Kummer M, Gygax D, Jackson M, Bettschart-Wolfensberger R, Fürst A
Equine Department Vetsuisse, Faculty Zurich, Section Surgery, University of Zurich, Winterthurerstrasse 260, CH-8057 Zurich, Switzerland.
Equine Vet J. 2009 Jul;41(6):547-51. doi: 10.2746/042516409x415018.
Complications associated with equine castration can have medical and financial consequences. This retrospective study investigated a novel method of castration via an inguinal approach in mature stallions and compared the incidence of complications with other methods.
Castration via an inguinal approach has a low complication rate at the site of surgery compared with other castration techniques.
Mature stallions (n = 238) were castrated under general anaesthesia in dorsal recumbency using an inguinal approach. The vaginal process was incised, the spermatic cord ligated twice and the testis removed. After suturing, the vaginal process and one or 2 layers of fascia, the subcutis and cutis were closed in a simple continuous pattern.
Five of 238 (2.1%) horses had post operative haemorrhage and a haematoma in the scrotal region, which required additional treatment. All horses made a full recovery. Five of 238 (2.1%) of the horses had a post operative respiratory infection, which resolved with antibiotic therapy. Sixteen of 238 (8.8%) had transient signs of colic shortly after surgery.
This technique of castration with an inguinal approach had a low incidence of complications at the site of surgery compared with other methods. An inguinal approach and leaving the vaginal tunic in situ may cause less soft tissue trauma than a scrotal approach.
马去势术相关并发症会带来医疗和经济后果。这项回顾性研究调查了一种在成年种马中通过腹股沟入路进行去势的新方法，并将并发症发生率与其他方法进行比较。
与其他去势技术相比，腹股沟入路去势术在手术部位的并发症发生率较低。
238匹成年种马在全身麻醉下采取仰卧位，采用腹股沟入路进行去势。切开鞘突，精索结扎两次后切除睾丸。缝合后，鞘突和一层或两层筋膜、皮下组织及皮肤以简单连续缝合法闭合。
238匹马中有5匹（2.1%）在术后阴囊区域出现出血和血肿，需要进一步治疗。所有马匹均完全康复。238匹马中有5匹（2.1%）术后发生呼吸道感染，经抗生素治疗后痊愈。238匹马中有16匹（8.8%）在术后不久出现短暂的腹痛症状。
与其他方法相比，这种腹股沟入路去势技术在手术部位的并发症发生率较低。与阴囊入路相比，腹股沟入路并保留鞘膜原位可能对软组织造成的创伤更小。
