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Complications associated with cannula insertion techniques used for laparoscopy in standing horses
Louis-Marie Desmaizières1, Stephane Martinot, Olivier M Lepage
1Département Hippique, Ecole Nationale Vétérinaire de Lyon, France.
Veterinary Surgery : VS
|December 3, 2003
Summary
Optical cannulas significantly reduce complications during standing laparoscopy in horses. This method improves safety compared to blind insertion techniques, minimizing risks like organ puncture and peritoneal detachment.
Area of Science:
- Veterinary Surgery
- Equine Laparoscopy
- Minimally Invasive Procedures
Background:
- Standing laparoscopy is a valuable diagnostic and surgical tool in horses.
- Cannula insertion is a critical step with potential for complications.
- Various techniques exist for initial cannula placement.
Purpose of the Study:
- To evaluate complications associated with different laparoscopic cannula insertion techniques in standing horses.
- To compare the safety and efficacy of visual vs. blind insertion methods.
Main Methods:
- Retrospective study of 40 horses undergoing standing laparoscopy.
- Categorization into 5 groups based on cannula insertion technique (Verres needle, catheter, blind, operating laparoscope, Visiport Optical Trocar).
- Complications recorded during and after insertion.
Main Results:
- 12 horses experienced complications, including peritoneal detachment, splenic, and descending colon puncture.
- The majority of complications (11/12) occurred with blind or needle-based insertion techniques (Groups 1-3).
- Only one complication occurred when using visual guidance (Groups 4-5).
Conclusions:
- Optical devices like the Visiport Optical Trocar allow controlled cannula insertion, minimizing risks.
- Using an optical cannula significantly reduces complications associated with blind insertion in standing equine laparoscopy.
- This technique enhances safety for procedures in the paralumbar fossa.