Effect of dressing with chlorhexidine acetate applied for different lengths following ovariohysterectomy operatiomy operation
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Dosyalar
Tarih
2004
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Araştırmada yaşları 10-26 ay arasında değişen, daha önce doğum yapmamış, farklı ırklardan ve klinik olarak sağlıklı 48 dişi köpek kullanıldı. Köpekler her grupta 16 köpek olacak şekilde 3 gruba ayrıldı. Birinci gruptaki (Grup I) köpeklere operasyondan sonra uygulanan chlorhexidin acetate'lı pansuman ve bandaj, 3. gün sonunda alındı ve dikişler alınana kadar başka bir uygulama yapılmadı. İkinci gruptaki (Grup II) köpeklere uygulanan pansuman ve bandaj, 3. gün sonunda yenisi ile değiştirildi ve uygulanan ikinci bandaj 6. gün sonunda alındı. Üçüncü gruptaki (Grup III) köpeklere ise chlorhexidin acetate'lı pansuman ve bandaj uygulanmadı, günlük olarak betadin ile pansuman yapıldı. Ovariohisterektomi yapılacak köpeklerin operasyon seçim yeri median çizgi ya da sol açlık çukurluğuydu. Operasyonda deriyi kapatmak için yatay "U" dikişi uygulandı ve ipek iplik (usp: 0) kullanıldı. Operasyondan sonra, Grup I ve IF deki köpeklerde yaranın, üzeri ensizyon yarasına paralel olarak chlorhexidin acetat içeren tül sargı ile kapatıldı. Bunu takiben köpekler, tül sargıyı örtecek ve tülün kaymasını önleyecek şekilde bandaja alındı. Altıncı günün sonunda dikişler alındı ve inspeksiyonla değerlendirme yapıldı. Yara iyileşmesinde en fazla komplikasyona Grup IU'deki köpeklerde rastlandı. Araştırmada en iyi sonucun alındığı grup, Grup II oldu. Yapılan araştırmada yara iyileşmesinde meydana gelen komplikasyon % 6.25 olarak saptanmıştır. Sonuç olarak, Ovariohisterektomi operasyonundan sonra yapılan chlorhexidin acetate'h pansumanın yara iyileşmesinde komplikasyonları azalttığı ve postoperatif bakım zahmetini en aza indirgediği belirlenmiştir.
In this study, clinically healthy 48 nulliparous bitches in different breeds were used. Bitches were randomly assigned to 3 groups. In Group I (n=16), dressing with chlorhexidine acetate and bandage were applied immediately following ovariohysterectomy operation (day 0) and removed on day 3. No additional application was applied until removing the surgical sutures. In Group II (n=16), same dressing material and bandage were applied and replaced with same materials on day 3. The replacement dressing material and bandage were removed on day 6. In Group III (n=16), instead of dressing with chlorhexidine acetate and bandage, daily dressing with betadine was applied as postoperative care. Ovariohysterectomy operation was performed on either median line or left abdominal cavity. Skin at incision site was seved by applying "U" sture with silk suture material (usp:0). Following operation, surgical wound along the incision line was covered with tulle gras dressing consist °f chlorhexidine acetate. Afterwards, bandage was applied to cover and fix the tulle gras. At the end of day 6, surgical suture materials were removed and bitches were evaluated with regard to recovery was done by inspection. The highest incidence of complications regarding recovery of surgical wound was in Group III. The best result was obtained in Group II. Occurence of complications (opening the lips of wound and infection at surgical site) during wound recovery was found as 6.25%. As a result, it was concluded that application of dressing with chlorhexidine acetate following ovariohysterectomy operation could decrease complications and effort effort for post-operative care to the minimal level during healing of wound.
In this study, clinically healthy 48 nulliparous bitches in different breeds were used. Bitches were randomly assigned to 3 groups. In Group I (n=16), dressing with chlorhexidine acetate and bandage were applied immediately following ovariohysterectomy operation (day 0) and removed on day 3. No additional application was applied until removing the surgical sutures. In Group II (n=16), same dressing material and bandage were applied and replaced with same materials on day 3. The replacement dressing material and bandage were removed on day 6. In Group III (n=16), instead of dressing with chlorhexidine acetate and bandage, daily dressing with betadine was applied as postoperative care. Ovariohysterectomy operation was performed on either median line or left abdominal cavity. Skin at incision site was seved by applying "U" sture with silk suture material (usp:0). Following operation, surgical wound along the incision line was covered with tulle gras dressing consist °f chlorhexidine acetate. Afterwards, bandage was applied to cover and fix the tulle gras. At the end of day 6, surgical suture materials were removed and bitches were evaluated with regard to recovery was done by inspection. The highest incidence of complications regarding recovery of surgical wound was in Group III. The best result was obtained in Group II. Occurence of complications (opening the lips of wound and infection at surgical site) during wound recovery was found as 6.25%. As a result, it was concluded that application of dressing with chlorhexidine acetate following ovariohysterectomy operation could decrease complications and effort effort for post-operative care to the minimal level during healing of wound.
Açıklama
Anahtar Kelimeler
Veterinerlik
Kaynak
Veteriner Cerrahi Derg.
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
1-2
