Download PDF
Tierarztl Prax Ausg K Kleintiere Heimtiere 2018; 46(06): 363-369
DOI: 10.1055/s-0038-1677387
Originalartikel – Original Articles
Georg Thieme Verlag KG Stuttgart · New York

Comparison of two vessel-sealing devices for laparoscopic-assisted ovariohysterectomy in dogs

Article in several languages: deutsch | English
Nikola Heblinski
1   Evidensia Specialistdjursjukhuset Strömsholm, Strömsholm, Schweden
,
Michael Brückner
2   Blå Stjärnans Djursjukhus AB Göteborg, Göteborg, Schweden
› Author Affiliations
Further Information

Publication History

Eingegangen: 29 January 2018

Akzeptiert nach Revision: 23 March 2018

Publication Date:
18 January 2019 (online)

    Permissions and Reprints

Summary

Objective: The study aimed to compare two different vessel-sealing devices (VSD) for laparoscopic-assisted ovariohysterectomy in dogs. Material and methods: In this randomized, prospective clinical trial 12 consecutive, client-owned, healthy, intact female dogs of different breeds were included. The dogs had been admitted for elective laparoscopic-assisted ovariohysterectomy and were randomly assigned to one of two treatment groups. The LigaSure™ was used in one group (n = 6), and the other group was operated using the Caiman® (n = 6). Recorded variables were duration of all surgical steps, number of seals required for transection of each ovarian pedicle, number of previous uses of the VSD, and complications related to each VSD. Results: Transection of the ovarian pedicles using the Caiman® required significantly fewer seals per ovary. However, overall surgical time was not significantly reduced. Intraoperative hemorrhage occurred in both groups but was more common in the LigaSure™ group. Emergency conversion to laparotomy was not required in any case. Conclusion and clinical relevance: The Caiman® can be safely used for laparoscopic-assisted ovariohysterectomy in dogs. In comparison with the Liga Sure™, the Caiman® requires fewer seals to transect ovarian pedicles, owing to the advantages of a longer working length and the first-tip closure mechanism.

