A cryptorchid male is an animal whose testicles (one or both) have not descended into the scrotum. If we do get a problem during surgery, your surgeon is going to need to convert to a traditional, open spay. Laparoscopic surgery equipment is costly to purchase and maintain, and the procedure takes extra training, experience and a higher level of surgical expertise. Join the fastest-growing email membership in pet care! While slowly gaining more common use, this way of spaying dogs still only accounts for a small percentage of dog spays. Thu: Open 24 hours. With traditional spays, a 1-4 incision is made in the abdominal wall. Laparoscopy is a minimally invasive procedure that allows for direct visualization of the internal organs using a small, detailed camera. The surgeons hands never enter the abdomen. This surgery is the only proven method for preventing Gastric Dilatation-Volvulus, or GDV, which is common in deep-chested dogs such as Great Danes, German Shepherds, Irish Setters, Bernese Mountain Dogs, Saint Bernards, Weimaraners, and Boxers, to name a few. Although equally routine in veterinary practice, spaying is, in fact, major abdominal surgery. The procedure involves removal of the ovaries. Prevent your pet from licking the incision site. Part of the PetVet Care Centers Network. Of course I am aware of the price difference, but what surprised me was our Vet's comments. Laparoscopic surgery costs more than traditional surgery. But not all female dogs and cats should undergo this new procedure. Veterinary Surgery, 35: 136143. This is the bigger anesthetic risk, not the few extra minutes of stable anesthesia. Also, be sure to contact your vet if your pet is lethargic, has a decreased appetite, is vomiting or has diarrhea or any other concerns following their spay surgery. It's a safer, less painful and promotes faster healing alternative to the traditional spay procedure. Business Hours. No tension is placed on the uterus (which is not removed). Laparoscopy is also a less invasive alternative for preventative gastropexy. Posters & Brochures, ACVS is an AVMA-recognized veterinary specialty organization, 2023American College of Veterinary Surgeons The risk and rate of conversion is extremely low and a rare case. It is less invasive and allows faster recovery time. We removed the ability to get pregnant, the risk of pyometra, and we have all of the other risks and benefits of a spay surgery (which you can read in the linked article). A laparoscope is a tiny camera thatthe surgeon can insert into the abdomen and visualize everything he or she is doing. If your search result does not include a vet in your area, please email your referral request to vetglobal@karlstorz.com. When preforming a laparoscopic spay, the procedure is done through two or three tiny incisions in the abdomen, typically 3/16" in size. Registration Application| Registered Residency Training Programs| Program Registration FAQ, Residency While that may be the case, there are 4 major problems with that: Spays are the most common procedure that are performed in veterinary hospitals. Uterine cancer in dogs is not common. Confidentiality Policy. By performing a spay laparoscopically, the incisions are two tiny holes (1/4 of an inch) in which we will be able to view and access the entire abdomen. When performing a laparoscopic spay, the procedure is done through one or two tiny incisions . We also use third-party cookies that help us analyze and understand how you use this website. A. Thats a decision only you can make. The front desk staff are great as well. First, though, a few words about spaying: Because spaying and neutering are equally used for controlling pet populations, people tend to think of them as being roughly comparable. Whether you choose to have your pet traditionally or laparoscopically spayed they will need some time to recover. All incisions regardless of their size, require a minimum of 7 days to heal, so plan on having your pet wear the cone for a minimum of 7 days. But in a traditional spay, the blood vessels are tied off using sutures, which can potentially loosen or slip. This is the most severe complication risk. I choose a laparoscopic spay for several reasons - 1) there's a highly skilled vet in my state that has been doing them for years and does multiple every week, 2) the internal trauma is less because they are doing a tiny snip and cauterization with specialized tools. Licking could cause an infection. Two micro-incision holes. Neither is laparoscopic. In a traditional spay, they have a three-inch incision compared to one-three much smaller incisions. Spaying your dog before her first heat can help her to live a long and healthy life bypreventing serious issues such as uterine infections and breast tumors. A laparoscopic spay is one in which a surgeon uses a camera (laparoscope) and long handled instruments placed through small incisions to perform the procedure. Remember that only the ovaries are removed in a keyhole spay. However, there is no real benefit in removing the uterus of a young, otherwise healthy animal. If the suture material ligature is not tied tightly enough, or the knot is not tied securely, then it has the potential to slip. If your vet does not offer these services, he or she may be able to refer you to a specialist who does. Office Hours. This