Heblinski Nikola, Brückner Michael
Tierarztl Prax Ausg K Kleintiere Heimtiere. 2018 Dec;46(6):363-369. doi: 10.1055/s-0038-1677387. Epub 2019 Jan 18.
The study aimed to compare two different vessel-sealing devices (VSD) for laparoscopic-assisted ovariohysterectomy in dogs.
In this randomized, prospective clinical trial 12 consecutive, client-owned, healthy, intact female dogs of different breeds were included. The dogs had been admitted for elective laparoscopic-assisted ovariohysterectomy and were randomly assigned to one of two treatment groups. The LigaSure™ was used in one group (n = 6), and the other group was operated using the Caiman (n = 6). Recorded variables were duration of all surgical steps, number of seals required for transection of each ovarian pedicle, number of previous uses of the VSD, and complications related to each VSD.
Transection of the ovarian pedicles using the Caiman required significantly fewer seals per ovary. However, overall surgical time was not significantly reduced. Intraoperative hemorrhage occurred in both groups but was more common in the LigaSure™ group. Emergency conversion to laparotomy was not required in any case.
The Caiman can be safely used for laparoscopic-assisted ovariohysterectomy in dogs. In comparison with the Liga Sure™, the Caiman requires fewer seals to transect ovarian pedicles, owing to the advantages of a longer working length and the first-tip closure mechanism.
本研究旨在比较两种不同的血管闭合装置(VSD)在犬腹腔镜辅助卵巢子宫切除术中的应用效果。
在这项随机、前瞻性临床试验中,纳入了12只连续的、由客户拥有的、健康的、未绝育的不同品种雌性犬。这些犬因择期腹腔镜辅助卵巢子宫切除术入院,并被随机分配到两个治疗组之一。一组(n = 6)使用LigaSure™,另一组使用凯门鳄(Caiman)血管闭合系统(n = 6)进行手术。记录的变量包括所有手术步骤的持续时间、每个卵巢蒂横断所需的闭合次数、VSD的先前使用次数以及与每个VSD相关的并发症。
使用凯门鳄血管闭合系统横断卵巢蒂时,每个卵巢所需的闭合次数明显减少。然而,总体手术时间没有显著缩短。两组均发生术中出血,但在LigaSure™组中更常见。在任何情况下都不需要紧急转为开腹手术。
凯门鳄血管闭合系统可安全用于犬腹腔镜辅助卵巢子宫切除术。与LigaSure™相比,由于工作长度更长和前端闭合机制的优势,凯门鳄血管闭合系统横断卵巢蒂所需的闭合次数更少。