Lund Caleb M, Ragle Claude A, Lutter J Dylan, Farnsworth Kelly D
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, WA 99164.
J Am Vet Med Assoc. 2014 May 15;244(10):1191-7. doi: 10.2460/javma.244.10.1191.
To describe the use of a motorized morcellator for elective bilateral laparoscopic ovariectomy in standing equids and to evaluate long-term outcome.
Retrospective case series.
30 equids (20 horses, 9 mules, and 1 pony).
Medical records of equids undergoing elective bilateral laparoscopic ovariectomy from 2007 to 2013 were evaluated. Cases were selected on the basis of use of a motorized morcellator for ovary extraction. Data collected included age, breed, reason for surgery, surgery date, surgical approach, intraoperative complications, surgery and morcellation times, postoperative complications, and duration of hospitalization. Long-term follow-up was obtained by telephone interview with owners, and included effectiveness at resolving original reason for surgery, time to return to usual activity, incision site appearance, signs of estrus after surgery, and overall owner satisfaction.
30 equids underwent laparoscopic bilateral ovariectomy with the morcellator technique. Median surgery time was 102 minutes (range, 47 to 150 minutes). Median single ovary morcellation time was 3.5 minutes (range, 2 to 8 minutes). Intraoperative complications occurred in 2 of 30 cases and included iatrogenic organ damage (uterus; 1) and persistent hemorrhage (1). Nineteen of 20 mares for which long-term follow-up was available returned to their previous use at a median of 60 days after surgery (range, 21 to 180 days).
Results of the present study indicated that use of a mechanical morcellator with a 2-portal technique for bilateral laparoscopic ovariectomy in clinically normal equids eliminated the need for a larger laparotomy incision as well as a third portal. Few complications occurred, and clients were satisfied with the procedure. The morcellator technique may offer advantages over other techniques but should only be used by experienced laparoscopic surgeons following adequate training.
描述电动粉碎器在站立位马属动物择期双侧腹腔镜卵巢切除术中的应用，并评估长期效果。
回顾性病例系列研究。
30匹马属动物（20匹马、9头骡和1匹矮种马）。
对2007年至2013年接受择期双侧腹腔镜卵巢切除术的马属动物的病历进行评估。病例选择基于使用电动粉碎器提取卵巢。收集的数据包括年龄、品种、手术原因、手术日期、手术入路、术中并发症、手术及粉碎时间、术后并发症和住院时间。通过与主人电话访谈获得长期随访结果，包括解决手术原发病因的有效性、恢复正常活动的时间、切口外观、术后发情迹象以及主人总体满意度。
30匹马属动物采用粉碎器技术进行了腹腔镜双侧卵巢切除术。中位手术时间为102分钟（范围47至150分钟）。单个卵巢的中位粉碎时间为3.5分钟（范围2至8分钟）。30例中有2例发生术中并发症，包括医源性器官损伤（子宫；1例）和持续性出血（1例）。在可进行长期随访的20匹母马中，19匹在术后中位60天（范围21至180天）恢复到术前使用状态。
本研究结果表明，在临床正常的马属动物中，采用机械粉碎器经双孔技术进行双侧腹腔镜卵巢切除术，无需做大的剖腹切口以及第三个孔。并发症很少发生，客户对该手术满意。粉碎器技术可能比其他技术具有优势，但仅应由经过充分培训的有经验的腹腔镜外科医生使用。
