Laparoscopic-assisted cystopexy in dogs

Abstract

The laparoscopic-assisted cystopexy technique was quick, easy to perform, and not associated with urinary tract infection or abnormalities of urination.

Comparison of Laparoscopic and Open Cystopexy in a Cadaveric Canine Model

“…Patient and portal positioning for the procedure also likely contributed to the speed, success, and absence of inadvertent trauma to abdominal viscera . Final cystopexy length was similar in both groups and is consistent with clinical reports in dogs, further supporting effectiveness of the described technique in creating an adequate adhesion . In addition, both techniques resulted in successful acute adhesion of the bladder to the transversus muscle (Fig ).…”

“…In addition, both techniques resulted in successful acute adhesion of the bladder to the transversus muscle (Fig ). Although not tested objectively in our study, the biomechanical strength of traditional and barbed suture used in gastrointestinal, urinary, skin, and tendon surgery has been found to be equivalent in most cases.…”

Laparoscopic Colopexy in Dogs

“…Interest in minimally invasive techniques has increased; laparoscopy is a minimally invasive technique that permits observation of the abdominal organs, especially the organs that are sometimes challenging to directly observe in open surgery [1,15], and compared with traditional open surgery, it has many advantages, such as a minimal incision [25], less pain [10] and fewer postoperative complications [7]. Laparoscopic-assisted colopexy has been reported in dogs [15,22]. Under laparoscopic observation, the colon was exteriorized and sutured to the abdominal wall, which was incised to a length of approximately 5 cm during colon exteriorization.…”

Laparoscopic-Assisted Surgical Procedures

“…12 Technical difficulties such as chronic cystitis resulting in a severely thickened and noncompliant/poorly distensible bladder, or inadequate flow of saline obscuring visualization may necessitate conversion to an open cystotomy. Failure of complete urocystolith removal has been documented in 10% to 20% of small animal patients undergoing open or LA cystotomy.…”

“…12 The patient should be placed in dorsal recumbency, clipped and aseptically prepared, and placed in a mild Trendelenburg position. A 2-portal technique may be used, with a 5-mm or 10-mm camera portal placed on the midline, just caudal to the umbilicus, and CO 2 pneumoperitoneum established according to the preference of the operating surgeon.…”