Treatment of synovial sepsis (septic arthritis, bursitis and tenosynovitis) typically involves surgical lavage of the infected synovial cavity(ies). The two most used techniques are through-and-through needle lavage and endoscopic lavage. Endoscopic lavage is considered to have several advantages, and anecdotally, there appears to be a general shift towards favouring this technique. However, there are only a limited number of published studies directly comparing the outcomes of the two treatment techniques. The available published literature suggests that the outcomes (short-term survival, return to work) are comparable. Further studies are required to expand the available veterinary literature and to assess such factors as the costs associated with the different treatment methods. A variation in diagnostic values used for diagnosing synovial sepsis is apparent in the current literature and further clarification of inclusion/diagnostic criteria would be useful for clinicians.

中文翻译：

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滑膜脓毒症的手术治疗：内窥镜检查是最好的方法吗？

滑膜脓毒症（化脓性关节炎、滑囊炎和腱鞘炎）的治疗通常包括对感染的滑膜腔进行手术灌洗。两种最常用的技术是直通式针头灌洗和内窥镜灌洗。内窥镜灌洗被认为有几个优点，而且有趣的是，似乎普遍转向支持这种技术。然而，只有少数已发表的研究直接比较了两种治疗技术的结果。现有的已发表文献表明，结果（短期生存、重返工作岗位）具有可比性。需要进一步的研究来扩大现有的兽医文献，并评估与不同治疗方法相关的成本等因素。