Hand-assisted laparoscopic technique for removal of ovarian tumors in standing mares.

Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Gainesville, FL 32510-0136, USA.
Journal of the American Veterinary Medical Association (Impact Factor: 1.67). 06/2002; 220(10):1503-7, 1475. DOI: 10.2460/javma.2002.220.1503
Source: PubMed
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objectives To report a combination of standing laparoscopic technique for intra-abdominal dissection of the mesovarial pedicle followed by a limited ventral median celiotomy under general anesthesia for removal of enlarged ovaries in mares.Study DesignCase series.AnimalsMares (n = 20) aged 3–22 years with unilateral enlarged ovaries.Methods Enlarged ovaries were confirmed by transrectal palpation and ultrasonography. After sedation, 3 laparoscopic portals were made in the paralumbar fossa. The mesovarium was desensitized and dissected using a vessel sealing device, and the ovary was left free in the abdomen. Then under general anesthesia, the mare was positioned in dorsal recumbency and an 8 cm ventral median celiotomy made for ovary retrieval in a specimen bag.ResultsThis 2-step procedure was successfully used for removal enlarged ovaries (12–50 cm) in 17 mares and for management of behavioral problems in 3 mares. No operative or postoperative complications occurred. Owner satisfaction and cosmesis were considered excellent.Conclusions Standing laparoscopy combined with a limited median celiotomy is a safe technique for ovariectomy in mares. This technique mitigates most of the disadvantages of standing flank ovariectomy and a conventional open ventral median approach.
    Veterinary Surgery 06/2014; · 0.99 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Uterine rupture is a well recognised and potentially fatal complication in the peripartum broodmare. This case report describes a 16 month history of infertility as the sole clinical sign in a Thoroughbred mare, subsequently diagnosed with a full thickness uterine tear. The clinical course, standing laparoscopically assisted repair and outcome are discussed.
    Equine Veterinary Education. 09/2012; 24(9).
  • [Show abstract] [Hide abstract]
    ABSTRACT: The occurrence of ovarian tumors is uncommon in domestic animals. Reports are documented more often in the bitch, mare, and cow. In the mare, granulosa-thecal cell tumor is the most common ovarian neoplasms, and other tumors occur less often. Fibrothecoma is a rare gonadal-stromal tumor of the ovary. There is only one reported case in the veterinary literature. This tumor consists of theca cells and fibrous tissues. The present study describes a rare case of fibrothecoma in a 10-year-old Arabian mare that was presented due to infertility problems. The abnormal left ovary was detected via rectal palpation and ultrasonography. Postoperation study showed a solid tumoral mass that completely replaced the normal ovarian tissues. The tumor was large, firm in consistency, with smooth surface. On the cut surface, the mass was white-gray to yellow with cystic areas containing green gelatinous materials. Microscopic examination revealed the structure was composed of fibroblastic cell producing collagen fibers and theca cells containing lipids. Based on histopathologic features, diagnosis of fibrothecoma was confirmed postoperatively.
    Journal of Equine Veterinary Science 02/2014; 34(2):314–317. · 0.62 Impact Factor