Laparoscopic Techniques in Equines

Question 1

Answer 1

Question 2

_____ has better surgical viewing of dorsal abdomen

Answer 2

laparoscopy

Question 3

risk during abdominal gas insufflation

Answer 3

risk for decreased ventilation (keep IA pressure <15 mmHg)

Question 4

Answer 4

Question 5

Answer 5

Question 6

Answer 6

Question 7

Answer 7

Laparoscope

Question 8

location for portals in equine standing laparoscopy

Answer 8

LEFT side (spleen protects other organs) remain below level of tuber coxae to avoid diaphragm

Question 9

most common gas used for abdominal insufflation

Answer 9

CO2 can lead to mild chemical peritonitis but NOT clinically significant risk for decreased ventilation (keep IA pressure <15 mmHg)

Question 10

Answer 10

Question 11

why is it difficult to achieve the triangulation angle of 25-45 degrees in standing horses?

Answer 11

because of narrow paralumbar fossa

Question 12

techniques for cannula placement

Answer 12

option 1: blindly using blunt or sharp protected trocar option 2: controlled access using endotip cannulas or optical trocars

Question 13

when is the highest risk during laparoscopy in equines

Answer 13

when placing cannula. withhold feed for 24-36 hours to decrease GI vol

Question 14

principles of triangulation for laparoscopy

Answer 14

convergence of laparoscope and instruments toward the target at an angle of 25-45 degree <20 degree -> sword fighting effect

Question 15

Answer 15

Question 16

location for first portal in dorsal recumbency

Answer 16

umbilical scar

Question 17

Options for laparoscopic hemostasis

Answer 17