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The Canadian veterinary journal = La revue veterinaire canadienne2017; 58(11); 1215-1220;

Morcellation for testes extraction in horses undergoing standing laparoscopic cryptorchidectomy.

Abstract: The major objective of this study was to describe the use of morcellation for standing laparoscopic cryptorchidectomy in 30 client-owned horses. A second objective was to describe a laparoscopic-assisted standing scrotal technique for removal of a descended testis in unilateral cryptorchids. Morcellation for extraction of abdominal testes is effective, efficient, and well-tolerated. Morcellation enabled safe and straightforward extraction of testes from the abdomen through an approximately 13- to 20-mm incision using a 2-portal technique. No incisional or morcellator-related complications occurred. Our laparoscopic-assisted standing scrotal technique for removal of a descended testis in unilateral cryptorchids entails intra-abdominal sealing and transection of the spermatic cord under laparoscopic viewing and subsequent removal of the testis through a scrotal incision. This technique enabled the surgeon to confirm hemostasis after transection of the spermatic cord and allowed tension-free removal of the descended testis. No intra-operative or incisional complications were encountered. Morcellement pour l’extraction des testicules chez les chevaux subissant une cryptorchidectomie laparascopique debout. L’objectif majeur de cette étude consistait à décrire l’utilisation du morcellement pour la cryptorchidectomie laparascopique debout chez 30 chevaux appartenant à des clients. Un second objectif était de décrire une technique scrotale debout assistée par laparascopie pour l’enlèvement d’un testicule descendu pour les cryptorchides unilatéraux. Le morcellement pour l’extraction des testicules abdominaux est efficace et bien tolérée. Le morcellement a permis une extraction sûre et simple des testicules par l’abdomen par une incision d’environ 13 à 20 mm à l’aide d’une technique à deux portails. Aucune complication cicatricielle ou liée au morcellateur ne s’est produite. Notre technique scrotale debout assistée par laparoscopie pour l’enlèvement des testicules descendus dans les cryptorchides unilatéraux implique un scellement intra-abdominal et le sectionnement transversal du cordon spermatique sous une vue laparascopique et l’enlèvement subséquent des testicules par une incision scrotale. Cette technique a permis au chirurgien de confirmer l’hémostase après le sectionnement transversal du cordon spermatique et a permis l’enlèvement sans tension des testicules descendus. Aucune complication intra-opératoire ou cicatricielle ne s’est produite.(Traduit par Isabelle Vallières).
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Publication Date: 2017-11-02 PubMed ID: 29089662PubMed Central: PMC5640285
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  • Journal Article

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.

The research explores the use of morcellation in a standing laparoscopic procedure for the removal of undescended testes in horses, and also the application of a laparoscopic-assisted technique for the extraction of descended testes in cases of unilateral cryptorchidism.

Methodology and Objective

  • The primary aim of the study was to explain the application of morcellation during standing laparoscopic cryptorchidectomy in 30 client-owned horses. For context, morcellation refers to a technique where the surgeon fragments or grinds up the tissue (in this case, undescended testes), making it easy to remove through small incisions.
  • The researchers had a secondary goal of describing a laparoscopic-assisted technique for removing a descended testis in unilateral cryptorchids (horses with one undescended and one descended testes).

Findings and Results

  • The procedures were efficient and well-received. The results indicated that morcellation allowed safe, straightforward testes extraction from the abdomen. The organs were passed through a roughly 13- to 20-mm incision using a two-portal strategy.
  • Notably, the researchers did not observe any complications linked to the incision or use of the morcellator device. This implies that the method is safe and reliable for cryptorchidectomy.
  • Regarding the laparoscopic-assisted standing scrotal technique for the removal of a descended testis in unilateral cryptorchids, the process involved sealing and cutting the spermatic cord inside the abdomen while observed with laparoscopic visualization.
  • The testis was then removed via a scrotal incision. The technique allowed the surgeon to confirm hemostasis (stoppage of bleeding) after transecting the spermatic cord. It also made it possible to remove the descended testes without tension, reducing the risk of injury during the extraction.
  • Just like the morcellation method, this technique did not encounter any operative or incisional complications, which reaffirmed its efficiency and safety.

Conclusion

  • In conclusion, morcellation was found to be an efficient, effective, and well-tolerated method for extraction of abdominal testes during laparoscopic cryptorchidectomies.
  • Similarly, the laparoscopic-assisted technique for removing descended testes in horses with unilateral cryptorchidism ensured tension-free and safe removal while allowing for careful monitoring of bleeding.

Cite This Article

APA
Sassot LN, Ragle CA, Farnsworth KD, Lund CM. (2017). Morcellation for testes extraction in horses undergoing standing laparoscopic cryptorchidectomy. Can Vet J, 58(11), 1215-1220.

Publication

The Canadian veterinary journal = La revue veterinaire canadienne
ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 58
Issue: 11
Pages: 1215-1220

Researcher Affiliations

Sassot, Lucas Nolazco
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington 99164, USA (Nolazco Sassot, Ragle, Farnsworth); Lund Equine, 7612 Hwy 312, Billings, Montana 59105, USA (Lund).
Ragle, Claude A
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington 99164, USA (Nolazco Sassot, Ragle, Farnsworth); Lund Equine, 7612 Hwy 312, Billings, Montana 59105, USA (Lund).
Farnsworth, Kelly D
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington 99164, USA (Nolazco Sassot, Ragle, Farnsworth); Lund Equine, 7612 Hwy 312, Billings, Montana 59105, USA (Lund).
Lund, Caleb M
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington 99164, USA (Nolazco Sassot, Ragle, Farnsworth); Lund Equine, 7612 Hwy 312, Billings, Montana 59105, USA (Lund).

MeSH Terms

  • Animals
  • Cryptorchidism / surgery
  • Cryptorchidism / veterinary
  • Horses / surgery
  • Laparoscopy / veterinary
  • Male
  • Orchiectomy / veterinary
  • Testis / surgery
  • Treatment Outcome

Conflict of Interest Statement

Use of this article is limited to a single copy for personal study. Anyone interested in obtaining reprints should contact the CVMA office (hbroughton@cvma-acmv.org) for additional copies or permission to use this material elsewhere.

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Citations

This article has been cited 1 times.
  1. 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).
    doi: 10.3390/vetsci9020041pubmed: 35202295google scholar: lookup
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