Laproscopy

Question 1

Petrovsky and Monnet, Vet Surg, 2018:
Repeated decontamination and sterilization of single-incision laparoscopic surgery ports
Bacteriologic cultures results from ports used 4 times vs ports used 8 times?

Answer 1

Petrovsky and Monnet, Vet Surg, 2018:
None of the ports that were used 4 times had positive bacteriologic cultures, but 33% of the ports used 8 times had a light growth of Staph epidermidis and other Staph spp, and Micrococcus spp were cultured from the foam components

Question 2

Leschnik, Vet Surg, 2018:
Veress needle penetration depth was the least at which location?

Answer 2

Leschnik, Vet Surg, 2018:
Veress needle penetration depth was the least at the 9th intercostal space compared to the preumbilical, paraumbilical and subumbilical sites

Question 3

Anderson and Fransson, Vet Surg, 2019:
Complications related to entry techniques
Minor complication rate?
Major complication rate?
Which entry location was 12 times more likely to be associated with complications?
Odds of complications using the modified Hasson needle entry vs Veress needle entry vs Ternamian visual entry?

Answer 3

Anderson and Fransson, Vet Surg, 2019:
Minor complication rate: 19%
Major complication rate: 2%
A paramedian entry was 12 times more likely to be associated with complications than a midline entry
Odds of complications was 5 times more likely after the modified Hasson needle entry and 28 times higher after the Veress needle entry compared to the Ternamian visual entry

Question 4

Morris, Vet Surg, 2019:
Hybrid single-port laparoscopic cisterna chyli ablation for chylothorax
Mesenteric lymphangiography was successful via the wound retractor device in what % of clinical cases and what % of cadavers?
Cisterna chyli ablation was successfully performed in what % of clinical cases?
What % of dogs developed severe chyloabdomen post-op?

Answer 4

Morris, Vet Surg, 2019:
Mesenteric lymphangiography was successful via the wound retractor device in 79% of the clinical cases and 100% of the cadavers?
Cisterna chyli ablation was successfully performed in 100% of the clinical cases?
21% of dogs developed severe chyloabdomen post-op

Question 5

Coleman and Monnet, Vet Surg, 2017:
Intracorporeal suturing with knotless unidirectional barbed suture using a needle driver vs a reticulated endoscopic suturing device
Difference in surgical time between the 2 devices?
Minor complication rates between the 2 devices?

Answer 5

Coleman and Monnet, Vet Surg, 2017:
No difference in surgical time between the 2 devices
Minor complication rates: 0% using the needle driver vs 15% using the endoscopic suturing device (device dysfunction and suture breakage)

Question 6

Takacs, Vet Surg, 2017:
Use of 1 simple continuous barbed suture line
What % of dogs sustained splenic laceration from Veress needle penetration during initial abdominal insufflation?
Short-term vs long-term complication rates?

Answer 6

Takacs, Vet Surg, 2017:
2% sustained splenic laceration from Veress needle penetration during initial abdominal insufflation
Complication rates: 5% short-term vs 2% long-term