Use of a hand-assisted laparoscopic technique for removal of a uterine leiomyoma in a standing mare

Abstract

A 20-year-old Thoroughbred mare was evaluated because of a 2-year history of infertility. The mare had normal estrous cycles and had been bred 7 times by different stallions. Ultrasonographic examination revealed a homogeneous hyperechoic intramural mass in the tip of the right uterine horn; the mass was also detected via hysteroscopy Unilateral ovariectomy and partial hysterectomy were performed by use of a hand-assisted laparoscopic technique. Leiomyoma was diagnosed via histologic examination of the mass. Unilateral ovariectomy and partial hysterectomy are recommended in mares with leiomyoma in a uterine horn, especially if the tumor is associated with infertility. The hand-assisted laparoscopic technique allows direct visualization of abdominal structures and accurate placement of ligatures without applying tension on the broad ligament, and eliminates the risks and costs of general anesthesia.

Hand‐Assisted Laparoscopic Ovariohysterectomy in the Mare

“…Techniques have been recently described for hand-assisted laparoscopic ovariectomy, partial OHE and left-sided nephrectomy in standing horses (Rodgerson et al 2002, Keoughan et al 2003, Janicek et al 2004. In these reports a hand port device was not used.…”

“…Recently, techniques were described for hand-assisted laparoscopic ovariectomy (Rodgerson et al 2002), partial ovariohysterectomy (Janicek et al 2004) and left sided nephrectomy (Keoughan et al 2003) in standing horses. In those reports a hand port device was not used for the hand-assisted techniques.…”

Infertility in a mare with a chronic uterine tear, diagnosis and successful standing hand‐assisted laparoscopic repair

“…The abdomen was entered in a similar manner to that previously described (Rodgerson et al . 2002; Janicek et al . 2004).…”

La laparoscopie chez le cheval

“…Elle est rare vu la très faible prévalence des affections rénale chez le cheval (Keoughan et al 2003 ;Rocken et al 2006). Il en est de même pour l'hystérectomie (Janicek et al 2004). Le retrait des calculs vésicaux par laparoscopie (Röcken et al 2007) est anecdotique et l'utilisation des voies naturelles est plus fréquente.…”