Laparoscopic‐assisted splenectomy in a horse with splenomegaly

This reports describes the surgical management of a horse evaluated for recurrent colic. These frequent colic episodes were attributed by exclusion to an abnormally enlarged spleen (idiopathic splenomegaly). Splenectomy was elected and performed with a laparoscopic assisted technique. The advantages observed by using this surgical approach were a clear view of the visceral aspect of the spleen and consequently an accurate dissection of the hilus of the spleen and associated vasculature. Ultimately the laparoscopic technique allowed the surgeons to reduce the size of the laparotomy incision required to remove the spleen and the overall invasiveness of the procedure. The horse recovered well from the procedure and ultimately returned to the previous level of competitiveness.     

Laparoscopic-assisted castration of a monorchid male pseudohermaphrodite pony

A pseudohermaphrodite possesses gonads of one sex, but with external genitalia of the opposite sex. Although cases of male pseudohermaphroditism have been published, there is no report of a monorchid male pseudohermaphrodite. This Case Report documents a 12-year-old monorchid male pseudohermaphrodite displaying stallion-like behaviour, with an elevated serum oestrone sulphate concentration confirming the presence of functional testicular tissue. A complete resolution of all behavioural signs occurred after laparoscopic-assisted castration under general anaesthesia, along with a drop in serum oestrone sulphate concentrations to <0.01 ng/ml and no response in serum testosterone concentration following administration of hCG.     

Cystic intra-abdominal testicles: Standing laparoscopic removal in two colts

This case report describes the laparoscopic approach for removal of cystic intra-abdominal testicles in the standing colt. One 3-year-old Tobiano and one 2-year-old Warmblood colts were referred for abdominal cryptorchidectomy. The horses were clinically and ultrasonographically examined and a presumptive diagnosis of unilateral abdominal cryptorchidism was made. A laparoscopic approach via the flank was used to localise each abdominal testicle. In both colts the abdominal testicle was enlarged and cystic. Each spermatic cord was ligated and fluid was aspirated from the testicle. By reducing the size of the mass minimally invasive removal through an enlarged instrumental portal was possible. Histopathology revealed a cystic rete testis in the Tobiano and a teratoma in the Warmblood. In these cases the cystic enlarged testicles were nonpainful and were incidental findings. A cystic testicle might be developmental (Tobiano case) or arise due to neoplastic transformation (Warmblood case). The laparoscopic approach for enlarged cyst-like testicles in the standing horse offers a secure minimally invasive method for removal.     

ASSESSMENT OF OVARIAN CHANGES AROUND OVULATION IN BITCHES BY ULTRASONOGRAPHY, LAPAROSCOPY AND HORMONAL ASSAYS

To identify the time characteristics of ovulation, 5 bitches were evaluated during heat by ultrasonography, laparoscopy and hormonal assay. Blood collections for progesterone and oestradiol 17-β assys and ultrasonography were performed every day and laparoscopy every other day. At ultrasonography, ovaries appeared as anechoic structures about 5 days before the estimated LH peak and gradually increased in size. The greatest changes were observed between days 2 and 4 post-LH peak: echogenicity varied greatly from one animal to another and from one day to the following going from totally anechoic to mixed hypo and hyperechogenicity. Then from day 6, ovaries always appeared as hypoechoic structures assimilated to corpora lutea. At laproscopy, small follicies were seen as early as day 10 before the LH peak. Their size slowly increased to become large protubering follicies around the day of LH peak (day 0). At day 1, corpra luta were observed for the first time and were present in all animals by day 5. During that period preceeding day 5, some ovaries had both corpora lutea and follicies clearly visible on their surface. In one animal, haemorrhagic foci were observed at day 3. Neither ultrasonography, nor laparoscopy allowed precise determination of the time of ovulation. Indeed, follicle collapses was never observed, but changes in echogenicity and in the appearance of the ovaries observed by laparoscopy, suggested that ovulation occurred between days 2 and 4 when progestrone concentrations were 12.6 ± 6.2 and 32.1 ± 10.9 nmol/L, respectively.     

LAPAROSCOPIC ULTRASONOGRAPHY IN SIX DOGS

The aim of this study was to describe the technique of laparoscopic ultrasonography in six dogs with intra-abdominal disease. Investigation of the abdominal cavity was undertaken initially in each dog by laparoscopy alone. After exploration and visualization of a diseased organ, a 7.5 MHz microconvex ultrasound probe was introduced into the abdomen through a laparoscopic cannula for videoguided ultrasound examination. Laparoscopic ultrasonography allows core biopsy or needle aspiration to be performed by guiding the needle into nonsuperficial lesions, where videoendoscopic guidance alone is not enough. In addition, color Doppler ultrasonography is useful to examine the vascular pattern to minimize or eliminate complications when a biopsy is performed.     

