Comparison of surgical variables in cats undergoing single-incision laparoscopic ovariectomy using a LigaSure or extracorporeal suture versus open ovariectomy

Authors

  • James G. Coisman DVM,

    1. Departments of Small Animal Clinical Sciences and Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
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  • J. Brad Case DVM, MS, Diplomate ACVS,

    Corresponding author
    1. Departments of Small Animal Clinical Sciences and Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
    • Corresponding Author

      Dr. J. Brad Case, DVM, MS, Diplomate ACVS, Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Avenue, Gainesville, FL 32610. E-mail: caseb@ufl.edu

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  • Andre Shih DVM, Diplomate ACVA,

    1. Departments of Small Animal Clinical Sciences and Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
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  • Kelly Harrison DVM, MS,

    1. Departments of Small Animal Clinical Sciences and Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
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  • Natalie Isaza DVM,

    1. Departments of Small Animal Clinical Sciences and Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
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  • Gary Ellison DVM, MS, Diplomate ACVS

    1. Departments of Small Animal Clinical Sciences and Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
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ABSTRACT

Objective

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).

Study Design

Randomized, blinded, prospective study.

Animals

Healthy, domestic female cats (n = 24).

Methods

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.

Results

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.

Conclusions

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.

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