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Stoneburner RM, Giuffrida MA, Scott JE. Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal diplomate and resident veterinary surgeons. Vet Surg 2024; 53:824-833. [PMID: 38877654 DOI: 10.1111/vsu.14123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 05/02/2024] [Accepted: 05/19/2024] [Indexed: 06/16/2024]
Abstract
OBJECTIVE To document the utilization and training of laparoscopic and thoracoscopic minimally invasive surgery (MIS) techniques within the American, European, Australian and New Zealand Colleges of Small Animal Veterinary Surgeons (ACVS, ECVS, and ANZCVS) in 2020. STUDY DESIGN Observational study. SAMPLE POPULATION Diplomates and residents of the ACVS, ECVS, and FANZCVS. METHODS An electronic survey was sent using veterinary list servers. Questions were organized into categories evaluating (1) the demographics of the study population and the caseload, (2) comfort level with specific procedures, (3) motivating factors and limitations, and (4) surgical training and the role of the governing bodies. RESULTS Respondents included 111 practicing surgeons and 28 residents. Respondents' soft-tissue MIS caseloads had increased since they first started performing MIS; however, most respondents were only comfortable performing basic laparoscopy. Over half of the respondents agreed on the patient benefits and high standard of care provided by MIS. Perceived adequate soft-tissue training in MIS during residency was strongly associated with perceived proficiency at the time of survey response. Most respondents agreed that the specialty colleges should take a more active role in developing standards for soft-tissue MIS, with residents agreeing that a required standardized course would be beneficial. CONCLUSION Soft-tissue MIS is widely performed by diplomates and residents. Perceived adequate soft-tissue MIS training was strongly associated with perceived proficiency. CLINICAL SIGNIFICANCE There is substantial underutilization of advanced MIS techniques in veterinary specialty surgical practice, which might be improved by a stronger focus on MIS training during residency.
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Affiliation(s)
| | - Michelle A Giuffrida
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California, USA
| | - Jacqueline E Scott
- VCA Canada 404 Veterinary Emergency and Referral Hospital, Newmarket, Ontario, Canada
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Romagnoli S, Krekeler N, de Cramer K, Kutzler M, McCarthy R, Schaefer-Somi S. WSAVA guidelines for the control of reproduction in dogs and cats. J Small Anim Pract 2024; 65:424-559. [PMID: 38804079 DOI: 10.1111/jsap.13724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 01/19/2024] [Accepted: 02/07/2024] [Indexed: 05/29/2024]
Affiliation(s)
- S Romagnoli
- Department of Animal Medicine, Production and Health, Viale dell'Università 16, University of Padova, Legnaro, 35020, Italy
| | - N Krekeler
- Department of Biomedical Sciences, Melbourne Veterinary School, Faculty of Science, Melbourne, VIC, Australia
| | - K de Cramer
- Department of Production Animals, Faculty of Veterinary Science, University of Pretoria, Onderstepoort, Pretoria, South Africa
| | - M Kutzler
- Dept of Animal and Rangeland Sciences, Oregon State University, 112 Withycombe Hall, Corvallis, OR, 97331, USA
| | - R McCarthy
- Department of Veterinary Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA, 01536, United States
| | - S Schaefer-Somi
- Center for Reproduction, Vetmeduni Vienna, Veterinärplatz 1, Vienna, 1210, Austria
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Espadas-González L, Usón-Casaús JM, Pastor-Sirvent N, Santella M, Ezquerra-Calvo J, Pérez-Merino EM. Using complete blood count-derived inflammatory markers to compare postoperative inflammation in dogs undergoing open or laparoscopic ovariectomy. Vet Rec 2023; 193:e2835. [PMID: 37043624 DOI: 10.1002/vetr.2835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 01/26/2023] [Accepted: 03/02/2023] [Indexed: 04/14/2023]
Abstract
BACKGROUND The inflammatory response triggered in dogs after laparoscopic ovariectomy (LapOV) or ovariectomy through mini-celiotomy (COV) has never been compared using the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and systemic inflammatory index (SII). METHODS Bitches underwent LapOV (n = 25) or COV (n = 25). NLR, PLR and SII were calculated 1 hour before ovariectomy (T0) and 2-3, 6-8 and 20-24 hours (T1-T3) after surgery. RESULTS Surgical time was longer in the LapOV group. Changes over time were observed in the NLR, PLR and SII in both groups (p < 0.001). PLR at baseline and T1 (p = 0.03 and 0.01) and NLR, PLR and SII at T2 (p = 0.01, 0.01 and 0.009) were higher in the LapOV group than in the COV group, but they did not differ at T3. LIMITATIONS The overrepresentation of Greyhounds in the LapOV group and the short-term follow-up are the study's main limitations. CONCLUSION Although an inflammatory peak was observed 6-8 hours after COV or LapOV, it was higher after the laparoscopy. However, there was no difference in the bitches' inflammatory status 24 hours after surgery.