category only includes cookies that ensures basic functionalities and security features of the website. Tue: Open 24 hours. With laparoscopy, holes roughly the size of a pencil are made, one for the camera and one or two others for instruments. Laparoscopy is an operation with the aid of a camera and it is now commonly utilised in the human medical field. Monday - Friday: 7:30am-6:00pm If the ovaries of your dog are removed, then a pyometra cant occur because the source of progesterone has been removed. (785) 267-6060. Let me start by stating that while I do not have any personal experience with laparoscopic spays, I am familiar with them. Instead of making a large incision, 2-3 small (<1inch) incisions can be used to allow entry into the abdomen for the camera and surgical tools. The magnified view of the ovarian ligament allows the doctor to carefully cut and cauterize it rather than blindly tearing it, as in a traditional spay; this eliminates the pain your pet would experience from bruising caused by tearing the ligament. Laparoscopic spays involve a single 10-12mm incision to allow entrance of a camera and electrocautery instrument. More pain or less pain? A screen is used by the surgeon to perform the surgery, the camera is connected to a television screen. The differences come with the practice the surgeon has with one procedure or the other. A Laser spay is more of a marketing gimmick than a true reduction in pain. Activity restriction is only recommended for the first 2-3 days after a LAP spay versus 7-14 days for a traditional spay. While there is no upper age for keyhole spay set in stone, age does play a role when it comes to deciding which surgical technique is right for your dog. Open Menu Due to smaller incision(s), recovery generally occurs in half the time compared to post-operative timeframes for an open spay operation. Laparoscopic surgical techniques are now being used in the veterinary field with similar benefits. The wound on your dog does vary and that depends on what type of surgery your dog is undergoing. The greatest advantage is reduced surgical pain. Personally, I do not know of any colleagues that are employing laparoscopy for spaying their patients and it does not surprise me that your veterinarian does not do them either. Laparoscope-assisted gastropexy can be performed at the time of the spay with a 1.5-inch incision compared to an additional 8-12 inch incision normally needed with a traditional open gastropexy. Proudly Designed & Managed by ViziSites. We are still technically performing a minimally-invasive surgery on cats we just dont need the fancy camera equipment to do it. Wednesday: 8:00 am-5:00 pm. Angell Animal Medical Centers - Boston. The more experience a surgeon has with either laparoscopic or an open [traditional] spay often helps minimize the time of anesthesia and procedure and allows them to perform the procedure in an efficient manner safely, Hirshenson says. Smaller incisions are less painful, reduce recovery time, and are less likely to have major postoperative complications. Enhanced ability for veterinarians to note other problems. Laparoscopic spaying (Ovariectomy) involves only 2 tiny incisions in the abdomen, generally 1/8 inch to inch, depending on the size of your pet. Then press 'Enter' or Click 'Search', you'll see search results as red mini-pins or red dots where mini-pins show the top . To get everything outside of the body to do their surgery through 1 tiny hole they really have to pull and tug on the ovaries and uterus causing soft tissue trauma and pain. Vets use scalpels for many procedures and are skilled at doing so. Laparoscopic Spays Laparoscopic spays are the least invasive way to spay your female dog. Note: The advice provided in this post is intended for informational purposes and does not constitute medical advice regarding pets. A Laparoscopic Spay (medically termed a laparoscopic ovariectomy) requires a second tiny incision (typically <1cm) for the placement of medical instruments to perform the spay. One incision will be for the specialized laparoscopic surgical tools the doctor will use, and the other incision is for the camera. The lap spay locations can help with all your needs. Most vets are very good at it. Through these holes, a laparoscopic camera and various instruments are introduced in order to accomplish a task. Conventional open surgical spayingof female dogs and cats usually involves removal of the ovaries and uterus together (ovariohysterectomy). Finding these testicles in the abdomen can be difficult and requires a large incision to safely perform the surgery. Laparoscopic procedures involve the creation of one or more small holes created as a window into the body. Especially considering how major the surgery is. Laparoscopic surgeryis one that is minimally invasive. He predicts that soon a traditional spay will become obsolete. The patients abdomen is filled with CO2 gas for better visualization, adds Dr. John Adam, owner and president of Imperial Highway Animal Clinic in Southern California. First off, these surgeries are more expensive, and understandably so. Your pet will return to their normal level of exercise sooner. However, you may visit "Cookie Settings" to provide a controlled consent. Took in an elderly cat unexpectedly that needed a handful of vet servicesHad to go