Effects of Leaving Amputated Ovaries Intra-Abdominally during Elective Bilateral Standing Laparoscopic Ovariectomy in Equids

SIMPLE SUMMARY: When removing the ovaries of a mare via laparoscopic technique, there is potential to drop the ovary in the abdomen when trying to exteriorize it through the abdominal wall. If the ovary can no longer be seen with the laparoscope, then the procedure is converted to a flank incision and the ovary is identified and removed by hand. Having to convert the procedure negates the benefits of the minimal invasive laparoscopic procedure and increases the risk of post-operative complications. The objective of this study was to identify if amputated ovaries left in the abdomen during surgery would atrophy or if they would regain a blood supply and produce hormones. After surgery, the mare’s hormone values were at low levels and an improvement in all mare’s behavior and general herd dynamics was observed. While this study does not encourage to leave ovaries in the abdomen after amputation, we report no complications related to their voluntary release into the abdomen. ABSTRACT: There is risk of dropping an amputated ovary within the abdomen during standing laparoscopic ovariectomies in mares. If the ovary can no longer be directly visualized with the laparoscope, the procedure is then converted to a flank laparotomy for manual retrieval of the ovary which negates the minimally invasive nature of the laparoscopic procedure. The objective was to identify if ovaries left in the abdomen after amputation would atrophy or if they re-vascularize. Standing bilateral ovariectomies were performed in mature mares, but after transection of the ovarian pedicle, the ovaries were intentionally dropped and left within the abdomen. Post-operative endocrine values were at basal levels and an improvement in all mare’s behavior and general herd dynamics was observed. While this study does not encourage to leave ovaries in the abdomen after amputation, we report no complication related to their voluntary release into the abdomen.