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Peer-reviewed veterinary case report

Comparing vessel-sealing device and standard bleeding control in dog

By Lorange, Maxime et al.Ā·Published in Journal of the American Veterinary Medical AssociationĀ·2019Ā·View original on PubMed →

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Original publication title: Use of a vessel-sealing device versus conventional hemostatic techniques in dogs undergoing thyroidectomy because of suspected thyroid carcinoma.

Species:
dog

Plain-English summary

A group of 42 dogs suspected of having thyroid cancer underwent surgery to remove their thyroid glands. Some dogs had the surgery done using a special vessel-sealing device, while others had it done with traditional methods like stitches or cauterization. The dogs that had the vessel-sealing device had shorter surgery times, averaging 28 minutes compared to 41 minutes for those with conventional methods. However, both groups had similar recovery times and complication rates after the surgery. Overall, using the vessel-sealing device made the surgery quicker without increasing risks.

People also search for: dog thyroid cancer surgery Ā· thyroidectomy in dogs Ā· vessel-sealing device for dogs

Abstract

OBJECTIVE: To compare use of a vessel-sealing device (VSD) versus conventional hemostatic techniques in dogs undergoing thyroidectomy because of suspected thyroid carcinoma. DESIGN: Retrospective cohort study. ANIMALS: 42 client-owned dogs undergoing thyroidectomy because of suspected thyroid carcinoma. PROCEDURES: Medical records of dogs treated at 4 referral centers from 2010 through 2016 were reviewed, and information was obtained on patient signalment, surgical technique, tumor-specific factors, and operative duration. Postoperative hospitalization time and complications were compared between dogs grouped on the basis of hemostatic technique. RESULTS: Thyroidectomy was performed with a VSD in 23 dogs and with conventional hemostatic techniques (ie, ligatures, hemoclips, or electrocautery) in 19 dogs. Hemostatic technique (ie, use of a VSD vs conventional hemostatic techniques) was the only factor significantly associated with operative duration (median time, 28 vs 41 minutes). Postoperative hospitalization times and complication rates did not differ between groups. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that use of a VSD, rather than conventional hemostatic techniques, in dogs undergoing thyroidectomy because of suspected thyroid carcinoma resulted in shorter operative times without significantly affecting complication rates or postoperative hospitalization times.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31039092/