Document Detail

Surgical treatment of uterine torsion using a ventral midline laparotomy in 19 mares.
MedLine Citation:
PMID:  18616479     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report on the outcome of surgical treatment of uterine torsion in preterm mares. DESIGN: Retrospective case series of pregnant mares with uterine torsion presented to the Clinic for Obstetrics, Gynaecology and Andrology of Large and Small Animals. METHODS: Hospital records of all pregnant mares that underwent ventral midline laparotomy for uterine torsion between 1998 and 2004 were reviewed. The signalment, history, clinical signs, results of diagnostic procedures, direction and degree of the uterine twist, treatment and outcome were retrieved from each case record. RESULTS: This study comprised 19 mares between months 5 and 11 of pregnancy (8.7 +/- 1.9) and suffering from uterine torsion. In all cases ventromedian laparotomy was carried out under general anaesthesia. Gastrointestinal disorders were also present in 52.6% of horses. Postoperative complications included subcutaneous seromas (five mares), peritonitis (one mare) and abortion (two mares). In four mares (21%) the operation was unsuccessful (i.e. these mares had to be euthanased intra- or postoperatively). Of the surviving 15 mares, 13 (86.6%) gave birth to viable foals at full term. The foals developed normally. Only two mares aborted. CONCLUSIONS: Because of its versatility the ventral midline approach should be considered for correction of uterine torsion. The approach has many advantages, including rapid and clear access to the abdominal cavity, safety, visual assessment of uterine wall viability, correction of concomitant gastrointestinal tract problems, and performance of hysterotomy or hysterectomy, if indicated. In this study, managing uterine torsion in this way resulted in a high percentage of cases (86.6%) in which pregnancy was maintained, with the birth of a viable, mature foal.
C Jung; R Hospes; H Bostedt; L F Litzke
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian veterinary journal     Volume:  86     ISSN:  0005-0423     ISO Abbreviation:  Aust. Vet. J.     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-07-11     Completed Date:  2008-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370616     Medline TA:  Aust Vet J     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  272-6     Citation Subset:  IM    
Clinic for Obstetrics, Gynaecology and Andrology of Large and Small Animals, Justus-Liebig University, Giessen, Germany.
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MeSH Terms
Abortion, Veterinary / epidemiology
Gestational Age
Horse Diseases / mortality,  surgery*
Laparotomy / methods,  veterinary
Pregnancy Complications / mortality,  surgery,  veterinary*
Pregnancy Outcome / veterinary
Torsion Abnormality / mortality,  surgery,  veterinary*
Treatment Outcome
Uterine Diseases / mortality,  surgery,  veterinary*

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