Comparison of surgical variables in cats undergoing single‐incision laparoscopic ovariectomy using a LigaSure or extracorporeal suture versus open ovariectomy

Nov 28, 2013Veterinary surgery : VS

Surgical differences in cats having ovary removal by single small-incision laparoscopy with LigaSure, laparoscopy with external stitching, or open surgery

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Abstract

Single-incision laparoscopic ovariectomy was successful in 8 out of 8 cats using LigaSure and 5 out of 8 cats using extracorporeal suture.

Surgical time was significantly longer for the extracorporeal suture group compared to the LigaSure and open ovariectomy groups.
Complications were more frequent in the extracorporeal suture group, with three cats requiring removal of the laparoscopic port to complete the procedure.
Cumulative pain scores at 4 hours post-surgery showed no significant differences between the groups.
The study suggests that single-incision laparoscopic ovariectomy using a laparoscopic port is a feasible method for ovariectomy in cats.

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OBJECTIVE: To evaluate the applicability of single-incision laparoscopic ovariectomy (SILOVE) in cats using a single-incision laparoscopic port (SILP); to compare surgical time, complications, and postoperative pain after SILOVE using a LigaSure (SILOVE-LS) or extracorporeal suture (SILOVE-ECS), and open ovariectomy (open-OVE).

STUDY DESIGN: Randomized, blinded, prospective study.

ANIMALS: Healthy, domestic female cats (n = 24).

METHODS: Cats underwent physical examination, packed cell volume, total solids and blood urea nitrogen analysis. Cats were randomly assigned to 1 of 3 groups: SILOVE-LS (n = 8), SILOVE-ECS (8) or open-OVE (8). Surgical time, complications, and postoperative pain scores were recorded.

RESULTS: Single-incision laparoscopic ovariectomy was successful in (n = 8) SILOVE-LS cats and (n = 5) SILOVE-ECS cats. Surgical time was significantly longer for the SILOVE-ECS group compared with the SILOVE-LS (P < .0001) and open-OVE (P < .0001) groups, which were not different (P = .55). Complications were more frequent in the SILOVE-ECS group and removal of the SILP was required to complete ovariectomy in 3 cats. Cumulative 4-hour pain scores were not different between groups.

CONCLUSIONS: Single-incision laparoscopic ovariectomy using a SILP is a feasible method for OVE in cats. Single-incision laparoscopic ovariectomy using an extracorporeal suture is more time consuming and associated with more complications than either the SILOVE-LS or open-OVE methods.

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Comparison of surgical variables in cats undergoing single‐incision laparoscopic ovariectomy using a LigaSure or extracorporeal suture versus open ovariectomy

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