Outcome of laparoscopic ovariectomy and laparoscopic-assisted ovariohysterectomy in dogs: 278 cases (2003–2013)

Kayla M. Corriveau Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843.

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Michelle A. Giuffrida Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616.

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Philipp D. Mayhew Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616.

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Jeffrey J. Runge Section of Surgery, Department of Clinical Studies–Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104.

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Abstract

OBJECTIVE To compare outcomes for laparoscopic ovariectomy (LapOVE) and laparoscopic-assisted ovariohysterectomy (LapOVH) in dogs.

DESIGN Retrospective case series.

ANIMALS 278 female dogs.

PROCEDURES Medical records of female dogs that underwent laparoscopic sterilization between 2003 and 2013 were reviewed. History, signalment, results of physical examination, results of preoperative diagnostic testing, details of the surgical procedure, durations of anesthesia and surgery, intraoperative and immediate postoperative (ie, during hospitalization) complications, and short- (≤ 14 days after surgery) and long-term (> 14 days after surgery) outcomes were recorded. Data for patients undergoing LapOVE versus LapOVH were compared.

RESULTS Intraoperative and immediate postoperative complications were infrequent, and incidence did not differ between groups. Duration of surgery for LapOVE was significantly less than that for LapOVH; however, potential confounders were not assessed. Surgical site infection was identified in 3 of 224 (1.3%) dogs. At the time of long-term follow-up, postoperative urinary incontinence was reported in 7 of 125 (5.6%) dogs that underwent LapOVE and 12 of 82 (14.6%) dogs that underwent LapOVH. None of the dogs had reportedly developed estrus or pyometra by the time of final follow-up. Overall, 205 of 207 (99%) owners were satisfied with the surgery, and 196 of 207 (95%) would consider laparoscopic sterilization for their dogs in the future.

CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that short- and long-term outcomes were similar for female dogs undergoing sterilization by means of LapOVE or LapOVH; however, surgery time may have been shorter for dogs that underwent LapOVE. Most owners were satisfied with the outcome of laparoscopic sterilization.

Abstract

OBJECTIVE To compare outcomes for laparoscopic ovariectomy (LapOVE) and laparoscopic-assisted ovariohysterectomy (LapOVH) in dogs.

DESIGN Retrospective case series.

ANIMALS 278 female dogs.

PROCEDURES Medical records of female dogs that underwent laparoscopic sterilization between 2003 and 2013 were reviewed. History, signalment, results of physical examination, results of preoperative diagnostic testing, details of the surgical procedure, durations of anesthesia and surgery, intraoperative and immediate postoperative (ie, during hospitalization) complications, and short- (≤ 14 days after surgery) and long-term (> 14 days after surgery) outcomes were recorded. Data for patients undergoing LapOVE versus LapOVH were compared.

RESULTS Intraoperative and immediate postoperative complications were infrequent, and incidence did not differ between groups. Duration of surgery for LapOVE was significantly less than that for LapOVH; however, potential confounders were not assessed. Surgical site infection was identified in 3 of 224 (1.3%) dogs. At the time of long-term follow-up, postoperative urinary incontinence was reported in 7 of 125 (5.6%) dogs that underwent LapOVE and 12 of 82 (14.6%) dogs that underwent LapOVH. None of the dogs had reportedly developed estrus or pyometra by the time of final follow-up. Overall, 205 of 207 (99%) owners were satisfied with the surgery, and 196 of 207 (95%) would consider laparoscopic sterilization for their dogs in the future.

CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that short- and long-term outcomes were similar for female dogs undergoing sterilization by means of LapOVE or LapOVH; however, surgery time may have been shorter for dogs that underwent LapOVE. Most owners were satisfied with the outcome of laparoscopic sterilization.

Contributor Notes

Address correspondence to Dr. Runge (jrunge@vet.upenn.edu).
  • 1. van Goethem B, Schaefers-Okkens A, Kirpenseijn J. Making a rational choice between ovariectomy and ovariohysterectomy in the dog: a discussion of the benefits of either technique. Vet Surg 2006; 35: 136143.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2. Manassero M, Leperlier D, Vallefuoco R, et al. Laparoscopic ovariectomy in dogs using a single-port multiple-access device. Vet Rec 2012; 171: 69.