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Affiliation(s)
| | | | | | - Massimo Santella
- Veterinary Teaching Hospital, University of Extremadura, Cáceres, Spain
| | | | - Eva M Pérez-Merino
- Department of Animal Medicine, University of Extremadura, Cáceres, Spain
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The Effect of Different Preoperative Depilation Ways on the Healing of Wounded Skin in Mice. Animals (Basel) 2022; 12:ani12050581. [PMID: 35268149 PMCID: PMC8909386 DOI: 10.3390/ani12050581] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 02/20/2022] [Accepted: 02/23/2022] [Indexed: 02/01/2023] Open
Abstract
Simple Summary An increasing number of animals, including pets, may undergo surgery due to diseases or cesarean section nowadays. To reduce surgical site infection, hair removal is a necessary step before the surgical procedure because of the dense hair layer on the skin. However, previous studies showed that inappropriate hair removal methods might even increase surgical site infection rates. Although there are many commonly used preoperative depilation methods, it still has no detailed, unified selection criteria for animal preoperative hair removal. Therefore, we intend to provide a scientific and practical reference for veterinarians. To explore more specific details on whether depilation affects the condition of a surgical site, we established a skin wound model after the depilation step and then compared four commonly used hair-removal methods through morphological assessment and histopathological analysis. Ultimately, we concluded that the electric shaving method is the best method for preoperative depilation, followed by the depilatory cream method, and the sodium sulfide aqueous solution depilation method is the worst. We hope that the results of this study can provide useful reference points for veterinarians and researchers and help refine surgical procedures and maintain animal welfare. Abstract Hair removal is necessary before operating on animals with dense hair layers. To provide an appropriate hair removal method and maintain animal welfare, we introduced four commonly used depilation methods—namely, scissors shearing, electric shaving, depilatory cream, and sodium sulfide, and made systematic comparisons, instead of only examining one or two methods, as reported in the past. To further assess convenience and possible effects on skin wound healing, we performed a skin trauma model after depilation in C57BL/6J mice and recorded wound healing time. Meanwhile, the skin tissues around the wound were stained with H&E and Masson. The results showed that the wound contraction rate of the sodium sulfide group was significantly lower than other groups at different points in time. Furthermore, depilatory cream and sodium sulfide methods could induce a topical inflammatory response on the third day after the operation and delay the regeneration of collagen fibers. We concluded that sodium sulfide depilatory has a significant negative effect on wound healing. Depilatory cream is gentler, with mild skin irritation and symptoms of inflammation. The electric shaving method is more convenient and safer, and thus could be the best choice for preoperative depilation.
