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Veterinary sciences2023; 10(1); 61; doi: 10.3390/vetsci10010061

Complications in Laparoscopic Access in Standing Horses Using Cannula and Trocar Units Developed for Human Medicine.

Abstract: First cannulation is a critical manoeuvre in equine laparoscopy. This retrospective study aimed at the comparison of the frequency and type of complications detected when using different human laparoscopy devices for laparoscopic access in standing horses, and the influence of body condition in such complications. Forty-four procedures were included, and retrieved data comprised cannula insertion technique, body condition, and type and frequency of complications. Laparoscopic access techniques were classified into five groups: P: pneumoperitoneum created using Veress needle prior to cannulation; T: sharp trocar; D: direct access via surgical incision; V: Visiport optical trocar and H: optical helical cannula (OHC). In groups T, D, V and H, access was achieved without prior induction of pneumoperitoneum. Complications were registered in 13/44 procedures, of which retroperitoneal insufflation was the most common (6/13). Statistically significant association was found between the complication incidence and the type of access, with group D showing the highest complication frequency (80%) and group H the lowest frequency (0%). The majority of complications (9/13) were observed in overweight horses. We conclude that devices designed for human patients can be used for laparoscopic access in standing horses, with the use of OHC minimizing the appearance of complications, especially in overweight horses with OW.
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Publication Date: 2023-01-15 PubMed ID: 36669062PubMed Central: PMC9863198DOI: 10.3390/vetsci10010061Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research retrospectively studied the complications arising from the use of human laparoscopic devices for surgery in standing horses. The study found that the type of access method significantly influenced the incidence of complications and that overweight horses were more prone to complications.

Objective and Methodology of the Study

  • The aim of this retrospective study was to compare the frequency and type of complications that arise when various laparoscopic devices designed for humans are used for equine laparoscopy.
  • The study also looked into the influence of the body condition of the horse on these complications.
  • Forty-four horse laparoscopic procedures were involved in the study, with data on the technique of cannula insertion, body condition of the horse, and the type and frequency of complications collected for analysis.

Laparoscopic Access Techniques

  • The techniques of laparoscopic access were divided into five categories: P (Pneumoperitoneum creation using Veress needle before cannulation), T (Sharp trocar), D (Direct access via surgical incision), V (Visiport optical trocar), and H (Optical helical cannula, OHC).
  • For the techniques under categories T, D, V, and H, access was achieved without any prior creation of pneumoperitoneum (distension of the abdomen with gas to create working and viewing space).

Findings and Conclusion

  • Complications were observed in 13 out of 44 procedures, with retroperitoneal insufflation (gas leakage to the space behind the peritoneal cavity) being the most common.
  • A significant correlation was found between the incidence of complications and the type of access method, with group D exhibiting the highest frequency of complications (80%) and group H showing the lowest (0%).
  • Most of the complications (9 out of 13) occurred in overweight horses.
  • From the study, the researchers concluded that laparoscopic devices developed for human patients can be effectively used in standing horses. Using an Optical helical cannula (OHC) can minimise complications, particularly in overweight horses.

Cite This Article

APA
Vázquez FJ, Vitoria A, Gómez-Arrue J, Fuente S, Barrachina L, de Blas I, Romero A. (2023). Complications in Laparoscopic Access in Standing Horses Using Cannula and Trocar Units Developed for Human Medicine. Vet Sci, 10(1), 61. https://doi.org/10.3390/vetsci10010061

Publication

Veterinary sciences
ISSN: 2306-7381
NlmUniqueID: 101680127
Country: Switzerland
Language: English
Volume: 10
Issue: 1
PII: 61

Researcher Affiliations

Vázquez, Francisco José
  • Equine Surgery and Medicine Service, Veterinary Hospital (HVUZ), Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Department of Animal Pathology, Faculty of Veterinary, Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
Vitoria, Arantza
  • Equine Surgery and Medicine Service, Veterinary Hospital (HVUZ), Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Department of Animal Pathology, Faculty of Veterinary, Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
Gómez-Arrue, Javier
  • Minimally Invasive Techniques Research Unit (UTMI), Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Instituto Aragonés de Ciencias de la Salud (IACS), CIBA, Avenida San Juan Bosco 13, 50009 Zaragoza, Spain.
Fuente, Sara
  • Equine Surgery and Medicine Service, Veterinary Hospital (HVUZ), Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Department of Animal Pathology, Faculty of Veterinary, Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
Barrachina, Laura
  • Equine Surgery and Medicine Service, Veterinary Hospital (HVUZ), Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Department of Anatomy, Embryology and Animal Genetics, Faculty of Veterinary, Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Instituto Universitario de Investigación Mixto Agroalimentario de Aragón (IA2), Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
de Blas, Ignacio
  • Department of Animal Pathology, Faculty of Veterinary, Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Instituto Universitario de Investigación Mixto Agroalimentario de Aragón (IA2), Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
Romero, Antonio
  • Equine Surgery and Medicine Service, Veterinary Hospital (HVUZ), Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Department of Animal Pathology, Faculty of Veterinary, Universidad de Zaragoza, C/Miguel Servet 177, 50013 Zaragoza, Spain.

Conflict of Interest Statement

The authors declare no conflict of interest.

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Citations

This article has been cited 1 times.
  1. Silva RDM, Araújo LHV, Cardoso TDS, Franco SLI, Gurgel HJ, Cerqueira PHL, Carvalho LS, Novais LGES, Gonçalves JLDS, Sousa LA, Albuquerque RDS, Dutra MD, Ferreira TTA, Silveira JAD, Silva MAM, Monteiro FDO, Teixeira PPM. A Single-Port, Multiple-Access, Custom-Made Device Used in Laparoscopically Assisted Cryptorchidectomy in Standing Horses-A Preliminary Study. Animals (Basel) 2024 Apr 3;14(7).
    doi: 10.3390/ani14071091pubmed: 38612330google scholar: lookup
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