Laparoscopic treatment of ovarian remnant syndrome in dogs and cats: 7 cases (2010-2013)

• Published in: Journal of the American Veterinary Medical Association Vol. 245; no. 11; pp. 1251 - 1257
• Main Authors: Naiman, Jaron H, Mayhew, Philipp D, Steffey, Michele A, Culp, William T N, Runge, Jeffrey J, Singh, Ameet
• Format: Journal Article
• Language: English
• Published: United States 01-12-2014
• Subjects: Animals; Cat Diseases - surgery; Cats; Dog Diseases - surgery; Dogs; Female; Laparoscopy - methods; Laparoscopy - veterinary; Medical Errors; Ovariectomy - methods; Ovariectomy - veterinary; Ovary - physiology
• ISSN: 0003-1488; 1943-569X
• DOI: 10.2460/javma.245.11.1251

To describe the technique and evaluate the outcome of laparoscopic treatment of ovarian remnant syndrome (ORS) in dogs and cats.
Retrospective case series.
7 client-owned dogs and cats.
Medical records of dogs and cats with ORS that were treated laparoscopically at 3 large veterinary teaching hospitals were reviewed. Laparoscopic ovarian remnant resection was performed by means of either a 3-port or single-port technique with the patient in dorsal recumbency. The area caudal to both kidneys was thoroughly inspected for evidence of ovarian tissue by tilting the patient laterally. Any ovarian remnant tissue in these areas was resected with a bipolar vessel sealer.
5 female dogs and 2 female cats that had previously undergone ovariectomy or ovariohysterectomy were included in the study. Six procedures were performed with a standard 3-port technique, and 1 was performed with a single-port technique. Median surgery time was 90 minutes (range, 50 to 150 minutes). No patient required conversion to laparotomy. Six of the 7 patients had complete resolution of clinical signs after surgery. One patient underwent laparotomy 7 weeks after surgery for management of stump pyometra, but no further ovarian tissue was detected.
Laparoscopic management of ORS in this cohort of dogs and cats was associated with minimal morbidity. Laparoscopic treatment of ORS in dogs and cats may be recommended for appropriately selected patients.