ISSN 2398-2977      

Testis: cryptorchidectomy - laparoscopy approach

pequis

Synonym(s): Laparoscopic cryptorchidectomy


Introduction

  • Laparoscopic approaches allow the minimally invasive removal of abdominally and inguinally retaiend testes.
  • A number of different approaches have been described.
  • Can be performed under general anesthesia in dorsal recumbency or under sedation in the standing position.
  • Numerous portal placements and hemostasis techniques have been described.

Uses

Advantages

Disadvantages

  • Learning curve for laparoscopic techniques.
  • Expensive equipment.
  • Requires careful dietary control (starvation) pre-operatively to reduce visceral bulk and allow working space to be created.
  • Chemical peritonitis occasionally seen as a result of insufflation with carbon dioxide.
  • Standing technique limited by temperament.
  • Ventral abdominal approaches require general anesthesia and Trendelenburg position.

Requirements

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Preparation

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Procedure

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Aftercare

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Caron J P (2013) Equine laparoscopy: gonadectomy. Comp Cont Educ Vet 35 (2), E4 PubMed.
  • Seabaugh K A, Goodrich L R et al (2013) Comparison of peritoneal fluid values after laparoscopic cryptorchidectomy using a vessel-sealing device (Ligasure) versus a ligating loop and removal of the descended testis. Vet Surg 42 (5), 600-606 PubMed.
  • Hendrickson D (2006) Laparoscopic cryptorchidectomy and ovariectomy in horses. Vet Clin North Am Equine Pract 22 (3), 777-798 PubMed.
  • Hanrath M & Rodgerson D H (2002) Laparoscopic cryptorchidectomy using electrosurgical instrumentation in standing horses. Vet Surg 31 (2), 117-124 PubMed.

Other sources of information

  • Fischer A T (2001) Equine Diagnostic and Surgical Laparoscopy. Saunders. ISBN: 978-0721679259.
  • Ragle C A (2012 )Advances in Equine Laparoscopy. Wiley-Blackwell. ISBN: 978-0470958773.

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