Monopolar versus bipolar electrocoagulation in canine laparoscopic ovariectomy: A nonrandomized, prospective, clinical trial
To compare the effect of using monopolar (MEC) or bipolar electrocoagulation (BEC) on surgical time for laparoscopic ovariectomy in dogs and to evaluate the influence of age, weight and obesity, and estrus or pseudopregnancy on surgical time. Study Design
Prospective, nonrandomized, clinical trial. Animals
One hundred three female dogs. Methods
Laparoscopic ovariectomy was performed with MEC or BEC by 1 surgeon using a standard protocol. Surgical time was recorded for the different procedural stages and was statistically evaluated for differences between MEC and BEC (2, Student t test, and ANOVA). The influence of significant variables was analyzed using multiple linear regression analysis. Results
Mean surgical time was 47 minutes (range, 27 to 110 minutes). With BEC, surgical time was significantly shorter (41 minutes; P < .001 ) than with MEC (53 minutes). Obesity (56 vs. 42 minutes; P < .001 ) and intraoperative mesovarial bleeding (56 vs. 46 minutes; P= .03 ) increased surgical time. Dog age, estrus, and pseudopregnancy did not significantly influence surgical time. Conclusions
BEC decreased laparoscopic ovariectomy time, decreased intraoperative hemorrhage, and, with the technique used, facilitated exteriorization of the ovaries. Clinical Relevance
Laparoscopic ovariectomy can be performed more rapidly when using BEC instead of MEC and with less risk of mesovarial hemorrhage.
©Copyright 2003 by The American College of Veterinary Surgeons
Document Type: Research Article
Affiliations: From the Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Publication date: 2003-09-01