Double-Portal Access and Hemostasis by Miniloop for Ovariectomy in Two Queens
On videosurgery, hemostasis is complex and an expensive step of surgery. Our staff created an apparatus similar to endoloop, which isn't necessary to be introduced in access portal; it is called miniloop. The aim of this study was to explain miniloop technique in ovariectomy with two portals and relate some intercurrence. It was performed two incisions of 0,5 cm to introduce the trocars, first on midline between third and fourth mama pairs, where it was introduced the camera, and second immediately caudal to umbilical heal to forceps and scissor. The cat was turned 90° to left side and right ovary was identified, 14-g needle was entered laterally, cranial to ovary, 18-g pusher knot with a ligature were introduced in needle and knot was passed around forceps, after that the ovary was taken and a distal ligature was occluded the ovary vessels, the same way a proximal ligature was made and the ovary was sustained by nylon wires. The scissor was introduced to cut the tissue between two ligatures, the same way was performed on left ovary. After that, pneumoperitoneum was removed and wolf knot was performed in skin in each portal access. The only intercurrence was a bleeding observed on second ovary and it was not possible to control in videosurgery, and it was necessary to convert to open surgery and perform a new ligature. In conclusion, the miniloop is a versatile and cheap alternative to promote hemostasis in extremities tissue, but it is necessary surgeon experience to contour some intercurrence.