Culp William T N, Mayhew Philipp D, Brown Dorothy C
Department of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Vet Surg. 2009 Oct;38(7):811-7. doi: 10.1111/j.1532-950X.2009.00572.x.
To describe a technique for laparoscopic ovariectomy (LapOVE) in small dogs, and compare the surgical time, complications, and postoperative activity of dogs undergoing LapOVE to those undergoing conventional traditional open ovariectomy (OOVE).
A randomized, controlled clinical trial.
Intact small breed (<10 kg) female dogs (n=20).
Ventral median celiotomy was performed for OOVE. A 2-midline portal technique using a 3.5 mm laparoscope port and a 6 mm instrument portal was used for LapOVE. An accelerometer was attached to the collar of each dog to record 24-hour preoperative and 48-hour postoperative activity. Total activity counts recorded before surgery were compared with total counts recorded after surgery. The percent change in counts after surgery was compared between OOVE- and LapOVE-treated dogs.
No major complications occurred and surgical time for LapOVE was significantly longer than for OOVE cases (P=.005). Dogs in the LapOVE group had a 25% decrease in total activity counts after surgery (95% confidence interval [CI]: 11-38%), whereas dogs in the OOVE group had a 62% decrease in total activity counts after surgery (95% CI: 48-76%).
Both procedures were performed with reasonable surgical times and without major complication. Postoperative activity, as measured by accelerometry, was significantly different between the 2 groups.
Laparoscopy is a safe method for ovariectomy in small dogs and results in increased postoperative activity counts when compared with an open technique.
描述小型犬腹腔镜卵巢切除术(LapOVE)的技术,并比较接受LapOVE的犬与接受传统开放式卵巢切除术(OOVE)的犬的手术时间、并发症及术后活动情况。
一项随机对照临床试验。
健康的小型母犬(<10 kg,n = 20)。
OOVE采用腹正中剖腹术。LapOVE采用两中线入路技术,使用一个3.5 mm腹腔镜端口和一个6 mm器械端口。在每只犬的项圈上附着一个加速度计,记录术前24小时和术后48小时的活动情况。将手术前记录的总活动计数与手术后记录的总计数进行比较。比较OOVE组和LapOVE组术后计数的变化百分比。
未发生重大并发症,LapOVE的手术时间明显长于OOVE病例(P = 0.005)。LapOVE组犬术后总活动计数下降25%(95%置信区间[CI]:11 - 38%),而OOVE组犬术后总活动计数下降62%(95%CI:48 - 76%)。
两种手术方法的手术时间均合理,且无重大并发症。通过加速度计测量,两组术后活动情况有显著差异。
腹腔镜检查是小型犬卵巢切除术的一种安全方法,与开放技术相比,术后活动计数增加。