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血管密封装置和超声解剖刀在犬腹腔镜单孔卵巢切除术方面同样有效且安全。

A vessel sealing device and an ultrasonic dissector are equally effective and safe for single port laparoscopic ovariectomy in dogs.

出版信息

Am J Vet Res. 2023 Jul 26;84(10):1-6. doi: 10.2460/ajvr.23.05.0112. Print 2023 Sep 1.

Abstract

OBJECTIVE

To evaluate ovary removal surgery times and intraoperative complication rates between a 5-mm Sonicision cordless ultrasonic dissector (SCUD) and 5-mm vessel sealing device (VSD) for laparoscopic ovariectomy in dogs.

ANIMALS

Client-owned, intact female dogs (n = 10) presented for elective laparoscopic ovariectomy.

METHODS

In each dog, 1 ovarian pedicle was randomly assigned to the SCUD group and 1 to the VSD group. In the SCUD group (n = 10), the ovariectomy was performed using the SCUD device; the ovariectomy in the VSD group (10) was performed using a VSD. The number of applications of each device during ovariectomy, surgery time required for each ovary removal, total surgery duration, ovarian pedicle fat score, and intraoperative complications were recorded.

RESULTS

Both left and right ovaries had median pedicle fat scores of 2 (range, 1 to 3). To complete an ovariectomy, the median number of SCUD applications was 9 (range, 7 to 13) times; the VSD had a median of 10 (range, 5 to 18) times (P = .98). Median surgery times for the removal of 1 ovary with the SCUD and VSD were 96 seconds (range, 45 to 417 seconds) and 110 seconds (range, 42 to 164 seconds), respectively (P = 1). No intraoperative complications were associated with either device. Therefore, the VSD was not required for rescue in the SCUD group, and no conversions to open ovariectomy were necessary.

CLINICAL RELEVANCE

A standard approach laparoscopic ovariectomy performed with the SCUD was successful in our population of dogs, making the 5-mm SCUD safe for laparoscopic ovariectomy in healthy dogs, which provides a more affordable option for practitioners and clients.

摘要

目的

评估 5mm Sonicision 无绳超声解剖刀(SCUD)与 5mm 血管密封装置(VSD)用于犬腹腔镜卵巢切除术的卵巢切除手术时间和术中并发症发生率。

动物

接受检查的、完整的雌性犬(n=10),因选择性腹腔镜卵巢切除术就诊。

方法

在每只犬中,随机将 1 个卵巢蒂分配给 SCUD 组和 VSD 组。在 SCUD 组(n=10)中,使用 SCUD 装置进行卵巢切除术;在 VSD 组(n=10)中,使用 VSD 进行卵巢切除术。记录每只犬进行卵巢切除术时每种设备的应用次数、每个卵巢切除所需的手术时间、总手术时间、卵巢蒂脂肪评分以及术中并发症。

结果

左右卵巢的蒂脂肪评分中位数均为 2(范围,1 至 3)。为了完成卵巢切除术,SCUD 的中位数应用次数为 9(范围,7 至 13)次;VSD 的中位数为 10(范围,5 至 18)次(P=1)。使用 SCUD 和 VSD 切除 1 个卵巢的中位数手术时间分别为 96 秒(范围,45 至 417 秒)和 110 秒(范围,42 至 164 秒)(P=1)。两种设备均未发生术中并发症。因此,在 SCUD 组中不需要 VSD 进行救援,也不需要转为开放性卵巢切除术。

临床意义

在我们的犬群中,使用 SCUD 进行标准方法腹腔镜卵巢切除术是成功的,这使得 5mm SCUD 可安全用于健康犬的腹腔镜卵巢切除术,为从业者和客户提供了更经济实惠的选择。

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