Cryptorchidectomy

Caron, John P.

doi:10.1002/9781118704875.ch26

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…Realistically, incisional infection rates with laparoscopic approaches will likely mirror human studies 16 in reducing surgical site infections rates compared with invasive approaches as more cases are published. The proposed advantages of extending the linea alba incision vs. a parainguinal incision includes avoiding trauma to the surrounding musculature of the instrument portals by elongating the incision 11 and easier closure 10…”

Section: Discussionmentioning

confidence: 99%

“…Cryptorchid testes have been described to be routinely removed through extended parainguinal incisions after laparoscopic castration 1‐4 . Removal of a cryptorchid testis through an extended linea alba incision has been briefly mentioned, 10,11 although reported outcomes have yet to be described to the authors’ knowledge. Extension of the linea alba incision avoids the additional trauma to the surrounding musculature and vasculature of extended parainguinal incisions.…”

Section: Introductionmentioning

confidence: 99%

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Removal of equine cryptorchid testes through an enlarged umbilical portal in dorsally recumbent horses after intra‐abdominal laparoscopic castration

Finley

Fischer²

2021

Equine Veterinary Journal

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Background: Laparoscopic removal of cryptorchid testes has been routinely reported through enlarged parainguinal incisions in dorsally recumbent horses. Outcomes following removal through an extended umbilical incision have not been previously reported.Objective: To describe the surgical technique of removing cryptorchid testes in dorsally recumbent horses through an enlarged umbilical portal after laparoscopic intraabdominal castration. Study design: Retrospective case series. Methods: Medical records were reviewed for horses that underwent laparoscopic removal of unilateral or bilateral cryptorchid testes from January 2006 to December 2016. Horses were placed under general anaesthesia, positioned in dorsal recumbency and then tilted into Trendelenburg position. Cryptorchid testes were castrated by ligating loop application and/or electrosurgery. The umbilical portal incision was extended along the linea alba for testes removal. All descended testes were removed by routine closed castration with the scrotal incision left to heal by second intention.Perianaesthetic laboratory values, surgical procedure descriptions, surgery and anaesthesia times, and in-hospital perioperative complications were recorded.Results: A total of 79 horses, aged 1-14 years, with unilateral or bilateral cryptorchidism were included: 90 cryptorchid testes were successfully removed through an enlarged umbilical portal incision. Sixty-eight horses were unilaterally cryptorchid and 11 were bilaterally cryptorchid. Two horses had minor post-operative complications related to the extended umbilical portal incision.Main limitations: Retrospective nature of the study, no control population for comparison and no follow-up after hospital discharge. Conclusion:An extended umbilical portal incision is a successful alternative to extending a parainguinal incision for testis removal after laparoscopic castration.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Removal of equine cryptorchid testes through an enlarged umbilical portal in dorsally recumbent horses after intra‐abdominal laparoscopic castration

Finley

Fischer²

2021

Equine Veterinary Journal

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“…In our study, a total of 142 trocar units were placed without complications, a result we attribute to our method for placing trocars. While some surgeons prefer an open approach (modified Hasson technique) to enter the abdominal cavity, we prefer using a teat cannula to create a pneumoperitoneum prior to placing the telescope trocar‐cannula unit. This initial pneumoperitoneum maximizes the distance between the ventral abdominal wall and intra‐abdominal structures, subsequently enhancing the safety of blindly placing the telescope trocar‐cannula unit .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic cryptorchidectomy with a vessel‐sealing device in dorsal recumbent horses: 43 cases

Bracamonte

Thomas

2017

Veterinary Surgery

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Comparison of laparoscopic versus conventional open cryptorchidectomies on intraoperative and postoperative complications and duration of surgery, anesthesia, and hospital stay in horses

Cribb¹,

Koenig²,

Sorge³

2015

javma

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Objective-To compare surgical preparation time, surgery and anesthesia times, hospitalization duration, and intra- and postoperative complications between laparoscopic and conventional open cryptorchidectomy in horses. Design-Retrospective cohort study. Animals-60 horses that underwent cryptorchidectomy. Procedures-Medical records were reviewed to identify horses that had undergone cryptorchidectomy from 1991 to 2012. Thirty horses that underwent laparoscopic cryptorchidectomy (case horses) were matched with 30 control horses that had undergone open cryptorchidectomy (ie, inguinal and parainguinal surgical approaches). Horses were matched according to history of previous surgery, testicle location, and type of closure following removal of an undescended unilateral testicle. Duration of surgery, surgical preparation and anesthesia times, hospitalization duration, and number of intra- and postoperative complications were compared between horses that underwent laparoscopic cryptorchidectomy versus open cryptorchidectomy. Comparisons were also made between horses in terms of whether there was a history of previous failed cryptorchidectomy or unknown location of testicle prior to surgery. Results-Horses that underwent laparoscopic cryptorchidectomy had significantly longer surgery and anesthesia times overall, compared with horses that underwent open cryptorchidectomy. No difference in surgery time was found between case and control horses that had a previous surgical attempt to remove an undescended testicle or in which the testicle location was unknown prior to surgery. Overall, horses undergoing laparoscopy had a nonsignificant increase in intraoperative complications, compared with control horses, and had significantly more postoperative complications. Conclusions and Clinical Relevance-Horses undergoing laparoscopic cryptorchidectomy had increased surgical preparation time, increased surgery and anesthesia times, and more postoperative complications, compared with horses undergoing open cryptorchictomy. Laparoscopy may be advantageous for a second attempt at cryptorchidectomy or if the testicle location is unknown prior to surgery.

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Cryptorchidectomy

Cited by 3 publications

References 18 publications

Removal of equine cryptorchid testes through an enlarged umbilical portal in dorsally recumbent horses after intra‐abdominal laparoscopic castration

Removal of equine cryptorchid testes through an enlarged umbilical portal in dorsally recumbent horses after intra‐abdominal laparoscopic castration

Laparoscopic cryptorchidectomy with a vessel‐sealing device in dorsal recumbent horses: 43 cases

Comparison of laparoscopic versus conventional open cryptorchidectomies on intraoperative and postoperative complications and duration of surgery, anesthesia, and hospital stay in horses

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