Comparison of surgical variables in cats undergoing single‐incision laparoscopic ovariectomy using a Liga S ure or extracorporeal suture versus open ovariectomy
Author(s) -
Coisman James G.,
Case J. Brad,
Shih Andre,
Harrison Kelly,
Isaza Natalie,
Ellison Gary
Publication year - 2014
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2013.12073.x
Subject(s) - medicine , cats , surgery , fibrous joint , extracorporeal , laparoscopy , postoperative pain , anesthesia
ABSTRACT Objective To evaluate the applicability of single‐incision laparoscopic ovariectomy (SILOVE) in cats using a single‐incision laparoscopic port (SILP); to compare surgical time, complications, and postoperative pain after SILOVE using a LigaSure (SILOVE‐LS) or extracorporeal suture (SILOVE‐ECS), and open ovariectomy (open‐OVE). Study Design Randomized, blinded, prospective study. Animals Healthy, domestic female cats (n = 24). Methods Cats underwent physical examination, packed cell volume, total solids and blood urea nitrogen analysis. Cats were randomly assigned to 1 of 3 groups: SILOVE‐LS (n = 8), SILOVE‐ECS (8) or open‐OVE (8). Surgical time, complications, and postoperative pain scores were recorded. Results Single‐incision laparoscopic ovariectomy was successful in (n = 8) SILOVE‐LS cats and (n = 5) SILOVE‐ECS cats. Surgical time was significantly longer for the SILOVE‐ECS group compared with the SILOVE‐LS ( P < .0001) and open‐OVE ( P < .0001) groups, which were not different ( P = .55). Complications were more frequent in the SILOVE‐ECS group and removal of the SILP was required to complete ovariectomy in 3 cats. Cumulative 4‐hour pain scores were not different between groups. Conclusions Single‐incision laparoscopic ovariectomy using a SILP is a feasible method for OVE in cats. Single‐incision laparoscopic ovariectomy using an extracorporeal suture is more time consuming and associated with more complications than either the SILOVE‐LS or open‐OVE methods.
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