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Endoscopic‐Assisted Resection of a Pedunculated Uterine Leiomyoma With Maximal Tissue Preservation in a Cow and a Mare
Author(s) -
Schneeweiss Wilfried,
Krump Lea,
Metcalfe Lucy,
Ryan Eoin,
Beltman Marijke,
Jahns Hanne,
David Florent
Publication year - 2015
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.2014.12257.x
Subject(s) - medicine , leiomyoma , convalescence , uterine leiomyoma , surgery , lumen (anatomy)
Objective To report successful minimally invasive treatment of a uterine leiomyoma in a cow and a mare. Study Design Clinical report. Animal Population Limousine cow (n = 1), Thoroughbred mare (n = 1). Methods A 10‐year‐old cow and an 18‐year‐old mare were presented for difficulties in breeding and infertility, respectively. Examination of the reproductive tract revealed the presence of a large mass attached to the uterine wall via a wide and short peduncle in both cases. The mass expanded into the uterine lumen in the mare and into the abdomen in the cow. Both masses were removed using a minimally invasive endoscopic approach and a vessel‐sealing and dividing device. Results Minimally invasive surgical resection of a subserosal and a submucosal leiomyoma with maximal sparing of uterine tissue resulted in a short convalescence period and apparent return to breeding function in a cow and a mare. Use of a vessel‐sealing and dividing device provided excellent hemostasis and decreased tissue handling. Conclusion Leiomyoma with short, wide, and thick peduncles were treated successfully in a cow and a mare with minimally invasive endoscopic approaches aiming at maximal uterine tissue preservation.