Download PDF
Tierarztl Prax Ausg K Kleintiere Heimtiere 2016; 44(02): 86-92
DOI: 10.15654/TPK-150328
Original Article
Schattauer GmbH

Laparoscopy for the treatment of ovarian remnant syndrome in four dogs and two cats

Laparoskopische Therapie eines Ovarrest-Syndroms bei vier Hunden und zwei Katzen
M. Brückner
1   Small Animal Clinic Augsburg, Augsburg, Germany
› Author Affiliations
Further Information

Publication History

Received: 15 May 2015

Accepted after major revision: 15 February 2015

Publication Date:
20 December 2017 (online)

Also available at
    Permissions and Reprints

Summary

Objective: To describe the clinical workup and laparoscopic treatment of ovarian remnant syndrome in dogs and cats. Material and methods: After confirming the diagnosis with some or all of the following tests – vaginoscopy with cytology, hormonal tests, and ultrasound – laparoscopic removal of the ovarian remnants was performed. A three-portal technique was used in the four dogs and a two-portal technique in the two cats. Results: All patients recovered well and were discharged the same day. No post-operative complications occurred in any patient. Conclusion and clinical relevance: Overall, in the hands of an experienced laparoscopic surgeon, laparoscopic removal of ovarian remnants appears to be a safe procedure in dogs and cats. In addition, laparoscopy offers the advantages of excellent visualization and a reduced morbidity for the patient. Careful case selection and complete pre-operative workup to rule out co-morbidities or underlying neoplasia are important. As with any laparoscopy the surgeon should always be prepared to convert to an open laparotomy if necessary.

Zusammenfassung

Gegenstand und Ziel: Beschrieben wird die klinische Aufarbeitung und laparoskopische Therapie des Ovarrest-Syndroms bei Hunden und Katzen. Material und Methoden: Nach einer kompletten diagnostischen Abklärung mittels Vaginoskopie inklusive zytologischer Untersuchung, Hormonbestimmung und/oder Sonographie erfolgte die laparoskopische Entfernung der Ovarreste. Die vier Hündinnen wurden mittels drei Zugängen operiert und die beiden Kätzinnen mit nur zwei Zugängen. Ergebnisse: Alle Patienten erholten sich gut von der Operation und konnten noch am selben Tag nach Hause entlassen werden. Bei keinem Patienten traten postoperative Komplikationen auf. Schlussfolgerung und klinische Relevanz: Bei einem erfahrenen Operateur stellt die laparoskopische Entfernung von Ovarresten bei Hunden und Katzen einen sicheren Eingriff dar. Zusätzlich bietet die Laparoskopie den Vorteil der exzellenten Visualisierung und ist für den Patienten mit einer reduzierten Morbidität verbunden. Unabdingbar sind dabei eine gute diagnostische Abklärung und die entsprechende Auswahl der Patienten. Mögliche Differenzialdiagnosen und zugrunde liegende Tumorerkrankungen müssen zuvor ausgeschlossen werden. Wie bei jeder Laparoskopie sollten der Chirurg und auch der Patient jederzeit zu einer Laparotomie bereit sein, falls diese notwendig wird.

