Pepe Marco, Gialletti Rodolfo, Moriconi Franco, Puccetti Massimo, Nannarone Sara, Singer Ellen R
School of Veterinary Medicine, University of Perugia, via San Costanzo 4, 06122 Perugia, Italy.
Vet Surg. 2005 May-Jun;34(3):260-4. doi: 10.1111/j.1532-950x.2005.00039.x.
To describe a laparoscopic technique for sterilization of the male donkey using an endoscopic linear stapler (ELS).
Clinical report.
Male Sardinia donkeys (n=6), aged 24-36 months.
Laparoscopic sterilization was performed under standing sedation or recumbent under general anesthesia. An endoscopic linear stapler was used to transect, and control hemorrhage of, the spermatic cord. Serum testosterone concentrations were measured preoperatively and at 3, 6, and 12 months after sterilization. One testis from each of 2 donkeys was collected at 12 months for histologic examination.
Sterilization was successfully achieved. The only minor intraoperative complication experienced was hemorrhage from 1 spermatic cord stump, which was re-stapled. No other major short- or long-term complications occurred. Serum testosterone concentrations were < 15 ng/dL at 3, 6, and 12 months after surgery in all donkeys. Testicular atrophy without evidence of revascularization was observed in the 2 testes examined histologically.
Sterilization of descended testes by intraabdominal laparoscopic transection of the spermatic cord is a simple practical method, with minimal intraoperative or postoperative complications. Testicular revascularization did not occur.
Laparoscopic sterilization in donkey can be performed using an endoscopic linear stapler as an alternative to scrotal castration.
描述一种使用内镜直线切割吻合器（ELS）对雄性驴进行绝育的腹腔镜技术。
临床报告。
24至36月龄的雄性撒丁岛驴（n = 6）。
在站立镇静或全身麻醉下仰卧位进行腹腔镜绝育。使用内镜直线切割吻合器横断精索并控制出血。在绝育术前以及绝育后3、6和12个月测量血清睾酮浓度。在12个月时从2头驴中各采集一个睾丸进行组织学检查。
成功实现绝育。术中仅出现1例轻微并发症，即1个精索残端出血，对其再次使用吻合器处理。未发生其他重大短期或长期并发症。所有驴在术后3、6和12个月时血清睾酮浓度均<15 ng/dL。在组织学检查的2个睾丸中观察到睾丸萎缩且无血管再通迹象。
通过腹腔镜经腹横断精索对下降睾丸进行绝育是一种简单实用的方法，术中及术后并发症极少。未发生睾丸血管再通。
驴的腹腔镜绝育可使用内镜直线切割吻合器进行，作为阴囊去势的替代方法。
