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Modified parainguinal approach for cystic calculus removal in five equids.
Abstract: This report describes a modification of the parainguinal approach for removal of cystic calculi: a ventral midline laparotomy-guided parainguinal laparocystotomy. The ventral midline approach to the abdomen is rapid and routinely used by equine surgeons. With an arm introduced to the abdomen via the ventral midline, the surgeon is able to select the ideal parainguinal laparotomy incision location that allows bladder exteriorisation with the minimum amount of tension. Because the surgeon's hand is introduced via the ventral midline incision, the parainguinal incision can be sized to just allow exteriorisation of the urinary bladder and urolith, increasing extra-abdominal bladder security during cystotomy while reducing incision size in the parainguinal region. Finally, an assistant's hand via the ventral midline incision can maintain bladder stability within the parainguinal incision during cystotomy closure.
© 2012 EVJ Ltd.
Publication Date: 2012-03-13 PubMed ID: 22413914DOI: 10.1111/j.2042-3306.2012.00557.xGoogle Scholar: Lookup 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.
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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 article discusses a modification of the parainguinal approach used for removal of bladder stones in equine species. The adjusted surgery method, involving a ventral midline laparotomy-guided parainguinal laparocystotomy, offers a more precise, secure and minimally invasive procedure.
Introduction
- The study begins by identifying the common surgical approach used by equine surgeons for removal of bladder stones, known as the ventral midline laparotomy.
- This approach is acknowledged for its speed of execution and is often chosen as the primary surgical method by equine surgeons for different abdominal procedures.
Proposed Modification
- The researchers propose a modification to the existing ventral midline approach which they call a ventral midline laparotomy-guided parainguinal laparocystotomy.
- One of the main benefits is that the adjusted approach allows the surgeon to precisely determine the best incision location in the parainguinal region that will allow the bladder and bladder stone to be exteriorised with minimal tension.
Benefits of the Modified Approach
- Due to the surgeon’s ability to select the incision location via the ventral midline incision, the size of the parainguinal incision can be minimised.
- This more precise incision makes exteriorisation of the urinary bladder and the bladder stone possible, while ensuring the bladder’s extra-abdominal security during the operation.
- Furthermore, reducing the incision size in the parainguinal region also means less invasive surgery and possible reduction in recovery time.
Improved Procedure Security
- A unique feature of this modified approach is the involvement of an assistant’s hand through the ventral midline incision.
- This additional support helps to maintain bladder stability within the parainguinal incision during the cystotomy closure.
- By this method, the cystotomy procedure becomes safer and more secure, reducing the risk of potential complications during the operation.
Cite This Article
APA
Watts AE, Fubini SL.
(2012).
Modified parainguinal approach for cystic calculus removal in five equids.
Equine Vet J, 45(1), 94-96.
https://doi.org/10.1111/j.2042-3306.2012.00557.x Publication
Researcher Affiliations
- Clinical Sciences, Cornell University, New York, NY, USA. awatts@cvm.tamu.edu
MeSH Terms
- Animals
- Cystotomy / methods
- Cystotomy / veterinary
- Horse Diseases / surgery
- Horses
- Male
- Urinary Bladder Calculi / surgery
- Urinary Bladder Calculi / veterinary
Citations
This article has been cited 1 times.- Merchan A, Barrett EJ, Rodgerson DH. Hand-assisted laparoscopic cystotomy for cystic calculus removal in male horses (3 cases). Can Vet J 2021 Jan;62(1):22-26.
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