Röcken Michael, Mosel Gesine, Seyrek-Intas Kamil, Seyrek-Intas Deniz, Litzke F, Verver Jorrit, Rijkenhuizen Astrid B M
Veterinary Clinic Starnberg, Germany.
Vet Surg. 2011 Dec;40(8):1009-14. doi: 10.1111/j.1532-950X.2011.00884.x. Epub 2011 Oct 26.
To evaluate surgical techniques, perioperative complications and outcome of laparoscopic surgery for unilateral and bilateral ovariectomy in mares.
Retrospective multicenter case series.
Mares (n = 157).
Indications for surgery were neutering, fertility problems, elimination of hormone-related abnormal behavior, ovarian tumors as well as nonregressive ovarian hematomas or cysts. Ovariectomy (n = 206) were performed by a standard laparoscopic procedure in 157 standing sedated mares. Dissection and hemostasis were achieved by using either (1) a linear stapling device, (2) bipolar electrosurgical instruments, with or without a modified Roeder knot, (3) a vessel-sealing system, or (4) a diode-laser with ligation. For some larger ovarian masses (>20 cm diameter), a 2-step surgical procedure was used with standing flank laparoscopic ovariectomy followed by ovarian retrieval through a median celiotomy. Surgical techniques, outcome, and perioperative complications of each method were recorded and analyzed.
Laparoscopic dissection of the ovary was accomplished in all mares. Because of the size of the ovarian tumor (n = 7) or in 1 mare with behavioral problems (n = 1), the dissected ovary was removed through a median celiotomy under general anesthesia. Seventeen mares (10.8%) developed postoperative complications (eg, incisional drainage, incisional infection, seroma formation, dehiscence, transient fever and mild abdominal discomfort). All mares with flank incisional problems had ovarian size >12 cm and in 15 (88%) of these mares electrosurgical instruments were used for mesovarial dissection.
Laparoscopic ovariectomy in standing sedated mares provides good surgical access and is associated with low morbidity.
评估母马单侧和双侧卵巢切除术的手术技术、围手术期并发症及手术效果。
回顾性多中心病例系列研究。
母马（n = 157）。
手术适应证包括去势、生育问题、消除激素相关异常行为、卵巢肿瘤以及非退行性卵巢血肿或囊肿。在157匹站立镇静的母马中，通过标准腹腔镜手术进行卵巢切除术（n = 206）。使用以下方法进行解剖和止血：（1）线性缝合器械；（2）双极电外科器械，使用或不使用改良的罗德结；（3）血管封闭系统；（4）带结扎的二极管激光。对于一些较大的卵巢肿物（直径>20 cm），采用两步手术法，先进行站立侧腹壁腹腔镜卵巢切除术，然后通过正中剖腹术取出卵巢。记录并分析每种方法的手术技术、手术效果和围手术期并发症。
所有母马均完成了腹腔镜下卵巢解剖。由于卵巢肿瘤大小（n = 7）或1匹有行为问题的母马（n = 1），在全身麻醉下通过正中剖腹术切除解剖后的卵巢。17匹母马（10.8%）出现术后并发症（如切口引流、切口感染、血清肿形成、裂开、短暂发热和轻度腹部不适）。所有有侧腹壁切口问题的母马卵巢大小均>12 cm，其中15匹（88%）母马在卵巢系膜解剖时使用了电外科器械。
站立镇静母马的腹腔镜卵巢切除术提供了良好的手术入路，且发病率较低。
