scholarly journals Feasibility and Safety of Canine Orchiectomy Using Scrotal Approach and a Vessel-Sealing Device: A Prospective Observational Study of 200 Cases

2021 ◽  
Author(s):  
Christos Yiapanis ◽  
Ciprian Ober ◽  
Maria Potamopoulou ◽  
Theodoros Vasilakis ◽  
Joshua Milgram
Keyword(s):  
Spermatic Cord ◽  
Prospective Observational Study ◽  
Postoperative Morbidity ◽  
Categorical Variables ◽  
Surgical Time ◽  
Widespread Application ◽  
Vessel Sealing ◽  
Additional Surgery ◽  
Monopolar Electrosurgery ◽  
Sealing Device

Abstract Background: Canine orchiectomy involves making an incision in the prescrotal area, exteriorizing both testes via the same incision, ligating the blood vessels and spermatic cord, removing the testes, and suturing the incision. A briefer durations of anesthesia and surgery and decrease of postoperative morbidity could be obtain using a vessel sealing device. The aim of this study was to determine the feasibility and safety of orchiectomy in dogs by a scrotal approach with the use of a vessel-sealing device. Scrotal orchiectomy was performed with the use of monopolar electrosurgery device in pure cutting mode and a vessel-sealing device. Data were collected prospectively for the following categorical variables: breed, age, body weight, lifestyle, surgical time, indications for surgery and complications.Results: No complications were reported in 187 of 200 (93.5%). The complications documented were automutilation (AM), incisional complications (IC) and scrotal complications (SC). AM complications (11/200 [5.5%]) and SC complications (2/200 [1%]) were treated without additional surgery and resolved by day 10 after the surgery. Procedure duration (2,1 minutes± 0.4 minutes) was briefer than traditional castration duration reported in literature (3.5 ± 0.4 minutes).Conclusions: Results suggested that canine orchiectomy by scrotal approach with the use of a vessel-sealing device was feasible and safe. Furthermore, it was associated with a low complication rate and had the benefit of reduced surgical time and postoperative morbidity. This technique is promising for widespread application in veterinary surgery to help with haemostasis in canine orchiectomy.

Decreased Surgical Time with a Vessel Sealing Device Versus a Surgical Stapler in Performance of Canine Splenectomy

2014 ◽  
Vol 50 (1) ◽  
pp. 42-45 ◽  
Author(s):  
Christopher J. Monarski ◽  
Michael H. Jaffe ◽  
Phillip H. Kass
Keyword(s):  
Adverse Effect ◽  
Retrospective Study ◽  
Median Time ◽  
Surgical Time ◽  
Surgical Stapler ◽  
Surgical Stapling ◽  
Stapling Device ◽  
Vessel Sealing ◽  
Mean Time ◽  
Sealing Device

The purpose of this retrospective study of 72 dogs was to compare a vessel sealing device with a surgical stapling device for performance of splenectomy. The results of this study demonstrate a statistically significant shorter surgical time for splenectomy, without an adverse effect on outcomes, performed in dogs with the vessel sealing device (mean time, 58.4 min ± 3.3 min; median time, 60 min; range, 22–131 min) compared with a traditional stapling device (mean time, 66.9 min ± 2.4 min; median time, 66 min; range, 40–100 min). No other significant differences were found between the two groups of patients.

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 Partial hepatectomy for treatment of multiple liver abscess in a calf: a case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Reiichiro Sato ◽  
Kazutaka Yamada ◽  
Taiki Yokoyama ◽  
Koki Tanimoto ◽  
Shoko Takeuchi ◽  
...  
Keyword(s):  
Case Report ◽  
Partial Hepatectomy ◽  
Liver Abscess ◽  
Bacterial Infections ◽  
Umbilical Vein ◽  
Abdominal Cavity ◽  
Left Liver Lobe ◽  
Vessel Sealing ◽  
Liver Abscesses ◽  
Sealing Device

Abstract Background Umbilical vein bacterial infections may cause liver abscesses during bacterial ascent. A single liver abscess can be surgically treated by marsupialization, but a risk of recurrence or non-healing remains. Moreover, there is no effective treatment for multiple abscesses. Case presentation A 17-day-old Holstein female calf exhibited reduced general condition, swelling and drainage of the umbilicus, and pressure sores in the area of the carpus, resulting in reluctance to stand up. The umbilicus showed pain at palpation; deep abdominal palpation indicated a swollen umbilical vein coursing from the umbilicus toward the liver. Ultrasonography confirmed a swollen umbilical vein with pus accumulation and multiple abscesses in the liver. Contrast-enhanced computed tomography (CT) examination confirmed that the swollen umbilical vein with fluid continued to the liver, and multiple unenhanced lesions, most likely abscesses, were confirmed in the liver. Partial hepatectomy was performed to remove as many abscesses as possible. For the resection, a vessel sealing device (LigaSureTM) was used to excise a part of the left liver lobe. As we could not remove all the abscesses in the liver during the operation, cefazolin sodium (5 mg/kg) was administered for 14 days after surgery. Post-operatively, blood accumulation was observed in the abdominal cavity, but no signs of peritonitis were found. The calf returned to the farm on day 38 after surgery. Follow-up information was obtained after 1 year, and complications were not reported. Conclusions To our knowledge, this is the first report of partial hepatectomy using a vessel sealing device for a calf with multiple liver abscesses. This case report suggests that the combination of partial hepatectomy and long-term administration of antibacterial drugs may restore the health of calves with multiple liver abscesses.

