Jägersro Equine ATG Clinic, Jägersro, SE-212 37 Malmö, Sweden.
Equine Vet J. 2010 Nov;42(8):675-9. doi: 10.1111/j.2042-3306.2010.00069.x.
There is a need for study of a method for restoring a ventrally positioned uterus to a horizontal position involving fertility of mares with delayed uterine clearance.
A ventrally-angled uterus can be elevated to a horizontal position using a laparoscopic technique.
To develop a laparoscopic technique of imbricating the mesometria to elevate the uterus to a horizontal position.
The right and left mesometria of 5 pluriparous mares, all barren for 1-8 years (mean 3.8 years), with a pendulous, ventrally-angled uterus were shortened laparoscopically, by imbrication, with the mares standing, to raise the uterine body and horns to a horizontal position. Sutures were placed through the dorsal aspect of the uterine body and uterine horn and the adjacent region of the mesometrium using a simple continuous suture pattern.
The uterus of all 5 mares was elevated successfully to a horizontal position. Three of the mares became pregnant the same year, without other treatment, after the procedure.
A pendulous, ventrally-angled uterus can be returned to a normal, horizontal position by imbricating the mesometria, using a laparoscopic technique.
Elevating a ventrally-angled uterus to a horizontal position may improve egress of uterine debris, thereby improving fertility.
需要研究一种方法来将位置异常的子宫（兽医临床上通常指的是角子宫）恢复到水平位置，涉及延迟子宫排空的母马的生育能力。
可以使用腹腔镜技术将倾斜的子宫抬高到水平位置。
开发一种腹腔镜技术，通过折叠子宫系膜将子宫抬高到水平位置。
对 5 头经产母马（均因不孕而绝育 1-8 年，平均 3.8 年）的左右子宫系膜进行腹腔镜缩短术，通过折叠系膜，使子宫体和角部升高到水平位置。使用简单连续缝合模式，通过子宫体和子宫角的背面以及子宫系膜的相邻区域放置缝线。
5 头母马的子宫均成功抬高至水平位置。术后 3 头母马当年无需其他治疗即怀孕。
通过腹腔镜技术折叠子宫系膜可以将下垂的、倾斜的子宫恢复到正常的水平位置。
将倾斜的子宫抬高到水平位置可能会改善子宫碎片的排出，从而提高生育能力。
