Laparoscopic Ovariectomy in Dogs: Comparison Between Single Portal and Two-Portal Access
Objective: To compare surgical times and perioperative complication rates of single portal access and 2‐portal laparoscopic ovariectomy (LapOVE) in dogs using a bipolar vessel sealer/divider device, and to evaluate the performance of novice laparoscopists for right ovariectomy. Study Design: Control...
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| Published in | Veterinary surgery Vol. 38; no. 7; pp. 818 - 824 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Malden, USA
Blackwell Publishing Inc
01.10.2009
Blackwell Publishing Ltd |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Objective: To compare surgical times and perioperative complication rates of single portal access and 2‐portal laparoscopic ovariectomy (LapOVE) in dogs using a bipolar vessel sealer/divider device, and to evaluate the performance of novice laparoscopists for right ovariectomy.
Study Design: Controlled clinical trial.
Animals: Female dogs (n=42).
Methods: Dogs were divided into groups: 1=single portal and 2=2 portal. LapOVE was performed using a 5 mm vessel sealer/divider device and a 10 mm operating laparoscope (Group 1) or a 5 mm laparoscope (Group 2). Dog characteristics (weight, body condition score, ovarian ligament fat score), operative time, and perioperative complication rate were compared between groups. Right ovariectomy duration was evaluated for 2 novice laparoscopists.
Results: No significant difference was found in mean total surgical time between group 1 (21.07 min/s) and group 2 (19.06 min/s). Factors significantly affecting times included body condition scores, ovarian ligament fat score, ovarian bleeding, and surgeon expertize. Minor complications (bleeding from ovaries or after splenic trauma) occurred and were similar in both groups. Bleeding was correlated to body condition score and ovarian ligament fat score. Interindividual differences were found among surgeons for right ovariectomy time.
Conclusions: Single portal access LapOVE using vessel sealer/divider device is feasible, safe, and does not significantly increase total surgical time in comparison with 2‐portal approach. Laparoscopic skills may play a role in ability to perform single portal LapOVE.
Clinical Relevance: LapOVE can be performed using single portal access. |
|---|---|
| AbstractList | OBJECTIVETo compare surgical times and perioperative complication rates of single portal access and 2-portal laparoscopic ovariectomy (LapOVE) in dogs using a bipolar vessel sealer/divider device, and to evaluate the performance of novice laparoscopists for right ovariectomy.STUDY DESIGNControlled clinical trial.ANIMALSFemale dogs (n=42).METHODSDogs were divided into groups: 1=single portal and 2=2 portal. LapOVE was performed using a 5 mm vessel sealer/divider device and a 10 mm operating laparoscope (Group 1) or a 5 mm laparoscope (Group 2). Dog characteristics (weight, body condition score, ovarian ligament fat score), operative time, and perioperative complication rate were compared between groups. Right ovariectomy duration was evaluated for 2 novice laparoscopists.RESULTSNo significant difference was found in mean total surgical time between group 1 (21.07 min/s) and group 2 (19.06 min/s). Factors significantly affecting times included body condition scores, ovarian ligament fat score, ovarian bleeding, and surgeon expertise. Minor complications (bleeding from ovaries or after splenic trauma) occurred and were similar in both groups. Bleeding was correlated to body condition score and ovarian ligament fat score. Interindividual differences were found among surgeons for right ovariectomy time.CONCLUSIONSSingle portal access LapOVE using vessel sealer/divider device is feasible, safe, and does not significantly increase total surgical time in comparison with 2-portal approach. Laparoscopic skills may play a role in ability to perform single portal LapOVE.CLINICAL RELEVANCELapOVE can be performed using single portal access. Objective: To compare surgical times and perioperative complication rates of single portal access and 2-portal laparoscopic ovariectomy (LapOVE) in dogs using a bipolar vessel sealer/divider device, and to evaluate the performance of novice laparoscopists for right ovariectomy. Study Design: Controlled clinical trial. Animals: Female dogs (n=42). Methods: Dogs were divided into groups: 1=single portal and 2=2 portal. LapOVE was performed using a 5 mm vessel sealer/divider device and a 10 mm operating laparoscope (Group 1) or a 5 mm laparoscope (Group 2). Dog characteristics (weight, body condition score, ovarian ligament fat score), operative time, and perioperative complication rate were compared between groups. Right ovariectomy duration was evaluated for 2 novice laparoscopists. Results: No significant difference was found in mean total surgical time between group 