{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T23:24:27Z","timestamp":1787268267190,"version":"build-2736575974"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tierarztl Prax Ausg K Kleintiere Heimtiere"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Bei der Kastration \u00e4lterer H\u00fcndinnen wird aufgrund m\u00f6glicher Uteruserkrankungen im fortgeschrittenen Alter in der Praxis h\u00e4ufig die Ovariohysterektomie (OHE) der Ovariektomie (OE) vorgezogen. Ziel dieser retrospektiven Studie war die Auswertung von Patientendaten, um die OE als Operationsmethode zur Pr\u00e4vention von Uteruserkrankungen bei \u00e4lteren H\u00fcndinnen ohne uterine Ver\u00e4nderungen zu bewerten. Zudem wurden Komplikationen sowie Sp\u00e4tfolgen nach der Kastration untersucht und hinsichtlich der Operationstechniken verglichen.<\/jats:p>\n                  <jats:p>Die Auswertung basierte auf Daten im Patientenverwaltungssystem, Fragebogen und klinikinternen Nachkontrollen. Bei H\u00fcndinnen&gt;3 Jahre zum Zeitpunkt der OE wurde zus\u00e4tzlich eine Ultraschalluntersuchung des Uterus durchgef\u00fchrt. Ausgeschlossen wurden Patienten mit gr\u00f6\u00dferen regionalen Eingriffen in gleicher Narkose oder einer An\u00e4sthesiedauer von&gt;150min. Die Komplikationen wurden in Minor und Major klassifiziert, letztere erforderten eine chirurgische Versorgung oder intensivmedizinische station\u00e4re Therapie.<\/jats:p>\n                  <jats:p>486 H\u00fcndinnen wurden in die Auswertung miteinbezogen (OE: 267; OHE: 219). Bei insgesamt 19 Ultraschalluntersuchungen nach OE zeigten sich keine Auff\u00e4lligkeiten und in den Frageb\u00f6gen wurde bei keinem Patienten eine Uteruserkrankung nach OE angegeben (Follow-Up bis zu 9 Jahre). Intraoperativ traten ausschlie\u00dflich Minor-Komplikationen bei 35\/486 (7,2%) H\u00fcndinnen auf. Postoperative Komplikationen wurden in 315 F\u00e4llen ausgewertet und bei insgesamt 18 (5,7%) H\u00fcndinnen festgestellt, darunter Wundheilungsst\u00f6rungen (12\/315; 3,8%), Reoperationen nach abdominaler Blutung (3\/315; 1,0%) und Sepsis (3\/315; 1,0%). Hiervon stellten 9 (2,9%) Major-Komplikationen dar. Sp\u00e4tfolgen wurden bei 205 Patienten ausgewertet: Harntr\u00e4ufeln wurde bei 19 (9,3%), Fellver\u00e4nderungen bei 50 (24,4%) und eine Gewichtszunahme bei 65 (31,7%) der H\u00fcndinnen angegeben. Zwischen OE und OHE konnte kein Unterschied festgestellt werden. Das Alter hatte keinen signifikanten Einfluss.<\/jats:p>\n                  <jats:p>Die Ergebnisse der Studie lassen den Schluss zu, dass die OE auch bei \u00e4lteren H\u00fcndinnen ohne makroskopische uterine Ver\u00e4nderungen empfohlen werden kann. Die Komplikationsrate war bei OE und OHE insgesamt vergleichbar.<\/jats:p>","DOI":"10.1055\/a-2898-7507","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T22:49:42Z","timestamp":1784674182000},"page":"230-240","source":"Crossref","is-referenced-by-count":0,"title":["Die Ovariektomie bei der \u00e4lteren H\u00fcndin: eine Fallauswertung bez\u00fcglich Komplikationen und l\u00e4ngerfristiger Uterusgesundheit"],"prefix":"10.1055","volume":"54","author":[{"given":"Rebecca","family":"Shanbhag","sequence":"additional","affiliation":[{"name":"Chirurgische und Gyn\u00e4kologische Kleintierklinik, LMU M\u00fcnchen"},{"name":"jetzt: KleinTierpraxis Nowak, Olching"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beate","family":"Walter","sequence":"additional","affiliation":[{"name":"Chirurgische und Gyn\u00e4kologische Kleintierklinik, LMU M\u00fcnchen"},{"name":"jetzt: Kleintierklinik der LMU M\u00fcnchen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yury","family":"Zablotski","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr klinische Tiermedizin, LMU M\u00fcnchen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Z\u00f6llner","sequence":"additional","affiliation":[{"name":"Chirurgische und Gyn\u00e4kologische Kleintierklinik, LMU M\u00fcnchen"},{"name":"jetzt: Tierklinik Oberhaching, Oberhaching"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Meyer-Lindenberg","sequence":"additional","affiliation":[{"name":"Chirurgische und Gyn\u00e4kologische Kleintierklinik, LMU M\u00fcnchen"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1780","DOI":"10.2460\/javma.2004.224.1780","article-title":"Frequency of use of various procedures, skills, 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