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Instrumentation and techniques in transendoscopic upper respiratory tract laser surgery
1Section of Surgery, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, USA.
The Veterinary Clinics of North America. Equine Practice
|August 1, 1996
Summary
Transendoscopic laser surgery offers a safe, minimally invasive approach for equine upper respiratory tract procedures. This technique reduces recovery time and morbidity, making it a valuable option for equine surgeons.
Area of Science:
- Veterinary Surgery
- Equine Medicine
- Laser Technology
Background:
- Transendoscopic laser surgery is a minimally invasive technique for equine upper respiratory tract procedures.
- The Neodymium-doped Yttrium Aluminum Garnet (Nd:YAG) laser is effective, but newer lasers like diode and holmium: YAG may also be beneficial.
Purpose of the Study:
- To evaluate the efficacy and benefits of transendoscopic laser surgery for equine upper respiratory tract abnormalities.
- To highlight critical equipment and potential advantages over traditional surgical methods.
Main Methods:
- Utilizing long grasping forceps and high-quality fiberoptic or video endoscopes for transendoscopic procedures.
- Performing laser surgery on the equine upper respiratory tract.
Main Results:
- Eliminates the need for laryngotomy in many common upper respiratory tract abnormalities.
- Results in minimal morbidity and allows horses to return to exercise in 7-14 days.
- Demonstrates excellent trainer and owner acceptance.
Conclusions:
- Transendoscopic laser surgery is a safe, reliable, and minimally invasive option for equine upper respiratory surgery.
- It offers significant advantages including reduced recovery time and morbidity.
- Cost-effectiveness is highest in large referral or university settings.