Comparison of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (<scp>NOTES</scp>®) and Laparoscopy for Elective Bilateral Ovariectomy in Standing Mares

Pader, Karine; Freeman, Lynetta J.; Constable, Peter D.; Wu, Ching Ching; Snyder, Paul W.; Lescun, Timothy B.

doi:10.1111/j.1532-950x.2011.00877.x

Cited by 28 publications

(48 citation statements)

References 40 publications

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“…Fibrosis of the descending colon mesentery has also been observed 3 weeks after ovariectomy with the same vessel sealing and dividing device applied in the present report, although this instrument generates minimal collateral thermal spread and rapid tip cooling when compared with other devices . In another publication, blanching of the duodenal serosa was noted during ovariectomy, when the device was activated while its tip was in contact with the duodenum cranial to the ovarian pedicle for approximately 1 second . This contact resulted in serosal fibrosis 3 weeks postoperatively, but was not associated with clinical signs .…”

Section: Discussionsupporting

confidence: 61%

“…The surgical times observed in this study were similar to those observed with previous laparoscopic ovariectomy techniques. The duration of bilateral laparoscopic ovariectomy performed through bilateral incisions range from 102 to 128 min (mean or median), when a vessel sealing device similar to ours was used . The mean surgical time of the left paralumbar ovariectomy was 76 minutes, gradually decreasing throughout the study.…”

Section: Discussionmentioning

confidence: 88%

“…The postoperative complications encountered in this case series consisted of fever, mild colic, and incisional swelling. These complications are commonly reported after laparoscopic ovariectomy in horses and typically resolve with minor treatment, and without long‐term complication . A larger prospective study comparing unilateral and bilateral techniques would be necessary to investigate the relative number of complications and compare the outcomes of both procedures.…”

Section: Discussionmentioning

confidence: 99%

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Left paralumbar laparoscopic bilateral ovariectomy in mares

et al. 2017

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Objective: To develop a novel technique for left paralumbar laparoscopic bilateral ovariectomy in standing, sedated mares.Study design: Prospective descriptive clinical study.Animals: Twelve client-owned mares.Methods: Healthy mares with normal ovarian palpation and ultrasonographic appearance were enrolled. Horses were restrained in standing stocks and administered a variable rate infusion of sedation. A left paralumbar bilateral ovariectomy was performed with 1 laparoscopic and 3 instrument portals. Access to the right ovary was facilitated by retracting the descending colon and associated mesentery with a fan retractor. Ovaries were removed with traumatic forceps, and a blunt tip vessel sealing device. A laparoscopic portal within the 17th intercostal space provided good visualization of the right ovary and reduced interference between instrumentation. Complications were recorded during hospitalization. In addition, an owner follow-up questionnaire was used to determine complications after discharge from the hospital.Results: Left paralumbar bilateral ovariectomy was successful in all 12 mares, with a mean surgical time of 76 6 8 minutes. Postoperative complications occurred in 4/12 (33%) mares and included fever, mild colic, incisional swelling, and azotemia. Complications resolved and mares returned to full activity, with complete owner satisfaction.Conclusions: Bilateral ovariectomy can be successfully achieved with minimal morbidity in standing mares with normal ovarian ultrasonographic appearance via left paralumbar laparoscopy.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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Left paralumbar laparoscopic bilateral ovariectomy in mares

et al. 2017

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“…), whereas no correlation is found between serum amyloid A and pain (Pader et al . ). In horses with colic and other moderate to severe disease, HR, RR and blood pressure may well be affected by pain but may also be altered by endotoxaemia, cardiovascular compromise and/or dehydration.…”

Section: Physiological Parameters In Equine Pain Scalesmentioning

confidence: 99%

Recognition and quantification of pain in horses: A tutorial review

Gleerup

Lindegaard

2015

Equine Veterinary Education

104

108

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Summary Pain management is dependent on the quality of the pain evaluation. Ideally, pain evaluation is objective, pain‐specific and easily incorporated into a busy equine clinic. This paper reviews the existing knowledge base regarding the identification and quantification of pain in horses. Behavioural indicators of pain in horses in the context of normal equine behaviour, as well as various physiological parameters potentially useful for pain evaluation, are discussed. Areas where knowledge is sparse are identified and a new equine pain scale based on results from all reviewed papers is proposed. Finally, the most important considerations in relation to the implementation of a pain scale in a hospital setting are discussed.

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“…However, it is also possible that the inflammatory response was a response to air within the mediastinum. Air within body cavities, as occurs during laparoscopy, are known to cause an inflammatory response which can result in fever 12. There was also evidence of an inflammatory response in human cases of pneumomediastinum; 39 per cent of human patients with spontaneous pneumomediastinum had increased white blood cell counts 4…”

Section: Discussionmentioning

confidence: 99%

Spontaneous pneumomediastinum in three adult horses

Smith

Marr

2019

Vet Record Case Reports

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The report describes the diagnosis and management of spontaneous pneumomediastinum in three horses which were presented with acute-onset increased respiratory effort. Pneumomediastinum was evident radiographically without evidence of internal or external trauma. Two horses had no obvious inciting cause and one horse had chronic interstitial pneumonia. All horses developed echocardiographic changes consistent with right heart dysfunction. Radiographic evidence of pneumomediastinum resolved in 14–21 days along with all other clinical abnormalities. Despite the severity of the initial clinical signs, all cases reported made a rapid and complete recovery, suggesting that, as in human beings, spontaneous pneumomediastinum in horses is a benign condition with a good prognosis.

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Comparison of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES®) and Laparoscopy for Elective Bilateral Ovariectomy in Standing Mares

Abstract: Bilateral ovariectomy by transvaginal NOTES or laparoscopy resulted in minimal inflammation and surgical trauma.

Cited by 28 publications

References 40 publications

Left paralumbar laparoscopic bilateral ovariectomy in mares

Left paralumbar laparoscopic bilateral ovariectomy in mares

Recognition and quantification of pain in horses: A tutorial review

Spontaneous pneumomediastinum in three adult horses

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