Realização de cirurgias simultâneas no mesmo paciente

Abstract

There are a large number of cats and dogs that sometimes need to undergo more than one surgical procedure. However, there are few results on two or more simultaneous surgeries in the same patient in one anesthetic procedure, as well as the joint realization of the surgical removal of dental calculi and surgery not on the oral cavity. Seeking support for scientific reasoning, it was necessary to extrapolate the available literature on human medicine, where it was possible to observe that even with most published reports, there is no consensus on the implementation of combined, simultaneous or sequenced surgeries. This research proposed that research questioning clinical, surgical, and then advocate the maximization of anesthetic procedures, facing the need to perform more than one surgery in the same patient and thus minimize the risks to which they submit when the multiplicity of anesthetic events as a result of performing sequenced operative acts, including the inconvenience to recovery. This study was conducted with 103 patients (95 dogs and 08 cats), subjected to surgical procedures for simultaneous orthopedics, neurology, surgery, soft tissue, dental and eye care, according to the conditions presented by each animal. The treatment protocols were established in the pre, trans and post-operative in each case, to prevent and / or treat the pain, inflammation and infection. The frequency of revaluations of the patients in the postoperative period varied as the types of surgical procedures that had been submitted, and advocated a return for the withdrawal of skin sutures with at least eight and up to fourteen days post-surgery for any ofprocedures cited above. But the animals who underwent orthopedic surgery osteosynthesis received request for X-rays, depending on the age of those, between days zero, fifteen and / or thirty and if necessary even on the sixtieth day after the surgical. The simultaneous achievement of surgical procedures has synchronized the work of more than one surgical team, maximize the work of the anesthetic team, allowed the removal of dental calculi concurrently with other surgical interventions, decreased costs for owners and provided for better patients recovery. The survey results demonstrated the feasibility of simultaneous surgical procedures in one patient, during one anesthesia.