Dr. Risselada's current address is Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA
Clinical evaluation of a pre-tied ligating loop for liver biopsy and liver lobectomy
Version of Record online: 29 DEC 2012
© 2012 British Small Animal Veterinary Association
Journal of Small Animal Practice
Volume 54, Issue 2, pages 61–66, February 2013
How to Cite
Cuddy, L. C., Risselada, M. and Ellison, G. W. (2013), Clinical evaluation of a pre-tied ligating loop for liver biopsy and liver lobectomy. Journal of Small Animal Practice, 54: 61–66. doi: 10.1111/jsap.12008
- Issue online: 1 FEB 2013
- Version of Record online: 29 DEC 2012
- Accepted: 25 October 2012
The aim of this prospective case series was to evaluate the suitability of a pre-tied ligating loop for liver biopsy or partial or complete liver lobectomy via midline coeliotomy for diagnosis or treatment of hepatic disease.
Nine client-owned animals (six dogs and three cats) in which liver biopsy or partial or complete liver lobectomy was performed using a 2–0 Polysorb™ pre-tied ligating loop (SurgiTie™; Covidien) via midline coeliotomy were included. The fit of the loop, space for incision and presence and character of bleeding from the incised surface were assessed. Pre- and postoperative haematocrit and peri-operative complications were noted. Dimensions, histopathology and mineral analysis of acquired specimens were reviewed.
The pre-tied ligating loop was successfully employed for liver biopsy and resection of torsed liver lobes and neoplastic tissue. Dirty margins were obtained in one case in which complete resection of neoplastic tissue was the primary goal. Few perioperative complications were noted, the most common being generalised oozing from the cut surface in four cases, effectively controlled with local haemostasis.
The pre-tied ligating loop is a versatile and safe method for liver biopsy or lobectomy. As with other surgical techniques, alternative methods of haemostasis should always be available.