Development of a technique for standing hand-assisted laparoscopic splenectomy in five horses

Objectives To develop an experimental standing hand‐assisted laparoscopic splenectomy (HALS) technique, report the associated peri‐operative complications and document the short‐term surgical outcomes. Methods and Results Five healthy 300–470 kg horses that underwent standing HALS. Spleens of differ...

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Bibliographic Details
Published in:Australian veterinary journal 2015-06, Vol.93 (6), p.183-188
Main Authors: Gracia-Calvo, LA, Martín-Cuervo, M, Jiménez, J, Vieítez, V, Argüelles, D, Durán, ME, Ezquerra, J
Format: Article
Language:English
Subjects:
Anesthesia, Local - methods
Anesthesia, Local - veterinary
Animals
Conscious Sedation - methods
Conscious Sedation - veterinary
Hand-Assisted Laparoscopy - adverse effects
Hand-Assisted Laparoscopy - methods
Hand-Assisted Laparoscopy - veterinary
hand-assisted techniques
Horses
Horses - surgery
laparoscopic surgery
Laparoscopy
Ligation - methods
Ligation - veterinary
Postoperative Care - methods
Postoperative Care - veterinary
Spleen - surgery
splenectomy
Splenectomy - adverse effects
Splenectomy - methods
Splenectomy - veterinary
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Summary:Objectives To develop an experimental standing hand‐assisted laparoscopic splenectomy (HALS) technique, report the associated peri‐operative complications and document the short‐term surgical outcomes. Methods and Results Five healthy 300–470 kg horses that underwent standing HALS. Spleens of different weights (2.25–7.0 kg) were removed using this technique. The main complication during surgery was difficulty sectioning the gastrosplenic ligament. The postoperative complications included adhesions of the colon to the nephrosplenic ligament stump and incisional discharge in two horses. Conclusions Standing HALS is a feasible experimental procedure for medium‐sized horses, which avoids rib excision and general anaesthesia, but requires further development.
ISSN:0005-0423
1751-0813
DOI:10.1111/avj.12326