{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T06:05:01Z","timestamp":1747980301910,"version":"3.38.0"},"reference-count":5,"publisher":"American Veterinary Medical Association (AVMA)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To describe a standing hand-assisted laparoscopic ovariohysterectomy in a mare.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>ANIMAL<\/jats:title>\n<jats:p>A 15-year-old maiden Oldenburg mare.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL PRESENTATION, PROGRESSION, AND PROCEDURES<\/jats:title>\n<jats:p>The mare was presented for evaluation of bucking under saddle and uncharacteristic aggressive behavior. Evaluation of a 24-hour video of the mare in a stall showed behavior consistent with caudal visceral abdominal discomfort. Reproductive evaluation revealed a pyometra secondary to complete transluminal cervical adhesions. The mare was initially managed medically with disruption of the adhesions and uterine lavage, but the adhesions reformed within 6 weeks and could not be manually disrupted.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>TREATMENT AND OUTCOME<\/jats:title>\n<jats:p>To eliminate the recurrence of pyometra, the mare underwent standing hand-assisted laparoscopic ovariohysterectomy through bilateral flank incisions. The only complication was a seroma at 1 flank incision that resolved after drainage.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Complete ovariohysterectomy in the mare is a challenging procedure and has previously been performed under general anesthesia. This is the first report of the procedure being performed completely in the standing mare without inversion of the uterus through the cervix.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.23.11.0646","type":"journal-article","created":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T16:54:40Z","timestamp":1704473680000},"page":"1-3","source":"Crossref","is-referenced-by-count":1,"title":["Standing hand-assisted laparoscopic ovariohysterectomy to treat chronic pyometra in a mare"],"prefix":"10.2460","volume":"262","author":[{"given":"Catherine C.","family":"Thurston","sequence":"first","affiliation":[{"name":"Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA"},{"name":"Mid-Atlantic Equine Medical Center, Ringoes, NJ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia L.","family":"Sertich","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue M.","family":"McDonnell","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric J.","family":"Parente","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"issue":"2","key":"ref1","series-title":"Vet Surg","first-page":"165","article-title":"Ovariohysterectomy in six mares","volume":"24","author":"Santschi EM","year":"1995","unstructured":"Santschi EM, Adams SB, Robertson JT, DeBowes RM, Mitten LA, Sojka JE. Ovariohysterectomy in six mares. Vet Surg. 1995;24(2):165-171. doi:10.1111\/j.1532-950x.1995.tb01311.x"},{"issue":"1","key":"ref2","series-title":"Equine Vet J","first-page":"29","article-title":"Total and partial ovariohysterectomy in seven mares","volume":"36","author":"R\u00f6tting AK","year":"2004","unstructured":"R\u00f6tting AK, Freeman DE, Doyle AJ, Lock T, Sauberli D. Total and partial ovariohysterectomy in seven mares. Equine Vet J. 2004;36(1):29-33. doi:10.2746\/0425164044864633"},{"issue":"2","key":"ref3","series-title":"Equine Vet Educ","first-page":"75","article-title":"Laparoscopically-assisted ovariohysterectomy in three mares with pyometra","volume":"26","author":"Woodford NS","year":"2014","unstructured":"Woodford NS, Payne RJ, McCluskie LK. Laparoscopically-assisted ovariohysterectomy in three mares with pyometra. Equine Vet Educ. 2014;26(2):75-78. doi:10.1111\/eve.12094"},{"issue":"6","key":"ref4","series-title":"Equine Vet Educ","first-page":"303","article-title":"Standing laparoscopic-assisted vaginal ovariohysterectomy in a mare","volume":"21","author":"Gablehouse KB","year":"2009","unstructured":"Gablehouse KB, Cary J, Farnsworth K, Ragle CA. Standing laparoscopic-assisted vaginal ovariohysterectomy in a mare. Equine Vet Educ. 2009;21(6):303-306. doi:10.2746\/095777309X446603"},{"issue":"8","key":"ref5","series-title":"J Am Vet Med Assoc","first-page":"1166","article-title":"Canine laparoscopic-assisted ovary-sparing hysterectomy does not increase risk of stump pyometra","volume":"261","author":"Owen MA","year":"2023","unstructured":"Owen MA, Sirr CG, Albright JD, Fransson BA. Canine laparoscopic-assisted ovary-sparing hysterectomy does not increase risk of stump pyometra. J Am Vet Med Assoc. 2023;261(8):1166-1173. doi:10.2460\/javma.22.12.0539"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/262\/3\/javma.23.11.0646.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/262\/3\/javma.23.11.0646.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/262\/3\/javma.23.11.0646.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T13:04:37Z","timestamp":1741352677000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/262\/3\/javma.23.11.0646.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,1]]},"references-count":5,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.2460\/javma.23.11.0646","relation":{},"ISSN":["0003-1488"],"issn-type":[{"type":"print","value":"0003-1488"}],"subject":[],"published":{"date-parts":[[2024,3,1]]}}}