Left dorsal displacement of the large colon in the horse

Left dorsal displacement of the large colon is a condition unique to the horse that results in an obstruction of the colon and signs of colic. This condition may be successfully treated medically with analgesia, i.v. or oral fluids and feed restriction, exercise with or without administration of phenylephrine, or rolling under general anaesthesia with or without administration of phenylephrine, or a combination of these conservative options. Surgical correction via standing left flank laparotomy or, more commonly, ventral midline laparotomy under general anaesthesia, is required in cases where conservative therapy is unsuccessful. Recurrence rates range from 3.2% to 21%. Surgical attempts to prevent recurrence of this condition include large colon resection, colopexy, and ablation of the nephrosplenic space.     

气腹压力对裸鼠卵巢癌生长的影响

目的观察不同气腹压力对恶性肿瘤生长的影响。方法 45只裸鼠腹腔内种植人卵巢癌瘤块,成模后随机分为3组：无气腹组、低气腹组（5mmHg）、高气腹组（10mmHg）,每组15只,模拟不同CO2气腹压力环境,时间为1h。术后4周开腹检查肿瘤生长平均质量,评价不同气腹压力对肿瘤生长的影响。结果高气腹组的肿瘤平均质量为（3245.3±72.2）mg,明显大于无气腹组的（1830.7±69.4）mg及低气腹组的（2362.4±71.3）mg,差异有统计学意义（P〈0.01）。结论气腹压力增高可促进肿瘤生长,可能增加腹腔镜手术后肿瘤生长和种植转移机会。     

腹腔镜技术在山羊胚胎移植中的应用

本文详细介绍了山羊在站立保定下进行腹腔镜检查的方法,对检查中所观察到的生殖器官的生理及病理现象进行了较系统的描述。研究表明,超排处理山羊卵巢反应异常者占53.2％;自然发情及诱导发情羊异常发情者占32.4％。作者认为,在奶山羊胚胎移植工作中应用腹腔镜技术,可减少盲目性手术及无效工作量,并提高手术成功率。     

Laparoscopy vs. laparotomy for embryo transfer to produce transgenic goats (Capra hircus)

This study was performed to produce transgenic Korean native goat (Capra hircus) by laparoscopic embryo transfer (ET) to overcome the limitations of ET performed by laparotomy. Transgenic embryos were produced by DNA pronuclear microinjection of in vivo zygotes. The recipient goats were synchronized for estrus by using an introvaginal progesterone devices as a controlled internal drug-releasing insert (CIDR) for 13 days and injection of 400 IU PMSG 48 h before removal of the insert. Embryos were transferred on day 3 and 4 after removal of the insert. Recipient goats were deprived of feed for 48 h, then suspended in a laparotomy cradle at an angle of 45°. After obtaining a sufficient pneumoperitoneum, the laparoscope and forceps were inserted abdominally through 5 mm trocar sleeves. Examination of the ovaries and uterus was performed and then 213 embryos were transferred into the oviducts via the infundibula of 76 recipient goats. To compare pregnancy rates, ET was also performed by laparotomy in 82 recipient goats. The pregnancies in the recipient goats were diagnosed by ultrasound on day 30 after embryo transfer. The pregnancy rate with laparoscopic ET was significantly higher than with ET performed by laparotomy (46.1% vs. 28.6%, p < 0.05). In addition, the pregnancy rates were compared between ovulated and non-ovulated ovaries of the recipient goats in the laparoscopic ET group. No significant difference was observed between the pregnancy rates of ovulated and non-ovulated ovaries (41.3% vs. 33.3%, p < 0.05) suggesting that ET may also be possible in non-ovulated recipients through artificial rupture of Graafian follicles. These results suggest that laparoscopic ET is a highly efficient method for the transfer of goat embryos.     

Laparoscopic repair of a ruptured bladder in an adult mare

A bladder rupture suffered by an adult mare during parturition was repaired, using a laparoscopic approach with the mare in dorsal recumbency. During the laparoscopic approach, the bladder was empty, inverted and had a rent on the dorsal apical surface. The bladder was located far caudally within the pelvis. By grasping the left lateral ligament and exerting gentle traction, it proved possible to manoeuvre the bladder more cranially where the rupture could be sutured. The benefits of the laparoscopic approach are reduction in incision size, visualisation of the tear, reachability of the empty bladder and the tear, and reduced reconvalescence time.