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用于腹腔镜卵巢切除术的伤口牵开器腹腔镜端口系统 于……

Wound Retractor Laparoscopic Port System for Laparoscopic Ovariectomy in .

作者信息

Lacitignola Luca, Laricchiuta Pietro, Imperante Annarita, Acquafredda Claudia, Stabile Marzia, Scardia Annalaura, Guadalupi Marta, Vicenti Caterina, Crovace Alberto, Staffieri Francesco

机构信息

Dipartimento dell'Emergenze e Trapianti di Organo, Sez. Cliniche Veterinarie e P.A., Università Degli Studi di Bari, 70100 Bari, Italy.

Zoosafari di Fasano, 72015 Brindisi, Italy.

出版信息

Animals (Basel). 2022 Mar 10;12(6):700. doi: 10.3390/ani12060700.

Abstract

The aim of this study was to assess the feasibility and intraoperative complications of performing ovariectomies in African lionesses () using a wound retractor laparoscopic platform. Six lionesses ( = 6) were included. The surgical procedures were carried out through three portals, with a retractor platform positioned at the umbilical port and cannulas placed 3-4 cm from the cranial and caudal regions to the device at the level of the midline. An ovariectomy was performed with a vessel-sealing device. We evaluated the surgery time and the intraoperative and early postoperative complications. The mean weight was 172.83 kg. The total surgery time was 49.33 min. The installation step took a mean of 10.33 min to complete. The mean ovariectomy time was 20 min. Controlled bleeding was observed at the tip of the uterine horn in two cases due to excessive tissue thickness. The retrieval of dissected ovarian tissue and annexes was easily performed. No other complications were observed. The use of the laparoscopic platform during three-portal surgeries for laparoscopic ovariectomy in adult overweight lionesses is feasible and without intraoperative problems. The retractor meant that there were no entry-related issues due to the 25 mm mini-laparotomy. It also made it simpler to extract thick ovaries and promptly re-establish the pneumoperitoneum.

摘要

本研究的目的是评估使用伤口牵开器腹腔镜平台对非洲母狮进行卵巢切除术的可行性和术中并发症。纳入了六只母狮(n = 6)。手术通过三个切口进行,牵开器平台置于脐部切口,套管在中线水平距该装置头侧和尾侧3 - 4厘米处放置。使用血管封闭装置进行卵巢切除术。我们评估了手术时间以及术中及术后早期并发症。平均体重为172.83千克。总手术时间为49.33分钟。安装步骤平均耗时10.33分钟完成。平均卵巢切除时间为20分钟。两例因组织过厚在子宫角尖端观察到可控性出血。分离的卵巢组织和附件的取出操作简便。未观察到其他并发症。在成年超重母狮的三切口腹腔镜卵巢切除术中使用腹腔镜平台是可行的,且无术中问题。该牵开器意味着由于25毫米的小剖腹术不存在与切口相关的问题。它还使取出厚实的卵巢及迅速重新建立气腹变得更简单。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab75/8944427/830f4504e164/animals-12-00700-g001.jpg

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