Abstract:Novel techniques, such as laser and combined bipolar electrosurgical and cutting forceps aim to reduce surgery duration, complication rates and recovery time in laparoscopic surgery.
“…Ciência Rural, v.41, n.2, fev, 2011. operatória e período de convalescência mais curto, em comparação com os procedimentos cirúrgicos tradicionais (DEVITT et al, 2005;HANCOCK et al, 2005; VAN NIMWEGEN & KIRPENSTEIJN, 2007;FREEMAN et al, 2010).…”
RESUMO
O objetivo do presente estudo foi avaliar retrospectivamente as 20 primeiras ovário-histerectomias vídeo-assistidas com único portal (SPVA-OSH), realizadas por um
“…Ciência Rural, v.41, n.2, fev, 2011. operatória e período de convalescência mais curto, em comparação com os procedimentos cirúrgicos tradicionais (DEVITT et al, 2005;HANCOCK et al, 2005; VAN NIMWEGEN & KIRPENSTEIJN, 2007;FREEMAN et al, 2010).…”
RESUMO
O objetivo do presente estudo foi avaliar retrospectivamente as 20 primeiras ovário-histerectomias vídeo-assistidas com único portal (SPVA-OSH), realizadas por um
“…Previous studies evaluated different techniques for ovarian pedicle haemostasis in laparoscopic OVE procedures in dogs (van Nimwegen and others 2005, Mayhew and Brown 2007, van Nimwegen 2007, Öhlund and others 2011), amongst which VSDs have successfully been used. They not only do reliably seal large vessels (up to and including 7 mm), but also rely on a feedback-controlled response system that automatically discontinues the electrocoagulation process when the tissue is adequately sealed (Richter and others 2006).…”
Section: Discussionmentioning
confidence: 99%
“…In laparoscopic OVE, different techniques for ovarian pedicle haemostasis have been evaluated and compared: extra-corporeal or intra-corporeal SL, vascular clips, monopolar and bipolar electrocoagulation, laser energy and VSDs (Harold and others 2003, van Nimwegen and others 2005, Mayhew and Brown 2007, van Nimwegen 2007, Öhlund and others 2011). …”
Vessel sealing (VS) is well established in laparoscopic ovariectomy (OVE) in dogs. The objectives of this study were to evaluate the efficacy of ovarian pedicle haemostasis by VS using a commercially available VS tool in open OVE and compare it with suture ligation (SL). A prospective, randomised clinical trial including 20 female dogs was designed. Open OVE was performed via a standard mid-line celiotomy by a single surgeon using a standardised protocol. At random, the right ovarian pedicle was sealed (VS) or ligated (SL) whereas the left pedicle was treated by the alternative technique. Surgical times for procedural stages and intra-operative complications were recorded and statistically evaluated. Total surgical time was 29.28±11.13 minutes (range 12.50-62.13 minutes) and time from identification to removal of the ovary was significantly less when sealing (VS 2.22±0.58 minutes) than when ligating (SL 4.10±1.13 minutes P=0.0001). Intra-operative complications were rare for both techniques (failure of the electrode of the VS device (n=3); ovarian pedicle haemorrhage due to ligature slippage (n=1)). The results of the current study indicate that ovarian pedicle haemostasis achieved by VS is significantly faster than by placement of ligatures without appearing to compromise safety.
“…They used a multiple shot clip applier (which did not need to be removed from the abdominal cavity after each application to exchange clips) as well as an ultrasonic scalpel and a bipolar device that had a cutting blade, thus avoiding exchange with laparoscopic surgical scissors. As described by Van NINWEGEN & KIRPENSTEIJN (2007), deposition of adipose tissue in the mesovarium and morphological/physiological changes in reproductive structures can also increase the operating time by up to 34%, even using a bipolar system with a cutting edge during ovariectomized bitches. However, in all cases regardless of the group, surgical times remained acceptable, with adequate recovery of the patients and without moderate or severe post-operative complications.…”
Eletrocirurgia bipolar e clipes de titânio para hemostasia em pedículos ovarianos durante ovariohisterectomia videoassistida com dois portais em cadelas
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