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Comparison of Two Techniques on Titanium Clip Application for Ovariohysterectomy in Bitches  

Park, Jin-Seok (Department of Veterinary Obstetrics and Theriogenology, College of Veterinary Medicine, Chungbuk National University)
Kang, Hyun-Gu (Department of Veterinary Obstetrics and Theriogenology, College of Veterinary Medicine, Chungbuk National University)
Kim, Ill-Hwa (Department of Veterinary Obstetrics and Theriogenology, College of Veterinary Medicine, Chungbuk National University)
Publication Information
Journal of Veterinary Clinics / v.28, no.6, 2011 , pp. 566-570 More about this Journal
Abstract
The objective of this study was to assess the complications of titanium clip application after ovariohysterectomy (OHE) and find the proper surgical technique to minimize the complications by comparing the ligation method of ovarian pedicle. Six female beagle dogs were used for this study and they were divided randomly into two groups by ligation techniques: ligation and non-ligation of the suspensory ligament of ovary including ovarian pedicle. To evaluate the difference between two techniques, the location and embedded pattern of applied clips in the abdominal cavity were identified through radiographic tests and autopsy. Hematology tests were also performed to check the existence of inflammation by applied clips and all tests were carried out monthly for 1 year. There were few changes in location of clips of both groups on X-ray views without any migration. Almost all values in hematology of two groups were within the normal range and there were no inflammatory symptoms. All of applied clips in two groups were found near the kidney, but the embedded forms of them showed slight differences. The clips ligating suspensory ligament and ovarian pedicle were located in deep place and thickly surrounded with thin layers of peritoneum. But the clips ligating only ovarian pedicle were found with ease on surface of layer and located in lower place compared with the clips ligating suspensory ligament. These results indicate that the suspensory ligament holds applied clips and minimizes the movement of them. Therefore, ligation of suspensory ligament would be the preferred technique in titanium clip application for OHE.
Keywords
ovariohysterectomy; titanium clip; ovarian pedicle; suspensory ligament;
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1 Mayhew PD, Brown DC. Comparison of three techniques for ovarian pedicle hemostasis during laparoscopic-associated ovariohysterectomy. Vet Surg 2007; 36: 541-547.   DOI   ScienceOn
2 Pandit M. Early extrusion of bilateral Filshie clips after laparoscopic sterilisation. BJOG 2005; 112: 680.   DOI   ScienceOn
3 Penfield AJ. The Filshie clip for female sterilization: a review of world experience. Am J Obstet Gynecol 2000; 182: 485-489.   DOI   ScienceOn
4 Tan BL, Chong C, Tay EH. Migrating Filshie clip. Aust N Z J Obstet Gynaecol 2004; 44: 583-584.   DOI   ScienceOn
5 Bencharif D, Amirat L, Garand A, Tainturier D. Ovariohysterectomy in the bitch. Obstet Gynecol Int 2010; 2010: 542693.
6 Gupta AN, Chakravarti RN, Majumdar S, Mapa MK, Dhall GI. Pathological changes in fallopian tubes following three different kinds of occlusive techniques in primates. Contraception 1986; 33: 245-255.   DOI   ScienceOn
7 Hasan A, Evgenikos N, Daniel T, Gatongi D. Filshie clip migration with recurrent perianal sepsis and low fistula in ano formation. BJOG 2005; 112: 1581.   DOI   ScienceOn
8 Fossum TW, Hedlund CS, Johnson AL, Schulz KS, Seim HB, Willard MD, Bahr A, Carroll GL. Surgery of the reproductive and genital systems. In: Small animal surgery, 3rd ed. St. Louis: Mosby Elsevier. 2007: 702-714.
9 Howe LM. Surgical methods of contraception and sterilization. Theriogenology 2006; 66: 500-509.   DOI   ScienceOn
10 International Organization for Standardization Technical Committee: International Standard ISO 5832-3: Implants for Surgery-Metallic Materials-Part 3: Wrought Titanium 6-Aluminium 4-Vanadium Alloy. Geneva: International Organization for Standardization. 1996.
11 Kesby GJ, Korda AR. Migration of Filshie clip into the urinary bladder seven years after laparoscopic sterilization. Br J Obstet Gynaecol 1997; 104: 379-382.   DOI
12 Konate A, Rauzy V, Chalon S, Ceballos P, Riviere S, Ciurana AJ, Le Quellec A. Intraperitoneal migration of Filshie tubal sterilization clips: an uncommon cause of chronic abdominal pain. Gastroenterol Clin Biol 2002; 26: 630-632.
13 Lawton MT, Ho JC, Bichard WD, Coons SW, Zabramski JM, Spetzler RF. Titanium aneurysm clips: Part 1-mechanical, radiological, and biocompatibility testing. Neurosurgery 1996; 38: 1158-1164.