Inguinal percutaneous ultrasound to locate cryptorchid testes
| Autor: | S. A. McKANE, R. P. C. Coomer, D. A. Gorvy, H. Wilderjans |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Percutaneous medicine.diagnostic_test 040301 veterinary sciences Equine business.industry medicine.medical_treatment Ultrasound 0402 animal and dairy science 04 agricultural and veterinary sciences 040201 dairy & animal science Surgery Surgical morbidity 0403 veterinary science medicine.anatomical_structure Laparotomy Ultrasound method medicine Abdomen Blood test business |
| Zdroj: | Equine Veterinary Education. 28:150-154 |
| ISSN: | 0957-7734 |
| Popis: | Summary Standing laparoscopic removal of abdominally retained cryptorchid testes may reduce patient morbidity and speed recovery compared with traditional laparotomy because anaesthesia is avoided and skin incisions are smaller. Reliably locating the testis preoperatively is therefore optimal to avoid unnecessary surgical morbidity and expense. We describe and review the results of a simple method of location using ultrasound scanning of the inguinal region, with a negative result indicating abdominal retention. One hundred and twenty-seven horses with 141 cryptorchid testes were identified. Eighty-five testes were identified inguinally: 56 abdominal. Two inguinally retained testes were not observed on ultrasound (false negatives) and 2 testes were considered inguinal but subsequently had to be removed from the abdomen (false positives). Sensitivity of inguinal ultrasound to predict the location of cryptorchid testes was therefore 98% and specificity 97%. The technique described herein proved a reliable technique to locate cryptorchid testes prior to surgery, minimising morbidity and cost. Suspect cryptorchids with no external evidence of testes should undergo a screening blood test prior to this ultrasound method of diagnosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text