Instrumentation and techniques in transendoscopic upper respiratory tract laser surgery.
Abstract: Transendoscopic laser surgery provides equine surgeons with a safe, reliable, and minimally invasive method of performing many surgical procedures in the upper respiratory tract. Although the Nd:YAG laser has proven efficacy, other newer lasers such as the diode and holmium: YAG lasers may prove to be useful tools for equine upper respiratory tract surgery. Long grasping forceps and a high quality fiberoptic or video endoscope are critical components necessary for performing transendoscopic laser surgery. For many of the most common upper respiratory tract abnormalities, a laryngotomy can be eliminated, morbidity is minimal, the horse can often return to normal exercise in approximately 7 to 14 days, and trainer and owner acceptance is excellent. Transendoscopic laser surgery is most likely to be cost effective in large referral practices or in a university setting.
Publication Date: 1996-08-01 PubMed ID: 8856882DOI: 10.1016/s0749-0739(17)30287-0Google Scholar: Lookup
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Summary
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The research article discusses the use and benefits of transendoscopic laser surgery for treating upper respiratory tract ailments in horses, highlighting its minimally invasive nature, safety, and reliability. The article additionally compares the effectiveness of different types of lasers, emphasizing the necessity of specific surgical instruments.
Transendoscopic Laser Surgery
- The primary focus of this study is on transendoscopic laser surgery, a surgical procedure that allows equine surgeons to perform minimally invasive operations on the upper respiratory tract of horses.
- Transendoscopic laser surgery is considered safe and reliable, potentially reducing the need for more invasive procedures such as a laryngotomy.
- A primary advantage of this procedure is the minimal recovery time it allows for, returning horses to normal activity levels within 7 to 14 days.
- Furthermore, the procedure has received high acceptance from trainers and owners, demonstrating its practical utility and effectiveness in real-world contexts.
Role of Surgical Instruments
- The study stresses the importance of using high-quality surgical instruments, such as long grasping forceps and a high-quality fiberoptic or video endoscope, for performing transendoscopic laser surgeries.
- These precision tools aid in the successful performance of surgery, thereby increasing the success rate and safety of the procedure.
Comparison of Lasers
- The study reviews the efficacy of different types of lasers used in these surgeries. While the Nd:YAG laser has proven its effectiveness, the potential utility of newer lasers like the diode and the holmium:YAG lasers is also examined.
- This comparison intends to explore and validate alternatives that may be equally efficient or even superior in performing such surgical procedures.
Economic Factors
- The study also looks into the cost-effectiveness of transendoscopic laser surgery, suggesting that it may be more financially viable in large referral practices or university settings.
- This economic consideration is important as it can influence the large-scale adoption and viability of this surgical procedure.
Cite This Article
APA
Tulleners E.
(1996).
Instrumentation and techniques in transendoscopic upper respiratory tract laser surgery.
Vet Clin North Am Equine Pract, 12(2), 373-395.
https://doi.org/10.1016/s0749-0739(17)30287-0 Publication
Researcher Affiliations
- Section of Surgery, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, USA.
MeSH Terms
- Animals
- Horse Diseases / surgery
- Horses / surgery
- Laser Therapy / instrumentation
- Laser Therapy / methods
- Laser Therapy / veterinary
- Respiratory Tract Diseases / surgery
- Respiratory Tract Diseases / veterinary
- Surgery, Veterinary / methods
- Surgical Instruments / standards
- Surgical Instruments / veterinary
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