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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Surgical time and complications of total transvaginal (total-NOTES), single-port laparoscopic-assisted and conventional ovariohysterectomy in bitches

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Author(s):
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Silva, M. A. M. [1] ; Toniollo, G. H. [2] ; Flores, F. N. [3] ; Valadao, C. A. A. [2] ; Medeiros, R. M. [2] ; Cardilli, D. J. [2] ; Gering, A. P. [2] ; Teixeira, P. P. M. [4] ; Serafini, G. M. C. [5] ; Coutinho-Junior, A. S. [5] ; Libardoni, R. N. [5] ; Brun, M. V. [5]
Total Authors: 12
Affiliation:
[1] Univ Passo Fundo, Passo Fundo, RS - Brazil
[2] Univ Estadual Paulista, FCAV, UNESP, Jaboticabal, SP - Brazil
[3] Univ Fed Roraima UFRR, Ctr Ciencias Agr, Boa Vista, RR - Brazil
[4] Univ Estadual Centro Oeste, UNICENTRO, Guarapuava, PR - Brazil
[5] Univ Fed Santa Maria, CCR, BR-97119900 Santa Maria, RS - Brazil
Total Affiliations: 5
Document type: Journal article
Source: Arquivo Brasileiro de Medicina Veterinária e Zootecnia; v. 67, n. 3, p. 647-654, JUN 2015.
Web of Science Citations: 5
Abstract

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. (AU)

FAPESP's process: 09/14712-7 - Evaluation of the surgical thecnique, post operative systemic inflamatory response, stress and pain in bitches following transvaginal laparoscopic (notes), video-assisted and conventional ovariohisterectomy
Grantee:Gilson Hélio Toniollo
Support Opportunities: Regular Research Grants