Arntz Geert-Jan H M
Veterinary Clinic, Beneden-Leeuwen, The Netherlands.
Vet Surg. 2019 Jul;48(5):726-734. doi: 10.1111/vsu.13211. Epub 2019 Apr 15.
To describe a transvaginal laparoscopic ovariectomy (TLOVE) in dogs and compare duration and perioperative complications between TLOVE and 2-portal-access laparoscopic OVE (LapOVE).
Retrospective study.
Female client-owned dogs (60 in TLOVE group and 202 in LapOVE group) between 6 and 103 months of age with body weights between 10 and 33 kg.
Ovariectomy was performed either through a transvaginal approach (TLOVE) or 2-portal-access laparoscopy (LapOVE). Dog characteristics (breed, weight, body condition score, age), surgical procedure time, and perioperative complications were compared between groups.
The time required to complete TLOVE (34.3 ± 9.9 minutes) was longer than that for LapOVE (22.3 ± 3.2 minutes, P < .001). Intraoperative complications were encountered in 3 of 60 dogs undergoing TLOVE and 0 of 202 in the LapOVE group. Postoperative complications were not present in the TLOVE group. Suture dehiscence due to early removal of the Elizabethan collar occurred in 4 dogs after LapOVE.
Transvaginal laparoscopic OVE was completed without postoperative complications in all dogs of this study although TLOVE took about 15 minutes longer to complete than LapOVE.
Transvaginal laparoscopic OVE provides a minimally invasive surgical alternative for OVE in dogs weighing 10-33 kg and aged 6-103 months, eliminating incisions through the abdominal wall, placement of suture material, and application of an Elizabethan collar.
描述犬经阴道腹腔镜卵巢切除术(TLOVE),并比较TLOVE与双孔腹腔镜卵巢切除术(LapOVE)的手术持续时间及围手术期并发症。
回顾性研究。
6至103月龄、体重10至33千克的雌性家养犬(TLOVE组60只,LapOVE组202只)。
通过经阴道途径(TLOVE)或双孔腹腔镜手术(LapOVE)进行卵巢切除术。比较两组犬的特征(品种、体重、体况评分、年龄)、手术时间及围手术期并发症。
完成TLOVE所需时间(34.3±9.9分钟)长于LapOVE(22.3±3.2分钟,P<0.001)。60只接受TLOVE的犬中有3只出现术中并发症,LapOVE组202只犬中无术中并发症。TLOVE组无术后并发症。LapOVE术后有4只犬因过早取下伊丽莎白项圈导致缝线裂开。
本研究中所有犬经阴道腹腔镜卵巢切除术均无术后并发症,尽管TLOVE比LapOVE完成时间长约15分钟。
经阴道腹腔镜卵巢切除术为体重10至33千克、年龄6至103月龄的犬卵巢切除术提供了一种微创手术替代方案,避免了腹壁切口、缝线材料放置及伊丽莎白项圈的应用。