Evaluation of a vessel-sealing device for use in laparoscopic ovariectomy in mares

2002 ◽  
Vol 31 (3) ◽  
pp. 240-244 ◽  
Author(s):  
Reese Hand ◽  
Peter Rakestraw ◽  
Tex Taylor
Keyword(s):  
Vessel Sealing ◽  
Sealing Device

Morbidity reduction using the vessel sealing device LigaSure™ in breast cancer surgery

2015 ◽  
Vol 47 (4) ◽  
pp. 150-156
Author(s):  
P. Panhofer ◽  
S. Rothe ◽  
M. Schütz ◽  
B. Grohmann-Izay ◽  
P. Dubsky ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Vessel Sealing ◽  
Sealing Device

Evaluation of a vessel-sealing device to assist eye enucleation and exenteration in the horse

2009 ◽  
Vol 21 (11) ◽  
pp. 596-601 ◽  
Author(s):  
M. T. Launois ◽  
J. M. E. F. Vandeweerd ◽  
R. A. R. Perrin ◽  
L. Brogniez ◽  
A. Gabriel ◽  
...  
Keyword(s):  
Eye Enucleation ◽  
Vessel Sealing ◽  
Sealing Device

scholarly journals Complete resection of the alar folds in eight standing horses with a bipolar dividing and vessel‐sealing device

2020 ◽  
Vol 49 (3) ◽  
pp. 521-528
Author(s):  
Airina Kallmyr ◽  
Ellen M. Giving ◽  
Lars O. Moen ◽  
Marianne Øverlie ◽  
Therese Holm ◽  
...  
Keyword(s):  
Complete Resection ◽  
Vessel Sealing ◽  
Sealing Device

Comparison of a 5-mm and 10-mm vessel sealing device in an open ovariectomy model in dogs

2017 ◽  
Vol 180 (17) ◽  
pp. 425-425 ◽  
Author(s):  
N. Devriendt ◽  
B. Van Goethem ◽  
L. Van Brantegem ◽  
M. De Ridder ◽  
A. Kitshoff ◽  
...  
Keyword(s):  
Vessel Sealing ◽  
Sealing Device

scholarly journals Intraoperative breast specimen assessment in breast conserving surgery: comparison between standard mammography imaging and a remote radiological system

2020 ◽  
Vol 93 (1109) ◽  
pp. 20190785
Author(s):  
Giovanna Mariscotti ◽  
Manuela Durando ◽  
Luca Jacopo Pavan ◽  
Alberto Tagliafico ◽  
Pier Paolo Campanino ◽  
...  
Keyword(s):  
Gold Standard ◽  
Standard Specimen ◽  
Breast Conserving Surgery ◽  
Lesion Size ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Surgical Time ◽  
Facilitated Communication ◽  
Whitney Test ◽  
Stratified Analysis

Objective: To compare standard specimen mammography (SSM) with remote intraoperative specimen mammography (ISM) assessment in breast conserving-surgery (BCS) based on operative times, intraoperative additional excision (IAE) and re-intervention rates. Methods and materials: We retrospectively compared 129 consecutive patients (136 lesions) who had BCS with SSM at our centre between 11/2011 and 02/2013 with 138 consecutive patients (144 lesions) who underwent BCS with ISM between 08/2014 and 02/2015. SSM or ISM were performed to confirm the target lesions within the excised specimen and margin adequacy. The utility of SMM and ISM was evaluated considering pathology as gold-standard, using χ2 or Fisher’s exact tests for comparison of categorical variables, and non-parametric Mann–Whitney test for continuous variables. Results: The two groups did not statistically differ for age (p = 0.20), lesion size (p = 0.29) and morphology (p = 0.82) or tumor histology type (p = 0.65). Intraoperative time was significantly longer (p < 0.00001) for SSM (132 ± 43 min) than for ISM (90 ± 42 min). The proportions requiring IAE did not significantly differ between SSM group (39/136 lesions (40%)) and ISM group (52/144 lesions (57%)) (p = 0.19), overall and in stratified analysis by mammographic features. Re-intervention rates were not statistically different between the two groups [SSM:19/136 (14%), ISM:13/144 (9%); p = 0.27]. Conclusion: The introduction of ISM in BCS significantly reduced surgical time but did not change IAE and re-intervention rates, highlighting facilitated communication between surgeons and radiologists. Advances in knowledge: Compared to standard mammography imaging, the use of ISM significantly reduced surgical time.

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