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Standing endoscopic electrosurgery
1Marion duPont Scott Equine Medical Center, Leesburg, Virginia.
The Veterinary Clinics of North America. Equine Practice
|December 1, 1991
Summary
Endoscopic surgery offers a less invasive and more cost-effective approach for equine upper respiratory conditions. This technique, utilizing electrosurgery or Nd-YAG laser, corrects issues like guttural pouch tympany without general anesthesia.
Area of Science:
- Veterinary Medicine
- Equine Surgery
- Endoscopy
Background:
- Equine upper respiratory conditions are commonly diagnosed using endoscopy.
- Traditional surgical interventions often require general anesthesia and carry significant morbidity and cost.
- Endoscopic surgery presents a minimally invasive alternative.
Purpose of the Study:
- To evaluate the efficacy and benefits of endoscopic surgical techniques for common equine upper respiratory conditions.
- To highlight the advantages of reduced morbidity and cost compared to traditional methods.
Main Methods:
- Diagnosis of equine upper respiratory conditions via endoscopy.
- Surgical correction using endoscopic modalities such as Nd-YAG laser or electrosurgery.
- Utilizing instruments passed through the endoscope's biopsy channel, particularly for electrosurgery.
Main Results:
- Endoscopic surgery successfully corrects various conditions without general anesthesia or laryngotomy.
- Electrosurgery is identified as the most cost-effective endoscopic modality.
- Specific conditions treated include entrapped epiglottis, palatopharyngeal arch displacement, pharyngeal cysts/polyps, guttural pouch abscesses/tympany, and ethmoid hematoma.
Conclusions:
- Endoscopic surgery is a viable and advantageous treatment for numerous equine upper respiratory tract disorders.
- The use of electrosurgery via endoscopic instruments offers a cost-effective solution.
- This approach significantly reduces patient morbidity and procedural expenses.