Keywords

Laparoscopy - minimally invasive surgery - castration
 

  • Literatur

  • 1 Adamovich-Rippe KN, Mayhew PD, Runge JJ, Culp WT, Steffey MA, Mayhew KN, Hunt GB. Evaluation of laparoscopic-assisted ovariohysterectomy for treatment of canine pyometra.. Vet Surg 2013; 42 (05) 572-578.
    CrossrefPubMedGoogle Scholar
  • 2 Austin B, Lanz OI, Hamilton SM, Broadstone RV, Martin RA. Laparoscopic ovariohysterectomy in nine dogs.. J Am Anim Hosp Assoc 2003; 39 (04) 391-396.
    CrossrefPubMedGoogle Scholar
  • 3 Brückner M. Laparoscopy for the treatment of ovarian remnant syndrome in four dogs and two cats.. Tierarztl Prax Ausg K Kleintiere Heimtiere 2016; 44 (02) 86-92.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Case JB, Marvel SJ, Boscan P, Monnet EL. Surgical time and severity of postoperative pain in dogs undergoing laparoscopic ovariectomy with one, two, or three instrument cannulas.. J Am Vet Med Assoc 2011; 239 (02) 203-208.
    CrossrefPubMedGoogle Scholar
  • 5 Družijanić N, Pogorelić Z, Perko Z, Mrklić I, Tomić S. Comparison of lateral thermal damage of the human peritoneum using monopolar diathermy, harmonic scalpel and LigaSure.. Can J Surg 2012; 55 (05) 317-321.
    CrossrefPubMedGoogle Scholar
  • 6 Dupré G, Fiorbianco V, Skalicky M, Gültiken N, Ay SS, Findik M. Laparoscopic ovariectomy in dogs: Comparison between single portal and two-portal access.. Vet Surg 2009; 38 (07) 818-824.
    CrossrefPubMedGoogle Scholar
  • 7 Eick S, Loudermilk B, Walberg E, Wente MN. Rationale, bench testing and in vivo evaluation of a novel 5 mm laparoscopic vessel sealing device with homogeneous pressure distribution in long instrument jaws.. Ann Surg Innov Res 2013; 7 (01) 15.
    CrossrefPubMedGoogle Scholar
  • 8 Fransson B. Laparoscopic entry-related complications; 126 cases.. Vet Surg 2018; 47: O91-O106.
    CrossrefPubMedGoogle Scholar
  • 9 Freeman L, Rahmani EY, Burgess RC, Al-Haddad M, Selzer DJ, Sherman S, Constable P. Evaluation of the learning curve for natural orifice transluminal endoscopic surgery: bilateral ovariectomy in dogs.. Vet Surg 2011; 40 (02) 140-150.
    CrossrefPubMedGoogle Scholar
  • 10 Greenberg JA. Spring 2009 Product Reviews LigaSure Advance Instrument.. Rev Obstet Gynecol 2009; 2 (02) 132-133.
    PubMedGoogle Scholar
  • 11 Hancock RB, Lanz OI, Waldron DR, Duncan RB, Broadstone RV, Hendrix PK. Comparison of postoperative pain after ovariohysterectomy by harmonic scalpel-assisted laparoscopy compared with median celiotomy and ligation in dogs.. Vet Surg 2005; 34 (03) 273-282.
    CrossrefPubMedGoogle Scholar
  • 12 Huhn JC. Advances in equipment and instrumentation in laparoscopic surgery.. Vet Clin North Am Small Anim Pract 2016; 46 (01) 13-29.
    CrossrefPubMedGoogle Scholar
  • 13 Kirschbaum A, Rüdell F, Pehl A, Bartsch DK. More compression improves sealing effect on larger pulmonary arteries.. J Surg Res 2016; 201 (01) 202-207.
    CrossrefPubMedGoogle Scholar
  • 14 Klar M, Haberstroh J, Timme S, Fritzsch G, Gitsch G, Denschlag D. Comparison of a reusable with a disposable vessel-sealing device in a sheep model: Efficacy and costs.. Fertil Steril 2011; 95 (02) 795-798.
    CrossrefPubMedGoogle Scholar
  • 15 Lamberton GR, Hsi RS, Jin DH, Lindler TU, Jellison FC, Baldwin DD. Prospective comparison of four laparoscopic vessel ligation devices.. J Endourol 2008; 22 (10) 2307-2312.
    CrossrefPubMedGoogle Scholar
  • 16 Manassero M, Leperlier D, Vallefuoco R, Viateau V. Laparoscopic ovariectomy in dogs using a single-port multiple-access device.. Vet Rec 2012; 171 (03) 69.
    CrossrefPubMedGoogle Scholar
  • 17 Mayhew PD, Brown DC. Comparison of three techniques for ovarian pedicle hemostasis during laparoscopic-assisted ovariohysterectomy.. Vet Surg 2007; 36 (06) 541-547.
    CrossrefPubMedGoogle Scholar
  • 18 Naiman JH, Mayhew PD, Steffey MA, Culp WT, Runge JJ, Singh A. Laparoscopic treatment of ovarian remnant syndrome in dogs and cats: 7 cases (2010–2013).. J Am Vet Med Assoc 2014; 245 (11) 1251-1257.
    CrossrefPubMedGoogle Scholar
  • 19 Niranjana C, Ganesh R, Jayaprakash R, Cecilia J, Arun PA, Mishra AK. Two different port placement models and ovarian pedicle hemostasis techniques in laparoscopic-assisted ovariohysterectomy – bitches.. Int J Vet Sci 2013; 2 (04) 155-160.
    PubMedGoogle Scholar
  • 20 Öhlund M, Höglund O, Olsson U, Lagerstedt AS. Laparoscopic ovariectomy in dogs: A comparison of the LigaSureTM and the SonoSurgTM systems.. J Small Anim Pract 2011; 52 (06) 290-294.
    CrossrefPubMedGoogle Scholar
  • 21 Runge JJ, Curcillo PG, 2nd King SA, Podolsky ER, Holt DE, Davidson J, Agnello KA. Initial application of reduced port surgery using the single port access technique for laparoscopic canine ovariectomy.. Vet Surg 2012; 41 (07) 803-806.
    CrossrefPubMedGoogle Scholar
  • 22 Runge JJ, Mayhew PD. Evaluation of single port access gastropexy and ovariectomy using articulating instruments and angled telescopes in dogs.. Vet Surg 2013; 42 (07) 807-813.
    PubMedGoogle Scholar
  • 23 Shariati E, Bakhtiari J, Khalaj A, Niasari-Naslaji A. Comparison between two portal laparoscopy and open surgery for ovariectomy in dogs.. Vet Res Forum 2014; 5 (03) 219-223.
    PubMedGoogle Scholar
  • 24 Spillebeen AL, Janssens SSDS, Thomas RE, Kirpensteijn J, van Nimwegen SA. Cordless ultrasonic dissector versus advanced bipolar vessel sealing device for laparoscopic ovariectomy in dogs.. Vet Surg 2017; 46 (04) 467-477.
    CrossrefPubMedGoogle Scholar
  • 25 Steffey MA. Laparoscopic-assisted surgical procedures.. Vet Clin North Am Small Anim Pract 2016; 46 (01) 45-61.
    CrossrefPubMedGoogle Scholar
  • 26 Van Goethem BE, Rosenveldt KW, Kirpensteijn J. Monopolar versus bipolar electrocoagulation in canine laparoscopic ovariectomy: a nonrandomized, prospective, clinical trial.. Vet Surg 2003; 32 (05) 464-470.
    CrossrefPubMedGoogle Scholar
  • 27 Van Nimwegen SA, Van Swol CF, Kirpensteijn J. Neodymium:yttrium aluminum garnet surgical laser versus bipolar electrocoagulation for laparoscopic ovariectomy in dogs.. Vet Surg 2005; 34 (04) 353-357.
    CrossrefPubMedGoogle Scholar
  • 28 Wallace ML, Case JB, Singh A, Ellison GW, Monnet E. Single incision, laparoscopic-assisted ovariohysterectomy for mucometra and pyometra in dogs.. Vet Surg 2015; 44 (Suppl. 01) 66-70.
    CrossrefPubMedGoogle Scholar
  • 29 Wildt DE, Lawler DF. Laparoscopic sterilization of the bitch and queen by uterine horn occlusion.. Am J Vet Res 1985; 46 (04) 864-869.
    PubMedGoogle Scholar
  • 30 Wormser C, Runge JJ. Advances in laparoscopic surgery.. Vet Clin North Am Small Anim Pract 2016; 46 (01) 63-84.
    CrossrefPubMedGoogle Scholar
  • 31 Zubke W, Krämer B, Hornung R, Wallwiener D. Use of the BiClamp (a bipolar coagulation forceps) in gynecological surgery.. Gynecol Surg 2007; 4 (09) 9-16.
    CrossrefPubMedGoogle Scholar