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33rd Annual Scientific Meeting proceedings

Stream: LA   |   Session: Large Animal Resident Forum
Date/Time: 06-07-2023 (17:45 - 18:00)   |   Location: Theatre Hall
Retrospective study on intraabdominal adhesions diagnosed by laparoscopy in equids: 273 cases
Pudert T, Cruz AM*, Röcken M
Equine Clinic, Department of Surgery and Orthopaedics, Faculty of Veterinary Medicine, Justus-Liebig-University Giessen, Giessen, Germany.

Laparoscopic adhesiolysis is commonly performed in horses. However, only limited data about adhesions as an incidental finding or as a possible cause for clinical symptoms is available. The objective of this study was to evaluate the prevalence of adhesions in different laparoscopic surgeries, and their relation to clinical symptoms.

Materials and Methods
In this retrospective study, the medical records and laparoscopic images of all equids that underwent laparoscopic surgery between 01.01.2017 to 13.12.2022 were reviewed.

Two hundred and seventy two horses and one donkey underwent laparoscopy. Adhesions were found in 55 cases, which indicates a prevalence of adhesions of 20.15%.

The majority (38/55) of the intraperitoneal adhesions were found in the caudal intraperitoneal cavity. In 14 cases, the left cranial abdomen was affected. 23.6% of the adhesion were suggested to be causing the presenting complaint.

The prevalence of adhesion diagnosed by laparoscopy was 20.15% and in 69% the urogenital organs were involved. Probably because of the close proximity and less range of motion of the organs.

The results of this study support the value of laparoscopy as a diagnostic and therapeutic tool. Adhesion formation can be found during laparoscopy as an incidental finding as well as the cause for recurrent clinical colic signs. The most affected region of adhesion formation was the caudal intraperitoneal region. Secondly, the left cranial abdomen was often affected, especially in cases with recurrent signs of colic. Both sides are only visually accessible with laparoscopy in the standing equid.

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