Single‐port laparoscopic‐assisted ovariohysterectomy with a modified glove‐port technique in dogs

Abstract

Objective To describe a single‐port laparoscopic‐assisted ovariohysterectomy (LOHE) with a modified glove‐port technique in dogs and compare it with previously published laparoscopic techniques for LOHE in dogs. Study design Prospective clinical study and technique description. Animals Forty‐two healthy female dogs. Methods Laparoscopic‐assisted ovariohysterectomy was performed with a custom‐made single‐port device. The total duration of surgery from first incision to skin closure was compared with previously published durations of LOHE in dogs. Short‐term complications were recorded. Results The median total duration of surgery was 24 minutes (range, 17.5–39.5; mean, 25.73; SD, 6.12), which was shorter than that described in most previously reported studies of LOHE in dogs (range, 20.8 ± 4.00–60.0 ± 18.45 minutes; P < .001). Intraoperative complications were minor, but wound complications occurred in 12 of 42 (29%) dogs. Conclusion Single‐port LOHE with the glove‐port technique in combination with a wound retractor and nonarticulated instruments was completed in all dogs. This technique was faster than what has been previously reported for other LOHE, but local wound complications were common. Clinical relevance The glove‐port technique described here offers a low‐cost alternative to other commercially available single‐port devices.

Single Incision Laparoscopic Surgery (SILS) in Small Animals: A Systematic Review and Meta-Analysis of Current Veterinary Literature

“…Another advantage of the use of SILS was the possibility to suspend pneumoperitoneum and laparoscopic abdominal exploration, performing the rest of the surgical intervention extracorporeally. This ability was particularly appreciated during the GI tract surgery (i.e., enterectomy and enterotomy) [ 14 , 39 , 50 ] or uterus ligation during OVH [ 19 , 34 , 37 ] and Pyometra [ 15 , 24 , 26 ]. The combination of a WR and SILS port, or other systems that combine the removal of the cap with the instrument portal platform of WR, was particularly helpful for this purpose.…”

Laparoscopic ovariohysterectomy for dogs under 5 kg body weight

“…In the present study, we evaluated the surgical method, operative time, safety, and usefulness of 3‐port LOHE using an ultrasonic coagulation and incision device in dogs <5 kg. Many published papers document the operative time and procedure of LOHE, 1,4,7,12,13 but no reports on LOHE using 3 ports and ultrasonic coagulation and incision devices in dogs <5 kg seem to be available. A study using 3 ports and a harmonic scalpel in a 10–12 kg dog with LOHE reported an operative time of 55 min 4 .…”

Maneuverability of the Scope and Instruments within Three Different Single-Incision Laparoscopic Ports: An Experimental Pilot Study

“…The glove port is an improvised single-incision port consisting of an O-ring abdominal retractor (Alexis O Wound Retractor; Applied Medical, Rancho Santa Margarita, CA, USA) and a surgical glove. The port is assembled as previously described [ 10 ]. To achieve comparable results, the same 5-mm SILS cannulas were used to assemble the glove port.…”

“…A cost-effective alternative to commercial SPASs was described using an adjustable O-ring retractor and a surgical glove [ 8 ]. Recently, this technique was successfully used to conduct an ovariohysterectomy in a dog treated for pyometra [ 9 , 10 ]. Furthermore, the duration of surgery using a homemade glove port was shorter than other single-incision laparoscopy techniques, or multi-port laparoscopy, when used on normal uteri [ 10 ].…”

“…Recently, this technique was successfully used to conduct an ovariohysterectomy in a dog treated for pyometra [ 9 , 10 ]. Furthermore, the duration of surgery using a homemade glove port was shorter than other single-incision laparoscopy techniques, or multi-port laparoscopy, when used on normal uteri [ 10 ]. Another study confirmed these findings by showing that elective procedures are faster when single-incision laparoscopic surgery (SILS) ports (Covidien, MA, USA) are used.…”