Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches
The recently developed minimally invasive techniques of ovariohysterectomy (OVH) have been studied in dogs in order to optimize their benefits and decrease risks to the patients. The purpose of this study was to compare surgical time, complications and technical difficulties of transvaginal total-NO...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Universidade Federal de Minas Gerais
2015-06-01
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| Series: | Arquivo Brasileiro de Medicina Veterinária e Zootecnia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352015000300647&lng=en&tlng=en |
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| author | M.A.M. Silva G.H. Toniollo F.N. Flores C.A.A. Valadão R.M. Medeiros D.J. Cardilli A.P. Gering P.P.M. Teixeira G.M.C. Serafini A.S. Coutinho-Júnior R.N. Libardoni M.V. Brun |
| author_facet | M.A.M. Silva G.H. Toniollo F.N. Flores C.A.A. Valadão R.M. Medeiros D.J. Cardilli A.P. Gering P.P.M. Teixeira G.M.C. Serafini A.S. Coutinho-Júnior R.N. Libardoni M.V. Brun |
| author_sort | M.A.M. Silva |
| collection | DOAJ |
| description | The recently developed minimally invasive techniques of ovariohysterectomy (OVH) have been studied in dogs in order to optimize their benefits and decrease risks to the patients. The purpose of this study was to compare surgical time, complications and technical difficulties of transvaginal total-NOTES, single-port laparoscopic-assisted and conventional OVH in bitches. Twelve bitches were submitted to total-NOTES (NOTES group), while 13 underwent single-port laparoscopic-assisted (SPLA group) and 15 were submitted to conventional OVH (OPEN group). Intra-operative period was divided into 7 stages: (1) access to abdominal cavity; (2) pneumoperitoneum; approach to the right (3) and left (4) ovarian pedicle and uterine body (5); (6) abdominal or vaginal synthesis, performed in 6 out of 12 patients of NOTES; (7) inoperative time. Overall and stages operative times, intra and postoperative complications and technical difficulties were compared among groups. Mean overall surgical time in NOTES (25.7±6.8 minutes) and SPLA (23.1±4.0 minutes) groups were shorter than in the OPEN group (34.0±6.4 minutes) (P<0.05). The intraoperative stage that required the longest time was the approach to the uterine body in the NOTES group and abdominal and cutaneous sutures in the OPEN group. There was no difference regarding the rates of complications. Major complications included postoperative bleeding requiring reoperation in a bitch in the OPEN group, while minor complications included mild vaginal discharge in four patients in the NOTES group and seroma in three bitches in the SPLA group. In conclusion, total-NOTES and SPLA OVH were less time-consuming then conventional OVH in bitches. All techniques presented complications, which were properly managed. |
| first_indexed | 2024-12-12T07:23:21Z |
| format | Article |
| id | doaj.art-2ba63ea9ae3a4789908413fb282e90cf |
| institution | Directory Open Access Journal |
| issn | 1678-4162 |
| language | English |
| last_indexed | 2024-12-12T07:23:21Z |
| publishDate | 2015-06-01 |
| publisher | Universidade Federal de Minas Gerais |
| record_format | Article |
| series | Arquivo Brasileiro de Medicina Veterinária e Zootecnia |
| spelling | doaj.art-2ba63ea9ae3a4789908413fb282e90cf2022-12-22T00:33:13ZengUniversidade Federal de Minas GeraisArquivo Brasileiro de Medicina Veterinária e Zootecnia1678-41622015-06-0167364765410.1590/1678-4162-7400S0102-09352015000300647Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitchesM.A.M. SilvaG.H. ToniolloF.N. FloresC.A.A. ValadãoR.M. MedeirosD.J. CardilliA.P. GeringP.P.M. TeixeiraG.M.C. SerafiniA.S. Coutinho-JúniorR.N. LibardoniM.V. BrunThe recently developed minimally invasive techniques of ovariohysterectomy (OVH) have been studied in dogs in order to optimize their benefits and decrease risks to the patients. The purpose of this study was to compare surgical time, complications and technical difficulties of transvaginal total-NOTES, single-port laparoscopic-assisted and conventional OVH in bitches. Twelve bitches were submitted to total-NOTES (NOTES group), while 13 underwent single-port laparoscopic-assisted (SPLA group) and 15 were submitted to conventional OVH (OPEN group). Intra-operative period was divided into 7 stages: (1) access to abdominal cavity; (2) pneumoperitoneum; approach to the right (3) and left (4) ovarian pedicle and uterine body (5); (6) abdominal or vaginal synthesis, performed in 6 out of 12 patients of NOTES; (7) inoperative time. Overall and stages operative times, intra and postoperative complications and technical difficulties were compared among groups. Mean overall surgical time in NOTES (25.7±6.8 minutes) and SPLA (23.1±4.0 minutes) groups were shorter than in the OPEN group (34.0±6.4 minutes) (P<0.05). The intraoperative stage that required the longest time was the approach to the uterine body in the NOTES group and abdominal and cutaneous sutures in the OPEN group. There was no difference regarding the rates of complications. Major complications included postoperative bleeding requiring reoperation in a bitch in the OPEN group, while minor complications included mild vaginal discharge in four patients in the NOTES group and seroma in three bitches in the SPLA group. In conclusion, total-NOTES and SPLA OVH were less time-consuming then conventional OVH in bitches. All techniques presented complications, which were properly managed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352015000300647&lng=en&tlng=encaninoscastraçãolaparoscopiatempo operatórioabordagem transvaginal |
| spellingShingle | M.A.M. Silva G.H. Toniollo F.N. Flores C.A.A. Valadão R.M. Medeiros D.J. Cardilli A.P. Gering P.P.M. Teixeira G.M.C. Serafini A.S. Coutinho-Júnior R.N. Libardoni M.V. Brun Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches Arquivo Brasileiro de Medicina Veterinária e Zootecnia caninos castração laparoscopia tempo operatório abordagem transvaginal |
| title | Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches |
| title_full | Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches |
| title_fullStr | Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches |
| title_full_unstemmed | Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches |
| title_short | Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches |
| title_sort | surgical time and complications of total transvaginal total notes single port laparoscopic assisted and conventional ovariohysterectomy in bitches |
| topic | caninos castração laparoscopia tempo operatório abordagem transvaginal |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352015000300647&lng=en&tlng=en |
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