Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352015000300647&lng=en&nrm=iso&tlng=en http://hdl.handle.net/11449/127335 |
Resumo: | 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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Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitchesTempo cirúrgico e das complicações entre as técnicas de ovário-histerectomia totalmente transvaginal (total-NOTES), videoassistida com único portal e convencional em cadelasCaninespaylAparoscopyOperative timeTransvaginal approachCaninosCastraçãolAparoscopiaTempo operatório|Labordagem transvaginalThe 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.O emprego de novas técnicas minimamente invasivas de ovário-histerectomia (OHE) vem sendo estudado em cães com o intuito de otimizar seus benefícios e reduzir os riscos aos pacientes. O presente estudo objetivou comparar o tempo cirúrgico, as complicações e dificuldades técnicas entre as abordagens por total-NOTES transvaginal, videoassistida com único portal e por celiotomia para ovário-histerectomia (OVH) em cadelas. Foram operados 12 animais por total-NOTES (grupo NOTES), 13 pela técnica videoassistida (grupo SPLA) e 15 pela técnica convencional (grupo OPEN). O período intraoperatório foi dividido em sete etapas: (1) acesso à cavidade abdominal; (2) criação do pneumoperitônio; abordagem ao pedículo ovariano direito (3), esquerdo (4) e ao corpo uterino (5); (6) síntese abdominal ou vaginal, realizado em seis de 12 pacientes do grupo NOTES; (7) tempo inoperante. Os parâmetros avaliados foram o tempo cirúrgico total e de cada etapa intraoperatória, a frequência de complicações intra e pós-operatórias e dificuldades técnicas. O tempo cirúrgico total médio dos grupos NOTES (25,7±6,8 minutos) e SPVA (23,1±4,0 minutos) foram menores que o do grupo OPEN (34,0±6,4 minutos) (P<0.05). A etapa intraoperatória que demandou maior tempo de execução foi a abordagem ao corpo uterino para o grupo NOTES, e síntese abdominal e cutânea para o grupo OPEN. Uma cadela do grupo OPEN necessitou de reintervenção para controle de hemorragia como complicação maior, e três cadelas do grupo SPVA apresentaram seroma de ferida cirúrgica como complicações menores. Concluiu-se que as técnicas de total-NOTES e SPLA apresentaram menor tempo cirúrgico que a abordagem convencional de OVH em cadelas. Todas as técnicas apresentaram complicações que foram adequadamente manejadas.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Universidade de Passo FundoUniversidade Estadual Paulista Júlio de Mesquita FilhoUniversidade Federal de Roraima Centro de Ciências AgráriasUniversidade Estadual do Centro-OesteUniversidade Federal de Santa Maria Centro de Ciências RuraisUniversidade Estadual Paulista Júlio de Mesquita FilhoFAPESP: 2008/56695-9FAPESP: 2009/14712-7Universidade Federal de Minas Gerais, Escola de VeterináriaUniversidade de Passo FundoUniversidade Estadual Paulista (Unesp)Universidade Federal de Roraima Centro de Ciências AgráriasUniversidade Estadual do Centro-OesteUniversidade Federal de Santa Maria Centro de Ciências RuraisSilva, M. A. M.Toniollo, G. H. [UNESP]Flores, F. N.Valadão, C. A. A. [UNESP]Medeiros, R. M. [UNESP]Cardilli, D. J. [UNESP]Gering, A. P. [UNESP]Teixeira, P. P. MSerafini, G. M. C.Coutinho-Júnior, A. S.Libardoni, R. N.Brun, M. V.2015-08-26T19:19:13Z2015-08-26T19:19:13Z2015-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article647-654application/pdfhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352015000300647&lng=en&nrm=iso&tlng=enArquivo Brasileiro de Medicina Veterinária e Zootecnia, v. 67, n. 3, p. 647-654, 2015.0102-0935http://hdl.handle.net/11449/12733510.1590/1678-4162-7400S0102-09352015000300647S0102-09352015000300647.pdf5604409973209376SciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengArquivo Brasileiro de Medicina Veterinária e Zootecnia0.2860,248info:eu-repo/semantics/openAccess2023-10-13T06:05:40Zoai:repositorio.unesp.br:11449/127335Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-10-13T06:05:40Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches Tempo cirúrgico e das complicações entre as técnicas de ovário-histerectomia totalmente transvaginal (total-NOTES), videoassistida com único portal e convencional em cadelas |
