Laparoscopic cryptorchidectomy using a resorbable self-locking loop device in dorsally recumbent horses

Area of Science:

• Veterinary Surgery
• Equine Surgery
• Minimally Invasive Procedures

Background:

• Cryptorchidism is a common condition in horses requiring surgical intervention.
• Laparoscopic cryptorchidectomy offers a minimally invasive approach but can be technically demanding.
• New devices aim to improve the safety and efficiency of laparoscopic procedures.

Purpose of the Study:

• To evaluate the feasibility and outcomes of using a self-locking resorbable loop device for laparoscopic cryptorchidectomy in horses.
• To assess the surgical time, intraoperative hemostasis, and postoperative complications associated with this device.

Main Methods:

• A prospective clinical study involving twenty horses with abdominal testicles.
• Laparoscopic cryptorchidectomy was performed using a self-locking resorbable loop device to secure the spermatic cord.
• Surgical details, complications, and follow-up data (short- and long-term) were collected.

Main Results:

• The median surgical time was 67 minutes and decreased with experience.
• The device was successfully applied in most cases, though larger testes required more technical skill.
• Excellent intraoperative hemostasis was achieved in 17 horses; mild bleeding occurred in three.
• Three horses developed mild postoperative hemoabdomen, managed medically.
• No significant long-term complications related to the device were observed.

Conclusions:

• The self-locking resorbable loop device is a feasible method for equine cryptorchidectomy.
• It requires minimal training and laparoscopic expertise, making it a viable alternative technique.
• Careful application is necessary to prevent complications, particularly in older horses.