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
Hauptverfasser: Colbath, Aimee C., Hackett, Eileen S., Lesser, Craig S., Hendrickson, Dean A.
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container_end_page 579
container_issue 4
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container_title Veterinary surgery
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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
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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. 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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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