Laparoscopic adhesiolysis in a horse.
OBJECTIVE
The purpose of this report was to describe the use of laparoscopy as a method of treatment for abdominal adhesions in the horse.


METHODS
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.


CONCLUSIONS
Laparoscopic adhesiolysis may provide better observation of adhesions and reduced postoperative morbidity compared with laparotomy.
Bleyaert
H F
HF
Department of Large Animal Clinical Sciences, University of Florida, College of Veterinary Medicine, Gainesville 32610-0136, USA.
Brown
M P
MP
Bonenclark
G
G
Bailey
J E
JE
D000818:Animals; D005260:Female; D006547:Hernia / Q000150:complications / Q000662:veterinary; D059685:Herniorrhaphy; D006734:Horse Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006736:Horses; D007077:Ileal Diseases / Q000150:complications / Q000601:surgery / Q000662:veterinary; D007410:Intestinal Diseases / Q000209:etiology / Q000601:surgery / Q000662:veterinary*; D010535:Laparoscopy / Q000662:veterinary*; D010052:Ovariectomy / Q000009:adverse effects / Q000662:veterinary; D010538:Peritonitis / Q000209:etiology / Q000382:microbiology / Q000662:veterinary; D000267:Tissue Adhesions / Q000209:etiology / Q000601:surgery / Q000662:veterinary