Laparoscopic ovariectomy in small animals

Abstract

Ovariectomy and ovariohysterectomy are the two most commonly used techniques for sterilisation of female small animals. In the past decade, there has been a trend towards using minimally invasive techniques in small animal surgery, and laparoscopic ovariectomy (LapOVE) has emerged as one of the most common clinical applications of laparoscopy in small animals. LapOVE offers several advantages over the open method conducted through the median coeliotomy, including reduced postoperative pain, faster recovery and less patient immobilisation. Important advantages for the operator include magnification and better visualisation of the surgical field, which increase the procedure's safety. However, high costs for the laparoscopic equipment and a rather steep learning curve may be discouraging to many veterinarians. This article outlines the most relevant aspects of LapOVE for clinical application in small animal surgery.

Laparoscopic ovariectomy in a pygmy goat

“…In their study, the intra-peritoneal CO 2 pressure was 5 mmHg. However, a higher intra-peritoneal CO 2 pressure allows for the good visualisation of the reproductive organs (this study; Rutherford and Finding 2009;Katic and Dupre 2017;Daniel et al 2019).…”

“…However, Case et al (2011) reported that there were no significant differences in the surgical time between the two and three port techniques, while the single port technique took a significantly longer time in bitches. Moreover, the surgical time is also highly dependent on the type of vessel-sealing devices used (Katic and Dupre 2017).…”

“…Moreover, we inserted a reusable trocar using the modified Hasson technique (Katic and Dupre 2017). A blind technique using a Veress needle can also be used to establish the pneumoperitoneum (Richter 2001;Cordeiro et al 2014).…”

“…A laparoscopic ovariectomy is a minimally invasive surgical technique for neutering female animals (Katic and Dupre 2017). Laparoscopic procedures in small animals are also used for cholecystectomy (Leggett et al 2000), ovariohysterectomy (Karadjole et al 2012), cryptorchidectomy (Runge et al 2014), gastropexy (Gandini and Giusto 2016), abdominal organ biopsy, splenectomy and others (Steffey 2016;Balsa and Culp 2019).…”

A survey on anesthetic procedures for elective surgeries in small animal practices in Flanders

“…Mechanical ventilators are present in 30.1% of the practices, which is relatively high compared to 14.1% of the practices in New Zealand (Sano et al, 2018), 25.0% in Quebec (Truchetti et al, 2020) and comparable to 28.0% of the practices in France (Farges, 2012). With an increased interest in laparoscopic procedures for gonadectomies (Katić and Dupré, 2017;Marvel, 2022), the presence of mechanical ventilators in practices is suspected to increase in the coming years, since they are a prerequisite to safely perform laparoscopic procedures (de Rezende and Mama, 2022).…”