Percival Aaron, Singh Ameet, Gartley Cathy, Balsa Ingrid, Case J Brad, Mayhew Philipp D, Oblak Michelle, Brisson Brigitte A, Runge Jeffrey J, Valverde Alexander, Alex Zur Linden R, Gatineau Matthieu
From the Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Canada (A.P., A.S., C.G., M.O., B.A.B., A.V., R.A.zL.); Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California (I.B., P.D.M.); Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida (J.B.C.); Centre Veterinaire DMV, Montreal, Canada (M.G.); and Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital, University of Pennsylvania, Philadelphia, Pennsylvania (J.J.R.).
J Am Anim Hosp Assoc. 2020 Mar/Apr;56(2):114-119. doi: 10.5326/JAAHA-MS-6923. Epub 2020 Jan 21.
Ovarian remnant syndrome (ORS) is a condition resulting from incomplete removal of ovarian tissue during ovariectomy and/or ovariohysterectomy. Single-port laparoscopy (SPL) is an alternative to ventral midline laparotomy for treatment of ORS. Medical records of 13 client-owned female dogs who underwent SPL for the treatment of ORS were retrospectively reviewed to evaluate surgical technique and outcome. Dogs who had undergone a previous attempt at open ovariectomy or ovariohysterectomy were included. Major intraoperative complications did not occur and conversion to open laparotomy was not required. In 1 dog, an SPL + 1 technique was used, in which an additional port was placed cranial to the single-port device to aid in dissection and tissue manipulation. Median surgical time was 45 min (range, 30-90 min). Clinical signs related to estrus had resolved in 11 of 13 dogs with a median follow-up time of 18 mo. Two of 13 dogs were lost to follow-up at 3 mo postoperatively; however, signs of estrus had resolved at time of last follow-up. SPL treatment for ORS was feasible and successful in this cohort of dogs. Reduced surgical time was found in this study compared with previous reports investigating multiple-port laparoscopic treatment of ORS.
卵巢残留综合征(ORS)是一种由于卵巢切除术和/或卵巢子宫切除术期间卵巢组织切除不完全而导致的病症。单孔腹腔镜手术(SPL)是治疗ORS的一种替代腹中线剖腹术的方法。对13只接受SPL治疗ORS的宠物母犬的病历进行回顾性分析,以评估手术技术和结果。纳入曾尝试进行开放式卵巢切除术或卵巢子宫切除术的犬只。术中未发生重大并发症,也无需转为开放式剖腹术。1只犬采用了SPL + 1技术,即在单孔装置头侧额外放置一个端口以辅助解剖和组织操作。中位手术时间为45分钟(范围30 - 90分钟)。13只犬中有11只与发情相关的临床症状得到缓解,中位随访时间为18个月。13只犬中有2只在术后3个月失访;然而,在最后一次随访时发情症状已得到缓解。在这组犬中,SPL治疗ORS是可行且成功的。与之前关于多端口腹腔镜治疗ORS的报告相比,本研究发现手术时间缩短。