title: Laparoscopic intra-abdominal ligation of the testicular artery following castration in a horse.
abstract: A 364-kg (800-lb) 1-year-old mixed-breed horse was admitted for treatment of uncontrolled bleeding after castration. Multiple attempts to ligate the testicular artery through the scrotal incisions prior to referral had been unsuccessful. Because of the owner's concerns about cost, an attempt was made to control the bleeding by applying pressure to the inguinal region and administering formalin IV. However, hemorrhage continued. A decision was made to use laparoscopy to ligate the testicular artery. The horse was anesthetized and positioned in dorsal recumbency, and a routine ventral laparoscopic approach was used. The horse recovered without further complications. Laparoscopy should be considered for ligation of the testicular artery in horses with uncontrolled bleeding after castration.
authors.affiliation: Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80523, USA.
authors.forename: T N
authors.initials: TN
authors.lastname: Trumble
authors.forename: J
authors.initials: J
authors.lastname: Ingle-Fehr
authors.forename: D A
authors.initials: DA
authors.lastname: Hendrickson
mesh_terms: D000818:Animals; D000892:Anti-Infective Agents, Urinary / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001158:Arteries / Q000601:surgery; D001803:Blood Transfusion / Q000662:veterinary; D003002:Clonixin / Q000031:analogs & derivatives / Q000627:therapeutic use; D005839:Gentamicins / Q000627:therapeutic use; D006339:Heart Rate; D006400:Hematocrit / Q000662:veterinary; D006470:Hemorrhage / Q000601:surgery / Q000662:veterinary*; D006734:Horse Diseases / Q000601:surgery*; D006736:Horses; D010535:Laparoscopy / Q000662:veterinary; D008026:Ligation / Q000662:veterinary; D008297:Male; D009919:Orchiectomy / Q000009:adverse effects / Q000662:veterinary*; D010400:Penicillin G / Q000627:therapeutic use; D010653:Phenylbutazone / Q000627:therapeutic use; D013737:Testis / Q000098:blood supply*; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000892:Anti-Infective Agents, Urinary; D000894:Anti-Inflammatory Agents, Non-Steroidal; D005839:Gentamicins; C014557:flunixin; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D010653:Phenylbutazone; D010400:Penicillin G; D003002:Clonixin