Laparoscopy and Ovariehysterectomy

The module will cover the basic approach and principles of laparoscopy in the dog and cat. Basic laparoscopic procedures will be covered and several laparoscopic procedures will be covered in detail including liver, pancreas and other organ biopsy techniques, full thickness bowel biopsy, laparoscopic gastropexy and GI foreign body removal, jejunostomy tube placement and cryptorchidectomy. Laparoscopic assisted cystoscopy will also be covered and there will be ample opportunity to practise laparoscopic techniques and instrument handling in a dry and wet-lab environment.

Key learning objectives:

• Discuss the indications for laparoscopy
• Understand the possible complications of laparoscopy
• Review patient preparation and general endoscopic technique for laparoscopy
• Become familiar with normal endoscopic appearance of the abdominal cavity and its organs
• Consolidate your organ biopsy techniques
• Practise techniques in a wet-lab environment

Minimally invasive surgery has transformed the way surgical procedures have been performed over the past twenty years and many veterinary clinics are now performing many or all of their bitch spays laparoscopically. The benefits are self-evident and the procedure is well received, indeed sought out, by clients. Many clinics already own flexible endoscopy equipment and thus have much of the basic equipment necessary for rigid endoscopy and laparoscopy. Additional equipment and training is required to perform laparoscopy and this expense must be justified.

Most surgeons starting laparoscopy would consider the bitch spay as the core procedure and main reason for investing in the equipment. It is a routine procedure that is done on an almost daily basis and will therefore provide a return on investment as well as providing sufficient practise in technique to enable surgeons to do other, more advanced techniques and expand their repertoire. 

Key learning objectives:

• Review the instrumentation necessary for sterilisation surgeries
• Understand the techniques and possible complications of laparoscopic sterilisation procedures
• Consider the choice between ovariohysterectomy / ovariectomy and the benefits of a minimally invasive approach
• Revise the use of electrosurgery devices for haemostasis and cutting
• Discuss the economics of incorporating laparoscopic spays into private practice
• Practise the above techniques in a wet-lab environment