Leaving a long suture tag on ovarian pedicle ligatures to facilitate ease of re‐location in case of haemorrhage

2022 ◽  
Author(s):  
Paul Maza
Keyword(s):  
Ovarian Pedicle

scholarly journals Preoperative epidural administration of lidocaine-methadone or lidocaine-fentanyl in female dogs undergoing elective ovariohysterectomy

2017 ◽  
Vol 38 (3) ◽  
pp. 1303
Author(s):  
Kalyne Danielly Silva de Oliveira ◽  
Fernanda Vieira Henrique ◽  
Gracineide Da Costa Felipe ◽  
Lyllian Karlla Gomes de Medeiros ◽  
Renato Otaviano do Rego ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Respiratory Rate ◽  
Latency Period ◽  
Epidural Administration ◽  
Rescue Analgesia ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Duration Of Surgery ◽  
Descriptive Scale ◽  
Ovarian Pedicle

We compared the analgesia and cardiopulmonary changes induced by epidural methadone or fentanyl in combination with lidocaine in female dogs undergoing elective ovariohysterectomy and anesthetized with propofol. Eighteen female dogs were randomly assigned to two groups and given either methadone (0.3 mg kg?¹) + 2% lidocaine without vasoconstrictor (LM) or fentanyl (5 µg kg?¹) + 2% lidocaine without vasoconstrictor (LF). The drugs were administered epidurally in a volume of 0.25 ml kg?¹. Heart rate (HR), respiratory rate (RR), rectal temperature (RT), systolic blood pressure (SBP), and blood glucose levels were recorded before and 15 minutes after premedication (T0 and T1); 15 minutes after epidural administration (T2); five minutes after dermotomy (T3); five minutes after clamping of the ovarian pedicle (T4); five minutes and 1, 3, 6, 12, 18, and 24 hours (T5, T6, T7, T8, T9, T10, and T11, respectively) after surgery. The number of additional propofol injections and total propofol dose (mg kg?¹) were recorded. Analgesia was assessed using a numerical descriptive scale. SBP and HR were similar in both groups, but hypotension was detected in animals from both groups at different times. Respiratory rate decreased significantly at T6 in the LF group and was lower than in the LM group. Hypothermia was observed in animals from both groups, but RT was significantly lower than baseline values only at T4 in the LM group. Blood glucose levels increased significantly only in the LF group at T4, T7, and T8. All animals in the LF group and eight animals in the LM group required additional propofol injections at T4, but no significant differences were detected in the number of propofol injections and total propofol dose between the LF (3 ± 1 injections, 7.5 ± 4.5 mg kg?¹) and LM (2 ± 2 injections, 4.5 ± 3.4 mg kg?¹) groups. The latency period, anesthetic period, and the duration of surgery were similar in both groups. No animals required rescue analgesia. The lidocaine-methadone and lidocaine-fentanyl combinations caused minimal cardiorespiratory changes, but did not abolish pain at the time of handling of the ovarian pedicle.

TORSION OF THE OVARIAN PEDICLE

1960 ◽  
Vol 15 (4) ◽  
pp. 602-603
Author(s):  
C. A. DOUGLAS RINGROSE
Keyword(s):  
Ovarian Pedicle

Acute uterine rupture in spontaneous term labour in a healthy primigravida: case report and review of the literature

2015 ◽  
Vol 4 (2) ◽  
pp. 105-107
Author(s):  
Edwin Omih ◽  
James Dwyer
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Uterine Rupture ◽  
Emergency Caesarean Section ◽  
Female Infant ◽  
Review Of The Literature ◽  
Spontaneous Labour ◽  
Operative Findings ◽  
Term Labour ◽  
Ovarian Pedicle

Abstract Uterine rupture is an obstetric complication with potential catastrophic fetal and maternal consequences, if not detected early and managed promptly. We report a case of a 32-year-old primigravida in spontaneous labour at term who had unprovoked acute uterine rupture. Operative findings at emergency caesarean section were a live female infant weighing 3150 g requiring resuscitation, massive haemoperitoneum, and large right vertical posterolateral uterine rupture at the upper segment, extending to the ovarian pedicle and down to the vagina vault.

scholarly journals " TORSION OF OVARIAN PEDICLE IN HERNIAL SAC."