Keywords

Ovarian remnant syndrome - laparoscopy - dog - cat

Schlüsselwörter

Ovarrest-Syndrom - Laparoskopie - Hund - Katze
 

  • Literatur

  • 1 Anonymous. Third ovary in a cat. Mod Vet Pract 1977; 58: 199.
    PubMedGoogle Scholar
  • 2 Ball RL, Birchard SJ, May LR, May LR, Threlfall WR, Young GS. Ovarian remnant syndrome in dogs and cats: 21 cases (2000-2007). J Am Vet Med Assoc 2010; 236 (05) 548-553.
    CrossrefPubMedGoogle Scholar
  • 3 Buijtels JJ, de Gier J, Kooistra HS. et al. The pituitary-ovarian axis in dogs with remnant ovarian tissue. Theriogenology 2011; 75 (04) 742-751.
    CrossrefPubMedGoogle Scholar
  • 4 Concannon PW, Lein DH. Hormonal and clinical correlates of ovarian cycles, ovulation, pseudopregnancy, and pregnancy in dogs. Current Veterinary Therapy X.. Philadelphia: Saunders; 1989: 1269-1282.
    Google Scholar
  • 5 DeNardo GA, Becker K, Brown NO, Dobbins S. Ovarian remnant syndrome: revascularization of free floating ovarian tissue in the feline abdominal cavity. J Am Anim Hosp Assoc 2001; 37 (03) 290-296.
    CrossrefPubMedGoogle Scholar
  • 6 Elkins TE, Stocker RJ, Key D, McGuire EJ, Roberts JA. Surgery for ovarian remnant syndrome: lessons learned from difficult cases. J Reprod Med 1994; 39: 446-448.
    PubMedGoogle Scholar
  • 7 Feldman EC, Nelson RW. Canine female reproduction. Canine and Feline Endocrinology and Reproduction.. Philadelphia: Saunders; 1987: 399-480.
    Google Scholar
  • 8 Gower S, Mayhew P. Canine laparoscopic and laparoscopic-assisted ovariohysterectomy and ovariectomy. Compend Contin Educ Vet 2008; 30 (08) 430-432 434, 436, 438, 440
    PubMedGoogle Scholar
  • 9 Günzel-Apel Buschhaus J, Urhausen C. et al. Klinische Symptomatik, diagnostische Vorgehensweise und Therapie beim so genannten Ovarrest-Syndrom der Hündin. Tierärztl Prax 2012; 40(K): 35-42.
    PubMedGoogle Scholar
  • 10 Heffelfinger DJ. Ovarian remnant in a 2-year-old queen. Can Vet J 2006; 47: 165-167.
    PubMedGoogle Scholar
  • 11 Johnston SD, Kustritz MVR, Olson PNS. Disorders of the feline ovaries. Canine and Feline Theriogenology.. Philadelphia: Saunders; 2001: 453-462.
    Google Scholar
  • 12 Krauss Z, Krauss M. Magnetresonanztomographie und Laparoskopie zur Diagnose und Behandlung eines Ovarrest-Syndromes bei einer Hündin. Tierärztl Prax 2015; 43(K): 111-114.
    PubMedGoogle Scholar
  • 13 Kustritz MV, Rudolph KD. Theriogenology question of the month. Functional ovarian remnant containing estrogen-secreting follicles or ovarian remnant containing an estrogen-secreting neoplasm. J Am Vet Med Assoc 2001; 219 (08) 1065-1066.
    CrossrefPubMedGoogle Scholar
  • 14 Le Roux PH, Van der Walt LA. Ovarian autografts as an alternative to ovariectomy in bitches. J South Afr Vet Assoc 1977; 48: 117-123.
    PubMedGoogle Scholar
  • 15 McEntee K. The ovary. Reproductive Pathology of Domestic Mammals.. San Diego: Academic Press; 1990: 31-51.
    Google Scholar
  • 16 Magtibay PM, Magina JF. Ovarian remnant syndrome. Clin Obstet Gynecol 2006; 49: 526-534.
    CrossrefPubMedGoogle Scholar
  • 17 Marti JA. The ovarian remnant syndrome in the bitch and queen. Proc World Small Anim Vet Assoc Congr. 2002 Available from http://www.vin.com/Members/Proceedings/Proceedings.plx?CID=wsava2002&PID=pr02679&O=VINLastaccessed:12thJanuary2014
    PubMedGoogle Scholar
  • 18 Mayhew PD, Freeman L, Kwan T, Brown DC. Comparison of surgical site infection rates in clean and clean-contaminated wounds in dogs and cats after minimally invasive versus open surgery: 179 cases (2007-2008). J Am Vet Med Assoc 2012; 15 (02) 193-198.
