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Two‐Step Surgery Combining Standing Laparoscopy With Recumbent Ventral Median Celiotomy for Removal of Enlarged Pathologic Ovaries in 20 Mares
Author(s) -
Vitte Amélie,
Rossignol Fabrice,
MespoulhesRivière Céline,
Lechartier Antoine,
Röecken Michael
Publication year - 2014
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2014.12229.x
Subject(s) - medicine , laparoscopy , palpation , surgery , dissection (medical) , abdomen , ovary , cosmesis , endocrinology
Objectives To report a combination of standing laparoscopic technique for intra‐abdominal dissection of the mesovarial pedicle followed by a limited ventral median celiotomy under general anesthesia for removal of enlarged ovaries in mares. Study Design Case series. Animals Mares (n = 20) aged 3–22 years with unilateral enlarged ovaries. Methods Enlarged ovaries were confirmed by transrectal palpation and ultrasonography. After sedation, 3 laparoscopic portals were made in the paralumbar fossa. The mesovarium was desensitized and dissected using a vessel sealing device, and the ovary was left free in the abdomen. Then under general anesthesia, the mare was positioned in dorsal recumbency and an 8 cm ventral median celiotomy made for ovary retrieval in a specimen bag. Results This 2‐step procedure was successfully used for removal enlarged ovaries (12–50 cm) in 17 mares and for management of behavioral problems in 3 mares. No operative or postoperative complications occurred. Owner satisfaction and cosmesis were considered excellent. Conclusions Standing laparoscopy combined with a limited median celiotomy is a safe technique for ovariectomy in mares. This technique mitigates most of the disadvantages of standing flank ovariectomy and a conventional open ventral median approach.