Hand‐assisted laparoscopic nephrectomy in a standing horse

Rijkenhuizen, A. B. M.

doi:10.2746/095777308x307121

Cited by 4 publications

(2 citation statements)

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“…During evisceration of the kidney, manipulation can cause trauma to the abdominal wall and the kidney, and therefore contamination of the abdomen and incisional complications like seroma formation (Röcken et al 2005). In human surgery, renal morcellation before abdominal retrieval is described to significantly reduce post-operative pain and clearly reduce incisional complications (Rijkenhuizen 2008). This technique could therefore have contributed to post-operative pain reduction, as significant manipulation was needed to remove the enlarged kidney in the current case.…”

Section: Discussionmentioning

confidence: 93%

“…To improve visibility of urine outflow, the administration of intravenous sodium fluorescein could have been used, which was unfortunately not available at the time of examination (Sullins et al1988). Additionally, an ultrasound guided kidney biopsy could have been used to determine the degree of renal damage and establish a more reliable prognosis (Hope et al 1989, Rijkenhuizen 2008. The role of urinary tract infection in the aetiology of calculus formation is subject of discussion.…”

Section: Discussionmentioning

confidence: 99%

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Hand-assisted laparoscopic nephrectomy for the treatment of ureterolithiasis and nephrolithiasis in an adult horse

Poels,

Bodaan

2023

PHK

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An 18-year-old Hanoverian Warmblood gelding was presented with a history of acute haematuria. On rectal examination, a severely dilated right ureter with a concrement was palpated. Transabdominal sonography raised the suspicion of right kidney enlargement and loss of normal architecture. An exploratory laparoscopy was performed to evaluate the diagnostic findings. The tentative plan was to perform a laparoscopic ureterolith removal and a hand-assisted right nephrectomy, as high ureterolith recurrence rates are reported without nephrectomy. Right hand-assisted laparoscopic nephrectomy was performed and confirmed nephrolithiasis. Since the ureteral stone could not be mobilised, it was left in situ. Post-operative pain management proved a major challenge in this case, and was initially insufficient in spite of a multi-modal approach. Applied pain management techniques as used in human donor nephrectomy require further investigation for potential future use in equine patients. The gelding resumed his activity as a leisure horse six weeks after surgery, but was euthanized three months after surgery due to an unrelated cause. Nephrectomy without ureterolith removal provided a successful solution for this case of severe kidney disease.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%