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Silva RDM, Araújo LHV, Cardoso TDS, Franco SLI, Gurgel HJ, Cerqueira PHL, Carvalho LS, Novais LGES, Gonçalves JLDS, de Sousa LA, Albuquerque RDS, Dutra MD, Ferreira TTA, da Silveira JA, Silva MAM, Monteiro FDDO, Teixeira PPM. A Single-Port, Multiple-Access, Custom-Made Device Used in Laparoscopically Assisted Cryptorchidectomy in Standing Horses-A Preliminary Study. Animals (Basel) 2024; 14:1091. [PMID: 38612330 PMCID: PMC11011124 DOI: 10.3390/ani14071091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Revised: 03/20/2024] [Accepted: 03/27/2024] [Indexed: 04/14/2024] Open
Abstract
This study evaluates a new multiport device with single access to the abdominal cavity produced with routine hospital supplies that could be applied to laparoscopically assisted cryptorchidectomy in standing horses. Initially, the new device was evaluated on five cadavers of bovine fetuses (n = 5), placed assisted in a minilaparotomy performed in the flank region. Subsequently, the device was evaluated in four cryptorchid horses treated during the hospital routine. During the evaluation of the new device, the possibilities of exploring the abdominal cavity, inspection, and intra-abdominal manipulation with two Babcock forceps were verified. The possibilities were described, and surgical time data were recorded and analyzed using descriptive statistics. In the cadavers, a wide exploration of the abdominal cavity was possible, with a laparoscopic inspection through the right paralumbar fossa and manipulation of intra-abdominal structures with Babcock forceps inserted by the new device. In cryptorchid horses, laparoscopically assisted cryptorchidectomy with a new device was feasible in two patients, and in the others, it allowed the diagnosis of adhesions and ectopic locations in the inguinal region of testicles retained in the cavity. Therefore, the new device was efficient in exploring the inguinal region of cryptorchid horses in the standing position. The present study is preliminary and can support future studies that aim to improve the developed prototype.
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Affiliation(s)
- Rafaela das Mercês Silva
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Luiz Henrique Vilela Araújo
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Thiago da Silva Cardoso
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Stephany Lorrane Ishida Franco
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Heytor Jales Gurgel
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Pedro Henrique Lira Cerqueira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Lucas Santos Carvalho
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Luis Gustavo e Silva Novais
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - José Leandro da Silva Gonçalves
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Loise Araújo de Sousa
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Rodrigo dos Santos Albuquerque
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Marcos Duarte Dutra
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Tatiane Teles Albernaz Ferreira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - José Alcides da Silveira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | | | | | - Pedro Paulo Maia Teixeira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
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Lacitignola L, Laricchiuta P, Guadalupi M, Stabile M, Scardia A, Cinone M, Staffieri F. Comparison of Two Radiofrequency Vessel-Sealing Device for Laparoscopic Ovariectomy in African Lionesses (Panthera Leo). Animals (Basel) 2022; 12:ani12182308. [PMID: 36139168 PMCID: PMC9495115 DOI: 10.3390/ani12182308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 08/31/2022] [Accepted: 09/05/2022] [Indexed: 11/16/2022] Open
Abstract
Simple Summary This study evaluated two vessel-sealing devices for dissecting ovaries in adult obese African lionesses undergoing laparoscopic ovariectomy. We evaluated the surgery time the intra- and postoperative complications. The results of our study confirmed the significant advantages of employing the Caiman 12 vessel-sealing device in comparison with the LigaSure Atlas in terms of the time needed to complete ovariectomy, although both instruments could be considered safe. The use of the Caiman 12 is recommended when performing laparoscopic ovariectomies in adults with obesity. Abstract To evaluate two vessel-sealing devices with different jaw lengths for dissecting ovaries in adult obese African lionesses undergoing laparoscopic ovariectomy. Twelve lionesses (n = 12) were recruited. The surgical procedures were performed through three portals, with a retractor platform positioned at the umbilical port and cannulas placed 3–4 cm cranial and caudal to the device at the level of the midline. Ovariectomy was performed using a vessel-sealing device according to a randomization list. We evaluated the surgery time the intra- and postoperative complications. The total surgery time was 49.3 min (range 40–61 min) in the Atlas group and significantly lower in the Caiman group (mean 31.8 min, range 26–51 min). The installation phase was similar between the groups. The ovariectomy time was significantly lower in the Caiman group (mean 7.8 min, range 4–11 min) than in the Atlas group (mean 20 min, range 16–30 min). Controlled bleeding was observed at the tip of the uterine horn in two cases in the Atlas group. No other complications were noted. The results of our study confirmed the significant advantages of employing the Caiman 12 vessel-sealing device in comparison with the LigaSure Atlas in terms of the time needed to complete ovariectomy, although both instruments could be considered safe. The use of the Caiman 12 is recommended when performing laparoscopic ovariectomies in adults with obesity.
