1) Laparoscopic surgery has advantages over conventional surgery such as rapid recovery time, improved visualization, minimal immune response, and decreased post-operative pain.
2) The basic laparoscopic setup includes an imaging system, insufflator, and electrocautery unit. Access is gained through closed or open port placement techniques.
3) Practical laparoscopic applications in dogs and cats include ovariohysterectomy, gastropexy to prevent gastric dilation and volvulus, abdominal exploration, and biopsy.
Laparoscopy is an innovative diagnostic and surgical tool in veterinary field. Laparoscopic surgeries revolutionizes the minimally invasive surgical approaches with less surgical trauma and faster recovery.
Laparoscopy is an innovative diagnostic and surgical tool in veterinary field. Laparoscopic surgeries revolutionizes the minimally invasive surgical approaches with less surgical trauma and faster recovery.
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Laparoscopic surgery in dogs and cats
1. Laparoscopic Surgery in Dogs & Cats
Dr. Maykel Povea Mora DVM, MSc, MRCVS.
CD/Vet Pet Doctors Guildford Hub
2. Presentation Outline
• Introduction & Historical Perspective
• Advantages over conventional surgery
• Contraindications
• What are the components of the basic laparoscopic set up?
• Access and port placement - Closed vs Open technique
• Anaesthetic considerations of Laparoscopy
• Practical applications, Lap spay, Prophylactic gastropexy &
abdominal exploration and biopsies.
• Summary
• References
• Salutations & Questions
4. Historical Perspective
• The first laparoscopic surgery was
performed in a Dog by George
Kelling Germany (1901)
• Lapro (the flank) + skopein (to
examine
• The 1st
human laparoscopy was
performed by Hans Christian
Jacobaeus to look in the thorax
of a patient with tubercular
adhesions (thoracoscopy ) (1910)
Hans Christian Jacobeaus (1910)
5. Advantages
• Rapid recovery time
• Improved visualization > 1000 times magnification
• Minimal immune response
• Small wound size
• Decreased post-operative pain
• Ideal in geriatric and debilitated patients
6. Are there any
contraindications?
• Patient selection and preparation is very
important!
• Absolute (rare):
– Unfit for general anaesthesia
– Pregnancy
• Relative:
– Severe heart disease
– Increased intracranial pressure
– Hypovolemia / shock
7. What are the components of the
basic laparoscopic set up?
– Imaging system
– The insufflator
– Electrocautery unit
8. What are the components of the
basic laparoscopic set up?
Laparoscopic instruments – what you really need?
18. Lap Spay general considerations
• Can be performed from 6
month of age
• Can be combined with
gastropexy in large breed
dogs
• Fast recovery/less pain
• Good O. acceptance
• Post op care- TGH w/
NSAIDs x 3d, poc 2d and
10d , No ABS required.
19. Preventing GDV with Laparoscopic gastropexy
• GDV or torsion bloat as it is commonly known is a life threatening
medical and surgical condition in which the stomach twists around
its self trapping gas and fluids in the process.
• As the gas expands circulation to the stomach and spleen are
impaired resulting in shock and ultimately death
Stomach
D
20. Laparoscopic assisted gastropexy
1.An instrument port is made on the front right side of the abdomen and
the right side of the stomach is picked up with a laparoscopic instrument
Laparoscopic gastropexy is the keyhole surgical procedure used to
tack the right side of the stomach to the right side of the body wall.
21. • The instrument port incision is enlarged to 1 1/2 inches and
the stomach is sutured to the right body wall
22. Lap Gastropexy general considerations
• GDV affects Large breed
dogs
• Minimally invasive
• Less pain
• Quicker recovery
• Prevents life-threatening
twist of stomach
• Less expensive than treating
life-threatening GDV
• Patient can go home on the
day of the procedure
23. What diagnostic test would you
perform next Doctor ?
Hx: Patient DSH , FN 9 YO , Chronic
vomiting , refractory to medical Tx
CE: HR & Lungs WNLs
Abdo palp , Cranial organomegally
otherwise unremarkable.
Lab: ALP, ALT , GGT normal bile acids
Normochromic normocytic RBCs
DDx. Primary hepatobiliary DZ .
Neoplasia
VD & RL abdo radiographs confirmed
possible
mass in the cranial abdomen.
27. In Summary
• Advantages of laparoscopic surgery
1. Minimally invasive
2. Fast recovery time & reduce morbidity
3. Improved visualization
4. Great Owner acceptance
5. Ideal for geriatric and debilitated patients
• Disadvantages
1. Expensive to initially set up
2. Steep learning curve for the whole team
3. Case selection for advanced surgical procedures is paramount
28. References
• Laparoscopy - The Early Attempts: Spotlighting Georg Kelling and Hans Christian
.Grzegorz S. Litynskim, JSLS. 1997 Jan-Mar; 1(1): 83–85
• Chandler JG. “Three spectra of laparoscopic entry access injuries.” J Am Coll Surg.
2001; 192:478-90
• Jones, DB. “Laparoscopic Surgery: Principles and Procedures.” 2nd
edition. 2004.
• Novitsky YW. “The net immunologic advantage of laparoscopic surgery.” Surg
Endosc. 2004; 18: 1411-19
• Philip L,& David S. “BSVA Manual of Canine and Feline Endoscopy and
Endosurgery”. 2008
• Povea Mora , M. Keyhole surgery in pet animals. A case report of the first canine
laparoscopic Spay performed in Qatar, Middle East Magazine 2012 May, 5: 40-
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