ISSN 2398-2977      

Ovary: ovariohysterectomy - laparoscopy approach

pequis

Introduction

  • Ovariohysterectomy is rarely performed in horses.
  • It is technically demanding, highly invasive and associated with high morbidity.

Uses

  • Chronic pyometra   Uterus: pyometra   (unresponsive to medical management).
  • Intramural hematoma.
  • Uterine neoplasia (leiomyoma, leiomyosarcoma).
  • Macerated fetus.
  • Mucometra.
  • Chronic uterine torsion   Uterus: torsion  .
  • Uterine rupture.

Advantages

  • Avoids painful traction of uterus and mesometrium and ligation of vessels under tension.
  • Avoids technical challenges of laparotomy approach as below:
    • Large incision.
    • High morbidity.
    • Poor intra-operative visibility.
    • Poor intra-operative exposure.
    • Excessive post-operative morbidity.

Disadvantages

  • Technically challenging.
  • Equipment cost.
  • Only mares with uteri that may be exteriorized through a relatively small incision or candidates for this procedure.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good, though technically difficult procedure.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Santschi E M (2014) Laparoscopic ovariohysterectomy in the equine; an elusive goal? Equine Vet Educ 26 (2), 79-80 WileyBlackwell.
  • Woodford N S, Payne R J & McCluskie L K (2014) Laparoscopically-assisted ovariohysterectomy in three mares with pyometra. Equine Vet Educ 26 (2), 75-78 VetMedResource.
  • Gablehouse K B, Cary J & Ragle C A (2009) Standing laparoscopic-assisted vaginal ovariohysterectomy in a mare. Equine Vet Educ 21 (6), 303-306 VetMedResource.
  • Heijltjes J M, Rijkenhuizen A B M, Hendriks W K & Stout T A E (2009) Removal by laparoscopic partial ovariohysterectomy of a uterine leiomyoma assumed to have caused fetal death in a mare. Equine Vet Educ 21 (4), 198-203 VetMedResource.
  • Delling U et al (2004) Hand-assisted laparoscopic ovariohysterectomy in the mare. Vet Surg 33 (5), 487-494 PubMed.
  • Rötting A K et al (2004) Total and partial ovariohysterectomy in seven mares Equine. Vet J 36 (1), 29-33 PubMed.
  • Santschi E M et al (1995) Ovariohysterectomy in six mares. Vet Surg 24 (2), 165-171 PubMed.

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