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Elevating the uterus (uteropexy) of five mares by laparoscopically imbricating the mesometrium
P Brink1, J Schumacher, J Schumacher
1Jägersro Equine ATG Clinic, Jägersro, SE-212 37 Malmö, Sweden.
Reasons For Performing Study:
There is a need for study of a method for restoring a ventrally positioned uterus to a horizontal position involving fertility of mares with delayed uterine clearance.
Hypothesis:
A ventrally-angled uterus can be elevated to a horizontal position using a laparoscopic technique.
Objective:
To develop a laparoscopic technique of imbricating the mesometria to elevate the uterus to a horizontal position.
Methods:
The right and left mesometria of 5 pluriparous mares, all barren for 1-8 years (mean 3.8 years), with a pendulous, ventrally-angled uterus were shortened laparoscopically, by imbrication, with the mares standing, to raise the uterine body and horns to a horizontal position. Sutures were placed through the dorsal aspect of the uterine body and uterine horn and the adjacent region of the mesometrium using a simple continuous suture pattern.
Results:
The uterus of all 5 mares was elevated successfully to a horizontal position. Three of the mares became pregnant the same year, without other treatment, after the procedure.
Conclusions:
A pendulous, ventrally-angled uterus can be returned to a normal, horizontal position by imbricating the mesometria, using a laparoscopic technique.
Potential Relevance:
Elevating a ventrally-angled uterus to a horizontal position may improve egress of uterine debris, thereby improving fertility.
