FREE SHIPPING over $40
OVER 9000 FIVE-STAR REVIEWS
5% OFF ALL SUBSCRIPTIONS
100% HAPPINESS GUARANTEE
Analyze Diet
0
Home / Equine Research Bank / Can Vet J / Morcellation for testes extraction in horses undergoing stan...
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).
Get Full Text
Publication Date: 2017-11-02 PubMed ID: 29089662PubMed Central: PMC5640285
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.
LinkedInCopy
  • 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.

References

This article includes 35 references
  1. Cox JE, Edwards GB, Neal PA. An analysis of 500 cases of equine cryptorchidism.. Equine Vet J 1979;11:113–116.
    pubmed: 38960
  2. Hayes HM. Epidemiological features of 5009 cases of equine cryptorchism.. Equine Vet J 1986;18:467–471.
    pubmed: 2879730
  3. Stickle RL, Fessler JF. Retrospective study of 350 cases of equine cryptorchidism.. J Am Vet Med Assoc 1978;172:343–346.
    pubmed: 23371
  4. Swift PN. Castration of a stallion with bilateral abdominal cryptorchidism by flank laparotomy.. Aust Vet J 1972;48:472–473.
    pubmed: 4404829
  5. Cox JE, Edwards GB, Neal PA. Suprapubic paramedian laparotomy for equine abdominal cryptorchidism.. Vet Rec 1975;97:428–432.
    pubmed: 3014
  6. Valdez H, Taylor TS, McLaughlin SA, Martin MT. Abdominal cryptorchidectomy in the horse, using inguinal extension of the gubernaculum testis.. J Am Vet Med Assoc 1979;174:1110–1112.
    pubmed: 35505
  7. Wilson DG, Reinertson EL. A modified parainguinal approach for cryptorchidectomy in horses. An evaluation in 107 horses.. Vet Surg 1987;16:1–4.
    pubmed: 2906771
  8. Searle D, Dart AJ, Dart CM, Hodgson DR. Equine castration: Review of anatomy, approaches, techniques and complications in normal, cryptorchid and monorchid horses.. Aust Vet J 1999;77:428–434.
    pubmed: 10451725
  9. Fischer AT, Vachon AM. Laparoscopic cryptorchidectomy in horses.. J Am Vet Med Assoc 1992;201:1705–1708.
    pubmed: 1363424
  10. Davis EW. Laparoscopic cryptorchidectomy in standing horses.. Vet Surg 1997;26:326–331.
    pubmed: 9232791
  11. Hendrickson DA, Wilson DG. Laparoscopic cryptorchid castration in standing horses.. Vet Surg 1997;26:335–339.
    pubmed: 9232793
  12. Ragle CA, Southwood LL, Howlett MR. Ventral abdominal approach for laparoscopic cryptorchidectomy in horses.. Vet Surg 1998;27:138–142.
    pubmed: 9525029
  13. Fischer AT, Vachon AM. Laparoscopic intra-abdominal ligation and removal of cryptorchid testes in horses.. Equine Vet J 1998;30:105–108.
    pubmed: 9535065
  14. Hanrath M, Rodgerson DH. Laparoscopic cryptorchidectomy using electrosurgical instrumentation in standing horses.. Vet Surg 2002;31:117–124.
    pubmed: 11884956
  15. Dunay MP, Németh T, Makra Z, Izing S, Bodó G. Laparoscopic cryptorchidectomy and ovariectomy in standing horses using the EnSeal® tissue-sealing device.. Acta Vet Hung 2012;60:41–53.
    pubmed: 22366131
  16. Hartman R, Hawkins JF, Adams SB, Moore GE, Fessler JF. Cryptorchidectomy in equids: 604 cases (1977–2010). J Am Vet Med Assoc 2015;246:777–784.
    pubmed: 25794128
  17. Walmsley JP. Review of equine laparoscopy and an analysis of 158 laparoscopies in the horse.. Equine Vet J 1999;31:456–464.
    pubmed: 10596925
  18. Hendrickson D. Laparoscopic cryptorchidectomy and ovariectomy in horses.. Vet Clin North Am Equine Pract 2006;22:777–798.
