title: Vessel sealing versus suture ligation for canine ovarian pedicle haemostasis: a randomised clinical trial.
abstract: Vessel sealing (VS) is well established in laparoscopic ovariectomy (OVE) in dogs. The objectives of this study were to evaluate the efficacy of ovarian pedicle haemostasis by VS using a commercially available VS tool in open OVE and compare it with suture ligation (SL). A prospective, randomised clinical trial including 20 female dogs was designed. Open OVE was performed via a standard mid-line celiotomy by a single surgeon using a standardised protocol. At random, the right ovarian pedicle was sealed (VS) or ligated (SL) whereas the left pedicle was treated by the alternative technique. Surgical times for procedural stages and intra-operative complications were recorded and statistically evaluated. Total surgical time was 29.28±11.13 minutes (range 12.50-62.13 minutes) and time from identification to removal of the ovary was significantly less when sealing (VS 2.22±0.58 minutes) than when ligating (SL 4.10±1.13 minutes P=0.0001). Intra-operative complications were rare for both techniques (failure of the electrode of the VS device (n=3); ovarian pedicle haemorrhage due to ligature slippage (n=1)). The results of the current study indicate that ovarian pedicle haemostasis achieved by VS is significantly faster than by placement of ligatures without appearing to compromise safety.
authors.affiliation: DAC Malpertuus, Leenstraat 2a, Heusden, OVL 9070, Belgium.
authors.forename: I
authors.initials: I
authors.lastname: Schwarzkopf
authors.affiliation: Department of Small Animal Medicine and Clinical Biology, Faculty of Veterinary Science, University of Ghent, Salisburylaan 133, Merelbeke 9820, Belgium.
authors.forename: B
authors.initials: B
authors.lastname: Van Goethem
authors.affiliation: DAC Malpertuus, Leenstraat 2a, Heusden, OVL 9070, Belgium.
authors.forename: P M
authors.initials: PM
authors.lastname: Vandekerckhove
authors.affiliation: Department of Small Animal Medicine and Clinical Biology, Faculty of Veterinary Science, University of Ghent, Salisburylaan 133, Merelbeke 9820, Belgium.
authors.forename: H
authors.initials: H
authors.lastname: de Rooster
mesh_terms: D000818:Animals; D004285:Dogs; D004564:Electrocoagulation / Q000295:instrumentation / Q000662:veterinary*; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods* / Q000662:veterinary*; D008026:Ligation / Q000662:veterinary*; D061646:Operative Time; D010052:Ovariectomy / Q000662:veterinary*; D011446:Prospective Studies; D012449:Safety; D013537:Sutures / Q000662:veterinary*; D016896:Treatment Outcome
keywords: Abdominal; Dogs; Reproduction; Soft tissue surgery