Peer-reviewed veterinary case report
Use of a hand-assisted laparoscopic technique for removal of a uterine leiomyoma in a standing mare.
- Journal:
- Journal of the American Veterinary Medical Association
- Year:
- 2004
- Authors:
- Janicek, John C et al.
- Affiliation:
- Hagyard · United States
- Species:
- horse
Plain-English summary
A 20-year-old Thoroughbred mare was having trouble getting pregnant for the past two years, even though she had normal heat cycles and had been bred multiple times. A special ultrasound showed a growth in her uterus, which was later confirmed with a camera procedure. To treat this, the veterinarians used a method called hand-assisted laparoscopy, which allowed them to remove the growth and part of the uterus without needing full anesthesia. The growth was identified as a type of tumor called a leiomyoma, and the surgery is suggested for mares like her that have this issue and are struggling with infertility. The treatment was successful in addressing the problem.
Abstract
A 20-year-old Thoroughbred mare was evaluated because of a 2-year history of infertility. The mare had normal estrous cycles and had been bred 7 times by different stallions. Ultrasonographic examination revealed a homogeneous hyperechoic intramural mass in the tip of the right uterine horn; the mass was also detected via hysteroscopy Unilateral ovariectomy and partial hysterectomy were performed by use of a hand-assisted laparoscopic technique. Leiomyoma was diagnosed via histologic examination of the mass. Unilateral ovariectomy and partial hysterectomy are recommended in mares with leiomyoma in a uterine horn, especially if the tumor is associated with infertility. The hand-assisted laparoscopic technique allows direct visualization of abdominal structures and accurate placement of ligatures without applying tension on the broad ligament, and eliminates the risks and costs of general anesthesia.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/15485052/