Use of a hand-assisted laparoscopic technique for removal of a uterine leiomyoma in a standing mare.
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.
Hagyard, Davidson, McGee & Associates, 4250 Iron Works Pike, Lexington, KY 40511-8412, USA.
John C
JC
Janicek
Dwayne H
DH
Rodgerson
Bryan L
BL
Boone
D000818:Animals; D005260:Female; D006734:Horse Diseases / Q000473:pathology / Q000601:surgery*; D006736:Horses; D007044:Hysterectomy / Q000295:instrumentation / Q000379:methods / Q000662:veterinary; D007247:Infertility, Female / Q000209:etiology / Q000662:veterinary; D020706:Laparoscopes / Q000662:veterinary; D010535:Laparoscopy / Q000379:methods / Q000662:veterinary*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery / Q000662:veterinary*; D010052:Ovariectomy / Q000295:instrumentation / Q000379:methods / Q000662:veterinary; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery / Q000662:veterinary*