    PubMedGoogle Scholar
  • 19 Miller DM. Ovarian remnant syndrome in dogs and cats: 46 cases (1988-1992). J Vet Diagn Invest 1995; 7: 572-574.
    CrossrefPubMedGoogle Scholar
  • 20 Naiman JH, Mayhew PD, Steffy MA. et al. Laparoscopic treatment of ovarian remnant syndrome in dogs and cats: 7 cases (2010-2013). J Am Vet Med Assoc 2014; 245 (11) 1251-1257.
    CrossrefPubMedGoogle Scholar
  • 21 Nelson RW, Couto CG. Small Animal Internal Medicine. 3rd ed. St. Louis, Missouri: Mosby; 2003: 851-869.
  • 22 Okkens AC, Dieleman SJ, Vander Gaag I. Urologic complications following ovariohysterectomy in dogs. Tijdschr Diergeneeskd 1981; 106: 1142-1158.
    PubMedGoogle Scholar
  • 23 Petit PD, Lee RA. Ovarian remnant syndrome: diagnostic dilemma and surgical challenge. Obstet Gynecol 1988; 71: 580-583.
    PubMedGoogle Scholar
  • 24 Perkins NR, Frazer GS. Ovarian remnant syndrome in a toy poodle: a case report. Theriogenology 1995; 44 (03) 307-312.
    CrossrefPubMedGoogle Scholar
  • 25 Pineda MH. McDonald’s Veterinary Endocrinology and Reproduction. 5th edn. Ames, Iowa: Iowa State Univ Press; 2003: 506-519.
    Google Scholar
  • 26 Place NJ, Hansen BS, Cheraskin JL. et al. Measurement of serum anti-Müllerian hormone concentration in female dogs and cats before and after ovariohysterectomy. J Vet Diagn Invest 2011; 23 (03) 524-527.
    CrossrefPubMedGoogle Scholar
  • 27 Prats AE. 2001; Ovarian remnant syndrome in the queen. EVSSAR Newsletter 4: 5-8
    PubMedGoogle Scholar
  • 28 Runge JJ, Mayhew PD. Evaluation of single port access gastropexy and ovariectomy using articulating instruments and angled telescopes in dogs. Vet Surg 2013; 42: 807-813.
    PubMedGoogle Scholar
  • 29 Scebra LR, Griffin B. Evaluation of a commercially available luteinizing hormone test to distinguish between ovariectomized and sexually intact queens. Proc Am Coll Vet Intern Med Forum. 2003 Available from http://www.vin.com/Members/Proceedings/Proceedings.plx?CID=acvim2003&PID=pr04197&O=VIN Last accessed: 12th January 2014.
    PubMedGoogle Scholar
  • 30 Shemwell RE, Weed JC. Ovarian remnant syndrome. Obstet Gynecol 1970; 36: 299-303.
    PubMedGoogle Scholar
  • 31 Shille VM, Sojka NJ. Feline reproduction. Textbook of Veterinary Internal Medicine. 4th ed. Philadelphia: Saunders; 1995: 1690-1698.
    Google Scholar
  • 32 Sontas BH, Milani C, Romagnoli S. et al. A huge ovarian cyst in a hysterectomized bitch. Reprod Domest Anim 2011; 46 (06) 1107-1111.
    CrossrefPubMedGoogle Scholar
  • 33 Stone EA, Cantrell CG, Sharp NJ. Ovary and uterus. Slatter, Textbook of Small Animal Surgery. 2nd Philadelphia: Saunders; 1993: 1293-1308.
    Google Scholar
  • 34 Turna Yilmaz Ö, Toydemir TS, Kirsan I. et al. Anti-Müllerian hormone as a diagnostic tool for ovarian remnant syndrome in bitches. Vet Res Commun 2015; 39 (03) 159-162.
    CrossrefPubMedGoogle Scholar
  • 35 Wallace MS. Estrus after ovariohysterectomy. Diagnosis of the ovarian remnant syndrome in the bitch and queen. Proc Soc Theriogenol. 1989: 316-319.
    PubMedGoogle Scholar
  • 36 Wallace MS. The ovarian remnant syndrome in the bitch and queen. Vet Clin North Am Small Anim Pract 1991; 21: 501-507.
    CrossrefPubMedGoogle Scholar
  • 37 Zapardiel I, Zanagnolo V, Kho RM, Magrina JF, Magtibay JM. Ovarian remnant syndrome: comparison of laparotomy, laparoscopy and robotic surgery. Acta Abstet Gynecol Scand 2012; 91 (08) 965-969.
    PubMedGoogle Scholar