Diagonal paramedian approach법을 이용한 말에서 난소 제거술

Ovariectomy of Fibroma in Paint Horse by Using the Diagonal Paramedian Approach

  • 권도연 (경북대학교 수의과대학) ;
  • 조영재 (한국마사회 장수경주마목장) ;
  • 최귀철 (한국마사회 장수경주마목장) ;
  • 조길재 (경북대학교 말산업연구원)
  • Kwon, Do-Yeon (College of Veterinary Medicine, Kyungpook National University) ;
  • Jo, Young-Jae (Jangsu Stud Farm, Korea Racing Authority) ;
  • Choi, Gui-Cheol (Jangsu Stud Farm, Korea Racing Authority) ;
  • Cho, Gil-Jae (Research Institute of Horse Industry, Kyungpook National University)
  • 발행 : 2009.06.30

초록

10살의 페인트종의 말이 수컷과 비슷하게 사람과 다른 말들에게 공격적인 양상을 점차적으로 보였다. 직장검사와 초음파 검사를 통하여 오른쪽 난소의 이상을 발견하였다. 혈액치와 혈액화학치는 정상이었으나, 테스토스테론(46.00 pg/mL), 인히빈(0.856 ng/mL,), 프로게스테론(1.2 ng/mL)은 정상수치보다 증가하였다. 비대해진 난소는 diagonal paramedian approach법으로 제거하였다. 이 방법은 수술부위를 적게 절개할 수 있으며, 출혈을 최소화할 수 있다. 수술 후 합병증 없이 행동적 이상을 보이지 않았으며, 호르몬 수치도 정상 수치를 보였다. 제거한 난소는 조직검사 결과 난소 섬유종으로 진단되었다.

A 10-year-old Paint horse was presented with gradual changes in behavior, characterized as stallion-like including aggressiveness towards people and other horse. The abnormal right ovary was detected via transrectal ultrasonography and rectal palpation. A complete blood count and biochemical panel values were within reference ranges. The hormone analysis revealed increased testosterone 46.00 pg/mL and inhibin 0.856 ng/mL, and progesterone concentration consistent with absence of luteal tissue 1.2 ng/mL more than normal values. The purpose of the study reported was to describe a ovariectomy of enlarged ovary by using the diagonal paramedian approach. This method is useful to minimize surgical exposure and hemorrhage. This ovary was confirmed fibroma by histological examination post operation. Behavior problems and the hormone values were alleviated after surgery, and clinical signs of complication were not showed.

키워드

참고문헌

  1. Carson-Dunkerley SA, Hanson RR. Ovariectomy of granulosa cell tumors in mares by use of the diagonal paramedian approach: 12 cases (1989-1995). J Am Vet Med Assoc. 1997; 211(2): 204-6
  2. Rodgerson DH, Brown MP, Watt BC, Keoughan CG, Hanrath M. Hand-assisted laparoscopic technique for removal of ovarian tumors in standing mare. J Am Vet Med Assoc. 2002; 220: 15 https://doi.org/10.2460/javma.2002.220.1503
  3. Hughes JP, Kennedy PC, Stabenfeldt GH. Pathology of the ovary and ovarian disorders in the mare, in Proceedings. 9th Int Cong Anim Reprod Artif Insem 1980; 203-222
  4. LeBlanc MM. Disease of the ovary. Equine medicine and surgery-volume II. 5th ed. St Louis : CV Mosby. 1999; 1157- 1164
  5. Leung SW, Yuen PM. Ovarian Fibroma: A review on the clinical characteristics, diagnostic difficulties, and management options of 23 Cases. Gynecol Obstet Invest 2006; 62: 1–6 https://doi.org/10.1159/000091679
  6. McCue PM. Review of ovarian abnormalities in the mare. Annu Conv Am Assoc Equine Practnr 1998; 125-133
  7. Pugh DG, Bowden JM, Gaughan EM. Equine ovarian tumors. Compend Contin Educ Pract Vet 1985; 7: 710-716