Two-Portal Access Laparoscopic Ovariectomy Using Ligasure Atlas in Exotic Companion Mammals

Proença, Laila M.

doi:10.1016/j.cvex.2015.04.010

Cited by 12 publications

(5 citation statements)

References 14 publications

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“…The LigaSure™ is a feedback‐controlled bipolar vessel‐sealing device that has a wide surgical utility in human and veterinary medicine, including zoological companion animals . It uses both pressure and energy to permanently fuse vessel walls up to 7 mm in diameter, including those within tissue bundles, minimizing the need for dissection, and vessel isolation.…”

Section: Discussionmentioning

confidence: 99%

“…17,18 The LigaSure™ is a feedback-controlled bipolar vessel-sealing device that has a wide surgical utility in human and veterinary medicine, including zoological companion animals. 19,20 It uses both pressure and energy to permanently fuse vessel walls up to 7 mm in diameter, including those within tissue bundles, minimizing the need for dissection, and vessel isolation. The strength of the resultant vessel seal is three times that of normal systolic blood pressure and is independent of a proximal thrombus because the seal is intrinsic to the structure of the vessel wall.…”

Section: Discussionmentioning

confidence: 99%

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A novel surgical technique for enucleation in rabbits to reduce the risk of intra‐ and post‐operative orbital hemorrhage

Moore

Robertson

Tarbert

et al. 2020

Veterinary Ophthalmology

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A 10‐year‐old male castrated Holland Lop rabbit (Oryctolagus cuniculus) was presented for severe ulcerative stromal keratitis of the right eye and a luxated hypermature cataract and glaucoma of the left eye. Staged bilateral enucleation was elected. A LigaSure™ electrosurgical bipolar vessel‐sealing device was used as a means to minimize intraoperative and post‐operative hemorrhage, especially that associated with the orbital venous plexus. The LigaSure™ was used to ligate and transect all extraocular muscles, the optic nerve bundle, and the base of the third eyelid with no complications encountered. Overall, the LigaSure™ was easy to use, resulted in minimal hemorrhage, and reduced surgery time. This is the first report of the use of a LigaSure™ to aid in the enucleation of a rabbit. Although only positive results were achieved as an alternative to conventional methodologies, its use in clinical practice should be that of caution until a larger study evaluating the long‐term results is performed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A novel surgical technique for enucleation in rabbits to reduce the risk of intra‐ and post‐operative orbital hemorrhage

Moore

Robertson

Tarbert

et al. 2020

Veterinary Ophthalmology

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“…Even though skin incisions made with monopolar electrosurgery were associated with decreased healing compared to scalpel made incisions [21], su cient regression of the scrotum and no incisional gap was evident by day 10 in all cases. Clearly bene ts in hemostasis improvements, and overall anaesthesia and surgery time reduction were demonstrated in many studies [22][23][24][25][26][27]. Even though there are reasonable concerns regarding the high cost of using VSD in routine procedures, appropriate re-sterilisation of the hand piece allows a signi cant reduction in the costs by increasing the number of procedures without decreasing safety characteristics [13,28].…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Canine Orchiectomy Using Scrotal Approach and a Vessel-Sealing Device: A Prospective Observational Study of 200 Cases

Yiapanis¹,

Ober

Potamopoulou

et al. 2021

Preprint

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Background: Canine orchiectomy involves making an incision in the prescrotal area, exteriorizing both testes via the same incision, ligating the blood vessels and spermatic cord, removing the testes, and suturing the incision. A briefer durations of anesthesia and surgery and decrease of postoperative morbidity could be obtain using a vessel sealing device. The aim of this study was to determine the feasibility and safety of orchiectomy in dogs by a scrotal approach with the use of a vessel-sealing device. Scrotal orchiectomy was performed with the use of monopolar electrosurgery device in pure cutting mode and a vessel-sealing device. Data were collected prospectively for the following categorical variables: breed, age, body weight, lifestyle, surgical time, indications for surgery and complications.Results: No complications were reported in 187 of 200 (93.5%). The complications documented were automutilation (AM), incisional complications (IC) and scrotal complications (SC). AM complications (11/200 [5.5%]) and SC complications (2/200 [1%]) were treated without additional surgery and resolved by day 10 after the surgery. Procedure duration (2,1 minutes± 0.4 minutes) was briefer than traditional castration duration reported in literature (3.5 ± 0.4 minutes).Conclusions: Results suggested that canine orchiectomy by scrotal approach with the use of a vessel-sealing device was feasible and safe. Furthermore, it was associated with a low complication rate and had the benefit of reduced surgical time and postoperative morbidity. This technique is promising for widespread application in veterinary surgery to help with haemostasis in canine orchiectomy.

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“…In this pilot study, laparoscopic ovariectomy was successfully performed in 3 guinea pigs via a 3‐port technique with 3‐mm laparoscopic instruments and a 3‐mm VSD. Laparoscopic surgery has been described in rats, and laparoscopic ovariectomy has been described in rabbits, but this is the first report describing laparoscopic ovariectomy in guinea pigs. The animals’ abdomen was insufflated with CO 2 at a pressure of 6–8 mm Hg, and artificial ventilation was provided during the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, there may be less pain associated with this approach because of the decreased incision size and tissue dissection. On the other hand, the laparoscopic procedure itself may hypothetically cause pain due to the abdominal distension and the characteristics of the gas used for insufflation . Unfortunately, although facial grimace scales are available for rabbits, rats, and mice to quantify pain, no such grimace scale is available for guinea pigs.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic ovariectomy in guinea pigs: A pilot study

et al. 2019

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Objective To assess the feasibility and safety of laparoscopic ovariectomy in guinea pigs utilizing 3‐mm minilaparoscopic instruments. Study design Experimental pilot study. Animals Guinea pigs (n = 3). Methods The guinea pigs were sedated, placed under general anesthesia, and intubated under endoscopic visualization. A 3‐port technique was used with a 3.9‐mm cannula for the endoscope and two 3.5‐mm cannulas accommodating 3‐mm endoscopic instruments including a 3‐mm vessel sealing device, grasping forceps, and endoscopic scissors. The abdomen was insufflated with CO2 to a pressure of 6–8 mm Hg. The guinea pigs were manually tilted 90° laterally to visualize the dorsally positioned ovaries. Results The procedure was successfully performed in all 3 animals. The surgery times were 120, 45, 45 minutes for the 3 guinea pigs, and anesthesia times were 186, 90, and 76 minutes, respectively. Placing the animals in complete lateral recumbency was found to be critical to visualize and manipulate the ovaries. The guinea pigs recovered smoothly from anesthesia. Conclusion Laparoscopic ovariectomy with 3‐mm minilaparoscopic instrumentation using a 3‐port technique was feasible in guinea pigs. Clinical significance Laparoscopic ovariectomy can be considered as an alternative to open ovariectomy as an elective surgical technique to prevent reproductive disorders in guinea pigs.

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Two-Portal Access Laparoscopic Ovariectomy Using Ligasure Atlas in Exotic Companion Mammals

Cited by 12 publications

References 14 publications

A novel surgical technique for enucleation in rabbits to reduce the risk of intra‐ and post‐operative orbital hemorrhage

A novel surgical technique for enucleation in rabbits to reduce the risk of intra‐ and post‐operative orbital hemorrhage

Feasibility and Safety of Canine Orchiectomy Using Scrotal Approach and a Vessel-Sealing Device: A Prospective Observational Study of 200 Cases

Laparoscopic ovariectomy in guinea pigs: A pilot study

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