What does this mean?
Laparoscopic surgery has been the gold standard for people for years. Essentially we use two tiny – 5mm incisions – 1 to place a camera into your pet’s abdomen and the second to use to introduce the tools we need for each procedure. This means pets done with laproscopic equipment have:
- Markedly shortened recovery times (back to function in 72 hours)
- Decreased risk of certain complications
- Out-patient procedure, home same day!
- 65% less pain!
We are currently doing our spays and liver biopsies by laparoscope!
The laparoscopic spay begins just like a traditional spay. The patient is carefully examined and placed under general anesthesia. The preparation of the surgical area however is a little different for the traditional vs. the laparoscopic spay; the shaved and scrubbed surgical site is actually bigger for a laparoscopic spay. This is because the manipulation of the ovaries (which are to be removed) is done from outside the body, rather than by reaching through an incision.
Rather than making an incision into the abdomen large enough to reach into and pull the ovaries up to tie off and remove, a 5mm (1/4 inch) puncture is made and the abdomen is gently inflated with CO2. This allows the introduction of a fibre optic camera. A second 5mm puncture is made to introduce the surgical instruments. Each ovary is located and carefully isolated before being removed using a special instrument called a bipolar cutting / coagulation forceps. This instrument cuts through blood vessels and connective tissue and seals the ends at the same time. Once free, the ovary is removed through the tiny opening created for the instruments. The tiny openings in the muscle of the abdomen are each closed with a single dissolving suture.
Most patients are up and about within an hour of the procedure and ready to go home later that day. They will of course be a little wobbly from the anesthesia, but after a couple days of rest they can go right back to their normal routine!