These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Comparison of three techniques for ovarian pedicle hemostasis during laparoscopic-assisted ovariohysterectomy.
    Author: Mayhew PD, Brown DC.
    Journal: Vet Surg; 2007 Aug; 36(6):541-7. PubMed ID: 17686127.
    Abstract:
    OBJECTIVE: To describe the safety, surgical time, and complications associated with 3 techniques for achieving hemostasis during laparoscopic-assisted ovariohysterectomy (LAOVH). STUDY DESIGN: Prospective, randomized clinical trial. ANIMALS: Female dogs (n=30). METHODS: Dogs were randomly assigned to 1 of 3 methods for achieving ovarian pedicle hemostasis during LAOVH: extracorporeal modified Roeder knot application (suture group), metal clip application using a multifire 10 mm laparoscopic clip applier (clip group), or use of a novel 5 mm bipolar vessel-sealing device (vessel-sealing group). In all dogs a 3 median portal technique was used. RESULTS: Controlling for the dogs' bodyweights, there was a significant association between surgical time and which method for hemostasis was used. This association was different when comparing the first 5 procedures using each method to the second 5. For a 20 kg dog, the surgical time (95% CI) for the first 5 procedures was 80 (69-91), 68 (57-79), and 33 (21-45) minutes for the suture, clip, and vessel-sealing groups, respectively. For the second 5 procedures surgical time was 71 (60-81), 50 (39-60), and 40 (29-51) minutes. Pedicle hemorrhage occurred in all dogs in the clip group, 3 dogs in the suture group, and none of the dogs in the vessel-sealing group although in all cases was considered hemodynamically inconsequential. All dogs recovered uneventfully. CONCLUSIONS: All methods of hemostasis were safe for pedicle sectioning. A learning curve exists for clip and suture methods. CLINICAL RELEVANCE: Use of a vessel-sealing device significantly shortens surgical time and provides excellent hemostasis during LAOVH.
    [Abstract] [Full Text] [Related] [New Search]