Over the past 50 years many advances in Veterinary surgery have occured in anaesthetics, monitoring, sterilisation practices and pain control but the dog spey surgery has remained unchanged. Now this last part of the picture is moving into the modern era.
What is the difference between a traditional spey and a laparoscopic spey?
A traditional spey involves an open surgery with a 4-8 cm wound made into the abdominal wall. This incision is a source of post operative pain. The wound is too small to see the uterus so this organ needs to be located blindly often by using a metal spey hook which can bruise other structures. The uterus when located is followed to an ovary which must be stretched out of the abdomen. This often requires tearing of structures resulting in further bruising and post operative pain.The ovarian blood vessels are then tied off and released into the abdomen where they can no longer be watched for bleeding.
A laparoscopic spey involves two small incisions, one of 0.5cm and one 0.5-1cm. A rigid endoscope (laparoscope) allows all the organs in the abdomen to be readily observed with illumination and magnification on a high definition screen. The ovaries are easily located and not stretched from their natural position. The ovarian blood vessels are safely and permanently sealed with the amazing Ligasure device. The area is then inspected for bleeding ensuring maximum safety.
Studies demonstrate upto 65% less pain with laparoscopic verses traditional spey.
Additional information resources at www.lapspay.com
Do we remove the ovaries and uterus?
Current Veterinary literature in both Europe and America has very clearly shown that removing both the ovaries and uterus (ovarohysterectomy) is unnecessary and can increase post operative pain and complications. Removal of just the ovaries (ovariectomy) is now the preferred technique with reduced surgical time and trauma. This has been the normal practice in Europe for many years now. With laparoscopic speys the uterus is examined and only removed if abnormal.
Mini Laparoscopic Spey
We now have invested in high quality tiny 3mm sized laparoscopic equipment. This mini sized equipment allows us to provide high standard laparoscopy for dogs under four kilograms and cats.
We can use either entirely 3mm equipment or a combination of 3mm and 5mm as needed.
For most dogs typically 5-10mm devices are used. For large dogs we may also use a single entry device used in human operations. ( SILS - Single incision laparoscopic surgery)