In the present series of cases, 8 laparoscopic cryptorchidectomies and 4 laparoscopic ovariectomies were carried out in sedated standing horses. Sedation involved a lesser anaesthesiological risk than does general anaesthesia. As compared to laparotomic exposure, the minimally invasive laparoscopic intervention provided better visualisation, shorter operative time and faster recovery. The blood vessels supplying the testes and ovaries and the suspensory ligaments of the organs were sealed and cut with EnSeal®, an adaptive bipolar electrosurgical blood vessel- and tissue-sealing device. The clinical use of the blood vessel- and tissue-sealing device proved to be successful in all cases. Gradual separation of the intact tissue from the treated, compacted, dehydrated and homogenised tissue areas and occlusion of the lumen of blood vessels treated with the device could be observed in all histological sections. To the best of our knowledge, this is the first report on the use of EnSeal® for laparoscopic cryptorchidectomy and ovariectomy in horses.
This report describes the successful treatment of a chronic diaphragmatic hernia in a 2.5-year-old crossbred gelding. The tear remained unidentified until colic signs and dyspnoea appeared. In this case, an unconventional surgical approach was used. Based on the clinical findings, diaphragmatic herniation with non-strangulating large intestinal involvement was diagnosed. From the ventral midline approach, a diaphragmatic tear with a diameter of 20 cm in the left ventral area was found together with a fractured 10th rib. Repositioning of the large colon was unsuccessful through the ventral midline approach, therefore lateral thoracotomy via rib resection was performed without closing the ventral midline incision. The simultaneous laparotomy with thoracotomy can be a useful approach in the treatment of diaphragmatic hernias when the tear is located ventrally. Advantages of the described surgical technique were easier reposition of the herniated intestine and good access to close the diaphragmatic tear, and disadvantage was the longer surgical time.How to cite this article: Izing S, Kelemen Z, Bohák Z, Tóth P, Bodó G. Successful repair of diaphragmatic hernia with simultaneously performed thoracotomy and median laparotomy in a horse. Vet Rec Case Rep. 2021;e69.
The objectives of this in vivo experimental study were to evaluate the feasibility of cortical screw insertion into the intact distal phalanx in standing sedated horses and to document potential postoperative complications. One cortical screw was randomly inserted in lag fashion into each distal phalanx in 9 horses. The second surgery on the contralateral limbs was performed 2–3 weeks after the first operation, when a 4.5-mm cortical screw was inserted in lag fashion into the distal phalanx of sedated horses following perineural analgesia. Following surgery, the drill hole was filled with an antibiotic-soaked swab, which was changed every 48 h. The horses were euthanised 8 weeks after the second surgery. The hooves were disarticulated and evaluated macroscopically and by computed tomography. The surgery time was 13.9 ± 4.8 min (mean ± SD). Pain scores and lameness gradually decreased after 7 days. Solar canal penetration (SCP) was detected in 10 out of the 18 distal phalanges (55.5%). In 7 out of the 10 penetrations intraoperative bleeding was obvious. No postoperative infection was observed. Screw insertion into the distal phalanx was easily and quickly accomplished in standing horses, but its advantages in horses with sagittal fractures should be investigated further. SCP had no impact on postoperative lameness.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.