This prospective randomized clinical study aimed to evaluate the feasibility, safety, and surgical performance of laparoscopic salpingectomy as a method for permanent contraception in captive Papio hamadryas, with particular focus on comparing two vessel-sealing technologies: a radiofrequency bipolar device (LigaSure Dolphin Tip) and an ultrasonic scalpel (Harmonic). Thirty-two healthy female baboons (25 adults and 7 subadults), weighing between 4 and 15 kg—including six pregnant and fourteen in estrus—were randomly assigned to either the LigaSure (LS; n = 16) or Harmonic (HS; n = 16) group. All animals underwent bilateral laparoscopic salpingectomy using a standardized three-port technique. Surgical data included installation time (from skin incision to port placement), salpingectomy time (from final trocar placement to salpinx retrieval), and total surgical time (skin-to-skin). Intraoperative complications and postoperative recovery were monitored clinically and behaviorally. All procedures were successfully completed laparoscopically without the need for conversion or major complications. In the LS group, the mean (± SD) installation, salpingectomy, and total surgical times were 7.75 ± 3.51, 9.75 ± 4.16, and 28.9 ± 9.74 min, respectively, while in the HS group, the values were 7.56 ± 3.08, 11.3 ± 5.25, and 25.8 ± 6.62 min. Although the HS group showed slightly longer salpingectomy times, differences between groups were not statistically significant. Pregnant animals tended to require longer surgical times due to reduced intra-abdominal working space. Based on these results, laparoscopic salpingectomy was consistently feasible, safe, and effective across a range of body sizes and reproductive statuses. Both vessel-sealing devices performed reliably, and the procedure was well tolerated in all cases. These findings support the use of laparoscopic salpingectomy as a minimally invasive, efficient, and reliable option for permanent sterilization in captive nonhuman primate populations.

Comparative Assessment of Vessel Sealing Devices in Laparoscopic Salpingectomy of Captive Papio hamadryas

Marta Guadalupi;Roberta Belvito;Claudia Piemontese;Francesco Staffieri;Luca Lacitignola
2026-01-01

Abstract

This prospective randomized clinical study aimed to evaluate the feasibility, safety, and surgical performance of laparoscopic salpingectomy as a method for permanent contraception in captive Papio hamadryas, with particular focus on comparing two vessel-sealing technologies: a radiofrequency bipolar device (LigaSure Dolphin Tip) and an ultrasonic scalpel (Harmonic). Thirty-two healthy female baboons (25 adults and 7 subadults), weighing between 4 and 15 kg—including six pregnant and fourteen in estrus—were randomly assigned to either the LigaSure (LS; n = 16) or Harmonic (HS; n = 16) group. All animals underwent bilateral laparoscopic salpingectomy using a standardized three-port technique. Surgical data included installation time (from skin incision to port placement), salpingectomy time (from final trocar placement to salpinx retrieval), and total surgical time (skin-to-skin). Intraoperative complications and postoperative recovery were monitored clinically and behaviorally. All procedures were successfully completed laparoscopically without the need for conversion or major complications. In the LS group, the mean (± SD) installation, salpingectomy, and total surgical times were 7.75 ± 3.51, 9.75 ± 4.16, and 28.9 ± 9.74 min, respectively, while in the HS group, the values were 7.56 ± 3.08, 11.3 ± 5.25, and 25.8 ± 6.62 min. Although the HS group showed slightly longer salpingectomy times, differences between groups were not statistically significant. Pregnant animals tended to require longer surgical times due to reduced intra-abdominal working space. Based on these results, laparoscopic salpingectomy was consistently feasible, safe, and effective across a range of body sizes and reproductive statuses. Both vessel-sealing devices performed reliably, and the procedure was well tolerated in all cases. These findings support the use of laparoscopic salpingectomy as a minimally invasive, efficient, and reliable option for permanent sterilization in captive nonhuman primate populations.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11586/573680
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