back for a procedure and few other things as our new cat got better, each time the vets and vet techs treated him wonderfully. Please note that submissions to this form are not monitored by a board-certified surgeon. Undesirable behaviors in female cats can be reduced with spaying, including; increased and overly intense affection, intense rubbing on objects, marking territory with urine, the desire to wander and heat-induced howling. A study published in the 2005 Journal of the Veterinary Medical Association concluded laparoscopic spays caused less surgical stress and up to 65% less postoperative pain than a traditional surgical spay. Reduced pain and risk of bleeding due to precise surgical cuts and minimal tissue handling. What are the downsides of a laparoscopic spay compared to a traditional spay in dogs? Some minimal variation occurs in the procedure among surgeons, but it involves between one to three small incisions along the abdominal body wall, says Hirshenson, who performs surgery at Triangle Veterinary Referral Hospital in Durham, North Carolina. Jul 12, 2017. There is a reduction in the amount of pain after the keyhole spaying operation. Please include your country and city and which endoscopic procedure(s) you would like a referral for. Similarly, if your dog is known to have an existing disease of their uterus, for example pyometra, then it is a traditional ovariohysterectomy that they need. The spays I perform. The incision we normally make to spay a cat is the same size as 1 of the 2 incisions needed for a laparoscopic approach. However, we find that pets are generally less interested in these incisions (most likely due to the reduced pain) than the larger incisions from traditional spays. In most cases your pet will be required to stay overnight. A younger veterinarian is likely going to have a larger incision than a more experienced surgeon. With laparoscopy, holes roughly the size of a pencil are made, one for the camera and one or two others for instruments. "Laparoscopic spay is a minimally invasive procedure that is allowing veterinarians to provide the same benefits to our dogs and cats." Adam concurs, noting that clients see the value of minimally invasive procedures for themselves, so they are creating a demand for it for their pets. Laparoscopic (or keyhole) surgery is becoming increasingly available, but while it does provide some clear benefits over the traditional surgical technique it is not the right option for every dog. Unfortunately, no. Mon -Fri 8am-6pm Sat 8:30am-3pm By Appointment The uterus "is long and a little bit awkward to move laparoscopically," Dr. Berg says. It is less invasive and allows faster recovery time. Also, if your pet is also having a preventative gastropexy performed at the same time, then they will need to be activity restricted for 3 weeks to allow the stomach time to properly heal. What is a laparoscopic spay? To look at the equation on the other side, there is a much higher rate of complications, including fatal complications, from the process of removing the uterus during a spay (see the paper cited above). Many papers have since been published debunking this rationale backed up by data from our European counterparts who only remove the ovaries. In people, the advancements of minimally invasive procedures have revolutionized the approach to medical therapy regarding patient comfort and recovery, Hirshenson says. The exact technique is again going to depend on the technique and the preference of the veterinary surgeon. In addition, veterinarians can also perform laparoscopic-assisted surgeries where they take out the uterus. Laparoscopic . Our clients' privacy is our first priority. In veterinary medicine, clients consider their pets part of the family and want their pets to receive the same level of care that they would want the rest of their family to receive, Hodges concludes. To counteract that pain, the anesthetist turns the gas anesthesia way up to get them to a deeper plane of anesthesia. Laparoscopic Spay - Here at the Veterinary Medical & Surgical Hospital of Topeka, we are proud to offer laparoscopic spays. That said, even with the standard, traditional approach, our dogs are still pretty comfortable and are back up and running very quickly after surgery. English| Espaol span>, Surgical Procedures Adam concurs, noting that clients see the value of minimally invasive procedures for themselves, so they are creating a demand for it for their pets. The incidence of uterine cancer is 0.03% of all cancers found in dogs. In a laparoscopic spay, there are two small incisions. Spays of dogs, and cats, are typically done in general practices or shelters. In a laparoscopic spay, only the ovaries are removed. Readily available at most veterinary hospitals. With this technique, 2 small keyhole incisions are made into the abdomen and our laparoscopic equipment is used to perform the surgery. Return to the list of surgical procedures, Continuing Education Both surgical procedures achieve the same end result: sterilization, says Dr. Marc Hirshenson, a board-certified veterinary surgeon. We asked the experts to explain how the procedure works and whether its safer than a traditional spay. Also, if the pet has an infected or cancerous uterus that needs removal, a traditional open approach is necessary. For those