Hand-assisted laparoscopic cystotomy for cystic calculus removal in male horses (3 cases) |
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Authors: | Alejandro Merchan Elizabeth J Barrett Dwayne H Rodgerson |
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Institution: | Ontario Veterinary College, University of Guelph, Guelph, Ontario (Merchan); Davidson Surgery Center, Hagyard Equine Medical Institute, Lexington, Kentucky, USA (Barrett, Rodgerson) |
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Abstract: | A technique for hand-assisted laparoscopic removal of cystic calculi in male horses is described. Three cystic calculi ranging from 5 to 10 cm in diameter were removed successfully using bilateral para-inguinal laparoscopic portals assisted by a human hand within the abdomen, effectively sealing the midline incision. Long-term follow-up information obtained from referring veterinarians and owners indicated that the patients returned to their previous activity level and had no recurrence of clinical signs in the following 6 to 12 months.Key clinical message:Hand-assisted recumbent laparoscopy is a satisfactory surgical technique for removal of cystic calculi in horses which cannot be operated on standing or whose body condition would make the parainguinal approach difficult. |
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