Comparison of surgical variables in cats undergoing single‐incision laparoscopic ovariectomy using a LigaSure or extracorporeal suture versus open ovariectomy. Issue 1 (26th November 2013)

• Record Type: Journal Article
• Authors: Coisman, James G.; Case, J. Brad; Shih, Andre; Harrison, Kelly; Isaza, Natalie; Ellison, Gary
• Is Part Of: Veterinary surgery. Volume 43:Issue 1(2014)
• Page Start: 38
• Page End: 44
• Publication Date: 2013-11-26
• Subjects: Veterinary surgery -- Periodicals; Veterinary Medicine -- Periodicals; Surgery -- Periodicals; Societies, Medical -- Periodicals; 636.0897
• DOI: 10.1111/j.1532-950X.2013.12073.x
• Languages: English
• ISSNs: 0161-3499

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>ABSTRACT</title> <sec id="vsu12073-sec-0001" sec-type="section"> <title>Objective</title> <p>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).</p> </sec> <sec id="vsu12073-sec-0002" sec-type="section"> <title>Study Design</title> <p>Randomized, blinded, prospective study.</p> </sec> <sec id="vsu12073-sec-0003" sec-type="section"> <title>Animals</title> <p>Healthy, domestic female cats (n = 24).</p> </sec> <sec id="vsu12073-sec-0004" sec-type="section"> <title>Methods</title> <p>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.</p> </sec> <sec id="vsu12073-sec-0005" sec-type="section"> <title>Results</title> <p>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 (<italic>P</italic> < .0001) and open‐OVE (<italic>P</italic> < .0001) groups, which were not different (<italic>P</italic> = .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.</p> </sec> <sec id="vsu12073-sec-0006" sec-type="section"> <title>Conclusions</title> <p>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.</p> </sec> </abstract>