Hand-assisted laparoscopic cystotomy for cystic calculus removal in male horses (3 cases).
Abstract: A technique for hand-assisted laparoscopic removal of cystic calculi in male horses is described. Three cystic calculi ranging from 5 to 10 cm in diameter were removed successfully using bilateral para-inguinal laparoscopic portals assisted by a human hand within the abdomen, effectively sealing the midline incision. Long-term follow-up information obtained from referring veterinarians and owners indicated that the patients returned to their previous activity level and had no recurrence of clinical signs in the following 6 to 12 months. Key clinical message: Hand-assisted recumbent laparoscopy is a satisfactory surgical technique for removal of cystic calculi in horses which cannot be operated on standing or whose body condition would make the parainguinal approach difficult. Cystotomie laparoscopique aidée de mains pour le retrait de calculs cystiques chez des chevaux mâles (3 cas). Une technique pour le retrait de calculs cystiques par laparoscopie aidée de mains chez des chevaux mâles est décrite. Trois calculs cystiques variant de 5 à 10 cm de diamètre furent retirés avec succès en utilisant des entrées laparoscopiques bilatérales para-inguinales aidées d’une main humaine à l’intérieur de l’abdomen, scellant avec succès l’incision sur la ligne médiane. Les informations sur le suivi à long terme obtenues des vétérinaires référant et des propriétaires indiquaient que les patients étaient retournés à leur niveau d’activité antérieur et qu’aucune récurrence des signes cliniques ne fut notée dans les 6 à 12 mois suivants.Message clinique clé:La laparoscopie couchée aidée de mains est une technique chirurgicale satisfaisante pour le retrait de calculs cystiques chez des chevaux qui ne peuvent être opérés debout ou dont la condition corporelle rendrait l’approche parainguinale difficile.(Traduit par Dr Serge Messier).
Copyright and/or publishing rights held by the Canadian Veterinary Medical Association.
Publication Date: 2021-01-05 PubMed ID: 33390594PubMed Central: PMC7739386
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Case Reports
- Journal Article
- Case Reports
- Clinical Pathology
- Clinical Study
- Clinical Symptoms
- Diagnosis
- Diagnostic Technique
- Disease Diagnosis
- Disease Treatment
- Equine Diseases
- Equine Health
- Horses
- Laparotomy
- Male Horses
- Minimally Invasive Surgery
- Post-Operative Period
- Surgery
- Treatment
- Veterinary Care
- Veterinary Medicine
- Veterinary Procedure
- Veterinary Research
Summary
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This research discusses a hand-assisted laparoscopic surgical technique used for the successful removal of cystic calculi (bladder stones) in male horses. The study found that this surgical approach allowed the animals to return to their normal activity without any recurrence of clinical signs within 6 to 12 months.
Overview of the Research
- This research paper describes a novel surgical technique used for the removal of cystic calculi in male horses.
- Three cases involving cystic calculi ranging from 5 to 10 cm in diameter provided the basis for the study.
- According to the report, the calculi were successfully removed through hand-assisted laparoscopic surgery—a minimally invasive procedure that involves small incisions and the use of a camera and surgical tools. A human hand was also used within the abdomen to seal the midline incision effectively.
Follow-Up Information and Clinical Results
- The authors gathered long-term information from referring veterinarians and horse owners for follow-up studies.
- The horses that had undergone this surgical procedure reportedly returned to their previous activity levels in the 6 to 12 months following the treatment.
- Furthermore, there were no reported recurrences of clinical signs in the given period, suggesting the procedure’s effectiveness long term.
Significance and Clinical Implications
- The study posits that hand-assisted recumbent laparoscopy is a satisfactory surgical technique for the removal of cystic calculi in horses.
- This technique is particularly useful for horses that cannot be operated standing up, or whose body condition might make other surgical approaches challenging.
- These findings may offer significant insights for veterinary surgeons while dealing with similar cases and provide valuable information about possible advancements in equine surgical procedures.
Cite This Article
APA
Merchan A, Barrett EJ, Rodgerson DH.
(2021).
Hand-assisted laparoscopic cystotomy for cystic calculus removal in male horses (3 cases).
Can Vet J, 62(1), 22-26.
Publication
Researcher Affiliations
- Ontario Veterinary College, University of Guelph, Guelph, Ontario (Merchan); Davidson Surgery Center, Hagyard Equine Medical Institute, Lexington, Kentucky, USA (Barrett, Rodgerson).
- Ontario Veterinary College, University of Guelph, Guelph, Ontario (Merchan); Davidson Surgery Center, Hagyard Equine Medical Institute, Lexington, Kentucky, USA (Barrett, Rodgerson).
- Ontario Veterinary College, University of Guelph, Guelph, Ontario (Merchan); Davidson Surgery Center, Hagyard Equine Medical Institute, Lexington, Kentucky, USA (Barrett, Rodgerson).
MeSH Terms
- Animals
- Calculi / veterinary
- Cystotomy / veterinary
- Hand-Assisted Laparoscopy / veterinary
- Horse Diseases / surgery
- Horses
- Humans
- Laparoscopy / veterinary
- Male
References
This article includes 35 references
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Citations
This article has been cited 1 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).
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