Laparoscopic ovariectomy is the removal of the ovaries under videoscopic guidance, through an opening less than 1/4 inch in length!
What are the advantages?
|•||65% reduction in post operative pain!|
|•||Out-patient procedure, home the same day!|
|•||Back to normal activity in 24 hours!|
|•||Reduced risk of certain complications.|
The laparoscopic spay starts just like a regular 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 telescope which projects an image from within the abdomen at 25X magnification on a surgical monitor. A second 5mm puncture is made to introduce the surgical instruments. After carefully inspecting the entire abdomen, 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 abdomen is carefully inspected for any post operative bleeding before the camera is removed. The tiny openings in the muscle of the abdomen are each closed with a single dissolving suture and the skin with a drop of surgical glue.
Usually the patient is 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 day of rest they can go right back to their normal routine!