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Article ; Online: Canine laparoscopic-assisted ovary-sparing hysterectomy does not increase risk of stump pyometra.

Owen, Marjorie A / Sirr, Caroline G / Albright, Julia D / Fransson, Boel A

Journal of the American Veterinary Medical Association

2023  Volume 261, Issue 8, Page(s) 1166–1173

Abstract: Objective: To evaluate incidences of pyometra and orthopedic, behavioral, urinary/reproductive, neoplastic, or atopic disease processes as outcomes for dogs undergoing either a laparoscopic-assisted ovary-sparing spay/hysterectomy (LapOSS) or a ... ...

Abstract Objective: To evaluate incidences of pyometra and orthopedic, behavioral, urinary/reproductive, neoplastic, or atopic disease processes as outcomes for dogs undergoing either a laparoscopic-assisted ovary-sparing spay/hysterectomy (LapOSS) or a laparoscopic ovariectomy (LapOVE).
Animals: 33 client-owned dogs.
Procedures: Medical records of client-owned dogs presenting between August 2013 and May 2020 for elective LapOSS or LapOVE were reviewed. A multiple-choice client questionnaire was emailed to all clients whose dogs' complete medical records were available.
Results: 17 of the 33 dogs were in the LapOSS group, and 16 of 33 dogs were in the LapOVE group. Of the 17 dogs undergoing LapOSS, 5 of 17 (29%) underwent an elective OVE at a later date. The mean follow-up time was 4.2 ± 1.8 years for the LapOSS group and 4.3 ± 2.0 years for the LapOVE group. No dogs developed stump pyometra. One LapOSS dog developed mammary tumor, and 2 others developed nonreproductive malignant neoplasia while 2 of the LapOVE dogs developed malignant neoplasia. One of the LapOSS dogs with malignant neoplasia had an ovariectomy prior to development of disease.
Clinical relevance: Laparoscopic-assisted ovary-sparing spay appears to provide a safe and reliable method of sterilization, with no observable increased risk of pyometra with hysterectomy. Owners must be counseled prior to surgery regarding the consequences of gonadal hormone retention and multiple heat cycles.
MeSH term(s) Female ; Animals ; Dogs ; Ovary/surgery ; Pyometra/surgery ; Pyometra/veterinary ; Dog Diseases/etiology ; Dog Diseases/surgery ; Hysterectomy/adverse effects ; Hysterectomy/veterinary ; Hysterectomy/methods ; Ovariectomy/adverse effects ; Ovariectomy/veterinary ; Ovariectomy/methods ; Laparoscopy/adverse effects ; Laparoscopy/veterinary ; Laparoscopy/methods ; Abdominal Abscess/surgery ; Abdominal Abscess/veterinary
Language English
Publishing date 2023-04-28
Publishing country United States
Document type Journal Article
ZDB-ID 390811-2
ISSN 1943-569X ; 0003-1488
ISSN (online) 1943-569X
ISSN 0003-1488
DOI 10.2460/javma.22.12.0539
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