Original Article: Clinical
Comparison of surgical variables in cats undergoing single-incision laparoscopic ovariectomy using a LigaSure or extracorporeal suture versus open ovariectomy
Article first published online: 26 NOV 2013
© Copyright 2013 by The American College of Veterinary Surgeons
Volume 43, Issue 1, pages 38–44, January 2014
How to Cite
Coisman, J. G., Case, J. B., Shih, A., Harrison, K., Isaza, N. and Ellison, G. (2014), Comparison of surgical variables in cats undergoing single-incision laparoscopic ovariectomy using a LigaSure or extracorporeal suture versus open ovariectomy. Veterinary Surgery, 43: 38–44. doi: 10.1111/j.1532-950X.2013.12073.x
- Issue published online: 2 JAN 2014
- Article first published online: 26 NOV 2013
- Manuscript Accepted: 8 APR 2013
- Manuscript Received: 19 OCT 2012
- University of Florida, College of Veterinary Medicine, Intramural Research Grant
To evaluate the applicability of single-incision laparoscopic ovariectomy (SILOVE) in cats using a single-incision laparoscopic port (SILP); to compare surgical time, complications, and postoperative pain after SILOVE using a LigaSure (SILOVE-LS) or extracorporeal suture (SILOVE-ECS), and open ovariectomy (open-OVE).
Randomized, blinded, prospective study.
Healthy, domestic female cats (n = 24).
Cats underwent physical examination, packed cell volume, total solids and blood urea nitrogen analysis. Cats were randomly assigned to 1 of 3 groups: SILOVE-LS (n = 8), SILOVE-ECS (8) or open-OVE (8). Surgical time, complications, and postoperative pain scores were recorded.
Single-incision laparoscopic ovariectomy was successful in (n = 8) SILOVE-LS cats and (n = 5) SILOVE-ECS cats. Surgical time was significantly longer for the SILOVE-ECS group compared with the SILOVE-LS (P < .0001) and open-OVE (P < .0001) groups, which were not different (P = .55). Complications were more frequent in the SILOVE-ECS group and removal of the SILP was required to complete ovariectomy in 3 cats. Cumulative 4-hour pain scores were not different between groups.
Single-incision laparoscopic ovariectomy using a SILP is a feasible method for OVE in cats. Single-incision laparoscopic ovariectomy using an extracorporeal suture is more time consuming and associated with more complications than either the SILOVE-LS or open-OVE methods.