Laparoscopic cryptorchidectomy in standing horses

Area of Science:

• Veterinary Surgery
• Equine Medicine
• Minimally Invasive Techniques

Background:

• Cryptorchidism is a common condition in horses, often requiring surgical intervention.
• Traditional castration methods can be invasive and carry risks.
• Laparoscopic surgery offers potential advantages in terms of reduced invasiveness and faster recovery.

Purpose of the Study:

• To evaluate the feasibility of using laparoscopy for cryptorchidectomy in standing horses.
• To assess the safety and practicality of this minimally invasive surgical technique.

Main Methods:

• A prospective clinical study involving eleven young horses (4 months to 2 years).
• Standing laparoscopic cryptorchidectomy utilizing abdominal insufflation and specialized laparoscopic instruments.
• Extracorporeal ligation and transection of the mesorchium, with testes exteriorized through the abdominal wall.

Main Results:

• The procedure was successfully completed in all cases with minor complications (mild colic in one horse).
• The average surgical time for standing laparoscopic cryptorchidectomy was 58.9 minutes.
• The technique proved safe and practical for the target population.

Conclusions:

• Standing laparoscopic cryptorchidectomy is a safe and effective surgical option for young horses.
• The described instrumentation and technique are practical for equine veterinary surgeons.
• This approach represents a viable alternative to traditional castration methods for cryptorchidism.