Carson-Dunkerley S A, Hanson R R
Department of Large Animal Surgery and Medicine, College of Veterinary Medicine, Auburn University, AL 36849-5522, USA.
J Am Vet Med Assoc. 1997 Jul 15;211(2):204-6.
To describe the short- and long-term survival rates in horses undergoing ovariectomy for granulosa cell tumors by use of the diagonal paramedian approach.
Retrospective case study.
12 horses with granulosa cell tumors.
A diagonal paramedian approach for unilateral ovariectomy was used for removal of each mare's granulosa cell tumor. Information about complications and outcomes was analyzed.
Only minimal complications were detected postoperatively when the diagonal paramedian approach was used, regardless of the preferred technique for ovarian pedicle ligation or incisional closure and the use of pre- and postoperative medications. Clinical signs of moderate or severe postoperative abdominal pain were not evident in any of the 12 horses. Short- and long-term survival rates were 100%.
The diagonal paramedian approach was advantageous for ovarian tumor removal, because the ovary was immediately adjacent to the body wall at a portion of the incision site. Size of the ovary was not a limitation, because muscle tissues at the edges of the incision were flexible and easily retractable. All of these factors improved exposure, decreased traction on the ovary, increased our ability to observe the vasculature, and decreased postoperative morbidity, aiding in the removal of granulosa cell tumors in mares.
描述采用斜旁正中入路对患有颗粒细胞瘤的马匹进行卵巢切除术后的短期和长期存活率。
回顾性病例研究。
12匹患有颗粒细胞瘤的马。
采用斜旁正中入路进行单侧卵巢切除术，以切除每匹母马的颗粒细胞瘤。分析有关并发症和结果的信息。
无论卵巢蒂结扎或切口闭合的首选技术以及术前和术后用药情况如何，采用斜旁正中入路术后仅发现极少的并发症。12匹马中无一出现中度或重度术后腹痛的临床症状。短期和长期存活率均为100%。
斜旁正中入路有利于卵巢肿瘤切除，因为在切口部位的一部分，卵巢紧邻体壁。卵巢大小不是限制因素，因为切口边缘的肌肉组织具有柔韧性且易于牵开。所有这些因素改善了视野暴露，减少了对卵巢的牵拉，增强了我们观察脉管系统的能力，并降低了术后发病率，有助于切除母马的颗粒细胞瘤。
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