Use of a motorized morcellator for elective bilateral laparoscopic ovariectomy in standing equids: 30 cases (2007-2013).
Abstract: To describe the use of a motorized morcellator for elective bilateral laparoscopic ovariectomy in standing equids and to evaluate long-term outcome. Methods: Retrospective case series. Methods: 30 equids (20 horses, 9 mules, and 1 pony). Methods: Medical records of equids undergoing elective bilateral laparoscopic ovariectomy from 2007 to 2013 were evaluated. Cases were selected on the basis of use of a motorized morcellator for ovary extraction. Data collected included age, breed, reason for surgery, surgery date, surgical approach, intraoperative complications, surgery and morcellation times, postoperative complications, and duration of hospitalization. Long-term follow-up was obtained by telephone interview with owners, and included effectiveness at resolving original reason for surgery, time to return to usual activity, incision site appearance, signs of estrus after surgery, and overall owner satisfaction. Results: 30 equids underwent laparoscopic bilateral ovariectomy with the morcellator technique. Median surgery time was 102 minutes (range, 47 to 150 minutes). Median single ovary morcellation time was 3.5 minutes (range, 2 to 8 minutes). Intraoperative complications occurred in 2 of 30 cases and included iatrogenic organ damage (uterus; 1) and persistent hemorrhage (1). Nineteen of 20 mares for which long-term follow-up was available returned to their previous use at a median of 60 days after surgery (range, 21 to 180 days). Conclusions: Results of the present study indicated that use of a mechanical morcellator with a 2-portal technique for bilateral laparoscopic ovariectomy in clinically normal equids eliminated the need for a larger laparotomy incision as well as a third portal. Few complications occurred, and clients were satisfied with the procedure. The morcellator technique may offer advantages over other techniques but should only be used by experienced laparoscopic surgeons following adequate training.
Publication Date: 2014-05-03 PubMed ID: 24786168DOI: 10.2460/javma.244.10.1191Google Scholar: Lookup
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- Journal Article
Summary
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The research article focuses on a retrospective case study of 30 horses, mules and ponies who underwent elective bilateral laparoscopic ovariectomy using a motorized morcellator. The findings indicate that this technique, when performed by experienced surgeons, can effectively remove ovaries with few complications and is highly satisfactory to owners.
Methodology
- The researchers conducted a retrospective case series study, selecting cases based on the use of a motorized morcellator for ovary extraction.
- Equids involved in the study included 20 horses, 9 mules, and 1 pony.
- They collected and evaluated data such as age, breed, reason for surgery, date of surgery, surgical approach, complications during and after surgery, surgery and morcellation times, and hospitalization duration.
- For long-term follow-up, they interviewed the owners by phone to assess things like the effectiveness of the surgery, return to usual activity time, appearance of the incision site, signs of estrus post-surgery, and overall owner satisfaction.
Findings
- 30 equids underwent laparoscopic bilateral ovariectomy using the morcellator technique.
- Median time for surgery was 102 minutes, while median time for single ovary morcellation was 3.5 minutes.
- Only two cases had intraoperative complications, including accidental organ damage (of the uterus) and persistent hemorrhage.
- 19 out of 20 mares with long-term follow-ups returned to their previous lifestyles within 60 days after surgery (ranging from 21 to 180 days).
Conclusions
- The study suggests that the morcellator technique can be used to successfully carry out elective bilateral laparoscopic ovariectomy in equids, avoiding a larger laparomy incision or the necessity for a third portal.
- The technique resulted in few complications and owners expressed satisfaction with the results.
- However, the technique should only be employed by surgeons with sufficient laparoscopic surgery experience and training due to potential complications.
Cite This Article
APA
Lund CM, Ragle CA, Lutter JD, Farnsworth KD.
(2014).
Use of a motorized morcellator for elective bilateral laparoscopic ovariectomy in standing equids: 30 cases (2007-2013).
J Am Vet Med Assoc, 244(10), 1191-1197.
https://doi.org/10.2460/javma.244.10.1191 Publication
Researcher Affiliations
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, WA 99164.
MeSH Terms
- Animals
- Female
- Horses / surgery
- Laparoscopy / instrumentation
- Laparoscopy / methods
- Laparoscopy / veterinary
- Ovariectomy / instrumentation
- Ovariectomy / methods
- Ovariectomy / veterinary
- Surgical Instruments / veterinary
Citations
This article has been cited 2 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).
- Sassot LN, Ragle CA, Farnsworth KD, Lund CM. Morcellation for testes extraction in horses undergoing standing laparoscopic cryptorchidectomy.. Can Vet J 2017 Nov;58(11):1215-1220.
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