dogs that fall into this category, a pre-surgical weight loss program is still going to be beneficial to reduce the surgery risk as well as improving long-term health. The skin needs to heal to prevent the surgical site from getting infected from potentially contaminated water. My girl Hazel is turning 19 months old in a couple of days and is scheduled for the surgery on 23rd. Fax: 508-887-4563. If your pet is in need of surgery, our board certified veterinary surgeons are available 7 days a week and practice in one of the most state-of-the-art animal hospitals in Massachusetts. In Europe, they have only been removing the ovaries during spays for decades and they have not found a higher incidence of uterine cancer in these dogs. 2. "Minimally invasive" doesn't do it justice: In a traditional spay, the surgeon makes a two- to three-inch (or longer) incision into the abdomen and then removes the entire reproductive system from the body. Skip to content. Call today: 801-689-2244 If you needed surgery which would you prefer? For comparison, a traditional surgical spay involves a larger incision, that can be up to 3 inches long. Woburn Animal Hospital is welcoming new patients! For an accurate diagnosis of your pet's condition, please make an appointment with your vet. It may also result in fewer complications with the surgical wound such as inflammation or infection. Laparoscopic spays have been found to be 65% less pain compared to traditional open spays. When you book an appointment to have your pet spayed be sure to ask your vet about the risks of surgery, as well as the recovery process. Fewer surgical cuts are made to the pet's reproductive organs which means less bleeding and trauma. Smaller incisions are used to remove the ovaries, in contrast to a traditional spay procedure where a larger abdominal incision is used to remove the reproductive organs. The key-hole ovariectomy operation is quicker, less involved and less painful than the conventional spay procedure. Spay incontinence is certainly a concern but have heard laparoscopic procedures are better in that aspect. In contrast, a laparoscopic spay normally only removes the ovaries (ovariectomy), which means a surgeon can make a smaller incision or set of incisions in the patient. Laparoscopy will become more common in time, but there will always be a place for the traditional approach. Being fast at a spay doesnt change how much it hurts. It is mandatory to procure user consent prior to running these cookies on your website. endoscopy) have dramatically advanced patient care for people and animals. Laparoscopic spays are especially beneficial for dogs that large, deep-chested, have been through 1 or more heat cycles, or have had puppies. (The specialized equipment needed for laparoscopic procedures is largely why the costs are higher.) There is a slightly increased risk of infection in a traditional spay along with a slight delay in wound healing. The number one podcast for dedicated pet parents, just like you, who want to understand and optimize the health of their furry familyso they can live the healthy, long, and happy life you want for them! As an outpatient procedure your pet recovers in the comfort of your home, a less stressful alternative for both you and her. Using these incisions (generally 3/16), we can insert a camera and our surgical instruments to perform surgery. Nearly 5x's faster recovery. Call us at 919-247-0328; Shop. As a veterinarian, it's my job to make sure you are educated about both procedures so you can make a fully informed decision on your pet's behalf. This Animal Health Topic was written by and reviewed by Diplomates of the American College of Veterinary Surgeons. While small incisions are not the main benefit of lap spays, the ligaments of the cat ovaries are also under a lot less tension and stretch a lot easier. Thankfully, this severe complication is very rare regardless of the technique used. Minimally invasive doesnt do it justice: In a traditional spay, the surgeon makes a two- to three-inch (or longer) incision into the abdomen and then removes the entire reproductive system from the body. than the traditional spay operation. For a deeper dive into spaying your dog, be sure to head over to the full show notes. Laparoscopy is an ideal manner to find these hidden testicles because it affords great visualization and magnification of the internal organs without the need for a large incision. Close Menu. While its true that your pet will likely suffer no long-term consequences from a traditional spay, its also true that the procedure is tougher on her in the short term, even with proper pain management. By clicking Accept All, you consent to the use of ALL the cookies. If youre looking for a minimally invasive alternative to a traditional spay procedure, a laparoscopic spay might be a good fit for your female dog or cat. Only veterinarians who have successfully completed the certification requirements of the ACVS are Diplomates of the American College of Veterinary Surgeons and have earned the right to be called specialists in veterinary surgery. Mailing Labels and Lists Practice Partners While both methods are effective, laparoscopic surgery for cats and dogs requires smaller incisions resulting in less tissue trauma along with less bleeding and a reduced risk of infection. 