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Affiliation(s)
- Luca Lacitignola
- Dipartimento Dell’Emergenze e Trapianti di Organo, sez. Cliniche Veterinarie e P.A., Università Degli Studi di Bari, s.p. per Casamassima km.3, Valenzano, 70010 Bari, Italy
- Correspondence:
| | | | - Marta Guadalupi
- Dottorato di Ricerca in “Trapianti di Tessuti ed Organi e Terapie Cellulari”, Università Degli Studi di Bari, 70100 Bari, Italy
| | - Marzia Stabile
- Dipartimento Dell’Emergenze e Trapianti di Organo, sez. Cliniche Veterinarie e P.A., Università Degli Studi di Bari, s.p. per Casamassima km.3, Valenzano, 70010 Bari, Italy
| | - Annalaura Scardia
- Dottorato di Ricerca in “Trapianti di Tessuti ed Organi e Terapie Cellulari”, Università Degli Studi di Bari, 70100 Bari, Italy
| | - Mario Cinone
- Dipartimento Dell’Emergenze e Trapianti di Organo, sez. Cliniche Veterinarie e P.A., Università Degli Studi di Bari, s.p. per Casamassima km.3, Valenzano, 70010 Bari, Italy
| | - Francesco Staffieri
- Dipartimento Dell’Emergenze e Trapianti di Organo, sez. Cliniche Veterinarie e P.A., Università Degli Studi di Bari, s.p. per Casamassima km.3, Valenzano, 70010 Bari, Italy
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Lacitignola L, Laricchiuta P, Imperante A, Acquafredda C, Stabile M, Scardia A, Guadalupi M, Vicenti C, Crovace A, Staffieri F. Wound Retractor Laparoscopic Port System for Laparoscopic Ovariectomy in Panthera leo. Animals (Basel) 2022; 12:ani12060700. [PMID: 35327096 PMCID: PMC8944427 DOI: 10.3390/ani12060700] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 03/07/2022] [Accepted: 03/09/2022] [Indexed: 01/23/2023] Open
Abstract
The aim of this study was to assess the feasibility and intraoperative complications of performing ovariectomies in African lionesses (Panthera leo) using a wound retractor laparoscopic platform. Six lionesses (n = 6) were included. The surgical procedures were carried out through three portals, with a retractor platform positioned at the umbilical port and cannulas placed 3–4 cm from the cranial and caudal regions to the device at the level of the midline. An ovariectomy was performed with a vessel-sealing device. We evaluated the surgery time and the intraoperative and early postoperative complications. The mean weight was 172.83 kg. The total surgery time was 49.33 min. The installation step took a mean of 10.33 min to complete. The mean ovariectomy time was 20 min. Controlled bleeding was observed at the tip of the uterine horn in two cases due to excessive tissue thickness. The retrieval of dissected ovarian tissue and annexes was easily performed. No other complications were observed. The use of the laparoscopic platform during three-portal surgeries for laparoscopic ovariectomy in adult overweight lionesses is feasible and without intraoperative problems. The retractor meant that there were no entry-related issues due to the 25 mm mini-laparotomy. It also made it simpler to extract thick ovaries and promptly re-establish the pneumoperitoneum.
