Morcellation for testes extraction in horses undergoing standing laparoscopic cryptorchidectomy.

Autor:	Sassot LN; Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington 99164, USA (Nolazco Sassot, Ragle, Farnsworth); Lund Equine, 7612 Hwy 312, Billings, Montana 59105, USA (Lund)., Ragle CA; Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington 99164, USA (Nolazco Sassot, Ragle, Farnsworth); Lund Equine, 7612 Hwy 312, Billings, Montana 59105, USA (Lund)., Farnsworth KD; Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington 99164, USA (Nolazco Sassot, Ragle, Farnsworth); Lund Equine, 7612 Hwy 312, Billings, Montana 59105, USA (Lund)., Lund CM; Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington 99164, USA (Nolazco Sassot, Ragle, Farnsworth); Lund Equine, 7612 Hwy 312, Billings, Montana 59105, USA (Lund).
Jazyk:	angličtina
Zdroj:	The Canadian veterinary journal = La revue veterinaire canadienne [Can Vet J] 2017 Nov; Vol. 58 (11), pp. 1215-1220.
Abstrakt:	The major objective of this study was to describe the use of morcellation for standing laparoscopic cryptorchidectomy in 30 client-owned horses. A second objective was to describe a laparoscopic-assisted standing scrotal technique for removal of a descended testis in unilateral cryptorchids. Morcellation for extraction of abdominal testes is effective, efficient, and well-tolerated. Morcellation enabled safe and straightforward extraction of testes from the abdomen through an approximately 13- to 20-mm incision using a 2-portal technique. No incisional or morcellator-related complications occurred. Our laparoscopic-assisted standing scrotal technique for removal of a descended testis in unilateral cryptorchids entails intra-abdominal sealing and transection of the spermatic cord under laparoscopic viewing and subsequent removal of the testis through a scrotal incision. This technique enabled the surgeon to confirm hemostasis after transection of the spermatic cord and allowed tension-free removal of the descended testis. No intra-operative or incisional complications were encountered. Competing Interests: Use of this article is limited to a single copy for personal study. Anyone interested in obtaining reprints should contact the CVMA office (hbroughton@cvma-acmv.org) for additional copies or permission to use this material elsewhere.
Databáze:	MEDLINE
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