Peer-reviewed veterinary case report
Outcomes of outpatient versus hospital surgery for dog laryngeal
By Shubert, Madison P & Ganjei, Justin B·Published in Journal of the American Veterinary Medical Association·2023·View original on PubMed →
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Original publication title: Outcome following elective unilateral arytenoid lateralization performed in an outpatient manner is comparable to hospitalization for dogs with laryngeal paralysis.
- Species:
- dog
Plain-English summary
A group of 44 dogs with laryngeal paralysis underwent a surgery called unilateral arytenoid lateralization, which helps improve their breathing. Some dogs had the surgery as outpatients, while others were hospitalized. The study found that both groups had similar rates of complications and recovery, with about 23% experiencing issues after surgery. This suggests that having the surgery as an outpatient is just as safe as being hospitalized. Most dogs recovered well, and the method chosen for their care did not affect their overall outcome.
People also search for: dog laryngeal paralysis surgery · outpatient surgery for dogs · complications after dog throat surgery
Abstract
OBJECTIVE: To compare outcomes and short-term complications of dogs with laryngeal paralysis treated with unilateral arytenoid lateralization performed on an outpatient versus inpatient basis. ANIMALS: 44 client-owned dogs. PROCEDURES: Medical records were retrospectively reviewed to identify dogs that underwent unilateral arytenoid lateralization for the treatment of laryngeal paralysis between 2018 and 2022. Signalment, surgical technique, anesthesia time, comorbidities, laryngeal examination, concurrent procedures, use of prokinetics and sedatives, episodes of vomiting, episodes of regurgitation, duration of hospitalization, postoperative complications, anxiety scores, and pain scores were recorded. Variables were compared between dogs and grouped by outpatient or inpatient management. RESULTS: The overall complication rate was 22.7% (10/44), with 35% (7/20) being in the inpatient group and 12.5% (3/24) being in the outpatient group. The overall mortality rate was 6.8% (3/44). The overall morbidity for hospitalized patients versus those undergoing and outpatient procedure was 5% (1/20) and 4.2% (1/24), respectively. There was no significant difference between overall rate of complications and mortality rates between the inpatient and outpatient groups. CLINICAL RELEVANCE: Results suggested that outpatient management of dogs with laryngeal paralysis treated with elective unilateral arytenoid lateralization is an appropriate method of postoperative management with no difference in complication or mortality rates. Further prospective studies with standardized surgical, sedative, and antiemetic protocols are warranted to evaluate more definitely.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/37225155/