Peer-reviewed veterinary case report
Laparoscopic adhesiolysis in a horse.
- Journal:
- Veterinary surgery : VS
- Year:
- 1997
- Authors:
- Bleyaert, H F et al.
- Affiliation:
- Department of Large Animal Clinical Sciences · United States
- Species:
- horse
Plain-English summary
A 14-year-old Arabian mare had surgery to remove a tumor from her ovary, but after the operation, she developed swelling and bleeding at the incision site. By the sixth day, part of her intestine had pushed through the incision, leading to a serious infection in her abdomen. After treating the infection, she showed signs of abdominal pain again, and a vet discovered that her intestines were stuck to the incision. They used a special technique called laparoscopic adhesiolysis, which allowed them to carefully separate the intestines without making a large cut. Fortunately, she did not have any further complications after this treatment.
Abstract
OBJECTIVE: The purpose of this report was to describe the use of laparoscopy as a method of treatment for abdominal adhesions in the horse. CLINICAL REPORT: Unilateral ovariectomy for removal of a granulosa cell tumor was performed through a diagonal paramedian approach in a 14-year-old Arabian mare. Progressive incisional swelling and hemorrhage culminated in acute incisional dehiscence with herniation of ileum on the sixth postoperative day. Septic peritonitis that responded to parenteral antibiotic therapy was identified 7 days after hernia repair. Seven days later, the mare had signs of abdominal pain, and adhesions of small intestine to the paramedian incision were identified on rectal palpation. Transrectally assisted laparoscopic adhesiolysis was performed. No further complications occurred. CLINICAL RELEVANCE: Laparoscopic adhesiolysis may provide better observation of adhesions and reduced postoperative morbidity compared with laparotomy.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/9387214/