Modified parainguinal approach for cystic calculus removal in five equids

Summary This report describes a modification of the parainguinal approach for removal of cystic calculi: a ventral midline laparotomy‐guided parainguinal laparocystotomy. The ventral midline approach to the abdomen is rapid and routinely used by equine surgeons. With an arm introduced to the abdomen...

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Bibliographic Details
Published in:Equine veterinary journal 2013-01, Vol.45 (1), p.94-96
Main Authors: WATTS, A. E., FUBINI, S. L.
Format: Article
Language:English
Subjects:
Abdomen
Animals
Bladder
Calculus
cystotomy
Cystotomy - methods
Cystotomy - veterinary
horse
Horse Diseases - surgery
Horses
Male
Neurons
parainguinal
Urinary Bladder Calculi - surgery
Urinary Bladder Calculi - veterinary
veterinary
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Summary:Summary This report describes a modification of the parainguinal approach for removal of cystic calculi: a ventral midline laparotomy‐guided parainguinal laparocystotomy. The ventral midline approach to the abdomen is rapid and routinely used by equine surgeons. With an arm introduced to the abdomen via the ventral midline, the surgeon is able to select the ideal parainguinal laparotomy incision location that allows bladder exteriorisation with the minimum amount of tension. Because the surgeon's hand is introduced via the ventral midline incision, the parainguinal incision can be sized to just allow exteriorisation of the urinary bladder and urolith, increasing extra‐abdominal bladder security during cystotomy while reducing incision size in the parainguinal region. Finally, an assistant's hand via the ventral midline incision can maintain bladder stability within the parainguinal incision during cystotomy closure.
ISSN:0425-1644
2042-3306
DOI:10.1111/j.2042-3306.2012.00557.x