Diagnostic Techniques

Hendrickson, Dean A.

doi:10.1002/9781118704875.ch8

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…Laparoscopy allows surgical access to structures, including the duodenum, inaccessible through a ventral midline celiotomy (Galuppo et al 1995;Hendrickson 2012;Graham and Freeman 2014). Laparoscopic closure of a mesoduodenal rent entrapping small intestine, performed with the horse standing, has been reported (Sutter and Hardy 2004).…”

Section: Discussionmentioning

confidence: 99%

Surgical correction of entrapment of the large colon and caecum through a mesoduodenal rent with standing laparoscopic repair in a mare

Cypher

Blackford

Snowden

et al. 2018

Equine Veterinary Education

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Summary A 12‐year‐old Tennessee Walking Horse mare displaying signs of severe colic for 48 h was found during an exploratory celiotomy to have entrapment of a cranially displaced large colon and the caecum through a rent in the mesoduodenum. The entrapment was relieved, and 24 h later, the mesoduodenal rent was closed laparoscopically, with the mare standing. The owner reported 6 months later that the mare had displayed no signs of colic since being discharged from the hospital 11 days after surgery.

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Section: Discussionmentioning

confidence: 99%

Surgical correction of entrapment of the large colon and caecum through a mesoduodenal rent with standing laparoscopic repair in a mare

Cypher

Blackford

Snowden

et al. 2018

Equine Veterinary Education

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“…Electing for standing surgery obviated the need to stabilise the horse to an extent as would be required for general anaesthesia (Chesnel et al 2012), thus instituting a faster repair and avoidance of any further, progressive haemorrhagic shock. Also, patient positioning was thought to optimise surgical access to the dorsal half of the parietal spleen (Hendrickson 2012). The physiological effects of carbon dioxide insufflation and generation of positive abdominal pressure in instances of active abdominal haemorrhage in the horse is unknown, in particular when considering the potential for gas absorption into the vasculature through sites of perforation.…”

Section: Discussionmentioning

confidence: 99%

Concurrent repair of a displaced rib fracture and splenic capsular tearing using laparoscopic technique in a standing horse with acute haemoperitoneum

O’Neill¹,

Ricardi²

2018

Equine Veterinary Education

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Summary Splenic trauma as a sequela to rib fracture is a recognised cause of haemoperitoneum in the horse. Although surgical repair to those areas damaged is advocated as the treatment of choice, information pertaining to the simultaneous repair of such sites is lacking. Additionally, the hypovolaemic case presents a separate anaesthetic challenge. This report is the first published description of a concurrent approach for a displaced rib fracture and an associated splenic capsular tear using laparoscopic technique in a standing sedated horse with acute haemoperitoneum. The rib fracture was reduced and stabilised using polyamide ties, and the splenic capsular tear repaired using intracorporeal suturing with knotless, unidirectional barbed suture. Total surgery time was 90 min and no complications were encountered during the procedure. The mare was discharged 6 days post‐operatively. Organ orientation in the standing case afforded excellent visibility to both the parietal surface of the spleen and fractured rib, and abolished the necessity for general anaesthesia.

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“…3 Since then laparoscopy has become a frequently used diagnostic and surgical tool in equine medicine. 4 Presently, equine laparoscopy is most commonly used for the diagnosis and treatment of disorders of the urogenital tract, with the two most common procedures being laparoscopic ovariectomy and cryptorchidectomy. Nevertheless, laparoscopy has also found its place in the broad field of diagnosis, treatment, and prevention of several gastrointestinal disorders causing colic in horses.Horses with acute abdominal pain are generally poor patients for laparoscopic exploration and treatment, as they are often too painful to be restrained in stocks for standing laparoscopy.…”

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confidence: 99%