Comparison between single port videolaparoscopy and miniceliotomy with snock hook ovariohysterectomy techniques in bitches

Abstract

In order to use and study minimally invasive techniques to reduce side effects of ovarian-hysterectomy (OHE) in bitches, the aim of this study was to compare time, surgical complications, pain and postoperative inflammatory response, caused by single port videolaparoscopic OHE and traditional miniceliotomy with snook hook. Twenty-four healthy bitches were randomly divided in two groups: videolaparoscopy (Video) and miniceliotomy (MiniLap). Surgical time and complications, pain, need for analgesic rescue, C-reactive protein concentration, glycaemia and voluntary food ingestion were evaluated during 24 hours following the procedure and compared statistically. Surgical time (38±7min), surgical complications (17%), postoperative pain intensity, need for analgesic rescue and C-reactive protein concentration were similar between groups (P>0.05). Glycaemia was lower in Video group (P=0.03), animals fed faster and in greater proportion (P=0.02). Thus, it is concluded that both OHE techniques result in similar complications, surgical time and inflammatory response; however, animals on Video group fed more readily and presented lower glycaemia, which point to lower stress levels. These findings validated the indication of this technique.

Single Incision Laparoscopic Surgery (SILS) in Small Animals: A Systematic Review and Meta-Analysis of Current Veterinary Literature

“…The technique uses an 11- or 12-mm trocar inserted through a skin incision performed at a site 1–2 cm below the umbilicus for the telescope insertion. This technique has been described for OVE [ 3 , 9 , 10 , 11 , 34 ], OVH [ 23 , 35 ] and for GPX in combination with OVE [ 28 ]. In all studies, the ovary suspension was performed by an external suspension suture.…”

“…Binder et al [ 34 ] reported the post-operative complication rate, pain score, and owners’ satisfaction rates of SILS OVE in dogs using an OT. The results of this study were that SILS OVE with OT had minor complication rates compared to other laparoscopic techniques and had the advantages of a low post-operative pain level evaluated by the owner.…”

“…In both studies, the pain level in the case of SILS was found to be similar to that in the case of multiport techniques. Binder et al [ 34 ] reported a post-operative pain assessment, finding that SILS had the advantage of a low post-operative pain level, as evaluated by the owners as well as a very high owner satisfaction rate. Other data on pain were not available or were scarcely reported in the selected articles.…”

“…Another advantage of the use of SILS was the possibility to suspend pneumoperitoneum and laparoscopic abdominal exploration, performing the rest of the surgical intervention extracorporeally. This ability was particularly appreciated during the GI tract surgery (i.e., enterectomy and enterotomy) [ 14 , 39 , 50 ] or uterus ligation during OVH [ 19 , 34 , 37 ] and Pyometra [ 15 , 24 , 26 ]. The combination of a WR and SILS port, or other systems that combine the removal of the cap with the instrument portal platform of WR, was particularly helpful for this purpose.…”