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Morcellation for testes extraction in horses undergoing standing laparoscopic cryptorchidectomy

机译:直立腹腔镜隐睾切除术的马睾丸提取

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摘要

The major objective of this study was to describe the use of morcellation for standing laparoscopic cryptorchidectomy in 30 client-owned horses. A second objective was to describe a laparoscopic-assisted standing scrotal technique for removal of a descended testis in unilateral cryptorchids. Morcellation for extraction of abdominal testes is effective, efficient, and well-tolerated. Morcellation enabled safe and straightforward extraction of testes from the abdomen through an approximately 13- to 20-mm incision using a 2-portal technique. No incisional or morcellator-related complications occurred. Our laparoscopic-assisted standing scrotal technique for removal of a descended testis in unilateral cryptorchids entails intra-abdominal sealing and transection of the spermatic cord under laparoscopic viewing and subsequent removal of the testis through a scrotal incision. This technique enabled the surgeon to confirm hemostasis after transection of the spermatic cord and allowed tension-free removal of the descended testis. No intra-operative or incisional complications were encountered.
机译:这项研究的主要目的是描述在30个客户拥有的马中,将粉碎法用于站立式腹腔镜隐睾切除术。第二个目的是描述腹腔镜辅助阴囊阴囊切除术,以去除单侧隐睾中的睾丸下降。分离腹腔睾丸是有效,高效且耐受性良好的方法。粉碎可通过2门技术通过约13至20 mm的切口从腹部安全,直接地提取睾丸。没有切牙或与粉碎器相关的并发症发生。我们的腹腔镜辅助站立阴囊切除术用于切除单侧隐睾的下降的睾丸,需要在腹腔镜观察下进行腹腔内密封和精索横切,然后通过阴囊切口切除睾丸。这项技术使外科医生能够在精索横断后确认止血,并允许无张力地取出睾丸下降。没有遇到术中或切开并发症。

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