAE) following chemotherapy or biological antineoplastic therapy in dogs and cats v1.1.. Vet Comp Oncol 2016 Dec;14(4):417-446.
- Follette CM, Giuffrida MA, Balsa IM, Culp WTN, Mayhew PD, Oblak ML, Singh A, Steffey MA. A systematic review of criteria used to report complications in soft tissue and oncologic surgical clinical research studies in dogs and cats.. Vet Surg 2020 Jan;49(1):61-69.
- Guest DJ, Dudhia J, Smith RKW, Roberts SJ, Conzemius M, Innes JF, Fortier LA, Meeson RL. Position Statement: Minimal Criteria for Reporting Veterinary and Animal Medicine Research for Mesenchymal Stromal/Stem Cells in Orthopedic Applications.. Front Vet Sci 2022;9:817041.
- Pham MT, Rajić A, Greig JD, Sargeant JM, Papadopoulos A, McEwen SA. A scoping review of scoping reviews: advancing the approach and enhancing the consistency.. Res Synth Methods 2014 Dec;5(4):371-85.
- Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach.. BMC Med Res Methodol 2018 Nov 19;18(1):143.
- Tricco AC, Lillie E, Zarin W, O'Brien K, Colquhoun H, Kastner M, Levac D, Ng C, Sharpe JP, Wilson K, Kenny M, Warren R, Wilson C, Stelfox HT, Straus SE. A scoping review on the conduct and reporting of scoping reviews.. BMC Med Res Methodol 2016 Feb 9;16:15.
- Cribb NC, Koenig J, Sorge U. Comparison of laparoscopic versus conventional open cryptorchidectomies on intraoperative and postoperative complications and duration of surgery, anesthesia, and hospital stay in horses.. J Am Vet Med Assoc 2015 Apr 15;246(8):885-92.
- Keoughan CG, Rodgerson DH, Brown MP. Hand-assisted laparoscopic left nephrectomy in standing horses.. Vet Surg 2003 May-Jun;32(3):206-12.
- Kambayashi Y, Tsuzuki N, Seo J-P, Yamaga T, Tanabe T, Uchiyama H, Sasaki N. Evaluation of single-incision laparoscopic ovariectomy in standing mares. J. Equine. Vet. Sci. 2014;34:446–450.
- Alldredge JG, Hendrickson DA. Use of high-power ultrasonic shears for laparoscopic ovariectomy in mares.. J Am Vet Med Assoc 2004 Nov 15;225(10):1578-80, 1548.
- Spranger J, Homberg A, Sonnberger M, Niederberger M. Reporting guidelines for Delphi techniques in health sciences: A methodological review.. Z Evid Fortbild Qual Gesundhwes 2022 Aug;172:1-11.
Citations
This article has been cited 1 times.- Vázquez FJ, Vitoria A, Gómez-Arrue J, Fuente S, Barrachina L, de Blas I, Romero A. Complications in Laparoscopic Access in Standing Horses Using Cannula and Trocar Units Developed for Human Medicine.. Vet Sci 2023 Jan 15;10(1).
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists