Use of a hand-assisted laparoscopic technique for removal of a uterine leiomyoma in a standing mare |
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| Authors: | Janicek John C Rodgerson Dwayne H Boone Bryan L |
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| Institution: | Hagyard, Davidson, McGee & Associates, 4250 Iron Works Pike, Lexington, KY 40511-8412, USA. |
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| Abstract: | A 20-year-old Thoroughbred mare was evaluated because of a 2-year history of infertility. The mare had normal estrous cycles and had been bred 7 times by different stallions. Ultrasonographic examination revealed a homogeneous hyperechoic intramural mass in the tip of the right uterine horn; the mass was also detected via hysteroscopy Unilateral ovariectomy and partial hysterectomy were performed by use of a hand-assisted laparoscopic technique. Leiomyoma was diagnosed via histologic examination of the mass. Unilateral ovariectomy and partial hysterectomy are recommended in mares with leiomyoma in a uterine horn, especially if the tumor is associated with infertility. The hand-assisted laparoscopic technique allows direct visualization of abdominal structures and accurate placement of ligatures without applying tension on the broad ligament, and eliminates the risks and costs of general anesthesia. |
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