Elevating the uterus (uteropexy) of five mares by laparoscopically imbricating the mesometrium |
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| Authors: | Brink P Schumacher J Schumacher J |
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| Institution: | 1. J?gersro Equine ATG Clinic, J?gersro, SE‐212 37 Malm?, Sweden;2. ?Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee 37996‐4545, USA;3. and ?Department of Clinical Sciences, J. T. Vaughan Teaching Hospital, College of Veterinary Medicine, Auburn University, Alabama 36849‐5522, USA. |
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| Abstract: | Reasons for performing study: There is a need for study of a method for restoring a ventrally positioned uterus to a horizontal position involving fertility of mares with delayed uterine clearance. Hypothesis: A ventrally‐angled uterus can be elevated to a horizontal position using a laparoscopic technique. Objective: To develop a laparoscopic technique of imbricating the mesometria to elevate the uterus to a horizontal position. Methods: The right and left mesometria of 5 pluriparous mares, all barren for 1–8 years (mean 3.8 years), with a pendulous, ventrally‐angled uterus were shortened laparoscopically, by imbrication, with the mares standing, to raise the uterine body and horns to a horizontal position. Sutures were placed through the dorsal aspect of the uterine body and uterine horn and the adjacent region of the mesometrium using a simple continuous suture pattern. Results: The uterus of all 5 mares was elevated successfully to a horizontal position. Three of the mares became pregnant the same year, without other treatment, after the procedure. Conclusions: A pendulous, ventrally‐angled uterus can be returned to a normal, horizontal position by imbricating the mesometria, using a laparoscopic technique. Potential relevance: Elevating a ventrally‐angled uterus to a horizontal position may improve egress of uterine debris, thereby improving fertility. |
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| Keywords: | horse uterus mesometrium endometritis uterine clearance laparoscopy |
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