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马属动物择期双侧站立式腹腔镜卵巢切除术中将切除的卵巢留置于腹腔内的影响

Effects of Leaving Amputated Ovaries Intra-Abdominally during Elective Bilateral Standing Laparoscopic Ovariectomy in Equids.

作者信息

Devick Ian F, Hendrickson Dean A

机构信息

Department of Clinical Sciences, Colorado State University, Fort Collins, CO 80523, USA.

出版信息

Animals (Basel). 2021 Jan 18;11(1):232. doi: 10.3390/ani11010232.

Abstract

There is risk of dropping an amputated ovary within the abdomen during standing laparoscopic ovariectomies in mares. If the ovary can no longer be directly visualized with the laparoscope, the procedure is then converted to a flank laparotomy for manual retrieval of the ovary which negates the minimally invasive nature of the laparoscopic procedure. The objective was to identify if ovaries left in the abdomen after amputation would atrophy or if they re-vascularize. Standing bilateral ovariectomies were performed in mature mares, but after transection of the ovarian pedicle, the ovaries were intentionally dropped and left within the abdomen. Post-operative endocrine values were at basal levels and an improvement in all mare's behavior and general herd dynamics was observed. While this study does not encourage to leave ovaries in the abdomen after amputation, we report no complication related to their voluntary release into the abdomen.

摘要

在母马站立式腹腔镜卵巢切除术中,存在将切除的卵巢掉入腹腔的风险。如果通过腹腔镜无法再直接看到卵巢,那么该手术就会转为侧腹剖腹术,以便手动取出卵巢,这就否定了腹腔镜手术的微创性质。目的是确定切除后留在腹腔内的卵巢是否会萎缩或重新血管化。对成年母马进行了站立式双侧卵巢切除术,但在切断卵巢蒂后,故意将卵巢掉入并留在腹腔内。术后内分泌值处于基础水平,并且观察到所有母马的行为和总体畜群动态都有所改善。虽然本研究不鼓励在切除后将卵巢留在腹腔内,但我们报告未出现与将它们自愿放入腹腔相关的并发症。

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本文引用的文献

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Left paralumbar laparoscopic bilateral ovariectomy in mares.母马左侧腰旁腹腔镜双侧卵巢切除术
Vet Surg. 2017 May;46(4):574-579. doi: 10.1111/vsu.12637. Epub 2017 Feb 24.
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Complications of laparoscopic surgery.
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