Modified parainguinal approach for cystic calculus removal in five equids

Area of Science:

• Veterinary Surgery
• Equine Urology

Background:

• Traditional parainguinal approaches for cystic calculi removal can be challenging.
• Minimizing surgical trauma and improving patient outcomes are key goals in equine surgery.

Observation:

• A modified technique involves a ventral midline laparotomy to guide a parainguinal laparocystotomy.
• This allows for precise selection of the parainguinal incision site.
• The ventral midline incision facilitates bladder exteriorization with minimal tension.

Findings:

• The ventral midline approach enables optimal parainguinal incision placement for bladder exteriorization.
• Reduced parainguinal incision size increases extra-abdominal bladder security during cystotomy.
• An assistant's hand via the ventral midline incision aids in bladder stability during closure.

Implications:

• This technique offers improved safety and efficiency for equine cystic calculi removal.
• It may lead to reduced complications and faster recovery times in horses.
• The described method provides a valuable alternative for surgeons performing cystotomies in horses.