1 (21.07 min/s) and group 2 (19.06 min/s). Factors significantly affecting times included body condition scores, ovarian ligament fat score, ovarian bleeding, and surgeon expertize. Minor complications (bleeding from ovaries or after splenic trauma) occurred and were similar in both groups. Bleeding was correlated to body condition score and ovarian ligament fat score. Interindividual differences were found among surgeons for right ovariectomy time. Conclusions: Single portal access LapOVE using vessel sealer/divider device is feasible, safe, and does not significantly increase total surgical time in comparison with 2-portal approach. Laparoscopic skills may play a role in ability to perform single portal LapOVE. Clinical Relevance: LapOVE can be performed using single portal access. [PUBLICATION ABSTRACT] Objective: To compare surgical times and perioperative complication rates of single portal access and 2‐portal laparoscopic ovariectomy (LapOVE) in dogs using a bipolar vessel sealer/divider device, and to evaluate the performance of novice laparoscopists for right ovariectomy. Study Design: Controlled clinical trial. Animals: Female dogs (n=42). Methods: Dogs were divided into groups: 1=single portal and 2=2 portal. LapOVE was performed using a 5 mm vessel sealer/divider device and a 10 mm operating laparoscope (Group 1) or a 5 mm laparoscope (Group 2). Dog characteristics (weight, body condition score, ovarian ligament fat score), operative time, and perioperative complication rate were compared between groups. Right ovariectomy duration was evaluated for 2 novice laparoscopists. Results: No significant difference was found in mean total surgical time between group 1 (21.07 min/s) and group 2 (19.06 min/s). Factors significantly affecting times included body condition scores, ovarian ligament fat score, ovarian bleeding, and surgeon expertize. Minor complications (bleeding from ovaries or after splenic trauma) occurred and were similar in both groups. Bleeding was correlated to body condition score and ovarian ligament fat score. Interindividual differences were found among surgeons for right ovariectomy time. Conclusions: Single portal access LapOVE using vessel sealer/divider device is feasible, safe, and does not significantly increase total surgical time in comparison with 2‐portal approach. Laparoscopic skills may play a role in ability to perform single portal LapOVE. Clinical Relevance: LapOVE can be performed using single portal access. Objective: To compare surgical times and perioperative complication rates of single portal access and 2‐portal laparoscopic ovariectomy (LapOVE) in dogs using a bipolar vessel sealer/divider device, and to evaluate the performance of novice laparoscopists for right ovariectomy. Study Design: Controlled clinical trial. Animals: Female dogs (n=42). Methods: Dogs were divided into groups: 1=single portal and 2=2 portal. LapOVE was performed using a 5 mm vessel sealer/divider device and a 10 mm operating laparoscope (Group 1) or a 5 mm laparoscope (Group 2). Dog characteristics (weight, body condition score, ovarian ligament fat score), operative time, and perioperative complication rate were compared between groups. Right ovariectomy duration was evaluated for 2 novice laparoscopists. Results: No significant difference was found in mean total surgical time between group 1 (21.07 min/s) and group 2 (19.06 min/s). Factors significantly affecting times included body condition scores, ovarian ligament fat score, ovarian bleeding, and surgeon expertize. Minor complications (bleeding from ovaries or after splenic trauma) occurred and were similar in both groups. Bleeding was correlated to body condition score and ovarian ligament fat score. Interindividual differences were found among surgeons for right ovariectomy time. Conclusions: Single portal access LapOVE using vessel sealer/divider device is feasible, safe, and does not significantly increase total surgical time in comparison with 2‐portal approach. Laparoscopic skills may play a role in ability to perform single portal LapOVE. Clinical Relevance: LapOVE can be performed using single portal access. To compare surgical times and perioperative complication rates of single portal access and 2-portal laparoscopic ovariectomy (LapOVE) in dogs using a bipolar vessel sealer/divider device, and to evaluate the performance of novice laparoscopists for right ovariectomy. Controlled clinical trial. Female dogs (n=42). Dogs were divided into groups: 1=single portal and 2=2 portal. LapOVE was performed using a 5 mm vessel sealer/divider device and a 10 mm operating laparoscope (Group 1) or a 5 mm laparoscope (Group 2). Dog characteristics (weight, body condition score, ovarian ligament fat score), operative time, and perioperative complication rate were compared between groups. Right ovariectomy duration was evaluated for 2 novice laparoscopists. No significant