Advances In Equine Laparoscopy

List of Contributors ix

Foreword xi
R. Reid Hanson, Chair of the Board of Trustees ACVS Foundation

Preface xiii

Acknowledgment xv

About the Companion Website xvii

Section I Laparoscopic Skills and Instrumentation 1

1 History of Laparoscopy 3
Jose L. Bracamonte and David G. Wilson

2 Fundamental Laparoscopic Skills 13
Claude A. Ragle and Boel A. Fransson

3 Suturing and Knot-Tying Techniques 25
Martin Genton

4 Fundamentals of Energy Sources 39
Rebecca C. McOnie and Eileen S. Hackett

5 Imaging Equipment and the Operating Room 45
Holly L. Stewart, Fausto Brandao, and Jeremiah Easley

6 Instruments 55
Holly L. Stewart, Fausto Brandao, and Jeremiah Easley

Section II Laparoscopy in the Standing Horse 69

7 Sedation and Analgesia in the Standing Horse 71
Tamara Grubb

8 Dietary Approaches to Optimize the Feed Restriction Period before Laparoscopic Surgery in Horses 83
Astrid B.M. Rijkenhuizen and Qendrim Zebeli

9 Laparoscopic Diagnostic Techniques 91
Alice Bertoletti and Dean A. Hendrickson

10 Evaluation of Horses with Signs of Acute and Chronic Abdominal Pain 113
Andreas Klohnen

11 Standing Laparoscopic Exploration of the Small Intestines 141
Andrew Jones

12 Closure of the Nephrosplenic Space 145
Michael Roecken

13 Laparoscopic Foramen Epiploicum Mesh Closure (FEMC) Technique 155
Thomas van Bergen, Peter Wiemer, and Ann Martens

14 Laparoscopic Adhesiolysis 163
Alice Bertoletti and Dean A. Hendrickson

15 Mesenteric Rent Repair 179
Dean A. Hendrickson

16 Standing Cryptorchidectomy 185
Dwayne H. Rodgerson

17 Techniques for Preventing the Recurrence of Acquired Strangulating Inguinal Herniation in the Stallion 195

A. Peritoneal Flap Hernioplasty
Hans Wilderjans

B. Tacked Intraperitoneal Slitted Mesh (TISM)
Hans Wilderjans and Michael Meulyzer

18 Direct Closure of the Vaginal RingUsing Cyanoacrylate and Sutures or Tacks 217
Martin Genton and Fabrice Rossignol

19 Laparoscopic Intersex Gonadectomy 225
Meagan Eickelbeck, Donna L. Shettko, and Dean A. Hendrickson

20 Bilateral Ovariectomy in the Mare 235
Claude A. Ragle

21 Bilateral Ovariectomy as a Treatment for Chronic Pyometra 247
Andrew Jones

22 Ovariectomy for the Removal of Large Pathologic Ovaries in Mares 251
Hans Wilderjans

23 Laparoscopic Imbrication of the Mesometrium to Restore Normal, Horizontal Orientation of the Uterus 265
Palle Brink, Jim Schumacher, and John Schumacher

24 Laparoscopic Repair of Uterine Tears 273
Astrid B.M. Rijkenhuizen

25 Nephrectomy 279
Michael Roecken

26 Standing Laparoscopic Repair of the Ruptured Equine Bladder 289
Dean A. Hendrickson and Monika Lee

27 Ureteral Osteoplasty for Ectopic Ureter 297
Andrew Jones

28 Equine Thoracoscopy 301
John Peroni

29 Thoracoscopic Repair of Diaphragmatic Hernias 311
Alvaro G. Bonilla

Section IIa Two-Stage Procedures 319

30 Laparoscopic-assisted Surgery for Treatment of Extended Septic Funiculitis 321
Michael Roecken

31 Large Granulosa Cell Tumors (Two Stage) 327
Martin Genton and Fabrice Rossignol

32 Laparoscopic-assisted Ovariohysterectomy (Two-step) in the Mare 333
Alvaro G. Bonilla

Section III Laparoscopy in the Recumbent Horse 341

33 General Anesthesia in the Recumbent Horse 343
Tamara Grubb

34 Mesh Incisional Hernioplasty 355
John P. Caron, and Andrew T. Fischer, Jr.

35 Recumbent Cryptorchidectomy 365
Andrew T. Fischer, Jr.

36 Inguinal Hernioplasty 375
Fabrice Rossignol and Josef Boening

37 Ventral Abdominal Approach for Recumbent: Bilateral Laparoscopic Ovariectomy 385
Nicholas P. Hall and Claude A. Ragle

38 Laparoscopic- and Endoscopic-assisted Removal of Cystic Calculi 393
Michael Roecken

39 Hand-assisted Laparoscopy 405
Dwayne H. Rodgerson

Index 413

New edition of the only detailed reference devoted to equine laparoscopy, now with new procedures and video clips

The newly revised and updated Second Edition of Advances in Equine Laparoscopy is a state-of-the-art reference to all aspects of laparoscopy in equine patients. The book covers skills and instrumentation, standing surgeries, and recumbent surgeries, with new sections describing evaluation of the small intestine, closure of the epiploic foramen, thoracoscopic repair of diaphragmatic hernia, uterine tear repair, ovariohysterectomy, and large granulosa cell tumors. A new companion website features video clips demonstrating the procedures discussed.

Each chapter in the new edition has been updated with relevant references produced during the intervening decade. The Second Edition adds 10 new chapters covering techniques and applications developed in the last decade, along with the addition of a section on two-stage procedures.

With chapters written by leading experts, Advances in Equine Laparoscopy discusses:

• The foundations of laparoscopy, fundamental laparoscopic skills, suturing and knot-tying techniques, fundamentals of energy sources, and reusable and disposable equipment
• Sedation and analgesia in the standing horse, diagnostic techniques, and evaluation of horses with signs of acute and chronic abdominal pain
• Evaluation of the small intestine, closure of the nephrosplenic space, adhesiolysis, and mesenteric rent repair
• Peritoneal flap hernioplasty technique for preventing the recurrence of acquired strangulating inguinal herniation in the stallion and inguinal hernioplasty using cyanoacrylate

Advances in Equine Laparoscopy is an essential resource for equine surgeons, surgery residents, and interns, especially those interested in minimally invasive surgery and those who are studying for board certification in surgery.

Claude A. Ragle, DVM, DACVS, ACVS Founding Fellow, Minimally Invasive Large Animal Soft Tissue Surgery (Laparoscopy and Thoracoscopy), DABVP (Equine Practice), is Professor of Equine Surgery at Washington State University in Pullman, Washington, USA.