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Affiliation(s)
- Luca Lacitignola
- Dipartimento dell’Emergenze e Trapianti di Organo, Sez. Cliniche Veterinarie e P.A., Università Degli Studi di Bari, 70100 Bari, Italy;
- Correspondence:
| | | | - Annarita Imperante
- Dottorato di Ricerca in Trapianti di Tessuti ed Organi e Terapie Cellulari, Università Degli Studi di Bari, 70100 Bari, Italy; (A.I.); (C.A.); (M.S.); (A.S.); (M.G.); (C.V.)
| | - Claudia Acquafredda
- Dottorato di Ricerca in Trapianti di Tessuti ed Organi e Terapie Cellulari, Università Degli Studi di Bari, 70100 Bari, Italy; (A.I.); (C.A.); (M.S.); (A.S.); (M.G.); (C.V.)
| | - Marzia Stabile
- Dottorato di Ricerca in Trapianti di Tessuti ed Organi e Terapie Cellulari, Università Degli Studi di Bari, 70100 Bari, Italy; (A.I.); (C.A.); (M.S.); (A.S.); (M.G.); (C.V.)
| | - Annalaura Scardia
- Dottorato di Ricerca in Trapianti di Tessuti ed Organi e Terapie Cellulari, Università Degli Studi di Bari, 70100 Bari, Italy; (A.I.); (C.A.); (M.S.); (A.S.); (M.G.); (C.V.)
| | - Marta Guadalupi
- Dottorato di Ricerca in Trapianti di Tessuti ed Organi e Terapie Cellulari, Università Degli Studi di Bari, 70100 Bari, Italy; (A.I.); (C.A.); (M.S.); (A.S.); (M.G.); (C.V.)
| | - Caterina Vicenti
- Dottorato di Ricerca in Trapianti di Tessuti ed Organi e Terapie Cellulari, Università Degli Studi di Bari, 70100 Bari, Italy; (A.I.); (C.A.); (M.S.); (A.S.); (M.G.); (C.V.)
| | - Alberto Crovace
- Dipartimento di Scienze Mediche di Base, Neuroscienze e Organi di Senso, Università Degli Studi di Bari, 70100 Bari, Italy;
| | - Francesco Staffieri
- Dipartimento dell’Emergenze e Trapianti di Organo, Sez. Cliniche Veterinarie e P.A., Università Degli Studi di Bari, 70100 Bari, Italy;
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Straticò P, Guerri G, Palozzo A, Varasano V, Petrizzi L. Current Use of Equine Laparoscopy in Urogenital Disorders: A Scoping Review of the Literature from 2000 to 2021. Vet Sci 2022; 9:41. [PMID: 35202295 PMCID: PMC8876348 DOI: 10.3390/vetsci9020041] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 01/11/2022] [Accepted: 01/19/2022] [Indexed: 01/27/2023] Open
Abstract
(1) Background: Laparoscopic surgery replaced traditional invasive techniques for the treatment of common urogenital disorders in equids. The aim of this review is to evaluate applications and the development of urogenital laparoscopy from 2001 to 2021. (2) Methods: A scoping review of literature was undertaken according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines for scoping reviews on three databases (NCBI-PubMed, Web of Science-Thompson Reuters, and SciVerse Scopus). (3) Results: A total of 452 papers were identified. After duplicate removal and title screening, 181 papers underwent abstract screening. Of these, 160 + 10 papers (cited by others) were assessed for eligibility according to the PICOs. A total of 132 papers were considered eligible. Most of the research was focused on ovaries and testes, followed by urinary bladder and general articles about laparoscopy in horses. We identified 43 original studies (33%, RCT, NoRCT, and experimental trials), 39 case series/retrospective studies (29%), 37 case reports (28%), and 13 reviews (10%, narrative or systematic). (4) Conclusions: Gonadal disorders were the most investigated. Hand-Assisted Laparoscopic Surgery (HALS) and laparoscopic-assisted surgery represent valuable options for more challenging conditions (uterine and urinary bladder disorders).
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Affiliation(s)
| | | | - Adriana Palozzo
- Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Località Piano D’Accio, 64100 Teramo, Italy; (P.S.); (G.G.); (V.V.); (L.P.)
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