Effectiveness of a bipolar vessel sealant device for ovariohysterectomy in cats with pyometra

Boursier, Jean-François; Bassanino, Jean; Leperlier, Dimitri

doi:10.1177/1098612x17752581

Cited by 6 publications

(5 citation statements)

References 20 publications

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“…However, the surgical time from the identification of the first ovary to the removal of the uterus was significantly shorter in the VS group than in the SL group. Boursier et al [44] used a bipolar VS device to perform complete OHE in a cat with pyometra and reported that a major reason for the shorter surgical time is that, in using bipolar VS, the ovarian pedicle, broad ligament, and uterine body are sealed and cut.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of the efficacy and perioperative pain between vessel sealing and suture ligation for median celiotomy in canine ovariohysterectomy

et al. 2023

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Background and Aim: Vessel sealing (VS) is used widely in human medicine and veterinary practice during laparoscopic surgery; however, few studies have investigated VS in canine ovariohysterectomy (OHE) using the median celiotomy approach. This study aimed to compare the effect of VS and suture ligation (SL) on surgical time, blood loss, and perioperative pain in canine OHE through median celiotomy. Materials and Methods: Twenty-eight dogs were randomly and equally assigned into two groups that underwent surgery either by SL at both the ovarian pedicle and uterus or using a disposable VS device. The short form of the Glasgow composite pain scale (SF-GCPS) and the Colorado state university canine acute pain scale (CSU-CAP) were used to determine pain pre-operatively (baseline); at 30 min; and at 1, 2, 3, 4, 24, and 72 h post-operatively. Perioperative physiological parameters, surgical duration, and percentage of blood loss were recorded. Repeated measures analysis was performed to determine the differences in all parameters among time-related tasks and between both groups. A significant difference was defined at p < 0.05. Results: The duration from identification of the first ovary to uterus removal was shorter in VS than in SL (p < 0.05). No clinically relevant differences were found among physiological variables. Both groups showed higher SF-GCPS and CSU-CAP values after surgery compared with baseline. The SF-GCPS in SL at 1 h was higher than in VS (p < 0.05). Two dogs in the SL group required additional post-operative rescue analgesia. No differences were found between the groups in terms of blood loss. Conclusion: The use of a VS device in dogs undergoing OHE celiotomy decreased post-operative pain and shortened the perioperative time, making it an effective alternative technique for this common surgery. However, the VS device must be applied 2–3 times in the same location during the OHE procedure to prevent technical failure. This disposable device was reused up to 5 times for economic reasons without device failure. Soft tissue damage during OHE using the VS device should be investigated in a future prospective study.

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Section: Discussionmentioning

confidence: 99%

“…Boursier et al . [ 44 ] used a bipolar VS device to perform complete OHE in a cat with pyometra and reported that a major reason for the shorter surgical time is that, in using bipolar VS, the ovarian pedicle, broad ligament, and uterine body are sealed and cut.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the efficacy and perioperative pain between vessel sealing and suture ligation for median celiotomy in canine ovariohysterectomy

et al. 2023

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“…It has been described that in other species, uteri wider than 9 mm could be not completely sealed with an Atlas device [ 19 ]. However, in another study in cats, uteri affected by pyometra with a diameter of >9 mm were effectively sealed with a 12-mm Caiman device [ 26 ]. The results of our study confirmed that the Caiman device can be safely employed to resect the uterine horn with a diameter up to ca.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Two Radiofrequency Vessel-Sealing Device for Laparoscopic Ovariectomy in African Lionesses (Panthera Leo)

Lacitignola

Laricchiuta²,

Guadalupi

et al. 2022

Animals

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To evaluate two vessel-sealing devices with different jaw lengths for dissecting ovaries in adult obese African lionesses undergoing laparoscopic ovariectomy. Twelve lionesses (n = 12) were recruited. The surgical procedures were performed through three portals, with a retractor platform positioned at the umbilical port and cannulas placed 3–4 cm cranial and caudal to the device at the level of the midline. Ovariectomy was performed using a vessel-sealing device according to a randomization list. We evaluated the surgery time the intra- and postoperative complications. The total surgery time was 49.3 min (range 40–61 min) in the Atlas group and significantly lower in the Caiman group (mean 31.8 min, range 26–51 min). The installation phase was similar between the groups. The ovariectomy time was significantly lower in the Caiman group (mean 7.8 min, range 4–11 min) than in the Atlas group (mean 20 min, range 16–30 min). Controlled bleeding was observed at the tip of the uterine horn in two cases in the Atlas group. No other complications were noted. The results of our study confirmed the significant advantages of employing the Caiman 12 vessel-sealing device in comparison with the LigaSure Atlas in terms of the time needed to complete ovariectomy, although both instruments could be considered safe. The use of the Caiman 12 is recommended when performing laparoscopic ovariectomies in adults with obesity.

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“…Las principales variantes ocurren en el tipo de ligadura empleada en los pedículos ováricos. Los diferentes tipos son : ligadura mediante el uso de una o dos pinzas, el uso único de ligadura con sutura, clips hemostáticos, equipos de electrocirugía monopolares, bipolares o a base de ultrasonido (Boursier et al, 2018;Guedes et al, 2017;Miller et al, 2016). Básicamente existen dos abordajes para efectuar tanto la OVH como la OV en gatas: el abordaje por línea media también conocido como celiotomía y el abordaje lateral o por el flanco.…”

Section: Introductionunclassified

Revisión sistemática de las diferentes técnicas quirúrgicas de contracepción en gatas

et al. 2021

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Effectiveness of a bipolar vessel sealant device for ovariohysterectomy in cats with pyometra

Abstract: The findings suggest that the bipolar vessel sealant device used in this study is safe in performing ovariohysterectomy for pyometra in cats, when the uterine body is <0.9 cm in diameter, without short-term complications.

Cited by 6 publications

References 20 publications

Comparison of the efficacy and perioperative pain between vessel sealing and suture ligation for median celiotomy in canine ovariohysterectomy

Comparison of the efficacy and perioperative pain between vessel sealing and suture ligation for median celiotomy in canine ovariohysterectomy

Comparison of Two Radiofrequency Vessel-Sealing Device for Laparoscopic Ovariectomy in African Lionesses (Panthera Leo)

Revisión sistemática de las diferentes técnicas quirúrgicas de contracepción en gatas

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