Surgical treatment of uterine torsion using a ventral midline laparotomy in 19 mares
| Autor: | C Jung, R. Hospes, L. F. Litzke, H Bostedt |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Torsion Abnormality
endocrine system medicine.medical_specialty animal diseases medicine.medical_treatment Gestational Age Abdominal cavity Pregnancy biology.animal Laparotomy medicine Animals General anaesthesia Horses Hysterotomy reproductive and urinary physiology Uterine Diseases Gynecology Hysterectomy General Veterinary biology business.industry Pregnancy Outcome Gestational age General Medicine Abortion Veterinary medicine.disease Surgery Pregnancy Complications Treatment Outcome medicine.anatomical_structure Foal Female Horse Diseases business |
| Zdroj: | Australian Veterinary Journal. 86:272-276 |
| ISSN: | 1751-0813 0005-0423 |
| DOI: | 10.1111/j.1751-0813.2008.00315.x |
| Popis: | Objective To report on the outcome of surgical treatment of uterine torsion in preterm mares. Design Retrospective case series of pregnant mares with uterine torsion presented to the Clinic for Obstetrics, Gynaecology and Andrology of Large and Small Animals. Methods Hospital records of all pregnant mares that underwent ventral midline laparotomy for uterine torsion between 1998 and 2004 were reviewed. The signalment, history, clinical signs, results of diagnostic procedures, direction and degree of the uterine twist, treatment and outcome were retrieved from each case record. Results This study comprised 19 mares between months 5 and 11 of pregnancy (8.7 ± 1.9) and suffering from uterine torsion. In all cases ventromedian laparotomy was carried out under general anaesthesia. Gastrointestinal disorders were also present in 52.6% of horses. Postoperative complications included subcutaneous seromas (five mares), peritonitis (one mare) and abortion (two mares). In four mares (21%) the operation was unsuccessful (i.e. these mares had to be euthanased intra- or postoperatively). Of the surviving 15 mares, 13 (86.6%) gave birth to viable foals at full term. The foals developed normally. Only two mares aborted. Conclusions Because of its versatility the ventral midline approach should be considered for correction of uterine torsion. The approach has many advantages, including rapid and clear access to the abdominal cavity, safety, visual assessment of uterine wall viability, correction of concomitant gastrointestinal tract problems, and performance of hysterotomy or hysterectomy, if indicated. In this study, managing uterine torsion in this way resulted in a high percentage of cases (86.6%) in which pregnancy was maintained, with the birth of a viable, mature foal. |
| Databáze: | OpenAIRE |
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