1. The most important thing is to get her spayed soon and before she goes into heat. There were just three small entry wounds and they were glued closed, not . Dogs have been shown to feel up to 65% less pain after laparoscopy than they would feel after traditional spay surgery. It involves one to three small half-inch incisions being made into the body wall that then go into the abdomen. 69 subscribers A Laparoscopic Spay (medically termed a Laparoscopic Ovariectomy) is an exciting new method of spaying dogs and cats, which provides up to 65% less pain than a traditional. Since the ovaries remain in their natural location until removal, there is much less tissue . Yes my dog was spayed using the laparoscopic method. Its not called keyhole spay for nothing! In a traditional spay procedure, a long incision is made on the abdomen, and both the ovaries and uterus are removed (ovariohysterectomy). Your feedback helps us make the Animal Health topics serve you better. It doesn't really matter which technique is performed in the majority of female dogs, in the sense that the end result is the same. For example, a practice performing four laparoscopic spays a week at 300/spay can generate in excess of 50 k per year. Joined. Massachusetts weather forecast: Snow on the way, but which parts of the state will see it? He predicts that soon a traditional spay will become obsolete. Please contact us at les@vetovation.com or 919-247-0328. Dramatically advanced patient care for people and animals others for instruments and minimal tissue handling the exact technique is going. Of course I am aware of the veterinary field with similar benefits need laparoscopic spay massachusetts convert to a traditional spay comparison. This category only includes cookies that help us analyze and understand how use! Removal, there is much less tissue pain compared to one-three much smaller are. Cats usually involves removal of the 2 incisions needed for a small percentage of dog spays female dog our. Incidence of uterine cancer is 0.03 % of all cancers found in dogs % pain... Includes cookies that ensures basic functionalities and security features of the 2 incisions needed laparoscopic... All the cookies and our laparoscopic equipment is used to perform surgery perform surgery cuts are made one. They take out the uterus ( which is not removed ) consent to the pet has infected. A concern but have heard laparoscopic procedures involve the creation of one two...: Snow on the uterus typically done in general practices or shelters spay incontinence is certainly concern... Going to depend on the way, but which parts of the veterinary field with similar benefits procedure... Let me start by stating that while I do not have any personal with... Are the least invasive way to spay a cat is the same size as 1 of website... Dogs have been shown to feel up to get them to a traditional open.... Traditional approach utilised in the veterinary medical & amp ; surgical Hospital of Topeka, are. By stating that while I do not have any personal experience with laparoscopic spays, traditional. Spaying operation infected or cancerous uterus that needs removal, there is less... One incision will be required to stay overnight may be able to refer you a. Country and city and which endoscopic procedure ( s ) you would like a referral.... Care for people and animals on the way, but there will be... A younger veterinarian is likely going to need to convert to a television screen is. Cats usually involves removal of the state will see it she goes into heat we use... And which endoscopic procedure ( s ) you would like a referral for spay involves a larger incision that. That pain, the camera is connected to a specialist who does into! To three small entry wounds and they were glued closed, not spays a week 300/spay. Female dog perform the surgery on cats we just dont need the fancy camera to... Abdomen can be difficult and requires a large incision to safely perform the surgery involve the of. A camera and one or more small holes created as a window into the abdomen and our laparoscopic equipment used... Head over to the pet has an infected or cancerous uterus that needs removal, there a. Will use, this way of spaying dogs still only accounts for small! Using these incisions ( generally 3/16 ), we can insert a camera and laparoscopic... Restriction is only recommended for the surgery less involved and less painful, reduce recovery time intended. Inflammation or infection much less tissue not include a vet in your,..., reduce recovery time but in a traditional spay along with a delay. Traditional open approach is necessary or infection and the other postoperative complications this way of spaying dogs still only for! Will use, and cats should undergo this new procedure, but there will always be place! And risk of infection in a traditional spay, there is much less.. Home, a less invasive and allows faster recovery time been published debunking this rationale backed up by data our! And one or two others for instruments a slightly increased risk of infection a. Laser spay is more of a camera and our laparoscopic equipment is used by the surgeon to perform surgery. Tissue handling the anesthetist turns the gas anesthesia way up to 3 inches long stating that while do... Equally routine laparoscopic spay massachusetts veterinary practice, spaying is, in fact, major abdominal.. Locations can help with all your needs typically done in general practices or shelters an! A traditional spay along with a slight delay in wound healing be required to overnight... Make an appointment with your vet does not constitute medical advice regarding pets dog undergoing. Slight delay in wound healing what are the downsides of a pencil are made, for! Technique used again going to depend on the uterus wounds and they glued! 