Laparoscopic-Assisted Surgical Procedures

Steffey, Michele A.

doi:10.1016/j.cvsm.2015.07.002

Cited by 8 publications

(6 citation statements)

References 40 publications

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“…The first reported use in animals involved a laparoscopic‐assisted technique to remove discrete intestinal masses through a WRD . Since this report, several other indications have been described in veterinary surgery, including splenectomy, cystotomy, and thoracotomy . Placement of a WRD through a body wall incision facilitates retraction for both finger and instrument‐assisted surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive small intestinal exploration and targeted abdominal organ biopsy with a wound retraction device in 42 cats (2005‐2015)

et al. 2017

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Objective: To describe the surgical technique and evaluate short-term outcome after minimally invasive small intestinal exploration and targeted organ biopsy with a wound retractor device (WRD) in cats.Study design: Multi-institutional retrospective study. Animals: Forty-two cats.Methods: A wound retractor was inserted into the abdomen on the ventral midline through a 2-4 cm incision at the level of the umbilicus. Short segments (6-10 cm long) of intestinal tract were sequentially exteriorized and explored through the WRD. Full thickness, small intestinal biopsies were obtained extracorporeally via the WRD. A commercially available single-port device was inserted through the WRD for laparoscopic exploration of the abdomen.Results: The majority of the small intestine could be exteriorized and explored through the WRD. In all cases, full thickness biopsies of the small intestine of diagnostic quality were obtained. The most common histological findings were inflammatory bowel disease (n 5 16), intestinal lymphoma (n 5 14), and eosinophilic enteritis (n 5 7). Two cases required conversion to a traditional open laparotomy due to abdominal pathology diagnosed after placement of the WRD (abdominal adhesions and need for a splenectomy). Postoperative complications occurred in 4 of 39 cats (10.3%), leading to 2 deaths after discharge from the hospital.Conclusions and clinical relevance: MISIETB with a WRD alone or combined with laparoscopy is a safe technique for small intestinal exploration and targeted abdominal organ biopsy in cats. Single-port laparoscopy can effectively be performed through the WRD for complete abdominal exploration and biopsy of abdominal organs.

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Section: Discussionmentioning

confidence: 99%

Minimally invasive small intestinal exploration and targeted abdominal organ biopsy with a wound retraction device in 42 cats (2005‐2015)

et al. 2017

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“…A modified Hasson approach (25) was performed in the umbilicus and a 6 mm EndoTIP Ternamian cannula with multifunction valve (Karl Storz-Endoscopy, Tuttlingen, Germany) was placed under visual guidance with a 5 mm 30° forward laparoscope (HOPKINS II, Karl Storz-Endoscopy, Tuttlingen, Germany) in all patients (8). At this point, insufflation was started at a pressure of 8 mmHg in the small dog group and 10 mmHg in the large breed group.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Vergleich zweier Instrumente zur Gefäßversiegelung bei der laparaskopisch-assistierten Ovariohysterektomie der Hündin

Heblinski¹,

Brückner²

2018

Tierarztl Prax Ausg K

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Zusammenfassung Gegenstand und Ziel: Diese Studie hatte zum Ziel, zwei verschiedene Instrumente zur Gefäßversiegelung bei der laparoskopisch-assistierten Ovariohysterektomie von Hunden zu vergleichen. Material und Methoden: In diese randomisierte, prospektive klinische Studie wurden 12 nacheinander vorgestellte gesunde, intakte Hündinnen aus Privatbesitz unterschiedlicher Rassen einbezogen. Die zur geplanten laparoskopisch-assistierten Ovariohysterektomie vorgestellten Hündinnen wurden randomisiert einer von zwei Behandlungsgruppen zugeteilt. In der einen Gruppe wurde das Gefäßversiegelungsinstrument LigaSure™ benutzt (n = 6), in der anderen der Caiman® (n = 6). Dokumentierte Parameter waren die Dauer aller chirurgischen Einzelschritte, die zur Abtrennung eines jeden Ovars notwendige Anzahl der Versiegelungen, wie häufig das jeweilige Gefäßversiegelungsinstrument bereits verwendet wurde sowie aufgetretene Komplikation, die mit dem Instrument in Zusammenhang standen. Ergebnisse: Der Einsatz des Caiman® erforderte signifikant weniger Versiegelungen, um ein Ovar abzusetzen. Die Zeit des gesamten chirurgischen Eingriffs reduzierte sich dadurch jedoch nicht signifikant. Intraoperative Blutungen wurden in beiden Gruppen beobachtet, traten aber beim LigaSure™ häufiger auf. Eine Konversion zu einer Laparotomie musste bei keinem Tier vorgenommen werden. Schlussfolgerung und klinische Relevanz: Der Caiman® kann sicher für die laparoskopisch-assistierte Ovariohysterektomie des Hundes genutzt werden. Im Vergleich mit dem LigaSure™ waren beim Caiman® weniger Versiegelungen zum Absetzen eines Ovars notwendig. Dies ist auf die verlängerte Verschlussfläche zurückzuführen und die Tatsache, dass die Spitze des Versiegelungsstücks zuerst schließt.

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“…Many SILS platforms are currently available among the surgical armamentaria. Recently, they have been widely reviewed in the human surgery field [ 1 ] and veterinary applications [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

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

Lacitignola

Guadalupi

Massari

2021

Veterinary Sciences

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In veterinary surgery, single incision laparoscopic surgery (SILS) techniques have been described since 2009, and, in recent decades, many authors have reported the application of SILS in small animals, thus, promoting the wide dissemination of this novel approach among veterinary laparoscopists. The aim of this literature review is to provide a critical evaluation of the scientific reports on SILS in the field of small animal laparoscopic surgery. A comprehensive literature review was performed including from 1 January 2009 to 1 July 2020. The following data were recorded from each study: the design, year of publication, surgical procedure, species, number of animals included, and surgical time. The type of SILS technique and type of control group technique were evaluated. In total, 90 articles were identified through database searches and manual searches. The qualitative analysis showed that most of the articles were retrospective studies, without a control group or case series. A meta-analysis was performed on the eight controlled studies, showing that SILS ovariectomy and gastrointestinal procedures had a comparable surgical time to multiport techniques. The study of the articles available in the veterinary literature did not allow for an adequate meta-analysis of the published results, especially regarding post-operative pain, evaluations of surgical times, and post-operative complications in comparison to multiport techniques. Therefore, veterinary surgeons who want to employ these techniques must consider the real advantages of SILS techniques.

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Laparoscopic-Assisted Surgical Procedures

Cited by 8 publications

References 40 publications

Minimally invasive small intestinal exploration and targeted abdominal organ biopsy with a wound retraction device in 42 cats (2005‐2015)

Minimally invasive small intestinal exploration and targeted abdominal organ biopsy with a wound retraction device in 42 cats (2005‐2015)

Vergleich zweier Instrumente zur Gefäßversiegelung bei der laparaskopisch-assistierten Ovariohysterektomie der Hündin

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

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