  • 3. Runge JJ, Boston RC, Ross SB, et al. Evaluation of the learning curve for a board-certified veterinary surgeon performing laparoendoscopic single-site ovariectomy in dogs. J Am Vet Med Assoc 2014; 245: 828835.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4. Runge JJ, Curcillo PG, King SA, et al. Initial application of reduced port surgery using the single port access technique for laparoscopic canine ovariectomy. Vet Surg 2012; 41: 803806.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5. Case JB, Marvel SJ, Boscan P, et al. Surgical time and severity of postoperative pain in dogs undergoing laparoscopic ovariectomy with one, two, or three instrument cannulas. J Am Vet Med Assoc 2011; 239: 203208.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6. Janssens LAA, Janssens GHRR. Bilateral flank ovariectomy in the dog—surgical technique and sequelae in 72 animals. J Small Anim Pract 1991; 32: 249252.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7. Devitt CM, Cox RE, Hailey JJ. Duration, complications, stress, and pain of open ovariohysterectomy versus a simple method of laparoscopic-assisted ovariohysterectomy in dogs. J Am Vet Med Assoc 2005; 227: 921927.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8. Hancock RB, Lanz OI, Waldron DR, et al. Comparison of postoperative pain after ovariohysterectomy by harmonic scalpel-assisted laparoscopy compared with median celiotomy and ligation in dogs. Vet Surg 2005; 34: 273282.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9. Davidson EB, Moll HD, Payton ME. Comparison of laparoscopic ovariohysterectomy and ovariohysterectomy in dogs. Vet Surg 2004; 33: 6269.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10. Culp WT, Mayhew PD, Brown DC. The effect of laparoscopic versus open ovariectomy on postsurgical activity in small dogs. Vet Surg 2009; 38: 811817.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11. Mayhew PD, Freeman L, Kwan T, et al. Comparison of surgical site infection rates in clean and clean-contaminated wounds in dogs and cats after minimally invasive versus open surgery: 179 cases (2007–2008). J Am Vet Med Assoc 2012; 240: 193198.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12. Mayhew PD, Brown DC. Comparison of three techniques for ovarian pedicle hemostasis during laparoscopic-assisted ovariohysterectomy. Vet Surg 2007; 36: 541547.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13. Wallace ML, Case JB, Singh A, et al. Single incision, laparoscopic-assisted ovariohysterectomy for mucometra and pyometra in dogs. Vet Surg 2015; 44(suppl 1):6670.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14. Burrow R, Batchelor D, Cripps P. Complications observed during and after ovariohysterectomy of 142 bitches at a veterinary teaching hospital. Vet Rec 2005; 157: 829833.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15. Adin CA. Complications of ovariohysterectomy and orchiectomy in companion animals. Vet Clin North Am Small Anim Pract 2011; 41: 10231039.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16. Peeters ME, Kirpensteijn J. Comparison of surgical variables and short-term postoperative complications in healthy dogs undergoing ovariohysterectomy or ovariectomy. J Am Vet Med Assoc 2011; 238: 189194.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17. Harris KP, Adams VJ, Fordyce P, et al. Comparison of surgical duration of canine ovariectomy and ovariohysterectomy in a veterinary teaching hospital. J Small Anim Pract 2013; 54: 579583.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18. Arnold S, Arnold P, Hubler M, et al. Urinary incontinence in spayed female dogs: frequency and breed disposition. Schweiz Arch Tierheilkd 1989; 131: 259263.

    • Search Google Scholar
    • Export Citation
  • 19. Stöcklin-Gautschi NM, Hässig M, Reichler IM, et al. The relationship of urinary incontinence to early spaying in bitches. J Reprod Fertil Suppl 2001; 57: 233236.

    • Search Google Scholar
    • Export Citation
  • 20. Okkens AC, Kooistra HS, Nickel RF. Comparison of long-term effects of ovariectomy versus ovariohysterectomy in bitches. J Reprod Fertil Suppl 1997; 51: 227231.

    • Search Google Scholar
    • Export Citation
  • 21. Austin B, Lanz OI, Hamilton SM, et al. Laparoscopic ovariohysterectomy in nine dogs. J Am Anim Hosp Assoc 2003; 39: 391396.

  • 22. Dupré G, Fiorbianco V, Skalicky M, et al. Laparoscopic ovariectomy in dogs: comparison between single portal and two-portal access. Vet Surg 2009; 38: 818824.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23. McClaran JK, Buote NJ. Complications and need for conversion to laparotomy in small animals. Vet Clin North Am Small Anim Pract 2009; 39: 941951.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24. Berzon JL. Complications of elective ovariohysterectomies in the dog and cat at a teaching institution: clinical review of 853 cases. Vet Surg 1979; 8: 8991.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 25. Levy B, Emery L. Randomized trial of suture versus electrosurgical bipolar vessel sealing in vaginal hysterectomy. Obstet Gynecol 2003; 102: 147151.

    • Search Google Scholar
    • Export Citation
  • 26. Vasseur PB, Levy J, Dowd E, et al. Surgical wound infection rates in dogs and cats. Data from a teaching hospital. Vet Surg 1988; 17: 6064.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27. Brown DC, Conzemius MG, Shofer F, et al. Epidemiologic evaluation of postoperative wound infections in dogs and cats. J Am Vet Med Assoc 1997; 210: 13021306.

    • Search Google Scholar
    • Export Citation
  • 28. Beal MW, Brown DC, Shofer FS. The effects of perioperative hypothermia and the duration of anesthesia on postoperative wound infection rate in clean wounds: a retrospective study. Vet Surg 2000; 29: 123127.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29. Eugster S, Schawalder P, Gaschen F, et al. A prospective study of postoperative surgical site infections in dogs and cats. Vet Surg 2004; 33: 542550.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30. Thrusfield MV, Holt PE, Muirhead RH. Acquired urinary incontinence in bitches: its incidence and relationship to neutering practices. J Small Anim Pract 1998; 39: 559566.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 31. Forsee KM, Davis GJ, Mouat EE, et al. Evaluation of the prevalence of urinary incontinence in spayed female dogs: 566 cases (2003–2008). J Am Vet Med Assoc 2013; 242: 959962.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 32. DeTora M, McCarthy RJ. Ovariohysterectomy versus ovariectomy for elective sterilization of female dogs and cats: is removal of the uterus necessary? J Am Vet Med Assoc 2011; 239: 14091412.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 33. Spain CV, Scarlett JM, Houpt KA. Long-term risks and benefits of early-age gonadectomy in dogs. J Am Vet Med Assoc 2004; 224: 380387.

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