ISSN 2398-2977      

Ovary: ovariohysterectomy - laparotomy 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

  • Laparoscopic equipment and training not required.
  • May be appropriate for removal of severely enlarged uterus.

Disadvantages

  • Very invasive, large incision.
  • High morbidity.
  • Poor intra-operative visibility.
  • Poor intra-operative exposure.
  • Excessive post-operative morbidity.

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 et al (1995) Ovariohysterectomy in six mares. Vet Surg 24 (2), 165-171 PubMed.
  • Rötting A K et al (2004) Total and partial ovariohysterectomy in seven mares. Equine Vet J 36 (1), 29-33 PubMed.
  • 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.

Other sources of information

  • Roetting A K & Freeman D E (2011) Hysterectomy .In: Equine Reproduction. 2nd edn. Eds: Mckinnon A O, Squires E L, Vaala W E & Varner D D. Wiley-Blackwell pp 2575-2577.

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