Ovarian remnant removal using minimally invasive laparoscopic techniques in four dogs

Phipps, W. E.; Goodman, Andrew R; Sullivan, Michael

doi:10.1111/jsap.12424

Cited by 9 publications

(4 citation statements)

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“…Classification of studies by organ system is presented in Tables S1 and S2. Numbers of studies and participants were reported within each organ/system group including female genital tract (22 studies [n = 1407 dogs]), 1,7,11,20,30‐47 urinary tract (7 studies [n = 114]), 3,48‐53 stomach (9 studies [n = 250]), 10,18,54‐59 intestinal tract (5 studies [n = 48]), 60‐64 liver (5 studies [n = 288]), 12,17,65‐67 adrenal gland (5 studies [n = 62]), 13,28,68‐70 spleen (7 studies [n = 111]), 19,71‐76 and other (4 studies that included gastropexy and ovariectomy procedures [n = 148]) 9,77‐79 . One experimental study, in which colopexy in seven male dogs was described, was classified as intestinal tract even though these dogs were also sterilized during the surgical procedure because this study reported only complications and outcomes related to colopexy 63 .…”

Section: Resultsmentioning

confidence: 99%

A systematic review of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs

et al. 2020

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Objective To evaluate and report the quality of the scientific literature reporting complications associated with laparoscopic and laparoscopic‐assisted procedures in client‐owned or healthy research dogs and to report and illustrate laparoscopic complications related to individual organ systems. Study design Systematic review. Animals Client‐owned or healthy research dogs. Methods A literature review was performed by using PubMed and CAB abstracts for English‐language studies providing descriptions of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs. Study selection used PRISMA (Preferred Reporting Items for Systematic reviews and Meta‐Analyses) guidelines. Quality assessment was performed by using a MINORS (Methodological Items for Non‐Randomized Studies) scoring system and a grading scale of level of evidence. Descriptive statistics were used. Results In total, 741 manuscripts were identified, with 64 manuscripts eligible for data extraction and quality assessment. The most represented organ system was the female genital tract, represented by 22 (34.4%) studies. The most commonly reported intraoperative and postoperative complications were related to abdominal entry and portal incisions, respectively. In 53 of 54 non‐randomized studies, high risk of bias was found. Forty‐eight (75%) studies provided level III or IV evidence. Conclusion This report provides an updated review of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs, classified by organ system. The overall quality of evidence was low, limiting direct comparison of complication rates between studies. Clinical significance There is a need for implementation of standardized criteria for defining complications, study time frames and greater numbers of high quality prospective randomized trials in veterinary laparoscopy to permit comparison of complication and conversion rates between published studies and across organ systems.

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Section: Resultsmentioning

confidence: 99%

A systematic review of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs

et al. 2020

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“…Laparoscopy is a minimally invasive surgical procedure with an endoscope inserted trans-abdominally to monitor organs within the abdominal and pelvic cavities. The surgeon can visually examine the viscera and peritoneal surfaces for evidence of disease during laparoscopy and perform surgical procedures [1,2,3].…”

Section: Introductionmentioning

confidence: 99%

Some Anatomical and Histological Studies on Secretory Portion of the Lacrimal Apparatus in Donkey (Equus asinus)

Basha

Mohamed

Selim

et al. 2020

Zagazig Veterinary Journal

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This study was conducted to compare the serum level of Cortisol and Interleukin-6 (Stress Response) on eighteen clinically healthy mongrel male dogs of different ages (1-2 years old) with body weight ranged between 17-25 kg. Dogs were classified into two main groups open cholecystectomy and laparoscopic one. Anesthesia and postoperative management were identical in both groups. Serum level of cortisol was evaluated as a marker to assess surgical trauma and pain where it was measured before the operation (time 0) to obtain base line value and at 4 hours postoperatively. In addition, serum level of Interleukin-6 (IL-6) was evaluated also before the operation and at 4 and 24 hours after the surgery as a marker for the degree of systemic reaction to wide range of trauma. There was a significant (P < 0.05) lower concentration of serum cortisol in the laparoscopic group at four hours postoperatively than in the open surgery group. Serum levels of IL-6 during laparoscopic cholecystectomy were found to be significantly (P < 0.05) lower than that during open cholecystectomy at 4 and 24 hrs postoperatively. The current study concluded that the laparoscopic cholecystectomy with small skin incisions with the avoidance of open laparotomy and excessive manipulation of tissues can minimize surgical stress and provide more favorable postoperative conditions for dogs. This indicated that laparoscopic cholecystectomy is more recommendable than traditional open cholecystectomy.

