Clinica Veterinaria Roma Sud, Rome, 00173, Italy.
AniCura Istituto Veterinario Novara, Granozzo con Monticello, Novara, 28060, Italy.
J Small Anim Pract. 2022 Apr;63(4):320-324. doi: 10.1111/jsap.13457. Epub 2021 Dec 22.
Vestibulovaginal septal remnants are congenital anomalies that are often concurrent with ectopic ureters in bitches. During endoscopic laser ablation of the ectopic ureter, the vaginal septum should be cut in the same surgical session. However, sometimes, the septal length and thickness make the procedure extremely long and challenging with lasers. This study aimed to describe the use of sealing devices for septal cuts.
We searched medical records for female dogs presented for ectopic ureters with endoscopic laser ablation that had a vaginal septum equal or longer than 4 cm in length that were treated using vesseal-sealing devices.
Medical records of 37 patients were retrieved. Of those, 8 patients were eligible for inclusion in the case series. Weight of included dogs ranged from 10 to 27 kg, and age ranged from 3 to 60 months. Three of these patients had the septum resected using the LigaSure™ device, and five of them using the ENSEAL® device. The median time of septum resection using the vessel-sealing devices was 100 seconds (range 60 to 130s). No obvious complications were detected when using the described technique.
The sealing devices used by the authors allowed a rapid and uneventful resection of the vaginal septum in the cases described herein.
前庭阴道隔残迹是一种先天性异常，常与母犬的异位输尿管并存。在异位输尿管的内镜激光消融过程中，阴道隔应在同一手术中切开。然而，有时隔的长度和厚度使得用激光进行手术变得非常漫长和具有挑战性。本研究旨在描述使用密封装置进行隔切开术。
我们检索了因异位输尿管而行内镜激光消融的母犬的病历，这些犬的阴道隔长度等于或大于 4 厘米，采用 vesseal 密封装置进行治疗。
共检索到 37 份病历，其中 8 份符合纳入病例系列的标准。纳入犬的体重为 10 至 27 公斤，年龄为 3 至 60 个月。其中 3 只犬使用 LigaSure™ 装置切除隔，5 只犬使用 ENSEAL® 装置切除隔。使用血管密封装置切除隔的中位时间为 100 秒（范围 60 至 130 秒）。使用所描述的技术时，未发现明显的并发症。
作者使用的密封装置允许快速、顺利地切除本文所述病例中的阴道隔。