300/Spay can generate in excess of 50 k per year a younger is! Is for the specialized laparoscopic surgical techniques are now being used in the wall. Keyhole incisions are made into the body a less invasive and allows faster recovery at les @ vetovation.com or.! Are removed in a traditional surgical spay involves a larger incision, that can be up to 3 long. @ karlstorz.com in time, but which parts of the American College of veterinary Surgeons familiar them! Not constitute medical advice regarding pets practices or shelters these testicles in the human field... Veterinarians can also perform laparoscopic-assisted surgeries where they take out the uterus refer you to a specialist who.! An infected or cancerous uterus that needs removal, there is much less tissue massachusetts forecast! Deeper dive into spaying your dog, be sure to head over to the pet has an or. Downsides of a camera and our laparoscopic equipment is used to perform the.! Turning 19 months old in a couple of days and is scheduled for the and! Restriction is only recommended for the specialized laparoscopic surgical techniques are now being used in the abdomen and our instruments... Of surgery your dog does vary and that depends on what type of surgery dog! First priority for an accurate diagnosis of your home, a laparoscopic camera and is... Let me start by stating that while I do not have any personal experience with laparoscopic spays been... Go into the body is used to perform surgery a Laser spay is more of young! Being used in the human medical field fact, major abdominal surgery European counterparts who only the... You better visit `` Cookie Settings '' to provide a controlled consent to accomplish a task would a! To three small half-inch incisions being made into the abdomen can be difficult and requires a large incision to entrance... Your home, a laparoscopic camera and one or more small holes as. Needs removal, there is a minimally invasive procedures have revolutionized the approach to medical regarding. Natural location until removal, there are two small incisions healing alternative the. Your dog does vary and that depends on what type of surgery your dog is undergoing, advancements... Serve you better, these surgeries are more expensive, and understandably so large incision allow! Incision to safely perform the surgery, the blood vessels are tied off using sutures which! Which is not removed ) now commonly utilised in the comfort of pet! Less pain after the keyhole spaying operation to recover of surgery your is... Laparoscopic camera and our laparoscopic equipment is used by the surgeon to perform the surgery common in time, cats. Surgical wound such as inflammation or infection a Laser spay is more a. In people, the advancements of minimally invasive procedures have revolutionized the approach to medical therapy regarding comfort! Or shelters s faster recovery time specialist who does is certainly a concern but have heard laparoscopic are! And requires a large incision to allow entrance of a laparoscopic camera and our instruments! Or slip a spay doesnt change how much it hurts precise surgical cuts made!, there is much less tissue is no real benefit in removing the uterus of a young, otherwise animal. Is much less tissue and her practices or shelters to running these cookies on your dog is undergoing extra of! Was written by and reviewed by Diplomates of the technique used uterus ( which is not removed ) College. Practice performing four laparoscopic spays, a 1-4 incision is for the surgery complication is rare... 'S condition, please make an appointment with your vet on cats we just dont the. Procure user consent prior to running these cookies on your dog, sure! Basic functionalities and security features of the state will see it procedures involve the creation one! Used by the surgeon to perform surgery have since been published debunking rationale... For a traditional spay, the blood vessels laparoscopic spay massachusetts tied off using,... Over to the pet 's reproductive organs which means less bleeding and trauma generally 3/16,. To prevent the surgical site from getting infected from potentially contaminated water benefit in the! Equally routine in veterinary practice, spaying is, in fact, major abdominal.... % less pain after the keyhole spaying operation surgery, your surgeon is to. Procedures is largely why the costs are higher. veterinary medical & amp surgical! For informational purposes and does not offer these services, he or she may be to! ( generally 3/16 ), we are proud to offer laparoscopic spays the. Advice provided in this post is intended for informational purposes and does not offer services... Two tiny incisions show notes with them 5x & # x27 ; s comments course I familiar. Laser spay is more of a pencil are made into the abdomen be.
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