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“…In women, laparoscopic treatment of ORS is generally successful [ 12 , 26 ], has a low recurrence rate (up to 7%) [ 27 – 29 ], and is associated with decreased blood loss, a shorter hospital stay, and fewer postoperative complications compared to celiotomy [ 30 ]. Only a few case reports and three small retrospective case series exist of laparoscopic surgery for ORS in dogs and cats [ 15 , 31 – 34 ]. Confirmation of full excision of ovarian remnant tissue was often made only by absence of clinical signs.…”

Section: Introductionmentioning

confidence: 99%

A laparoscopic approach for removal of ovarian remnant tissue in 32 dogs

et al. 2018

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BackgroundSurgical treatment of ovarian remnant syndrome (ORS) in dogs usually necessitates large celiotomies and considerable manipulation of organs because of the relatively deep position of ovarian remnant tissue, large patient size, and often encountered adhesions. In women, laparoscopic treatment of ORS is successful and has significant advantages over laparotomy. Since laparoscopic ovariectomy has significant advantages over open ovariectomy in dogs, including reduced surgical stress and postoperative pain and shorter convalescence period, the rationale for a laparoscopic approach of canine ORS is evident. Feasibility and efficacy of a laparoscopic approach for treatment of ORS in dogs was prospectively evaluated using a standardized protocol for diagnosis, treatment, and follow-up. Treatment success was evaluated by histology of removed tissues, postoperative hormone testing, and long-term clinical follow-up.ResultsThirty-two client-owned predominantly medium and large breed dogs diagnosed with ORS underwent abdominal ultrasound for ovarian remnant localization prior to laparoscopic surgery for removal of ovarian remnants. Tissue dissection and excision was performed using a vessel sealing forceps. Laparoscopy subjectively enabled detailed visibility and facilitated detection and removal of suspected ovarian tissue in all cases. Histology confirmed ovarian origin of removed tissue in all dogs. Additionally, a GnRH stimulation test was performed in fourteen dogs after a median follow-up of 10.5 months, which verified absence of residual functional ovarian remnant tissue in all dogs. Median surgery duration was 97.5 min and mean total convalescence duration, subjectively scored by owners, was 1.5 ± 0.7 days. No major complications occurred. Adhesions were observed in 79% of the dogs, complicated the surgical approach, and significantly affected surgery duration (85 versus 109 min; p = 0.03). Minor hemorrhage occurred in 12% and significantly increased surgery duration (95.5 versus 128 min; p = 0.02). Trendelenburg position and lateral tilting of the patient were essential for proper access to ovarian remnants. GnRH stimulation test results and/or absence of clinical signs indicative of ORS after a median follow-up period of 22.5 months confirmed treatment efficacy in all dogs.ConclusionLaparoscopic surgery for ORS in dogs is effective with minimal complications and short convalescence and can successfully replace the conventional, more invasive open surgical procedure.Electronic supplementary materialThe online version of this article (10.1186/s12917-018-1658-y) contains supplementary material, which is available to authorized users.

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Ovarian remnant removal using minimally invasive laparoscopic techniques in four dogs

Cited by 9 publications

References 10 publications

A systematic review of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs

A systematic review of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs

Some Anatomical and Histological Studies on Secretory Portion of the Lacrimal Apparatus in Donkey (Equus asinus)

A laparoscopic approach for removal of ovarian remnant tissue in 32 dogs

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