Two‐Step Surgery Combining Standing Laparoscopy With Recumbent Ventral Median Celiotomy for Removal of Enlarged Pathologic Ovaries in 20 Mares

Abstract

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.

Standing hand‐assisted laparoscopic removal of large granulosa cell tumours in horses using a specimen retrieval bag and morcellator

“…; Vitte et al . ). Since this requires 2 different surgical procedures and general anaesthesia, several methods have been developed to reduce the size of the ovary within the abdominal cavity before flank removal.…”

“…; Vitte et al . ). Surgical modifications adapted to debulk tumours for extraction include dissection, decompression and motorised morcellation (De Bont et al .…”

“…Techniques to remove the GCT include colpotomy, laparotomy and laparoscopy (Embertson 2012). Due to variations of size of the mass which can be as large as 30-40 cm in diameter, when performing surgery through the flank, modification of surgical procedures is required to facilitate large tumour extraction in the relatively small paralumbar fossa of the horse (R€ ocken et al 2011;Vitte et al 2014). Surgical modifications adapted to debulk tumours for extraction include dissection, decompression and motorised morcellation (De Bont et al 2010;Kummer et al 2010;Embertson 2012).…”

Treatment of haemoperitoneum secondary to ruptured granulosa cell tumours in two mares

“…Retrieval of very large tumours via a ventral midline laparotomy may be advantageous over making a very large flank laparotomy incision in a standing case and lessened post-operative complications (Vitte et al 2014). However, there is the additional associated risk and cost of general anaesthesia to consider.…”

“…Surgical removal of GCTs using a two-step procedure (laparoscopic transection of the ovarian pedicle followed by removal via ventral midline laparotomy) has been reported for removal of very large ovaries (up to 50 cm in size) (Vitte et al 2014), and this was the surgical method performed in Case 2. Retrieval of very large tumours via a ventral midline laparotomy may be advantageous over making a very large flank laparotomy incision in a standing case and lessened post-operative complications (Vitte et al 2014).…”