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Buote NJ, Carney P, Sumner J. Pet-owner perceptions of laparoscopy in an urban hybrid veterinary practice. Vet Surg 2021; 51 Suppl 1:O80-O91. [PMID: 34595765 DOI: 10.1111/vsu.13730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 08/07/2021] [Accepted: 08/25/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To investigate owner perceptions of laparoscopic surgery, including attitudes towards paying more for minimally invasive surgery (MIS). STUDY DESIGN Randomized cross-sectional prospective survey. SAMPLE POPULATION One hundred owners presenting at a combined general and specialty practice. METHODS Participants were interviewed using a survey tool to assess prior knowledge of laparoscopic procedures, attitude for or against these procedures, reasons for this attitude, and whether they would pay more for these procedures. Demographic data were collected. RESULTS Fifty-five percent of owners had previous knowledge of laparoscopy. Ninety-two percent of owners would choose laparoscopy over an open procedure for their pet. Reasons given for preferring laparoscopy: less postoperative pain (66.3%), shorter length of hospitalization (26.1%), better cosmesis (20.1%), perception of lower cost (15.2%), faster return to function (14.1%), length of anesthesia (5.4%), and other reasons (26.1%). Ninety-one percent of owners were willing to pay more for MIS. Among owners who indicated they would be willing to pay more, owners presenting with dogs were 2.5 times more likely to be willing to pay at least $1000 more than owners presenting with cats. CONCLUSION The majority of owners surveyed at a large hybrid hospital in an urban setting choose laparoscopic over open procedures and are willing to pay more for them. CLINICAL SIGNIFICANCE The results highlight the importance of client and veterinarian education regarding the options of MIS for pets, as owners who are informed may prefer referral for these procedures. The financial investment to build a MIS practice may be justified.
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Affiliation(s)
- Nicole J Buote
- VCA West Los Angeles, Los Angeles, California, USA.,Department of Clinical Sciences, Cornell University, Ithaca, New York, USA
| | - Patrick Carney
- Department of Clinical Sciences, Cornell University, Ithaca, New York, USA
| | - Julia Sumner
- Department of Clinical Sciences, Cornell University, Ithaca, New York, USA
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Fausak ED. A Mapping Study of Veterinary Literature on Perceptions and Attitudes of Female Canine Spaying. Front Vet Sci 2020; 7:559659. [PMID: 33344522 PMCID: PMC7746841 DOI: 10.3389/fvets.2020.559659] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Accepted: 11/04/2020] [Indexed: 12/16/2022] Open
Abstract
This is a mapping study conducted to evaluate the characteristics of where content that engages in perspectives or attitudes on female dog spaying is published. Three databases, CAB Direct, PubMed, and Scopus, were systematically searched. There were 84 out of 642 papers identified and screened for relevance on attitudes or perceptions on female canine spaying. These 84 articles were then examined for recurring authors, institutional representation, and publisher information. Additionally, information regarding the population being addressed, veterinarian or client, was noted with most literature addressing the veterinary perspective. Many important articles were published in a wide array of journals from many countries, which suggests the importance of not only browsing journals but also searching for relevant literature in databases like CAB Abstracts and MEDLINE.
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Affiliation(s)
- Erik Davis Fausak
- University Library, University of California, Davis, Davis, CA, United States
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Del Romero A, Cuervo B, Peláez P, Miguel L, Torres M, Yeste M, Rivera del Alamo MM, Rubio CP, Rubio M. Changes in Acute Phase Proteins in Bitches after Laparoscopic, Midline, and Flank Ovariectomy Using the Same Method for Hemostasis. Animals (Basel) 2020; 10:ani10122223. [PMID: 33260846 PMCID: PMC7761362 DOI: 10.3390/ani10122223] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 11/23/2020] [Accepted: 11/23/2020] [Indexed: 02/05/2023] Open
Abstract
Simple Summary Ovariectomy is a common surgical procedure in veterinary medicine, with many techniques involved. The aim of this study is to objectively evaluate the acute phase response by measuring the changes in a panel of acute phase proteins after applying three different ovariectomy techniques. C-reactive protein values showed increases of lower magnitude after laparoscopic ovariectomy compared with other techniques, indicating that this surgical technique induces a reduced inflammatory response and tissue damage. The use of this procedure is in agreement with the current tendency to use minimally invasive procedures for ovariectomy. Abstract Acute phase proteins (APP) are biomarkers of systemic inflammation, which allow monitoring the evolution of diseases, the response to treatments, and post-operative complications. Ovariectomy (OVE) is frequently performed in veterinary medicine and can be a useful model to evaluate surgical trauma and inflammation in the bitch. The objective was to investigate and compare the acute phase response (APR) after applying three different OVE techniques by measuring serum levels of C-reactive protein (CRP), haptoglobin (Hp), albumin (Alb), and paraoxonase-1 (PON-1). Forty-five intact bitches were included in the study, being randomly distributed into three groups: laparoscopic OVE (L), midline OVE (M), and flank OVE (F). Serum CRP, Hp, Alb, and PON-1 were measured before surgery, 1, 24, 72, and 168 h post-intervention. CRP levels increased significantly 24 h post-surgery in the M and F groups, but no significant variation was observed in the L group at any time of the study period. Hp was significantly higher in group L than in group F 72 h post-surgery. Alb and PON-1 showed no statistical difference among groups or among sampling periods. CRP response suggests that the use of laparoscopic procedures produce lower inflammation compared to open conventional approaches when performing OVE in the bitch.
