Dunay Miklós Pál, Németh Tibor, Makra Zita, Izing Simon, Bodó Gábor
Szent István University Department and Clinic of Surgery and Ophthalmology, Budapest, Hungary.
Acta Vet Hung. 2012 Mar;60(1):41-53. doi: 10.1556/AVet.2012.004.
In the present series of cases, 8 laparoscopic cryptorchidectomies and 4 laparoscopic ovariectomies were carried out in sedated standing horses. Sedation involved a lesser anaesthesiological risk than does general anaesthesia. As compared to laparotomic exposure, the minimally invasive laparoscopic intervention provided better visualisation, shorter operative time and faster recovery. The blood vessels supplying the testes and ovaries and the suspensory ligaments of the organs were sealed and cut with EnSeal®, an adaptive bipolar electrosurgical blood vessel- and tissue-sealing device. The clinical use of the blood vessel- and tissue-sealing device proved to be successful in all cases. Gradual separation of the intact tissue from the treated, compacted, dehydrated and homogenised tissue areas and occlusion of the lumen of blood vessels treated with the device could be observed in all histological sections. To the best of our knowledge, this is the first report on the use of EnSeal® for laparoscopic cryptorchidectomy and ovariectomy in horses.
在本系列病例中，对处于站立镇静状态的马匹实施了8例腹腔镜隐睾切除术和4例腹腔镜卵巢切除术。与全身麻醉相比，镇静的麻醉风险较小。与剖腹手术暴露相比，微创腹腔镜干预提供了更好的视野、更短的手术时间和更快的恢复。供应睾丸和卵巢的血管以及器官的悬韧带使用EnSeal®（一种自适应双极电外科血管和组织封闭装置）进行封闭和切断。该血管和组织封闭装置在所有病例中的临床应用均获成功。在所有组织学切片中均可见完整组织与经处理的、压实的、脱水的和均质化的组织区域逐渐分离，以及用该装置处理的血管腔闭塞。据我们所知，这是关于在马匹中使用EnSeal®进行腹腔镜隐睾切除术和卵巢切除术的首次报告。
