PDF(Pubmed)
Abstract：
BACKGROUND: Persistent hemorrhage of testicular vessels is a potentially life-threatening complication of equine castration. Frequently, general anesthesia is required to retrieve and ligate the bleeding vasculature when standing wound packing and retrieval of the spermatic cord are unsuccessful. We propose standing laparoscopic ligation of the testicular arteries via the paralumbar fossa as a rapid, effective means of halting hemorrhage while avoiding castration site trauma as well as the cardiovascular and recovery risks of general anesthesia.
METHODS: Two geldings, 6 and 9 months old, presented for emergency treatment of severe post-castration hemorrhage of 10 and 24 h durations, respectively. Both geldings underwent standing laparoscopy under light sedation and the testicular vessels were ligated using a bipolar vessel-sealing device.
RESULTS: Testicular vessel sealing was successfully performed in both geldings by standing laparoscopy and resulted in immediate cessation of hemorrhage. In one case, a left paralumbar fossa approach allowed coagulation of both the left and right spermatic vessels. The procedure time was 25 and 35 min. No complications occurred, and both geldings recovered uneventfully.
CONCLUSIONS: Standing, laparoscopic ligation of the testicular arteries is a feasible emergency treatment in young geldings and can be applied in cases of uncontrolled post-castration hemorrhage.
METHODS: Two geldings, 6 and 9 months old, presented for emergency treatment of severe post-castration hemorrhage of 10 and 24 h durations, respectively. Both geldings underwent standing laparoscopy under light sedation and the testicular vessels were ligated using a bipolar vessel-sealing device.
RESULTS: Testicular vessel sealing was successfully performed in both geldings by standing laparoscopy and resulted in immediate cessation of hemorrhage. In one case, a left paralumbar fossa approach allowed coagulation of both the left and right spermatic vessels. The procedure time was 25 and 35 min. No complications occurred, and both geldings recovered uneventfully.
CONCLUSIONS: Standing, laparoscopic ligation of the testicular arteries is a feasible emergency treatment in young geldings and can be applied in cases of uncontrolled post-castration hemorrhage.
摘要：
背景：睾丸血管持续出血是马去势可能危及生命的并发症。经常,当直立伤口填塞和精索取回不成功时，需要全身麻醉来取回和结扎出血的脉管系统。我们建议通过旁腹窝进行睾丸动脉的立位腹腔镜结扎术，有效的方法可以阻止出血，同时避免去势部位的创伤以及全身麻醉的心血管和恢复风险。
方法：两种凝胶，6个月和9个月大，为10小时和24小时严重去势后出血的急诊治疗，分别。两种凝胶都在轻度镇静下进行了站立腹腔镜检查，并使用双极血管密封装置结扎了睾丸血管。
结果：通过站立腹腔镜检查，两种凝胶均成功进行了睾丸血管密封，并导致出血立即停止。在一个案例中,左旁腹窝入路允许左右精索血管凝固。手术时间为25和35分钟。无并发症发生,两个凝胶都恢复得很顺利。
结论：站立，腹腔镜睾丸动脉结扎术是年轻凝胶的可行紧急治疗方法，可用于去势后不受控制的出血。
方法：两种凝胶，6个月和9个月大，为10小时和24小时严重去势后出血的急诊治疗，分别。两种凝胶都在轻度镇静下进行了站立腹腔镜检查，并使用双极血管密封装置结扎了睾丸血管。
结果：通过站立腹腔镜检查，两种凝胶均成功进行了睾丸血管密封，并导致出血立即停止。在一个案例中,左旁腹窝入路允许左右精索血管凝固。手术时间为25和35分钟。无并发症发生,两个凝胶都恢复得很顺利。
结论：站立，腹腔镜睾丸动脉结扎术是年轻凝胶的可行紧急治疗方法，可用于去势后不受控制的出血。
