Standing laparoscopic ovariectomy technique with intraabdominal dissection for removal of large pathologic ovaries in mares.
Abstract: To describe a standing laparoscopic ovariectomy technique with intraabdominal ovarian dissection inside a specimen retrieval bag for removal of large pathologic ovaries through small incisions. Methods: Case series. Methods: Mares (n=43) aged 2-21 years and weighing 380-680 kg. Methods: Unilateral laparoscopic ovariectomy was performed on 43 standing sedated mares. Ovaries were approached via 3 portal sites, 2 in the paralumbar fossa and a 3rd between the 17th and 18th ribs on the ipsilateral side. Ovaries were dissected free using either a LiNA Tripol-bipolar laparoscopic forceps or a Ligasure Vessel Sealing Device and removed by enlarging the proximal portal site ventrally using a grid technique. Use of a plastic specimen retrieval bag and cannula suction device facilitated intraabdominal dissection of very large ovaries into 2 or more pieces, before removal through small incisions. Results: Regardless of size, all ovaries were removed successfully through small incisions (range, 5-10 cm), with no major complications and an excellent cosmetic result. All sport horses returned to previous levels of work or higher, with 93% of breeding mares successfully bred in the 1st season after surgery. Conclusions: Large pathologic ovaries can be easily and safely removed by standing laparoscopic ovariectomy on the mare. Conclusions: Standing laparoscopic ovariectomy combined with a small flank incision is a safe and highly effective technique for removal of large pathologic ovaries in the mare, negating the requirement for general anesthesia or large incisions.
Publication Date: 2010-05-06 PubMed ID: 20459500DOI: 10.1111/j.1532-950X.2010.00695.xGoogle Scholar: Lookup
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- Journal Article
Summary
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The research article describes a method to safely and effectively remove large pathological ovaries from mares using a standing laparoscopic ovariectomy technique.
Methods
- The study was performed on 43 mares, aged between 2 to 21 years, and with body weight ranging from 380 to 680 kilograms.
- Laparoscopic ovariectomy, a minimally invasive procedure to remove ovaries, was done while the mares were standing and sedated.
- The ovaries were accessed via three portal sites – two situated in the paralumbar fossa (a concave area on the animal’s flank) and a third one between the 17th and 18th ribs on the side of the ovary.
- Ovaries were disconnected using either a LiNA Tripol-bipolar laparoscopic forceps or a Ligasure Vessel Sealing Device.
- Removal of the extracted ovaries was facilitated by enlarging the ventral part of the proximal portal site using a grid technique.
- For the removal of very large ovaries, a plastic specimen retrieval bag and cannula suction device were used to dissect the ovary into two or more parts within the abdomen before removing them through small incisions.
Results
- All ovaries, regardless of their size, were successfully removed through small cuts, with the size of the cuts ranging from 5 to 10 cm.
- There were no major complications reported after the procedure, and the results were aesthetically pleasing.
- After the surgery, all sport horses resumed their previous or higher workload levels.
- 93% of the mares used for breeding were successfully impregnated in the first season following the surgery.
Conclusion
- The method allowed for the easy, safe removal of large pathological ovaries from mares using a standing laparoscopic ovariectomy technique.
- This technique, combined with a small flank incision, proved to be a safe and highly effective method to remove large pathological ovaries in mares, eliminating the need for general anesthesia or large incisions.
Cite This Article
APA
De Bont MP, Wilderjans H, Simon O.
(2010).
Standing laparoscopic ovariectomy technique with intraabdominal dissection for removal of large pathologic ovaries in mares.
Vet Surg, 39(6), 737-741.
https://doi.org/10.1111/j.1532-950X.2010.00695.x Publication
Researcher Affiliations
- Dierenkliniek De Bosdreef, Moerbeke-Waas, Belgium.
MeSH Terms
- Abdominal Cavity / surgery
- Animals
- Breeding
- Conscious Sedation / methods
- Conscious Sedation / veterinary
- Female
- Horse Diseases / surgery
- Horses
- Ovarian Diseases / surgery
- Ovarian Diseases / veterinary
- Ovariectomy / methods
- Ovariectomy / veterinary
- Ovary / pathology
- Ovary / surgery
- Posture
- Treatment Outcome
Citations
This article has been cited 3 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).
- Goto A, Tagami M, Kato F, Suzuki T, Yamaga T, Murase H, Sato F, Tsogtgerel M, Niikura T, Moriyama T, Chiba A, Watanabe KI, Tsuzuki N, Nambo Y. Equine nonneoplastic abnormal ovary in a draft mare with high serum anti-Müllerian hormone: a case study. J Equine Sci 2021 Dec;32(4):147-151.
- Hendrickson DA. A review of equine laparoscopy. ISRN Vet Sci 2012;2012:492650.
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