title |
Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches |
spellingShingle |
Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches Silva, M. A. M. Canine spay lAparoscopy Operative time Transvaginal approach Caninos Castração lAparoscopia Tempo operatório|Labordagem transvaginal |
title_short |
Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches |
title_full |
Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches |
title_fullStr |
Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches |
title_full_unstemmed |
Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches |
title_sort |
Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches |
author |
Silva, M. A. M. |
author_facet |
Silva, M. A. M. Toniollo, G. H. [UNESP] Flores, F. N. Valadão, C. A. A. [UNESP] Medeiros, R. M. [UNESP] Cardilli, D. J. [UNESP] Gering, A. P. [UNESP] Teixeira, P. P. M Serafini, G. M. C. Coutinho-Júnior, A. S. Libardoni, R. N. Brun, M. V. |
author_role |
author |
author2 |
Toniollo, G. H. [UNESP] Flores, F. N. Valadão, C. A. A. [UNESP] Medeiros, R. M. [UNESP] Cardilli, D. J. [UNESP] Gering, A. P. [UNESP] Teixeira, P. P. M Serafini, G. M. C. Coutinho-Júnior, A. S. Libardoni, R. N. Brun, M. V. |
author2_role |
author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade de Passo Fundo Universidade Estadual Paulista (Unesp) Universidade Federal de Roraima Centro de Ciências Agrárias Universidade Estadual do Centro-Oeste Universidade Federal de Santa Maria Centro de Ciências Rurais |
dc.contributor.author.fl_str_mv |
Silva, M. A. M. Toniollo, G. H. [UNESP] Flores, F. N. Valadão, C. A. A. [UNESP] Medeiros, R. M. [UNESP] Cardilli, D. J. [UNESP] Gering, A. P. [UNESP] Teixeira, P. P. M Serafini, G. M. C. Coutinho-Júnior, A. S. Libardoni, R. N. Brun, M. V. |
dc.subject.por.fl_str_mv |
Canine spay lAparoscopy Operative time Transvaginal approach Caninos Castração lAparoscopia Tempo operatório|Labordagem transvaginal |
topic |
Canine spay lAparoscopy Operative time Transvaginal approach Caninos Castração lAparoscopia Tempo operatório|Labordagem transvaginal |
description |
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. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-08-26T19:19:13Z 2015-08-26T19:19:13Z 2015-06-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352015000300647&lng=en&nrm=iso&tlng=en Arquivo Brasileiro de Medicina Veterinária e Zootecnia, v. 67, n. 3, p. 647-654, 2015. 0102-0935 http://hdl.handle.net/11449/127335 10.1590/1678-4162-7400 S0102-09352015000300647 S0102-09352015000300647.pdf 5604409973209376 |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352015000300647&lng=en&nrm=iso&tlng=en http://hdl.handle.net/11449/127335 |
identifier_str_mv |
Arquivo Brasileiro de Medicina Veterinária e Zootecnia, v. 67, n. 3, p. 647-654, 2015. 0102-0935 10.1590/1678-4162-7400 S0102-09352015000300647 S0102-09352015000300647.pdf 5604409973209376 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Arquivo Brasileiro de Medicina Veterinária e Zootecnia 0.286 0,248 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
647-654 application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais, Escola de Veterinária |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais, Escola de Veterinária |
dc.source.none.fl_str_mv |
SciELO reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1799964543896518656 |