ObjectiveTo compare the effect of acepromazine on surgical duration and complication rate when compared to medetomidine.Study DesignA randomised, prospective clinical study.Animal or Sample PopulationThirty‐two female entire dog.MethodsThirty‐two female entire dogs undergoing elective laparoscopic ovariectomy (lap‐ove). Dogs were randomly assigned to pre‐medication Group M (medetomidine, n = 20), or Group A (acepromazine, n = 12). Anaesthesia protocol was standardised and monitored by one anaesthetist. The surgeons were blinded for the group allocation. Time was recorded at predetermined intra‐operative points. Surgical difficulty was subjectively assessed intra‐operatively, as well as objectively scored following review of the surgical recordings. Procedural complications were recorded.ResultsThe mean ± SD surgical time from skin incision to removal of both ovaries was 11.8 ± 1.8 minutes and did not differ significantly between the two groups (M: 11.7 ± 1.6, A: 11.9 ± 2.3). Across the entire study population surgical difficulty was assessed as ‘easy’ in 14 dogs (44%), ‘medium’ difficulty in 14 dogs (44%) and ‘marked’ difficulty in four dogs (12%), while complication rate was 12.5% in both groups. There were no significant differences in difficulty or complication rate between groups.ConclusionChoice of pre‐medication did not significantly affect any of the outcomes measured.Clinical SignificanceAcepromazine may be used for sedation as part of a balanced premedication protocol as an alternative to medetomidine in dogs undergoing laparoscopic ovariectomy without significantly increasing the procedure time, surgical difficulty or complication rate.
Read full abstract