Eletrocirurgia e clipes de titânio para hemostasia em pedículos ovarianos durante ovariohisterectomia videoassistida com dois portais em cadelas

Abstract

This study evaluated the use of bipolar electrosurgery and laparoscopic clip applier with respect to surgical time, blood loss and inflammatory response during video-assisted ovariohysterectomy with two portals. Two groups (n=10) assessed each of the hemostatic techniques during castration and a third group (GIII, n=6) evaluated changes in serum promoted only by the clinical and anesthetic protocols used in order to exclude the changes made by them. The surgical times, such as the volume of blood loss were significantly lower in Bipolar Group. The inflammatory response was significantly higher throughout the evaluation period after surgery, but no clinical manifestations different than those presented by the Clipador Group. There were no significant changes in packed cell volume between the groups, but among the times evaluated it reduced about 10% from initial value until four hours after the procedure, in the surgical groups and Group III. Both techniques have good execution by the video-assisted procedure, however, the use of bipolar forceps allows minor surgical times, minimal blood loss and shorter learning curve for the surgeon. The bleeding does not result in physiological changes and that one s on packed cell volume are presented because of the clinical and anesthetic protocols.