Effect of patient rotation on ovary observation during laparoscopic ovariectomy in dogs

Laparoscopic Evaluation of the Reproductive Tract in Two Female Polar Bears (Three Procedures) (Ursus maritimus)

Polar bears (Ursus maritimus) face a number of challenges that threaten the survival of the species. Captive breeding represents one essential facet of species conservation, but aspects of the polar bear's reproductive physiology, such as follicle maturation, coitus-induced ovulation, and pseudopregnancy, are poorly characterized and present challenges for enhancing natural reproductive success and the application of advanced reproductive techniques. Due to the absence of a reliable transrectal or transabdominal ultrasound method for ovarian examination in the species, the ovaries of two adult female polar bears were examined laparoscopically to evaluate the feasibility of surgical access to the ovaries, oviduct, and uterus. The minimally invasive procedure was easily and rapidly performed in both bears and all procedures. Direct visual assessment of the ovary was possible after dissection of a fatty bursal sac, which completely enclosed the ovaries. In the second bear, laparoscopic manipulation of the ovary to draw it closer to the body wall enabled transcutaneous ultrasound. Laparoscopy may be a valuable tool to aid in the application of advanced reproductive technologies in polar bears.

Comparison of two advanced bipolar tissue sealer/dividers for laparoscopic ovariectomy in dogs: articulating enseal G2 versus Ligasure Maryland device

BACKGROUND

Advanced bipolar tissue sealer/dividers provide the most reliable and efficient means of tissue dissection and blood vessel sealing in laparoscopic surgery and the techniques are continuously improved. In veterinary practice, cost-effectiveness is of major impact, leading to re-use of instruments designed and sold for single use. Two high-end devices were evaluated and compared in a highly standardized laparoscopic ovariectomy procedure in dogs: The new generation Ligasure Maryland Sealer/Divider (LMSD) with improved atraumatic curved jaw shape for delicate tissue handling and dissection and non-stick nanocoating, and the new-generation Articulating Enseal G2 (AENG2) with several proclaimed features improving surgical performance, including articulation of the forceps tip; improved tissue compression during sealing; unique offset electrode configuration; and specific nanoparticle coating minimizing thermal spread and tissue sticking. Twenty-one client-owned dogs admitted for elective laparoscopic ovariectomy were randomly assigned to one of two groups: ovariectomy using AENG2 on the left ovary and LMSD in the right ovary or vice-versa. Procedural video recordings were used to assess ovarian ligament fat score, smoke formation, occurrence of bleeding, and excision duration. Excised tissues were examined histopathologically and collateral thermal damage was scored in three anatomic zones: suspensory ligament, vascular pedicle, and uterine junction. Tissue sealers were used repeatedly following standardized cleaning protocol with instrument washing machine and ethylene oxide gas sterilization and the number of uses until device failure was recorded.

RESULTS

Excision times were significantly increased for AENG2 (median 01:35 min) compared to LMSD (median 01:00 min). Minor hemorrhage from incomplete sealing occurred in 3 sites in 2 patients (2x AENG2, 1x LMSD) and was not significantly different between groups. Smoke production as scored on videos and thermal tissue damage scores on histopathology also did not differ between AENG2 and LMSD. Both vessel sealers could be re-used repeatedly.

CONCLUSION

AENG2 provides a good alternative to LMSD in laparoscopic ovariectomy, with only minor differences in measured variables. Subjectively, the articulating feature of AENG2 did not improve surgical performance in laparoscopic ovariectomy and the use of LMSD appeared more straight-forward for this specific procedure. However, differences in operating these devices may be subject to personal preference.

Laparoscopic ovariectomy in guinea pigs: A pilot study

OBJECTIVE

To assess the feasibility and safety of laparoscopic ovariectomy in guinea pigs utilizing 3-mm minilaparoscopic instruments.

STUDY DESIGN

Experimental pilot study.

ANIMALS

Guinea pigs (n = 3).

METHODS

The guinea pigs were sedated, placed under general anesthesia, and intubated under endoscopic visualization. A 3-port technique was used with a 3.9-mm cannula for the endoscope and two 3.5-mm cannulas accommodating 3-mm endoscopic instruments including a 3-mm vessel sealing device, grasping forceps, and endoscopic scissors. The abdomen was insufflated with CO₂ to a pressure of 6-8 mm Hg. The guinea pigs were manually tilted 90° laterally to visualize the dorsally positioned ovaries.

RESULTS

The procedure was successfully performed in all 3 animals. The surgery times were 120, 45, 45 minutes for the 3 guinea pigs, and anesthesia times were 186, 90, and 76 minutes, respectively. Placing the animals in complete lateral recumbency was found to be critical to visualize and manipulate the ovaries. The guinea pigs recovered smoothly from anesthesia.

CONCLUSION

Laparoscopic ovariectomy with 3-mm minilaparoscopic instrumentation using a 3-port technique was feasible in guinea pigs.

CLINICAL SIGNIFICANCE

Laparoscopic ovariectomy can be considered as an alternative to open ovariectomy as an elective surgical technique to prevent reproductive disorders in guinea pigs.