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Objectives:
Laparoscopic hernioplasty (LH) in stallions is performed to prevent inguinal herniation (IH) while preserving the testicular functionality. Some cases with very large vaginal rings (VR) may require a tacked intraperitoneal slitted mesh (TISM) technique. The objective of this study was to assess the safety, complications and effects of this technique on the sperm production and motility characteristics of six stallions that received this procedure based on 2-year follow-ups.
Methods:
Standing LH was performed bilaterally in 6 stallions. One horse had history of unilateral IH 3 months before. In the 5 remaining horses an enlarged VR was noticed by rectal palpation with no previous history of IH. A commercial custom-made polypropylene mesh was used to cover the VR. The mesh was placed around the spermatic cord, including its caudomedial part, and fixed with absorbable staples. Pre and postoperative clinical, ultrasonographic and objective lameness examinations, were serially carried out. After 4 months, re-laparoscopy was performed in 5 horses. Sperm quality (motility and concentration), was evaluated before surgery and at 4, 8, 12, 15 months post-LH. Telephone follow-up was done up to 2 years post-surgery.
Results:
The LHs could be performed satisfactorily. At re-laparoscopy, an adequate reduction in the size of the VRs without adhesions was observed. During the follow-up period, no significant differences were detected in any of the parameters assessed and no IHs occurred.
Conclusions:
The TISM technique is a safe laparoscopic technique to reduce the size of the VR in stallions without affecting sperm production and motility characteristics during 15 months of follow-up.
34th Annual Scientific Meeting proceedings
Stream:
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Session:
Date/Time: 30-11--0001 (00:00 - 00:00) | Location:
Date/Time: 30-11--0001 (00:00 - 00:00) | Location:
Tacked intraperitoneal slitted mesh laparoscopic hernioplasty is a safe technique in stallions and does not modify seminal characteristics
Vázquez FJ1, Ribera T2, Ramos FJ3, Hidalgo M4, Valdés MA*2, Rossignol F*5
1Servicio de Cirugía y Medicina Equina, Hospital Veterinario. Departamento de Patología Animal, Facultad de Veterinaria. Universidad de Zaragoza, Zaragoza, Spain, 2Hospital de Referencia La Equina, Manilva (Málaga), Spain, 3Centro de Reproducción Equina de Sotogrande, Sotogrande (Cádiz), Spain, 4Servicio de Reproducción de Grandes Animales. Hospital Clínico Veterinario. Departamento de Medicina y Cirugía Animal. Facultad de Veterinaria. Universidad de Córdoba, Córdoba, Spain, 5Clinic Vétérinarire Equine de Grosbois, Boissy-St-Léger, France.
Objectives:
Laparoscopic hernioplasty (LH) in stallions is performed to prevent inguinal herniation (IH) while preserving the testicular functionality. Some cases with very large vaginal rings (VR) may require a tacked intraperitoneal slitted mesh (TISM) technique. The objective of this study was to assess the safety, complications and effects of this technique on the sperm production and motility characteristics of six stallions that received this procedure based on 2-year follow-ups.
Methods:
Standing LH was performed bilaterally in 6 stallions. One horse had history of unilateral IH 3 months before. In the 5 remaining horses an enlarged VR was noticed by rectal palpation with no previous history of IH. A commercial custom-made polypropylene mesh was used to cover the VR. The mesh was placed around the spermatic cord, including its caudomedial part, and fixed with absorbable staples. Pre and postoperative clinical, ultrasonographic and objective lameness examinations, were serially carried out. After 4 months, re-laparoscopy was performed in 5 horses. Sperm quality (motility and concentration), was evaluated before surgery and at 4, 8, 12, 15 months post-LH. Telephone follow-up was done up to 2 years post-surgery.
Results:
The LHs could be performed satisfactorily. At re-laparoscopy, an adequate reduction in the size of the VRs without adhesions was observed. During the follow-up period, no significant differences were detected in any of the parameters assessed and no IHs occurred.
Conclusions:
The TISM technique is a safe laparoscopic technique to reduce the size of the VR in stallions without affecting sperm production and motility characteristics during 15 months of follow-up.
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