Left paralumbar laparoscopic bilateral ovariectomy in mares
Objective To develop a novel technique for left paralumbar laparoscopic bilateral ovariectomy in standing, sedated mares. Study design Prospective descriptive clinical study. Animals Twelve client‐owned mares. Methods Healthy mares with normal ovarian palpation and ultrasonographic appearance were e...
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Veröffentlicht in: | Veterinary surgery 2017-05, Vol.46 (4), p.574-579 |
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creator | Colbath, Aimee C. Hackett, Eileen S. Lesser, Craig S. Hendrickson, Dean A. |
description | Objective
To develop a novel technique for left paralumbar laparoscopic bilateral ovariectomy in standing, sedated mares.
Study design
Prospective descriptive clinical study.
Animals
Twelve client‐owned mares.
Methods
Healthy mares with normal ovarian palpation and ultrasonographic appearance were enrolled. Horses were restrained in standing stocks and administered a variable rate infusion of sedation. A left paralumbar bilateral ovariectomy was performed with 1 laparoscopic and 3 instrument portals. Access to the right ovary was facilitated by retracting the descending colon and associated mesentery with a fan retractor. Ovaries were removed with traumatic forceps, and a blunt tip vessel sealing device. A laparoscopic portal within the 17th intercostal space provided good visualization of the right ovary and reduced interference between instrumentation. Complications were recorded during hospitalization. In addition, an owner follow‐up questionnaire was used to determine complications after discharge from the hospital.
Results
Left paralumbar bilateral ovariectomy was successful in all 12 mares, with a mean surgical time of 76 ± 8 minutes. Postoperative complications occurred in 4/12 (33%) mares and included fever, mild colic, incisional swelling, and azotemia. Complications resolved and mares returned to full activity, with complete owner satisfaction.
Conclusions
Bilateral ovariectomy can be successfully achieved with minimal morbidity in standing mares with normal ovarian ultrasonographic appearance via left paralumbar laparoscopy. |
doi_str_mv | 10.1111/vsu.12637 |
format | Article |
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To develop a novel technique for left paralumbar laparoscopic bilateral ovariectomy in standing, sedated mares.
Study design
Prospective descriptive clinical study.
Animals
Twelve client‐owned mares.
Methods
Healthy mares with normal ovarian palpation and ultrasonographic appearance were enrolled. Horses were restrained in standing stocks and administered a variable rate infusion of sedation. A left paralumbar bilateral ovariectomy was performed with 1 laparoscopic and 3 instrument portals. Access to the right ovary was facilitated by retracting the descending colon and associated mesentery with a fan retractor. Ovaries were removed with traumatic forceps, and a blunt tip vessel sealing device. A laparoscopic portal within the 17th intercostal space provided good visualization of the right ovary and reduced interference between instrumentation. Complications were recorded during hospitalization. In addition, an owner follow‐up questionnaire was used to determine complications after discharge from the hospital.
Results
Left paralumbar bilateral ovariectomy was successful in all 12 mares, with a mean surgical time of 76 ± 8 minutes. Postoperative complications occurred in 4/12 (33%) mares and included fever, mild colic, incisional swelling, and azotemia. Complications resolved and mares returned to full activity, with complete owner satisfaction.
