Estudo retrospectivo de urgências reprodutivas no Hospital Veterinário Montenegro
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2010
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As urgências reprodutivas suscitaram-me um interesse ao longo da minha vida profissional. Pretendi com este trabalho realizar uma revisão bibliográfica e um estudo estatístico retrospectivo no período compreendido entre Fevereiro de 2008 e Janeiro de 2010, de forma a confirmar as minhas convicções resultantes da prática clínica. Surpreendeu-me que no campo das urgências reprodutivas, a percentagem de piómetras e distócias fosse tão elevada, e todas as outras (ovariohisterectomia por morte fetal, mastites, metrites, ruptura uterina na gestação, hipocalcémia pós-parto, prolapso vaginal e uterino, piómetra de coto, prostatite e parafimose) tão pouco frequentes.
Os resultados obtidos tornaram-me consciente das realidades relacionadas com essas doenças, resultando numa preparação mais adequada para responder a urgências reprodutivas, o que me permite aconselhar de forma mais informada e apoiada em relação a protocolos de tratamento e proporcionar um prognóstico mais preciso. A elevada proporção de casos de piómetra servirá como um argumento sólido para aconselhar o público no que diz respeito à oportunidade da prática de ovariohisterectomia.
Reproductive emergencies in companion animals have been a main area of interest during all my professional life. The objective of this study was to assess my empirical convictions in relation to these types of emergencies: prevalence, success rate of the different interventions, importance of complementary tests, and so on. For that I performed a review based on a retrospective study of the cases presented from February 2008 to January 2010. It was concluded, contrary to my expectations, that the percentage of pyometra and dystocia were much higher than and all other emergencies attended at the Hospital - ovariohysterectomy by fetal death, mastitis, metritis, uterine rupture during pregnancy, postpartum hypocalcaemia, vaginal and uterine prolapse, stump pyometra, prostatitis and paraphimosis – that had a very low prevalence. The results obtained made me conscious of the realities related to these pathologies, resulting in a more adequate state of preparedness to respond to these reproductive emergencies, which will allow me to give a more informed advice and support in relation to treatment protocols and to deliver more accurate prognosis. The high proportion of cases of pyometra will serve as a solid argument to advise the public in regard to the desirability of the practice of ovariohysterectomy.
Reproductive emergencies in companion animals have been a main area of interest during all my professional life. The objective of this study was to assess my empirical convictions in relation to these types of emergencies: prevalence, success rate of the different interventions, importance of complementary tests, and so on. For that I performed a review based on a retrospective study of the cases presented from February 2008 to January 2010. It was concluded, contrary to my expectations, that the percentage of pyometra and dystocia were much higher than and all other emergencies attended at the Hospital - ovariohysterectomy by fetal death, mastitis, metritis, uterine rupture during pregnancy, postpartum hypocalcaemia, vaginal and uterine prolapse, stump pyometra, prostatitis and paraphimosis – that had a very low prevalence. The results obtained made me conscious of the realities related to these pathologies, resulting in a more adequate state of preparedness to respond to these reproductive emergencies, which will allow me to give a more informed advice and support in relation to treatment protocols and to deliver more accurate prognosis. The high proportion of cases of pyometra will serve as a solid argument to advise the public in regard to the desirability of the practice of ovariohysterectomy.
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Dissertação de Mestrado em Medicina Veterinária