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Objectives:
Although canine laparoscopic ovariectomy is widely performed in small-animal surgery, the rate of surgical-site infection (SSI) associated with this procedure has only been described in a few case reports and case series. Therefore, this study aimed to (1) describe the incidence of SSI following laparoscopic ovariectomy and (2) identify the associated risk factors.
Methods:
A multicentre, prospective cohort study was conducted in seven veterinary hospitals between January 2022 and September 2023. Data for patient-related, surgical, and postoperative variables were systematically collected. SSI was diagnosed according to the Centers for Disease Control and Prevention (CDC) criteria, and statistical analysis included univariate and multivariate logistic regression to assess associations between independent variables and the risk of SSI. An active surveillance system was established; the patients were followed-up twice at the centre, and the owners were contacted by telephone 30 days after surgery.
Results:
A total of 208 female dogs undergoing laparoscopic ovariectomy were included. After a mean follow-up period of 5 days, SSI was identified in 15 (7.2%) cases (95% confidence interval: 4.1%-11.6%), including 12 superficial (80%) and 3 (20%) deep SSIs. No organ/space infections were reported. The median surgical duration was 46 min. Surgical time more than 46 min (P < 0.001) and inappropriate postoperative use of the Elizabethan collar (P = 0.003) were identified as risk factors for SSI. Other variables that have been previously identified as risk factors in other studies were not identified in the present study.
Conclusions:
The rate of SSI following laparoscopic ovariectomy in the present study was higher than the previously described rates in laparoscopic procedures and open surgery. Longer surgical procedures and incorrect use of the Elizabethan collar postoperatively were associated with SSIs in dogs.
34th Annual Scientific Meeting proceedings
Stream:
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Session:
Date/Time: 30-11--0001 (00:00 - 00:00) | Location:
Date/Time: 30-11--0001 (00:00 - 00:00) | Location:
Incidence and Risk Factors for Surgical-Site Infection in Dogs Undergoing Laparoscopic Ovariectomy: A Multicentre Prospective Cohort Study
Fuertes-Recuero M1, Espinel-Rupérez J*2, Suárez-Redondo M3, De-Pablo-Moreno JA4, Carro-Rodríguez J3, Ortiz-Diez G3
1Department of Physiology, College of Veterinary Medicine, Complutense University of Madrid, Avda. Puerta de Hierro s/n, 28040, Madrid, Spain, 2Department of Small Animal Surgery, Section of Small Animal Clinical Studies, University College Dublin, Dublin, Ireland, 3Complutense Veterinary Teaching Hospital, Complutense University of Madrid, Avda. Puerta de Hierro s/n, 28040, Madrid, Spain, 4Department of Genetics, Physiology and Microbiology, Faculty of Biological Sciences UCM, Madrid, Spain.
Objectives:
Although canine laparoscopic ovariectomy is widely performed in small-animal surgery, the rate of surgical-site infection (SSI) associated with this procedure has only been described in a few case reports and case series. Therefore, this study aimed to (1) describe the incidence of SSI following laparoscopic ovariectomy and (2) identify the associated risk factors.
Methods:
A multicentre, prospective cohort study was conducted in seven veterinary hospitals between January 2022 and September 2023. Data for patient-related, surgical, and postoperative variables were systematically collected. SSI was diagnosed according to the Centers for Disease Control and Prevention (CDC) criteria, and statistical analysis included univariate and multivariate logistic regression to assess associations between independent variables and the risk of SSI. An active surveillance system was established; the patients were followed-up twice at the centre, and the owners were contacted by telephone 30 days after surgery.
Results:
A total of 208 female dogs undergoing laparoscopic ovariectomy were included. After a mean follow-up period of 5 days, SSI was identified in 15 (7.2%) cases (95% confidence interval: 4.1%-11.6%), including 12 superficial (80%) and 3 (20%) deep SSIs. No organ/space infections were reported. The median surgical duration was 46 min. Surgical time more than 46 min (P < 0.001) and inappropriate postoperative use of the Elizabethan collar (P = 0.003) were identified as risk factors for SSI. Other variables that have been previously identified as risk factors in other studies were not identified in the present study.
Conclusions:
The rate of SSI following laparoscopic ovariectomy in the present study was higher than the previously described rates in laparoscopic procedures and open surgery. Longer surgical procedures and incorrect use of the Elizabethan collar postoperatively were associated with SSIs in dogs.
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