Conclusions
Bilateral ovariectomy can be successfully achieved with minimal morbidity in standing mares with normal ovarian ultrasonographic appearance via left paralumbar laparoscopy.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/vsu.12637</identifier><identifier>PMID: 28233906</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Animals ; Colic ; Colon ; Complications ; Customer satisfaction ; Female ; Fever ; Horses ; Horses - surgery ; Instrumentation ; Laparoscopy ; Laparoscopy - veterinary ; Medical instruments ; Mesentery ; Morbidity ; Ovariectomy ; Ovariectomy - methods ; Ovariectomy - veterinary ; Ovaries ; Postoperative Complications - veterinary ; Prospective Studies ; Sealing ; Surgery ; Veterinary medicine</subject><ispartof>Veterinary surgery, 2017-05, Vol.46 (4), p.574-579</ispartof><rights>2017 The American College of Veterinary Surgeons</rights><rights>2017 The American College of Veterinary Surgeons.</rights><rights>Copyright 2017 by The American College of Veterinary Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-f3b41f237e87aa9a7372b1649f52ce417f80146ea7d6399098b6c909170d89493</citedby><cites>FETCH-LOGICAL-c3537-f3b41f237e87aa9a7372b1649f52ce417f80146ea7d6399098b6c909170d89493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvsu.12637$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvsu.12637$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28233906$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Colbath, Aimee C.</creatorcontrib><creatorcontrib>Hackett, Eileen S.</creatorcontrib><creatorcontrib>Lesser, Craig S.</creatorcontrib><creatorcontrib>Hendrickson, Dean A.</creatorcontrib><title>Left paralumbar laparoscopic bilateral ovariectomy in mares</title><title>Veterinary surgery</title><addtitle>Vet Surg</addtitle><description>Objective
To develop a novel technique for left paralumbar laparoscopic bilateral ovariectomy in standing, sedated mares.
Study design
Prospective descriptive clinical study.
Animals
Twelve client‐owned mares.
Methods
Healthy mares with normal ovarian palpation and ultrasonographic appearance were enrolled. Horses were restrained in standing stocks and administered a variable rate infusion of sedation. A left paralumbar bilateral ovariectomy was performed with 1 laparoscopic and 3 instrument portals. Access to the right ovary was facilitated by retracting the descending colon and associated mesentery with a fan retractor. Ovaries were removed with traumatic forceps, and a blunt tip vessel sealing device. A laparoscopic portal within the 17th intercostal space provided good visualization of the right ovary and reduced interference between instrumentation. Complications were recorded during hospitalization. In addition, an owner follow‐up questionnaire was used to determine complications after discharge from the hospital.
Results
Left paralumbar bilateral ovariectomy was successful in all 12 mares, with a mean surgical time of 76 ± 8 minutes. Postoperative complications occurred in 4/12 (33%) mares and included fever, mild colic, incisional swelling, and azotemia. Complications resolved and mares returned to full activity, with complete owner satisfaction.
Conclusions
Bilateral ovariectomy can be successfully achieved with minimal morbidity in standing mares with normal ovarian ultrasonographic appearance via left paralumbar laparoscopy.</description><subject>Animals</subject><subject>Colic</subject><subject>Colon</subject><subject>Complications</subject><subject>Customer satisfaction</subject><subject>Female</subject><subject>Fever</subject><subject>Horses</subject><subject>Horses - surgery</subject><subject>Instrumentation</subject><subject>Laparoscopy</subject><subject>Laparoscopy - veterinary</subject><subject>Medical instruments</subject><subject>Mesentery</subject><subject>Morbidity</subject><subject>Ovariectomy</subject><subject>Ovariectomy - methods</subject><subject>Ovariectomy - veterinary</subject><subject>Ovaries</subject><subject>Postoperative Complications - veterinary</subject><subject>Prospective Studies</subject><subject>Sealing</subject><subject>Surgery</subject><subject>Veterinary medicine</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1Lw0AQhhdRbK0e_AMS8KKH2P3KbhZPUvyCggeteFs2211ISZq4m1T67x1N9SA4l2GYh5eZB6FTgq8I1HQT-ytCBZN7aEwyRlOV4bd9NMZEkJRxpUboKMYVxlhxzg7RiOaUMYXFGF3Pne-S1gRT9XVhQlIZGJpom7a0SVFWpnOwS5qNCaWzXVNvk3Kd1Ca4eIwOvKmiO9n1CVrc3b7MHtL50_3j7GaeWpYxmXpWcOIpky6XxigjmaQFEVz5jFrHifQ5Jlw4I5eCKYVVXggLjUi8zBVXbIIuhtw2NO-9i52uy2hdVZm1a_qoSS5pJgEVgJ7_QVdNH9ZwHVBghRMCN03Q5UBZ-DQG53UbSnhpqwnWX0Y1GNXfRoE92yX2Re2Wv-SPQgCmA_BRVm77f5J-fV4MkZ8crn3x</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Colbath, Aimee C.