    pubmed: 17129803
  19. Wilson DA, Baker GJ, Boero MJ. Complications of celiotomy incisions in horses.. Vet Surg 1995;24:506–514.
    pubmed: 8560746
  20. Rodgerson DH, Brown MP, Watt BC, Keoughan CG, Hanrath M. Hand-assisted laparoscopic technique for removal of ovarian tumors in standing mares.. J Am Vet Med Assoc 2002;220:1503–1507.
    pubmed: 12018378
  21. Röcken M, Mosel G, Seyrek-Intas K. Unilateral and bilateral laparoscopic ovariectomy in 157 mares: A retrospective multicenter study.. Vet Surg 2011;40:1009–1014.
    pubmed: 22092147
  22. Lund CM, Ragle CA, Lutter JD, Farnsworth KD. Use of a motorized morcellator for elective bilateral laparoscopic ovariectomy in standing equids: 30 cases (2007–2013). J Am Vet Med Assoc 2014;244:1191–1197.
    pubmed: 24786168
  23. Schumacher J. Testis.. In: Auer JA, Stick JA, editors. Equine Surgery. 4th ed. St. Louis, Missouri: Elsevier Saunders; 2012. pp. 804–840.
  24. Milad MP, Milad EA. Laparoscopic morcellator-related complications.. J Minim Invasive Gynecol 2014;21:486–491.
    pubmed: 24333632
  25. Ragle CA, Fransson BA. Fundamental laparoscopic skills.. In: Ragle CA, editor. Advances in Equine Laparoscopy. West Sussex, UK: John Wiley and Sons; 2012. pp. 13–20.
  26. Hendrickson DA. Complications of laparoscopic surgery.. Vet Clin North Am Equine Pract 2008;24:557–571.
    pubmed: 19203701
  27. Southwood LL. Principles of antimicrobial therapy: What should we be using?. Vet Clin North Am Equine Pract 2006;22:279–296.
    pubmed: 16882476
  28. Weese JS, Cruz A. Retrospective study of perioperative antimicrobial use practices in horses undergoing elective athroscopic surgery at a veterinary teaching hospital.. Can Vet J 2009;50:185–188.
    pmc: PMC2629423pubmed: 19412399
  29. Bekhit M, Jackson T, Advincula AP. Simulation study comparing the effectiveness of the Gynecare Morcellex®, the MOREsolutionTM, and the RotocutTM G1 tissue morcellators.. Surg Technol Int 2014;24:237–242.
    pubmed: 24574011
  30. Kummer M, Theiss F, Jackson M, Fürst A. Evaluation of a motorized morcellator for laparoscopic removal of granulosa-theca cell tumors in standing mares.. Vet Surg 2010;39:649–653.
    pubmed: 20345529
  31. Voermans M, Rijkenhuizen AB, van der Velden MA. The complex blood supply to the equine testis as a cause of failure in laparoscopic castration.. Equine Vet J 2006;38:35–39.
    pubmed: 16411584
  32. . UPDATED Laparoscopic Uterine Power Morcellation in Hysterectomy and Myomectomy: FDA Safety Communication.. Nov 24, 2014. [Last accessed September 13, 2017]. Available from: https://www.fda.gov/medicaldevices/safety/alertsandnotices/ucm424443.htm.
  33. Halaska MJ, Haidopoulos D, Guyon F. European Society of Gynecological Oncology Statement on Fibroid and Uterine Morcellation.. Int J Gynecol Cancer 2017;27:189–192.
    pubmed: 28002210
  34. Trumble TN, Ingle-Fehr J, Hendrickson DA. Laparoscopic intra-abdominal ligation of the testicular artery following castration in a horse.. J Am Vet Med Assoc 2000;216:1596–1598.
    pubmed: 10825948
  35. Kennedy JS, Stranahan PL, Taylor KD, Chandler JG. High-burst-strength, feedback-controlled bipolar vessel sealing.. Surg Endosc 1998;12:876–878.
    pubmed: 9602010
Subscribe to our newsletter
Join 99,359 horse owners like you who receive our email updates on horse health and nutrition.