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母马卵巢切除术的腹腔镜辅助阴道切开术

Laparoscopic-assisted colpotomy for ovariectomy in the mare.

作者信息

Tate Lloyd P, Fogle Callie A, Bailey C Scott, Tate Kathryn B, Davis John W

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607, USA.

出版信息

Vet Surg. 2012 Jul;41(5):625-8. doi: 10.1111/j.1532-950X.2012.00993.x. Epub 2012 May 7.

Abstract

OBJECTIVE

To describe a technique for ovariectomy through a colpotomy using a chain écraseur with laparoscopic guidance and report outcome in 4 mares.

STUDY DESIGN

Case series.

METHOD

After insertion of a laparoscope into the abdomen through the left flank, colpotomy was performed to allow introduction of an écraseur into the caudal aspect of the abdomen. Grasping and removal of the ovary and evaluation of the pedicle was observed via the laparoscope. The laparoscope was then inserted in the right flank for right ovariectomy. The colpotomy was closed in a continuous suture pattern using laparoscopic or long needle holders.

RESULTS

Insertion of a laparoscope allowed ready identification of the ovaries and capture within an écraseur, including assurance that no other tissues were contained within écraseur chain. The mesovarial pedicles were easily be examined for hemorrhage. Surgical time for ovariectomy was 10-15 minutes with no postsurgical complications. Closure of the colpotomy healed without complications.

CONCLUSION

Laparoscopic-assisted écraseur ovariectomy is inexpensive, rapid, and a safe alternative to other methods of open and laparoscopic ovariectomy.

摘要

目的

描述一种在腹腔镜引导下经阴道切开术使用链式绞勒器进行卵巢切除术的技术,并报告4匹母马的手术结果。

研究设计

病例系列。

方法

通过左腹侧将腹腔镜插入腹腔后,进行阴道切开术,以便将绞勒器引入腹腔的尾侧。通过腹腔镜观察卵巢的抓取和切除以及蒂部的评估。然后将腹腔镜插入右腹侧进行右侧卵巢切除术。使用腹腔镜或长持针器以连续缝合方式关闭阴道切开术。

结果

插入腹腔镜后能够轻松识别卵巢并将其捕获在绞勒器内,包括确保绞勒器链内没有包含其他组织。可以轻松检查卵巢系膜蒂是否出血。卵巢切除术的手术时间为10 - 15分钟,术后无并发症。阴道切开术的闭合愈合良好,无并发症。

结论

腹腔镜辅助链式绞勒器卵巢切除术价格低廉、操作迅速,是开放和腹腔镜卵巢切除术等其他方法的安全替代方案。

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