Page 166 - Clinical Manual of Small Animal Endosurgery

154 Clinical Manual of Small Animal Endosurgery

(a)

(b)

Fig. 5.12 Photographs demonstrating a laparoscopic cryptorchid
castration.: (a) the testicle is identified in the inguinal region, just beside
the urinary bladder; (b) when the testicle is suspended, the ductus deferens
and the pampiniform plexus are identified. The Harmonic Scalpel is then
used to coagulate and transect these structures.

Laparoscopy-assisted cystoscopy
Cystoscopy performed with a rigid endoscope may be a procedure that
is performed by veterinarians specialised in internal medicine; however,
surgeons who perform cystoscopy find application of the technology
useful in minimising the approach to management of urinary calculi
that are too large or too numerous for other treatment modalities such
as laser lithotripsy, urohydropropulsion or traditional cystoscopy with
stone retrieval using a basket (Rawlings, 2009). The advantages of lapar-