A Comparison of Times Taken for the Placement of the First Portal and Complication Rates between the Veress Needle Technique and the Modified Hasson Technique in Canine Ovariectomy Laparoscopic Surgery
| Autor: | Amedeo Cuomo, Massimo Vignoli, Amanda Bianchi, Andrea Paolini, Ilaria Falerno, Lorenzo Scaletta, Francesco Collivignarelli, Roberto Tamburro |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Veterinary medicine medicine.medical_treatment laparoscopy Article Pneumoperitoneum Laparotomy SF600-1100 first port medicine Laparoscopy Veress needle modified Hasson technique General Veterinary medicine.diagnostic_test business.industry entry complications Entry complications First port Laparoscopic ovariectomy Modified Hasson technique Time of entry medicine.disease laparoscopic surgery time of entry Surgery medicine.anatomical_structure QL1-991 Pneumothorax laparoscopic ovariectomy Abdomen Animal Science and Zoology medicine.symptom business Zoology Subcutaneous emphysema |
| Zdroj: | Animals : an Open Access Journal from MDPI Animals, Vol 11, Iss 2936, p 2936 (2021) Animals Volume 11 Issue 10 |
| ISSN: | 2076-2615 |
| DOI: | 10.3390/ani11102936 |
| Popis: | Minimally invasive surgery is increasingly being used in veterinary medicine. Laparoscopic procedures have several advantages compared with open surgery. These include the magnification of the field of surgery, reduced post-surgical pain and associated stress, reduced post-operative infection rates, and decreased hospitalization time. The establishment of a pneumoperitoneum is a critical step however, this procedure can prolong the operation time, and most of the complications associated with laparoscopic surgery have been attributed to the insertion of devices into the abdominal cavity. Two main techniques have been employed to create pneumoperitoneum: the closed-entry method using the Veress needle and the open Hasson technique. The first portal is necessary to start insufflation and, subsequently, to realize the operative channel to insert the laparoscopic instruments into the abdomen. Many authors have compared the time necessary to create the first portal using different techniques in human medicine, but studies on this topic in veterinary medicine are lacking. In the veterinary medicine literature, complications associated with the creation of a pneumoperitoneum and the placement of ports include spleen, bowel, or bladder injuries pneumothorax and subcutaneous emphysema. The aim of the present study was to compare the times required for the placement of the first portal and the creation of pneumoperitoneum, and the rates of intraoperative complications using the Veress needle technique (VNT) and the open modified Hasson technique (MHT). The sample population comprised 30 female dogs who underwent laparoscopic ovariectomies. The dogs were randomly organized into two groups and two different entry techniques were used: Veress needle (VNT = group A) and the modified Hasson technique (MHT = group B). Complications related to abdominal entry were classified as major, in cases of organ perforation, and minor, in cases of subcutaneous emphysema and gas leakage. The VNT and MHT required 374.0 s and 242.9 s, respectively, for the placement of the first portal and for establishing pneumoperitoneum (p < 0.05). Their major complications rates were 20% and 0%, respectively (p < 0.05). Their minor complications rates were 20% and 35%, respectively (p < 0.05). No surgical procedures required laparotomy. The MHT was associated with a lower major complication rate and required less time to create the first portal, compared with the Veress needle technique. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|