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Vessel sealing versus suture ligation for canine ovarian pedicle haemostasis: a randomised clinical trial

(2015) VETERINARY RECORD. 176(5).
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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.
Keywords
BIPOLAR ELECTROCOAGULATION, OVARIOHYSTERECTOMY, POSTOPERATIVE COMPLICATIONS, LAPAROSCOPIC OVARIECTOMY, LARGE-SIZED ARTERIES, SURGICAL LASER, CATS, STERILIZATION, DOGS, PORCINE MODEL

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MLA
Schwarzkopf, Ilona et al. “Vessel Sealing Versus Suture Ligation for Canine Ovarian Pedicle Haemostasis: a Randomised Clinical Trial.” VETERINARY RECORD 176.5 (2015): 125. Print.
APA
Schwarzkopf, I., Van Goethem, B., Vandekerckhove, P. M., & De Rooster, H. (2015). Vessel sealing versus suture ligation for canine ovarian pedicle haemostasis: a randomised clinical trial. VETERINARY RECORD, 176(5), 125.
Chicago author-date
Schwarzkopf, Ilona, Bart Van Goethem, Peter M Vandekerckhove, and Hilde De Rooster. 2015. “Vessel Sealing Versus Suture Ligation for Canine Ovarian Pedicle Haemostasis: a Randomised Clinical Trial.” Veterinary Record 176 (5): 125.
Chicago author-date (all authors)
Schwarzkopf, Ilona, Bart Van Goethem, Peter M Vandekerckhove, and Hilde De Rooster. 2015. “Vessel Sealing Versus Suture Ligation for Canine Ovarian Pedicle Haemostasis: a Randomised Clinical Trial.” Veterinary Record 176 (5): 125.
Vancouver
1.
Schwarzkopf I, Van Goethem B, Vandekerckhove PM, De Rooster H. Vessel sealing versus suture ligation for canine ovarian pedicle haemostasis: a randomised clinical trial. VETERINARY RECORD. 2015;176(5):125.
IEEE
[1]
I. Schwarzkopf, B. Van Goethem, P. M. Vandekerckhove, and H. De Rooster, “Vessel sealing versus suture ligation for canine ovarian pedicle haemostasis: a randomised clinical trial,” VETERINARY RECORD, vol. 176, no. 5, p. 125, 2015.
@article{5984438,
  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.},
  author       = {Schwarzkopf, Ilona and Van Goethem, Bart and Vandekerckhove, Peter M and De Rooster, Hilde},
  issn         = {0042-4900},
  journal      = {VETERINARY RECORD},
  keywords     = {BIPOLAR ELECTROCOAGULATION,OVARIOHYSTERECTOMY,POSTOPERATIVE COMPLICATIONS,LAPAROSCOPIC OVARIECTOMY,LARGE-SIZED ARTERIES,SURGICAL LASER,CATS,STERILIZATION,DOGS,PORCINE MODEL},
  language     = {eng},
  number       = {5},
  pages        = {4},
  title        = {Vessel sealing versus suture ligation for canine ovarian pedicle haemostasis: a randomised clinical trial},
  url          = {http://dx.doi.org/10.1136/vr.102693},
  volume       = {176},
  year         = {2015},
}

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