The Lancet ◽  
1896 ◽  
Vol 147 (3787) ◽  
pp. 890
Author(s):  
C.B. Lockwood
Keyword(s):  
Hernial Sac ◽  
Ovarian Pedicle

scholarly journals Laparoscopic Ovariectomy in a Domestic Yak

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Drew W. Koch ◽  
Katharine M. Simpson ◽  
Jeremiah T. Easley ◽  
Eileen S. Hackett
Keyword(s):  
Postoperative Complications ◽  
Small Ruminant ◽  
Laparoscopic Approach ◽  
Surgical Time ◽  
Ruminant Species ◽  
Vessel Sealing ◽  
Ovarian Size ◽  
Future Reproduction ◽  
Ovarian Pedicle ◽  
Sealing Device

Owners of a juvenile domestic yak elected bilateral ovariectomy to prevent future reproduction. The yak was noted to be healthy at presentation. Both ovaries were removed using a laparoscopic approach as follows: after induction and maintenance of general inhalant anesthesia, 15 degrees Trendelenburg positioning was required to view the ovaries. Ovariectomy was conducted within a surgical time of 50 minutes. Due to the small ovarian size, portal enlargement was not necessary for removal. Mild hemorrhage from the left ovarian pedicle was controlled with application of a vessel-sealing device. Postoperative complications were not encountered during hospitalization. At 12 months following surgery, the yak was healthy, and the owner was highly satisfied with the procedure. The described approach was successful for performing laparoscopic ovariectomy in a juvenile yak. Positioning for surgery was similar to other small ruminant species. Further case enrollment is needed to optimize the surgical approach and better describe clinical outcomes.

scholarly journals Significantly delayed polyglactin 910 suture-related pseudoinfection in a Yucatan pig

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Dalis Collins ◽  
Brian Simons
Keyword(s):  
The Body ◽  
Absorbable Suture ◽  
Critical Research ◽  
Polyglactin 910 ◽  
Pain Medications ◽  
Published Report ◽  
History Of ◽  
Ovarian Pedicle ◽  
Yucatan Pig ◽  
Infectious Etiology

Abstract Background Polyglactin 910 is a synthetic braided, absorbable suture commonly used in surgery. Though polyglactin 910 suture-related pseudoinfection is well documented in the human literature, it has not been previously reported in the veterinary literature. Case description A 3-year-old female, ovariectomized but otherwise experimentally naïve Yucatan pig was evaluated for a several week history of bilateral multifocal abscesses in the area of the paralumbar fossa, which continued to worsen despite oral antibiotics and non-steroidal anti-inflammatory medications. The multi-focal abscesses continued to worsen and additional diagnostics were pursued including cytology, culture (aerobic, anaerobic and fungal), and bloodwork. All supported a non-infectious etiology. Biopsy results indicated a suture-related pseudoinfection. Despite treatment including parenteral antibiotics, pain medications and superficial surgical debridement, the dermatologic lesions worsened. Euthanasia was elected. Post-mortem necropsy demonstrated a suture-related pseudoinfection with extrusion of suture material from the ovarian pedicle ligatures through the body wall and skin leading to numerous sterile abscesses in the bilateral paralumbar fossa. Conclusions This is the first published report of a significantly delayed polyglactin 910 suture-related pseudoinfection in a Yucatan pig. While likely an isolated incident, it supports further research into this area. Additionally for critical research studies using Yucatan pigs, pre-surgical assessment with hypersensitivity patch testing may be appropriate.

scholarly journals Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches

2015 ◽  
Vol 67 (3) ◽  
pp. 647-654 ◽  
Author(s):  
M.A.M. Silva ◽  
G.H. Toniollo ◽  
F.N. Flores ◽  
C.A.A. Valadão ◽  
R.M. Medeiros ◽  
...  
Keyword(s):  
Single Port ◽  
Abdominal Cavity ◽  
Postoperative Bleeding ◽  
Open Group ◽  
Surgical Time ◽  
The Right ◽  
Laparoscopic Assisted ◽  
Invasive Techniques ◽  
Ovarian Pedicle ◽  
Uterine Body

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.

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