Rigid endoscopy: laparoscopy

image of Rigid endoscopy: laparoscopy
Online Access: £ 25.00 + VAT
BSAVA Library Pass Buy a pass



Exploratory laparotomy is a major invasive procedure, often carried out on a sick or debilitated patient. Clinicians may hesitate to put their patient through such a procedure, and may therefore rely on incomplete information from indirect observations such as blood tests and other imaging studies to form their diagnosis. Owners may also be reluctant to subject their pet to major surgery 'just to get a sample'. Laparoscopy is a minimally invasive surgical technique used in veterinary practice for diagnostic procedures and surgical treatment of a variety of conditions. It is a very safe technique if the basic rules are followed. Laparoscopy enables surgeons to carry out a thorough visual inspection of the abdominal cavity and obtain tissue samples quickly, with minimal trauma to the patient. This chapter explains Instrumentation; Anaesthetic considerations; Procedure; Biopsy; Feeding tube placement; Gastropexy; Ovariohysterectomy; Ovariectomy; Ovarian remnant removal; Cryptorchid surgery; Laparoscopic-assisted cystoscopy; Cholecystectomy; Other potential surgical procedures; and Complications.

Preview this chapter:
Loading full text...

Full text loading...



Image of 11.2
11.2 Introducing the Veress needle.
Image of 11.3
11.3 Inserting the primary trocar and cannula.
Image of 11.4
11.4 Following insertion of the telescope, the area immediately underlying the primary port and Veress needle is examined for iatrogenic damage. A secondary port has been inserted for the introduction of the biopsy forceps.
Image of 11.5
11.5 Portal positions for liver biopsy (O) and pancreatic biopsy (X) in left lateral recumbency. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Image of 11.6
11.6 Inspecting the liver with a palpation probe.
Image of 11.7
11.7 Biopsy of the liver using cup biopsy forceps.
Image of 11.8
11.8 Liver biopsy site immediately after a sample has been taken, showing minimal haemorrhage.
Image of 11.9
11.9 Biopsy of a normal pancreas using punch-type biopsy forceps.
Image of 11.10
11.10 Pancreatic biopsy site immediately after a sample has been taken, showing minimal haemorrhage.
Image of 11.11
11.11 Laparoscopic view of the right kidney of a cat with renal lymphosarcoma.
Image of 11.12
11.12 Taking a biopsy sample from the right kidney with an automatic core-type biopsy needle.
Image of 11.13
11.13 Portal positions for full-thickness intestinal biopsy. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Image of 11.14
11.14 Exteriorized loop of small intestine.
Image of 11.15
11.15 Portal positions for laparoscopic ovariohysterectomy. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Image of 11.16
11.16 Caudal abdomen of a bitch at laparoscopy showing the uterine body and horns emerging from beneath the urinary bladder.
Image of 11.17
11.17 Ovarian pedicle exposed with caudal retraction of the uterus. Vascular clips have been placed.
Image of 11.18
11.18 Transecting the ovarian pedicle with the Hotblade bipolar device.
Image of 11.19
11.19 Exteriorizing the uterus through the caudal portal position.
Image of 11.20
11.20 Wound closure following laparoscopic ovariohysterectomy in a 2-year-old Retriever.
Image of 11.21
11.21 Both uterine horns have been passed through an Endoloop™.
Image of 11.22
11.22 Removal of the ovarian remnant with monopolar scissors in a cat.
Image of 11.23
11.23 Normal inguinal canal showing the vas deferens and testicular vessels.
Image of 11.24
11.24 Removal of an ectopic testicle.
Image of 11.25
11.25 Right cryptorchid testicle cranial to the bladder. An Endoloop™ has been placed around the pampiniform plexus.
Image of 11.26
11.26 Laparoscopic-assisted cystoscopy. The primary telescope portal is in place and a small skin incision has been made for insertion of the instrument portal.
Image of 11.27
11.27 Babcock forceps are placed in the secondary portal to grasp the apex of the bladder.
Image of 11.28
11.28 Bladder wall sutured to the abdominal incision.
Image of 11.29
11.29 Telescope and laser fibre inserted into the bladder.
Image of 11.30
11.30 Small bladder polyp seen at laparoscopic cystoscopy.
Image of 11.31
11.31 View of urethra looking caudally towards the pelvic flexure.
Image of 11.32
11.32 Postoperative view following wound closure after cystoscopy.
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error