Laparoscopic cryptorchidectomy using a resorbable self-locking loop device in dorsally recumbent horses.
Authors: Bonomelli Natacha, Höglund Odd Viking, Bonilla Alvaro G
Journal: Veterinary surgery : VS
Summary
# Editorial Summary: Laparoscopic Cryptorchidectomy Using Resorbable Self-Locking Loop Devices Surgical management of cryptorchidism in horses remains challenging, particularly when the retained testicle is intra-abdominal and requires laparoscopic retrieval. Researchers evaluated a resorbable self-locking loop device as an alternative haemostatic technique during laparoscopic cryptorchidectomy in 20 horses positioned dorsally, recording operative time, complication rates, and long-term outcomes through follow-up questionnaires. The procedure achieved a median surgical time of 67 minutes (range 43–189 minutes), with significantly faster completion after the initial four cases, whilst excellent intraoperative haemostasis was accomplished in 17 of 20 horses; the remaining three required minor intervention such as retightening or device replacement, though three horses subsequently developed mild postoperative hemoabdomen managed medically. The authors note the technique works most effectively in younger horses (<3 years), as application around larger testes demands greater technical skill and operative time, yet the method requires minimal laparoscopic expertise once practitioners understand proper device deployment. For equine practitioners considering minimally invasive options for cryptorchid castration, this resorbable loop approach offers a viable alternative with acceptable safety margins, particularly where horses present at younger ages and where the operator has adequate laparoscopic familiarity.
Read the full abstract on PubMed
Practical Takeaways
- •This laparoscopic cryptorchidectomy technique is suitable for younger horses (<3 years) and offers an alternative to traditional methods with reasonable operative times after initial experience
- •Expect a learning curve—initial cases take longer but improve significantly after 4 procedures; bleeding control is generally good but be prepared for occasional hemoabdomen requiring ultrasound monitoring
- •The resorbable loop device requires specific knowledge of application technique but does not demand extensive laparoscopic expertise, making it accessible to many equine surgeons
Key Findings
- •Median surgical time was 67 minutes (range 43-189 min) with significant reduction after the first four horses, demonstrating a learning curve effect
- •Self-locking resorbable loop device successfully applied to 13/20 abdominal testes (65%), with greater difficulty in older horses ≥3 years
- •Excellent intraoperative hemostasis achieved in 17/20 horses (85%), with 3 requiring additional intervention for mild bleeding
- •Three horses developed mild postoperative hemoabdomen managed medically with no procedure-related complications at follow-up >6 months