</creator><creator>Hackett, Eileen S.</creator><creator>Lesser, Craig S.</creator><creator>Hendrickson, Dean A.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201705</creationdate><title>Left paralumbar laparoscopic bilateral ovariectomy in mares</title><author>Colbath, Aimee C. ; Hackett, Eileen S. ; Lesser, Craig S. ; Hendrickson, Dean A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3537-f3b41f237e87aa9a7372b1649f52ce417f80146ea7d6399098b6c909170d89493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Animals</topic><topic>Colic</topic><topic>Colon</topic><topic>Complications</topic><topic>Customer satisfaction</topic><topic>Female</topic><topic>Fever</topic><topic>Horses</topic><topic>Horses - surgery</topic><topic>Instrumentation</topic><topic>Laparoscopy</topic><topic>Laparoscopy - veterinary</topic><topic>Medical instruments</topic><topic>Mesentery</topic><topic>Morbidity</topic><topic>Ovariectomy</topic><topic>Ovariectomy - methods</topic><topic>Ovariectomy - veterinary</topic><topic>Ovaries</topic><topic>Postoperative Complications - veterinary</topic><topic>Prospective Studies</topic><topic>Sealing</topic><topic>Surgery</topic><topic>Veterinary medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Colbath, Aimee C.</creatorcontrib><creatorcontrib>Hackett, Eileen S.</creatorcontrib><creatorcontrib>Lesser, Craig S.</creatorcontrib><creatorcontrib>Hendrickson, Dean A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Colbath, Aimee C.</au><au>Hackett, Eileen S.</au><au>Lesser, Craig S.</au><au>Hendrickson, Dean A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Left paralumbar laparoscopic bilateral ovariectomy in mares</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Vet Surg</addtitle><date>2017-05</date><risdate>2017</risdate><volume>46</volume><issue>4</issue><spage>574</spage><epage>579</epage><pages>574-579</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective
To develop a novel technique for left paralumbar laparoscopic bilateral ovariectomy in standing, sedated mares.
Study design
Prospective descriptive clinical study.
Animals
Twelve client‐owned mares.
Methods
Healthy mares with normal ovarian palpation and ultrasonographic appearance were enrolled. Horses were restrained in standing stocks and administered a variable rate infusion of sedation. A left paralumbar bilateral ovariectomy was performed with 1 laparoscopic and 3 instrument portals. Access to the right ovary was facilitated by retracting the descending colon and associated mesentery with a fan retractor. Ovaries were removed with traumatic forceps, and a blunt tip vessel sealing device. A laparoscopic portal within the 17th intercostal space provided good visualization of the right ovary and reduced interference between instrumentation. Complications were recorded during hospitalization. In addition, an owner follow‐up questionnaire was used to determine complications after discharge from the hospital.
Results
Left paralumbar bilateral ovariectomy was successful in all 12 mares, with a mean surgical time of 76 ± 8 minutes. Postoperative complications occurred in 4/12 (33%) mares and included fever, mild colic, incisional swelling, and azotemia. Complications resolved and mares returned to full activity, with complete owner satisfaction.
Conclusions
Bilateral ovariectomy can be successfully achieved with minimal morbidity in standing mares with normal ovarian ultrasonographic appearance via left paralumbar laparoscopy.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>28233906</pmid><doi>10.1111/vsu.12637</doi><tpages>6</tpages></addata></record> |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Animals Colic Colon Complications Customer satisfaction Female Fever Horses Horses - surgery Instrumentation Laparoscopy Laparoscopy - veterinary Medical instruments Mesentery Morbidity Ovariectomy Ovariectomy - methods Ovariectomy - veterinary Ovaries Postoperative Complications - veterinary Prospective Studies Sealing Surgery Veterinary medicine |
title | Left paralumbar laparoscopic bilateral ovariectomy in mares |
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