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Affiliation(s)
- Ayla Del Romero
- Bioregenerative Medicine and Applied Surgery Research Group, Department of Animal Medicine and Surgery, University CEU—Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain; (A.D.R.); (P.P.); (L.M.); (M.T.); (M.R.)
- García Cugat Foundation CEU-UCH Chair of Medicine and Regenerative Surgery, University CEU-Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain
| | - Belén Cuervo
- Bioregenerative Medicine and Applied Surgery Research Group, Department of Animal Medicine and Surgery, University CEU—Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain; (A.D.R.); (P.P.); (L.M.); (M.T.); (M.R.)
- García Cugat Foundation CEU-UCH Chair of Medicine and Regenerative Surgery, University CEU-Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain
- Correspondence: ; Tel.: +34-96-136-9000 (ext. 66017)
| | - Pau Peláez
- Bioregenerative Medicine and Applied Surgery Research Group, Department of Animal Medicine and Surgery, University CEU—Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain; (A.D.R.); (P.P.); (L.M.); (M.T.); (M.R.)
- García Cugat Foundation CEU-UCH Chair of Medicine and Regenerative Surgery, University CEU-Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain
| | - Laura Miguel
- Bioregenerative Medicine and Applied Surgery Research Group, Department of Animal Medicine and Surgery, University CEU—Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain; (A.D.R.); (P.P.); (L.M.); (M.T.); (M.R.)
- García Cugat Foundation CEU-UCH Chair of Medicine and Regenerative Surgery, University CEU-Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain
| | - Marta Torres
- Bioregenerative Medicine and Applied Surgery Research Group, Department of Animal Medicine and Surgery, University CEU—Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain; (A.D.R.); (P.P.); (L.M.); (M.T.); (M.R.)
- García Cugat Foundation CEU-UCH Chair of Medicine and Regenerative Surgery, University CEU-Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain
| | - Marc Yeste
- Biotechnology of Animal and Human Reproduction (TechnoSperm), Institute of Food and Agricultural Technology, University of Girona, E-17003 Girona, Spain;
- Unit of Cell Biology, Department of Biology, Faculty of Sciences, University of Girona, E-17003 Girona, Spain
| | - Maria Montserrat Rivera del Alamo
- Unit of Animal Reproduction, Department of Animal Medicine and Surgery, School of Veterinary Medicine, Autonomous University of Barcelona, E-08193 Bellaterra (Cerdanyola Del Vallès), Spain;
| | - Camila P. Rubio
- Interdisciplinary Laboratory of Clinical Analysis (Interlab-UMU), Veterinary School, Campus of Excellence Mare Nostrum, University of Murcia, Espinardo, 30100 Murcia, Spain;
| | - Mónica Rubio
- Bioregenerative Medicine and Applied Surgery Research Group, Department of Animal Medicine and Surgery, University CEU—Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain; (A.D.R.); (P.P.); (L.M.); (M.T.); (M.R.)
