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使用腹腔镜设备分离一匹小母马的腹部粘连。

Use of laparoscopic equipment to divide abdominal adhesions in a filly.

作者信息

Bouré L, Marcoux M, Lavoie J P, Laverty S

机构信息

Département de Sciences Cliniques, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada.

出版信息

J Am Vet Med Assoc. 1998 Mar 15;212(6):845-7.

PMID:9530424
Abstract

Exploratory laparoscopy of the right dorsal portion of the abdominal cavity was performed on a Standardbred filly because of signs of mild abdominal pain of 7 days' duration. On the basis of clinical examination, diagnosis was suppurative peritonitis, abdominal adhesions in the area of the right ovary, and right displacement and impaction of the pelvic flexure of the ascending colon. During laparoscopy, an abdominal adhesion between the right uterine horn, the cecum, and the pelvic flexure was identified. The abdominal adhesions were either stretched with laparoscopic forceps used as a probe or dissected bluntly with the tips of a pair of 10-mm laparoscopic Kelly forceps. Antibiotics were administered for 21 days after surgery. The horse fully recovered and raced 11 months after the surgery.

摘要

由于一匹标准赛马小母马出现持续7天的轻度腹痛症状,对其腹腔右背侧进行了 exploratory laparoscopy(探索性腹腔镜检查)。根据临床检查,诊断为化脓性腹膜炎、右卵巢区域腹腔粘连、升结肠骨盆曲向右移位并阻塞。在腹腔镜检查过程中,发现右子宫角、盲肠和骨盆曲之间存在腹腔粘连。使用腹腔镜钳作为探针拉伸腹腔粘连,或用一对10毫米腹腔镜凯利钳的尖端进行钝性分离。术后给予抗生素治疗21天。这匹马完全康复,并在手术后11个月参加了比赛。

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