Abstract
Objective - To describe a technique for endoscope-assisted disruption and removal of urinary calculi using a holmium:YAG laser in sedated, standing horses. Study Design - Retrospective study. Animals - Six horses with urinary calculi. Methods - A holmium:YAG laser was used to disrupt naturally occurring urinary calculi in horses (4 geldings, 1 stallion, 1 mare). Ischial urethrotomy was performed in male horses to provide a portal for the endoscope and laser fiber. Calculus fragments were removed by a combination of lavage, transendoscopic basket snare removal, forceps, and digital manipulation. Ischial urethrotomies healed by second intention. Follow-up was obtained by recheck examination and telephone interview of owners. Results - No major operative or postoperative complications occurred. Two calculi (1 stallion and 1 mare) were fragmented by a combination of laser ablation and manual disruption with a lithotrite. Postoperative dysuria occurred in the mare, but resolved after 1 month. Mean (± SD) follow-up was 306 ± 149 days; no other complications were reported. Conclusions - Calcium carbonate urinary calculi (up to 15 cm in diameter) in horses can be effectively fragmented with a holmium:YAG laser. It is not known if this technique would be completely effective for larger calculi or extremely dense calculi. Clinical Relevance - Calculus disruption by an endoscopically assisted holmium:YAG laser offers a minimally invasive method that can be performed in standing horses and that minimizes patient risk.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 245-250 |
| Number of pages | 6 |
| Journal | Veterinary Surgery |
| Volume | 31 |
| Issue number | 3 |
| DOIs | |
| State | Published - May 2002 |
Fingerprint
ASJC Scopus subject areas
- veterinary(all)
Cite this
Endoscopic-assisted disruption of urinary calculi using a holmium : YAG laser in standing horses. / Judy, Carter E.; Galuppo, Larry D.
In: Veterinary Surgery, Vol. 31, No. 3, 05.2002, p. 245-250.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Endoscopic-assisted disruption of urinary calculi using a holmium
T2 - YAG laser in standing horses
AU - Judy, Carter E.
AU - Galuppo, Larry D
PY - 2002/5
Y1 - 2002/5
N2 - Objective - To describe a technique for endoscope-assisted disruption and removal of urinary calculi using a holmium:YAG laser in sedated, standing horses. Study Design - Retrospective study. Animals - Six horses with urinary calculi. Methods - A holmium:YAG laser was used to disrupt naturally occurring urinary calculi in horses (4 geldings, 1 stallion, 1 mare). Ischial urethrotomy was performed in male horses to provide a portal for the endoscope and laser fiber. Calculus fragments were removed by a combination of lavage, transendoscopic basket snare removal, forceps, and digital manipulation. Ischial urethrotomies healed by second intention. Follow-up was obtained by recheck examination and telephone interview of owners. Results - No major operative or postoperative complications occurred. Two calculi (1 stallion and 1 mare) were fragmented by a combination of laser ablation and manual disruption with a lithotrite. Postoperative dysuria occurred in the mare, but resolved after 1 month. Mean (± SD) follow-up was 306 ± 149 days; no other complications were reported. Conclusions - Calcium carbonate urinary calculi (up to 15 cm in diameter) in horses can be effectively fragmented with a holmium:YAG laser. It is not known if this technique would be completely effective for larger calculi or extremely dense calculi. Clinical Relevance - Calculus disruption by an endoscopically assisted holmium:YAG laser offers a minimally invasive method that can be performed in standing horses and that minimizes patient risk.
AB - Objective - To describe a technique for endoscope-assisted disruption and removal of urinary calculi using a holmium:YAG laser in sedated, standing horses. Study Design - Retrospective study. Animals - Six horses with urinary calculi. Methods - A holmium:YAG laser was used to disrupt naturally occurring urinary calculi in horses (4 geldings, 1 stallion, 1 mare). Ischial urethrotomy was performed in male horses to provide a portal for the endoscope and laser fiber. Calculus fragments were removed by a combination of lavage, transendoscopic basket snare removal, forceps, and digital manipulation. Ischial urethrotomies healed by second intention. Follow-up was obtained by recheck examination and telephone interview of owners. Results - No major operative or postoperative complications occurred. Two calculi (1 stallion and 1 mare) were fragmented by a combination of laser ablation and manual disruption with a lithotrite. Postoperative dysuria occurred in the mare, but resolved after 1 month. Mean (± SD) follow-up was 306 ± 149 days; no other complications were reported. Conclusions - Calcium carbonate urinary calculi (up to 15 cm in diameter) in horses can be effectively fragmented with a holmium:YAG laser. It is not known if this technique would be completely effective for larger calculi or extremely dense calculi. Clinical Relevance - Calculus disruption by an endoscopically assisted holmium:YAG laser offers a minimally invasive method that can be performed in standing horses and that minimizes patient risk.
UR - http://www.scopus.com/inward/record.url?scp=0036584896&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036584896&partnerID=8YFLogxK
U2 - 10.1053/jvet.2002.33480
DO - 10.1053/jvet.2002.33480
M3 - Article
C2 - 11994852
AN - SCOPUS:0036584896
VL - 31
SP - 245
EP - 250
JO - Veterinary Surgery
JF - Veterinary Surgery
SN - 0161-3499
IS - 3
ER -