- García Cugat Foundation CEU-UCH Chair of Medicine and Regenerative Surgery, University CEU-Cardenal Herrera, CEU Universities, C/Tirant lo Blanc, 7, Alfara del Patriarca, 46115 Valencia, Spain
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Vallarino N, Wydooghe E, van Goethem B. Laparoscopic gonadectomy in dogs with ovotesticular disorder of sexual development. Reprod Domest Anim 2020; 55:1172-1179. [PMID: 32599672 DOI: 10.1111/rda.13759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Accepted: 06/20/2020] [Indexed: 11/30/2022]
Abstract
Disorders of sexual development (DSD) in dogs involve most commonly an XX sex reversal syndrome, treated conventionally by gonadohysterectomy. The objective of the present case series is to describe the surgical treatment and long-term follow-up of dogs undergoing laparoscopic gonadectomy without hysterectomy for treatment of ovotesticular DSD. Six female dogs clinically diagnosed with DSD were retrospectively included in the study when laparoscopic gonadectomy was performed and histology confirmed the presence of abnormal gonads. The dogs were evaluated by ultrasound after 6 months, and owners were contacted by phone for the long-term reevaluation. Laparoscopic gonadectomy was performed using 2- or 3-portal midline techniques with 3- and/or 5-mm instruments. Additional procedures were performed in 5 dogs, including os clitoris removal in 4 dogs and vulvoplasty in 1 dog. Histological analysis of the gonads reported 11 ovotestes and 1 testis. No major or minor complications occurred perioperatively. Ultrasonographic reevaluation was performed in 5/6 dogs and the remaining abdominal genital system was considered normal. Median long-term follow-up was 617 days (range, 265-1597) with none of the dogs having any symptom related to DSD. Therefore, laparoscopic gonadectomy is a valid alternative for dogs with ovotesticular DSD and is less invasive than conventional open techniques. Removal of the gonads avoids future development of hormone-related diseases of the remaining genital tract.
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Affiliation(s)
- Nicolas Vallarino
- Small Animal Teaching Hospital, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
| | - Eline Wydooghe
- Department of Obstetrics, Reproduction and Herd Health, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
| | - Bart van Goethem
- Small Animal Teaching Hospital, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
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Lutz KM, Hartnack S, Reichler IM. Do prevalence rates and severity of acquired urinary incontinence differ between dogs spayed by laparoscopy or laparotomy? Comparing apples with apples with a matched-pair cohort study. Vet Surg 2019; 49 Suppl 1:O112-O119. [PMID: 31680282 DOI: 10.1111/vsu.13343] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2019] [Revised: 07/23/2019] [Accepted: 09/10/2019] [Indexed: 01/21/2023]
Abstract
OBJECTIVE To compare the prevalence rates and severity of acquired urinary incontinence (AUI) between dogs spayed with laparoscopic and open laparotomy approaches. STUDY DESIGN Retrospective matched-pair cohort study. ANIMALS In total, 1285 privately owned dogs spayed >5 years previously were included in the study. METHODS Laparoscopically spayed dogs were matched with dogs spayed by traditional laparotomy. Matching variables were breed, bodyweight, age at spaying, time of spaying in relation to the onset of puberty, time interval since spaying, and age. In 400 matched-paired dogs, the outcome of AUI was assessed by using an owner questionnaire. A conditional logistic regression for matched pairs was performed on the data of 308 dogs. RESULTS Among 308 dogs, 30 and 29 dogs spayed by laparotomy and laparoscopy, respectively, were affected by AUI. The identified risk factors for AUI were age and time interval since spaying. The surgical approach (laparoscopy or laparotomy) was neither revealed as a risk factor nor did it influence the severity of AUI. CONCLUSION The risk of AUI after spaying is not influenced by the surgical approach, (laparoscopy or laparotomy). Nearly every fifth dog spayed by laparotomy or by laparoscopy was affected by AUI. A relatively longer time interval since spaying and increased age of the dog increased the risk for AUI. CLINICAL SIGNIFICANCE Owners of dogs with a predisposition for AUI must be counseled about this risk when they present their dogs for spaying, regardless of surgical approach chosen.
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Affiliation(s)
- Katharina-M Lutz
- Clinic of Reproductive Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland
| | - Sonja Hartnack
- Section of Epidemiology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland
| | - Iris M Reichler
- Clinic of Reproductive Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland
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Manassero M, Viateau V. Advances in laparoscopic spay techniques for dogs: the past, present and future. Vet Rec 2019; 183:742-744. [PMID: 30573578 DOI: 10.1136/vr.k5270] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- Mathieu Manassero
- Ecole Nationale Vétérinaire d'Alfort, 7 Avenue du Général de Gaulle, 94700 Maisons Alfort, France
| | - Véronique Viateau
- Ecole Nationale Vétérinaire d'Alfort, 7 Avenue du Général de Gaulle, 94700 Maisons Alfort, France
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