Pye J, Clulow J, Adkins A
Scone Equine Group, 106 Liverpool Street, Scone, New South Wales 2337, Australia.
Aust Vet J. 2018 Jul;96(7):252-256. doi: 10.1111/avj.12713.
To describe the laparoscopic transection of restrictive bands of the mesosalpinx as a useful adjunct to the topical application of prostaglandin E to treat mares with suspected uterine tubal blockage.
A standard left flank laparoscopic approach was made to the abdomen using three laparoscopic portals. If restrictive bands of the mesosalpinx were observed traversing the uterine tube perpendicularly, they were carefully transected and 1 mg of prostaglandin E was then applied to the external surface of the uterine tube. Skin incisions were closed with surgical staples and the procedure was repeated on the right uterine tube.
Nine Thoroughbred mares suspected of uterine tubal blockage were treated. The treated mares had been barren for 1.8 years on average (range: 1-5 years). The overall postoperative conception rate in treated mares was 89% (8/9 mares). The mean number of mated oestrus cycles before pregnancy in the eight mares that conceived was 1.9 ± 1.6. These mares had been bred on average 6.2 ± 1.9 cycles without becoming pregnant prior to surgery.
Transection of restrictive bands of the mesosalpinx is easily performed as an adjunctive procedure to laparoscopic-guided application of prostaglandin E to the uterine tube. The procedure does not appear to have any detrimental effects on fertility and may improve fertility in a particular subset of mares with complicated uterine tubal disease.
描述腹腔镜下切断输卵管系膜狭窄带作为局部应用前列腺素E治疗疑似子宫输卵管阻塞母马的一种有用辅助方法。
采用标准的左侧腹腹腔镜入路，通过三个腹腔镜切口进入腹腔。如果观察到输卵管系膜狭窄带垂直穿过输卵管，则小心切断，然后将1毫克前列腺素E应用于输卵管外表面。皮肤切口用手术吻合钉闭合，右侧输卵管重复该操作。
对9匹疑似子宫输卵管阻塞的纯种母马进行了治疗。治疗的母马平均不孕1.8年（范围：1 - 5年）。治疗母马的总体术后受孕率为89%（8/9匹母马）。受孕的8匹母马怀孕前平均配种发情周期数为1.9 ± 1.6次。这些母马术前平均配种6.2 ± 1.9个周期未受孕。
切断输卵管系膜狭窄带作为腹腔镜引导下向输卵管应用前列腺素E的辅助操作很容易实施。该操作似乎对生育能力没有任何不利影响，并且可能提高患有复杂子宫输卵管疾病的特定母马子集的生育能力。
