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How to Remove Large Endometrial Cysts with an Improvised Snare: A Simple Technique for Practitioners
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1. Introduction
Uterine cysts are fluid-filled structures in the endometrium that are typically diagnosed by ultrasonographic examination per rectum. Two types of uterine cysts are described: glandular and lymphatic. Glandular cysts are reported to range in size from a few millimeters to 1 cm in diameter and occur with distention of glands as a result of decreased flow of secretions secondary to periglandular fibrosis.1 Lymphatic cysts are reported to range in size from several millimeters to 20 cm and result from obstruction of lymph channels. It is possible that lymphatic cysts also occur from pooling of lymph in multiparous mares from the gravitational effects of an enlarged, gravid, or post-partum uterus.2
The incidence of uterine cysts has been reported to be 22–55%, and it is highly dependant on the population of mares.3–5 There is an increase in incidence with age, reflecting senility of the uterus and presence of other endometrial disorders.2 In one report, mares that were 11 yr of age or older were 4.2 times more likely to have endometrial cysts than those <11 yr of age.6 Another study of 259 mares in good health found the incidence of uterine cysts to be 22.4%; however, 73.1% of the cysts were found in mares >14 yr of age.4 [...]
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