ISSN 2398-2985      

Ovariohysterectomy

6guinea pig

Synonym(s): OHE, Ovariosalpingectomy, Salpingectomy, Salpingotomy, Spay, Neutering


Introduction

  • This is a fast and easy procedure in young animals used for prevention of unwanted pregnancy and development of ovarian and uterine disease.
  • Only curative treatment of choice for ovarian cysts, endometritis, pyometra and reproductive tract neoplasia.
  • Can be performed via the midline or bilateral flank approach.
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Uses

Advantages

  • When performed in young animals, it is a fast and easy procedure.
  • Permanent contraceptive solution.
  • More cost effective than hormonal implants.
  • Allows for direct evaluation of the uterine tract and inspection for any early changes: can progress to an ovariohysterectomy in the same surgery if needed.
Midline ovariohysterectomy
  • Easier visualization of organs.
  • Requires less experience.
Flank ovariohysterectomy
  • If the uteri or cervix are particularly enlarged and impossible to remove through the flank incision, the required midline incision to remove this is a lot smaller than a pure midline ovariohysterectomy.

Disadvantages

  • For treatment of ovarian disease, it is more invasive than medical treatment.
  • Requires a general anesthetic.
  • Risk of post-operative complications.
Midline ovariohysterectomy
  • Operating time is usually longer due to involvement of the gastrointestinal tract.
  • Increased heat loss.
  • Slower post-operative recovery.
  • Potential higher risk of post-operative adhesions.
  • Poorer wound healing.
  • Higher rate of post-operative infections.
Flank ovariohysterectomy
  • Does require some surgical experience.
  • Two separate incisions needed.
  • Requires manipulation of patient mid-surgery.
  • For particularly enlarged uterine or cervical bodies, may require a combination with a small midline incision to allow full amputation.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Dependent on reason for surgery.
  • Excellent in animals undergoing a routine spay.

Further Reading

Publications

Refereed Papers

  • Recent references from PubMed and VetMedResource.
  • Capello V (2011) Common surgical procedures in pet rodents. J Exotic Pet Med 20 (4), 294-307 SciDirect.
  • Redrobe S (2002) Soft tissue surgery of rabbits and rodents. Semin Avian Exotic Pet Med 11 (4), 231-245 SciDirect.

Other sources of information

  • Hedley J (2020) Ed. BSAVA Small Animal Formulary. Part B: Exotic Pets. 10th edn. BSAVA, UK.
  • Bojrab M J, Waldron D R, Toombs J P & Monnet E (2014) Surgical Techniques in Small Exotic Animals. In: Current Techniques in Small Animal Surgery. 5th edn. Scopus, USA. pp 690-691.
  • Bennett R A (2012) Soft Tissue Surgery. In: Ferrets, Rabbits, and Rodents. 3rd edn. Elsevier Saunders, USA. pp 326-338, 373-391.
  • Keeble E & Meredith A (2009) Eds. BSAVA Manual of Rodents and Ferrets. BSAVA, UK.

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