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Silva RDM, Araújo LHV, Cardoso TDS, Franco SLI, Gurgel HJ, Cerqueira PHL, Carvalho LS, Novais LGES, Gonçalves JLDS, de Sousa LA, Albuquerque RDS, Dutra MD, Ferreira TTA, da Silveira JA, Silva MAM, Monteiro FDDO, Teixeira PPM. A Single-Port, Multiple-Access, Custom-Made Device Used in Laparoscopically Assisted Cryptorchidectomy in Standing Horses-A Preliminary Study. Animals (Basel) 2024; 14:1091. [PMID: 38612330 PMCID: PMC11011124 DOI: 10.3390/ani14071091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Revised: 03/20/2024] [Accepted: 03/27/2024] [Indexed: 04/14/2024] Open
Abstract
This study evaluates a new multiport device with single access to the abdominal cavity produced with routine hospital supplies that could be applied to laparoscopically assisted cryptorchidectomy in standing horses. Initially, the new device was evaluated on five cadavers of bovine fetuses (n = 5), placed assisted in a minilaparotomy performed in the flank region. Subsequently, the device was evaluated in four cryptorchid horses treated during the hospital routine. During the evaluation of the new device, the possibilities of exploring the abdominal cavity, inspection, and intra-abdominal manipulation with two Babcock forceps were verified. The possibilities were described, and surgical time data were recorded and analyzed using descriptive statistics. In the cadavers, a wide exploration of the abdominal cavity was possible, with a laparoscopic inspection through the right paralumbar fossa and manipulation of intra-abdominal structures with Babcock forceps inserted by the new device. In cryptorchid horses, laparoscopically assisted cryptorchidectomy with a new device was feasible in two patients, and in the others, it allowed the diagnosis of adhesions and ectopic locations in the inguinal region of testicles retained in the cavity. Therefore, the new device was efficient in exploring the inguinal region of cryptorchid horses in the standing position. The present study is preliminary and can support future studies that aim to improve the developed prototype.
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Affiliation(s)
- Rafaela das Mercês Silva
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Luiz Henrique Vilela Araújo
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Thiago da Silva Cardoso
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Stephany Lorrane Ishida Franco
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Heytor Jales Gurgel
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Pedro Henrique Lira Cerqueira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Lucas Santos Carvalho
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Luis Gustavo e Silva Novais
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - José Leandro da Silva Gonçalves
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Loise Araújo de Sousa
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Rodrigo dos Santos Albuquerque
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Marcos Duarte Dutra
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - Tatiane Teles Albernaz Ferreira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | - José Alcides da Silveira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
| | | | | | - Pedro Paulo Maia Teixeira
- Institute of Veterinary Medicine, Pará Federal University, Belém 68740-970, Brazil; (R.d.M.S.); (L.H.V.A.); (T.d.S.C.); (S.L.I.F.); (H.J.G.); (P.H.L.C.); (L.S.C.); (L.G.e.S.N.); (J.L.d.S.G.); (L.A.d.S.); (R.d.S.A.); (M.D.D.); (T.T.A.F.); (J.A.d.S.); (P.P.M.T.)
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Franz S, Hofer L, Dadak AM. The role of endoscopy in bovine internal medicine - A review of current indication fields. Vet J 2024; 304:106093. [PMID: 38432456 DOI: 10.1016/j.tvjl.2024.106093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 02/27/2024] [Accepted: 02/28/2024] [Indexed: 03/05/2024]
Abstract
Endoscopy in bovine internal medicine has come a long way from the first profound research papers in the 1980s to its present-day use. This paper reviews the progress in the 2000s and identifies the main application fields for diagnostic and therapeutic use. Inclusion criteria for scientific papers and reports encompassed focus on endoscopic examination techniques in cattle in the field of internal medicine and publication in a peer reviewed journal (case report/review/original research paper/short communication). Only papers written in English or German language were considered. Studies on laparoscopy, theloscopy, and bronchoscopy show that endoscopic approaches often enable more rapid and accurate diagnosis and treatment options for single diseased animals as well as on a herd level. Oesophagoscopy, rumenoscopy, cystoscopy and thoracoscopy have also been increasingly studied and proven to be safe and effective tools with some limitations in diagnosing and/or treating various diseases in cattle. Scientific approaches explored the epidural space in cattle and comparison of different endoscope systems lead to recommendations for sinuscopy. Yet, this narrative literature review clearly shows that unlike in human medicine, where endoscopy as a minimally invasive technique is used for countless routine procedures every day, there is still some catching up to do in bovine medicine even though the potential of endoscopy in this field has been documented.
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Affiliation(s)
- S Franz
- University Clinic for Ruminants, University of Veterinary Medicine Vienna, Veterinärplatz 1, Vienna 1210, Austria.
| | - L Hofer
- University Clinic for Ruminants, University of Veterinary Medicine Vienna, Veterinärplatz 1, Vienna 1210, Austria
| | - A M Dadak
- Institute for Pharmacology and Toxicology, University of Veterinary Medicine Vienna, Veterinärplatz 1, Vienna 1210, Austria
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Dejescu CA, Bel LV, Melega I, Muresan SMC, Oana LI. Approaches to Laparoscopic Training in Veterinary Medicine: A Review of Personalized Simulators. Animals (Basel) 2023; 13:3781. [PMID: 38136818 PMCID: PMC10740942 DOI: 10.3390/ani13243781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 11/26/2023] [Accepted: 12/05/2023] [Indexed: 12/24/2023] Open
Abstract
Veterinary minimally invasive surgery (MIS) has experienced notable growth in recent years, yet the availability of specialized training tools remains limited and not readily accessible to practitioners worldwide. While borrowing simulators from human medicine practices suffices for acquiring fundamental laparoscopic skills, it proves inadequate when addressing procedure-specific nuances. Veterinary professionals are now taking steps to create simulators tailored to their patients, although the validation process can be time-consuming. Consequently, the availability of advanced laparoscopic simulators for veterinary training remains scarce. The present study aims to highlight custom-made simulators. A comprehensive search across five databases was conducted to uncover the simulators documented from 2010 to 2022. A total of five simulators emerged from this search, with four grounded in a canine model and only one in an equine model. These models underwent validation and were found to be effective in training surgeons for their designated tasks. The findings underscore a limited array of simulators, predominantly catering to two species (horses and dogs). Considering these findings, it is evident that further research is imperative to create laparoscopic simulators capable of facilitating advanced veterinary training. This would enable the continued evolution of surgical techniques across diverse species, including ruminants, small mammals, and non-mammalian animals.
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Affiliation(s)
| | - Lucia V. Bel
- Department of Surgery, Anesthesiology and Intensive Care, Faculty of Veterinary Medicine Cluj-Napoca, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, 400372 Cluj-Napoca, Romania; (C.A.D.); (I.M.); (S.M.C.M.); (L.I.O.)
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