LAPAROSCOPIC ADHESIOLYSIS IN A HORSE

Objective-The purpose of this report was to describe the use of laparo scopy as a method of treatment for abdominal adhesions in the horse. C linical Report-Unilateral ovariectomy for removal of a granulosa cell tumor was performed through a diagonal paramedian approach in a 14-yea r-old Arabian mare. Progressive incisional swelling and hemorrhage cul minated in acute incisional dehiscence with herniation of ileum on the sixth postoperative day. Septic peritonitis that responded to parente ral antibiotic therapy was identified 7 days after hernia repair. Seve n days later, the mare had signs of abdominal pain, and adhesions of s mall intestine to the paramedian incision were identified on rectal pa lpation. Transrectally assisted laparoscopic adhesiolysis was performe d. No further complications occurred. Clinical Relevance-Laparoscopic adhesiolysis may provide better observation of adhesions and reduced p ostoperative morbidity compared with laparotomy. (C) Copyright 1997 by The American College of Veterinary Surgeons.