Elevating the uterus (uteropexy) of five mares by laparoscopically imbricating the mesometrium.
Abstract: There is a need for study of a method for restoring a ventrally positioned uterus to a horizontal position involving fertility of mares with delayed uterine clearance. Objective: A ventrally-angled uterus can be elevated to a horizontal position using a laparoscopic technique. Objective: To develop a laparoscopic technique of imbricating the mesometria to elevate the uterus to a horizontal position. Methods: The right and left mesometria of 5 pluriparous mares, all barren for 1-8 years (mean 3.8 years), with a pendulous, ventrally-angled uterus were shortened laparoscopically, by imbrication, with the mares standing, to raise the uterine body and horns to a horizontal position. Sutures were placed through the dorsal aspect of the uterine body and uterine horn and the adjacent region of the mesometrium using a simple continuous suture pattern. Results: The uterus of all 5 mares was elevated successfully to a horizontal position. Three of the mares became pregnant the same year, without other treatment, after the procedure. Conclusions: A pendulous, ventrally-angled uterus can be returned to a normal, horizontal position by imbricating the mesometria, using a laparoscopic technique. Conclusions: Elevating a ventrally-angled uterus to a horizontal position may improve egress of uterine debris, thereby improving fertility.
© 2010 EVJ Ltd.
Publication Date: 2010-11-03 PubMed ID: 21039795DOI: 10.1111/j.2042-3306.2010.00069.xGoogle Scholar: Lookup
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- Clinical Trial
- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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The research focused on a laparoscopic technique for repositioning a misaligned uterus to a horizontal position in mares that have fertility issues due to delayed uterine clearance. The method was successful in all subjects, with some even achieving pregnancy post-procedure without further treatment.
Research Objective
- The main objective of the study was to develop an effective technique using laparoscopy to elevate a uterus that is improperly positioned (referred to as being ‘ventrally-angled’) back to the normal, horizontal position. This was seen as necessary due to the correlation between a ventrally-angled uterus and problems with fertility in mares due to delayed uterine clearance.
Methodology
- The study was conducted on 5 pluriparous mares that were barren for a varying period between 1-8 years. Each of these mares had a pendulous, ventrally-angled uterus.
- The researchers executed a surgical procedure called imbrication on both the right and left mesometria (the structure supporting the uterus) of the mares. This involved shortening the mesometria to lift the entire uterine structure, both the body and horns, to a horizontal positioning.
- The procedure was carried out laparoscopically, meaning it was minimally invasive and done with the mare standing.
- A continuous suture pattern was used to place sutures through the dorsal aspect of the uterine body and horns, and the adjacent section of the mesometrium.
Results
- The procedure was successful in all 5 mares, with their respective uteruses being restored to a horizontal position.
- Furthermore, 3 of these mares became pregnant in the same year of the procedure without the use of any other treatments.
Conclusions
- The results of the study point towards the conclusion that a ventrally-angled uterus can indeed be returned to a regular, horizontal position with the laparoscopic technique of imbricating the mesometria.
- Another significant conclusion from the research is that this corrective procedure might enhance the egress of uterine debris, subsequently contributing to better fertility.
Cite This Article
APA
Brink P, Schumacher J, Schumacher J.
(2010).
Elevating the uterus (uteropexy) of five mares by laparoscopically imbricating the mesometrium.
Equine Vet J, 42(8), 675-679.
https://doi.org/10.1111/j.2042-3306.2010.00069.x Publication
Researcher Affiliations
- Jägersro Equine ATG Clinic, Jägersro, SE-212 37 Malmö, Sweden.
MeSH Terms
- Animals
- Female
- Horse Diseases / surgery
- Horses
- Infertility, Female / surgery
- Infertility, Female / veterinary
- Laparoscopy / veterinary
- Uterus / pathology
- Uterus / surgery
Citations
This article has been cited 3 times.- Straticò P, Guerri G, Palozzo A, Varasano V, Petrizzi L. Current Use of Equine Laparoscopy in Urogenital Disorders: A Scoping Review of the Literature from 2000 to 2021.. Vet Sci 2022 Jan 22;9(2).
- Garg D, Johnstone EB, Lomo L, Fair DB, Rosen MP, Taylor R, Silver B, Letourneau JM. Looking beyond the ovary for oncofertility care in women: uterine injury as a potential target for fertility-preserving treatments.. J Assist Reprod Genet 2020 Jun;37(6):1467-1476.
- Hendrickson DA. A review of equine laparoscopy.. ISRN Vet Sci 2012;2012:492650.
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