difference was found in mean total surgical time between group 1 (21.07 min/s) and group 2 (19.06 min/s). Factors significantly affecting times included body condition scores, ovarian ligament fat score, ovarian bleeding, and surgeon expertise. Minor complications (bleeding from ovaries or after splenic trauma) occurred and were similar in both groups. Bleeding was correlated to body condition score and ovarian ligament fat score. Interindividual differences were found among surgeons for right ovariectomy time. Single portal access LapOVE using vessel sealer/divider device is feasible, safe, and does not significantly increase total surgical time in comparison with 2-portal approach. Laparoscopic skills may play a role in ability to perform single portal LapOVE. LapOVE can be performed using single portal access. |
| Author | GÜLTIKEN, NILGÜN FIORBIANCO, VALENTINA SKALICKY, MONIKA DUPRÉ, GILLES FINDIK, MURAT AY, SERHAN SERHAT |
| Author_xml | – sequence: 1 givenname: GILLES surname: DUPRÉ fullname: DUPRÉ, GILLES organization: Clinic for Small Animal Surgery, Ophthalmology, Dentistry, Physiotherapy and Rehabilitation, Department of Small Animals and Horses, and Institute of Pathophysiology, University of Veterinary Medicine Vienna, Vienna, Austria – sequence: 2 givenname: VALENTINA surname: FIORBIANCO fullname: FIORBIANCO, VALENTINA organization: Clinic for Small Animal Surgery, Ophthalmology, Dentistry, Physiotherapy and Rehabilitation, Department of Small Animals and Horses, and Institute of Pathophysiology, University of Veterinary Medicine Vienna, Vienna, Austria – sequence: 3 givenname: MONIKA surname: SKALICKY fullname: SKALICKY, MONIKA organization: Clinic for Small Animal Surgery, Ophthalmology, Dentistry, Physiotherapy and Rehabilitation, Department of Small Animals and Horses, and Institute of Pathophysiology, University of Veterinary Medicine Vienna, Vienna, Austria – sequence: 4 givenname: NILGÜN surname: GÜLTIKEN fullname: GÜLTIKEN, NILGÜN organization: Clinic for Small Animal Surgery, Ophthalmology, Dentistry, Physiotherapy and Rehabilitation, Department of Small Animals and Horses, and Institute of Pathophysiology, University of Veterinary Medicine Vienna, Vienna, Austria – sequence: 5 givenname: SERHAN SERHAT surname: AY fullname: AY, SERHAN SERHAT organization: Clinic for Small Animal Surgery, Ophthalmology, Dentistry, Physiotherapy and Rehabilitation, Department of Small Animals and Horses, and Institute of Pathophysiology, University of Veterinary Medicine Vienna, Vienna, Austria – sequence: 6 givenname: MURAT surname: FINDIK fullname: FINDIK, MURAT organization: Clinic for Small Animal Surgery, Ophthalmology, Dentistry, Physiotherapy and Rehabilitation, Department of Small Animals and Horses, and Institute of Pathophysiology, University of Veterinary Medicine Vienna, Vienna, Austria |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19781024$$D View this record in MEDLINE/PubMed |
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| Copyright | Copyright 2009 by The American College of Veterinary Surgeons 2009 American College of Veterinary Surgeons |
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| Notes | istex:C7B926A5CD3F090B29B614FB6726217E3569A44A ark:/67375/WNG-9541PCVC-V ArticleID:VSU00601 Preliminary results were presented in part at the 5th Annual Meeting of the Veterinary Endoscopy Society, Keystone, CO, USA, March 2008. This project was realized at the Department of Obstetrics and Gynaecology, Faculty of Veterinary Medicine, Ondokuz Mayỳs University, 55139 Samsun, Turkey. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
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| Snippet | Objective: To compare surgical times and perioperative complication rates of single portal access and 2‐portal laparoscopic ovariectomy (LapOVE) in dogs using... To compare surgical times and perioperative complication rates of single portal access and 2-portal laparoscopic ovariectomy (LapOVE) in dogs using a bipolar... Objective: To compare surgical times and perioperative complication rates of single portal access and 2‐portal laparoscopic ovariectomy (LapOVE) in dogs using... Objective: To compare surgical times and perioperative complication rates of single portal access and 2-portal laparoscopic ovariectomy (LapOVE) in dogs using... OBJECTIVETo compare surgical times and perioperative complication rates of single portal access and 2-portal laparoscopic ovariectomy (LapOVE) in dogs using a... |
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| SubjectTerms | Animals Clinical outcomes Comparative studies Dogs Female Laparoscopy - methods Laparoscopy - veterinary Ovariectomy - veterinary Reproductive system Surgical techniques Veterinary medicine |
| Title | Laparoscopic Ovariectomy in Dogs: Comparison Between Single Portal and Two-Portal Access |
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