Cover Journal of the American Veterinary Medical Association
Journal of the American Veterinary Medical Association
ISSN:
0003-1488
Publication Date:
15 May 2019

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Use of a vessel-sealing device versus conventional hemostatic techniques in dogs undergoing thyroidectomy because of suspected thyroid carcinoma

Maxime Lorange1Centre Vétérinaire Rive-Sud, 7415 Taschereau Blvd, Brossard, QC J4Y 1A2, Canada

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Rebecca De Arburn Parent1Centre Vétérinaire Rive-Sud, 7415 Taschereau Blvd, Brossard, QC J4Y 1A2, Canada

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Louis Huneault1Centre Vétérinaire Rive-Sud, 7415 Taschereau Blvd, Brossard, QC J4Y 1A2, Canada

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Matthieu Gatineau2Centre Vétérinaire DMV, 2300 54e Ave, Lachine, QC H8T 3R2, Canada

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Jérôme Auger1Centre Vétérinaire Rive-Sud, 7415 Taschereau Blvd, Brossard, QC J4Y 1A2, Canada

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Julius M. Liptak3VCA Canada–Alta Vista Animal Hospital, 2616 Bank St, Ottawa, ON K1T 1M9, Canada

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DOI:
https://doi.org/10.2460/javma.254.10.1186
Volume/Issue:
Volume 254: Issue 10
Online Publication Date:
15 May 2019
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Abstract

OBJECTIVE

To compare use of a vessel-sealing device (VSD) versus conventional hemostatic techniques in dogs undergoing thyroidectomy because of suspected thyroid carcinoma.

DESIGN

Retrospective cohort study.

ANIMALS

42 client-owned dogs undergoing thyroidectomy because of suspected thyroid carcinoma.

PROCEDURES

Medical records of dogs treated at 4 referral centers from 2010 through 2016 were reviewed, and information was obtained on patient signalment, surgical technique, tumor-specific factors, and operative duration. Postoperative hospitalization time and complications were compared between dogs grouped on the basis of hemostatic technique.

RESULTS

Thyroidectomy was performed with a VSD in 23 dogs and with conventional hemostatic techniques (ie, ligatures, hemoclips, or electrocautery) in 19 dogs. Hemostatic technique (ie, use of a VSD vs conventional hemostatic techniques) was the only factor significantly associated with operative duration (median time, 28 vs 41 minutes). Postoperative hospitalization times and complication rates did not differ between groups.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested that use of a VSD, rather than conventional hemostatic techniques, in dogs undergoing thyroidectomy because of suspected thyroid carcinoma resulted in shorter operative times without significantly affecting complication rates or postoperative hospitalization times.

Abstract

OBJECTIVE

To compare use of a vessel-sealing device (VSD) versus conventional hemostatic techniques in dogs undergoing thyroidectomy because of suspected thyroid carcinoma.

DESIGN

Retrospective cohort study.

ANIMALS

42 client-owned dogs undergoing thyroidectomy because of suspected thyroid carcinoma.

PROCEDURES

Medical records of dogs treated at 4 referral centers from 2010 through 2016 were reviewed, and information was obtained on patient signalment, surgical technique, tumor-specific factors, and operative duration. Postoperative hospitalization time and complications were compared between dogs grouped on the basis of hemostatic technique.

RESULTS

Thyroidectomy was performed with a VSD in 23 dogs and with conventional hemostatic techniques (ie, ligatures, hemoclips, or electrocautery) in 19 dogs. Hemostatic technique (ie, use of a VSD vs conventional hemostatic techniques) was the only factor significantly associated with operative duration (median time, 28 vs 41 minutes). Postoperative hospitalization times and complication rates did not differ between groups.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested that use of a VSD, rather than conventional hemostatic techniques, in dogs undergoing thyroidectomy because of suspected thyroid carcinoma resulted in shorter operative times without significantly affecting complication rates or postoperative hospitalization times.

Contributor Notes

Dr. Lorange's present address is College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80525.

Address correspondence to Dr. Lorange (lorangemaxime@gmail.com).