Devriendt N, Van Goethem B, Van Brantegem L, De Ridder M, Kitshoff A, Or M, de Rooster H
Small Animal Department, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, Merelbeke 9820, Belgium.
Department of Pathology, Bacteriology and Poultry Diseases, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, Merelbeke 9820, Belgium.
Vet Rec. 2017 Apr 29;180(17):425. doi: 10.1136/vr.104016. Epub 2017 Jan 24.
The objectives of this study were to compare (1) the extent of thermal damage and (2) the time between the 5-mm LigaSure V (LS5) and 10-mm LigaSure Atlas (LS10) vessel sealing devices (VSD) when performing open ovariectomy in dogs. A prospective, randomised, clinical trial was performed in 40 client-owned sexually entire female dogs. In each dog, one ovary was randomly assigned to be surgically removed using LS5 and the contralateral using LS10. The depth of thermal spread, measured on histopathological preparations, was significantly larger for LS10 (LS10 1.35±0.23 mm v LS5 0.82±0.10 mm; P<0.001). Mean ovariectomy time was significantly faster when using LS10 (LS5 2.58±1.32 minutes v LS10 2.07±1.27 minutes; P=0.008). Bodyweight was positively correlated with the time required for ovariectomy using LS5 (P=0.004), but no such correlation was present for LS10 (P=0.611). In conclusion, during open ovariectomy using VSD, LS10 causes significantly more thermal spread but surgical time is shorter compared with LS5. When using LS5, the ovariectomy time increases with increasing bodyweight.
(1) 热损伤程度;(2) 在对犬进行开放性卵巢切除手术时,5毫米的LigaSure V(LS5)血管闭合装置和10毫米的LigaSure Atlas(LS10)血管闭合装置之间的手术时间。对40只客户拥有的未绝育雌性犬进行了一项前瞻性随机临床试验。在每只犬中,一侧卵巢随机分配使用LS5进行手术切除,对侧卵巢使用LS10进行手术切除。在组织病理学切片上测量的热扩散深度,LS10显著更大(LS10 1.35±0.23毫米对LS5 0.82±0.10毫米;P<0.001)。使用LS10时,平均卵巢切除时间显著更快(LS5 2.58±1.32分钟对LS10 2.07±1.27分钟;P=0.008)。体重与使用LS5进行卵巢切除所需时间呈正相关(P=0.004),但使用LS10时不存在这种相关性(P=0.611)。总之,在使用血管闭合装置进行开放性卵巢切除手术时,与LS5相比,LS10造成的热扩散显著更多,但手术时间更短。使用LS5时,卵巢切除时间随体重增加而增加。