Innis Charles J, Hernandez-Divers Stephen, Martinez-Jimenez David
Veterinary Centers of America Westboro Animal Hospital, 155 Turnpike Rd, Westboro, MA 01757, USA.
J Am Vet Med Assoc. 2007 Apr 1;230(7):1049-52. doi: 10.2460/javma.230.7.1049.
To describe a coelioscopic-assisted prefemoral oophorectomy technique for use in chelonians.
Descriptive report.
11 adult female turtles (6 red-eared sliders, 2 box turtles, 1 painted turtle, 1 four-eyed turtle, and 1 Chinese red-necked pond turtle). Five turtles required oophorectomy because of reproductive tract disease; the remaining 6 underwent elective oophorectomy.
Turtles were anesthetized and positioned in dorsal recumbency. An incision was made in the prefemoral fossa, and a 2.7-mm rigid endoscope was inserted into the coelomic cavity and used to identify the ovaries. Each ovary was grasped with forceps and exteriorized through the prefemoral incision. The ovarian vasculature was ligated, and the mesovarium was transected. Closure was routine.
In 8 turtles, bilateral oophorectomy was performed through a single incision. In 2 turtles, unilateral oophorectomy was performed in an attempt to maintain reproductive potential. In 1 turtle with a unilateral ovarian remnant from a previous surgery, unilateral oophorectomy was performed. Nine turtles recovered. One box turtle with severe hepatic lipidosis died 7 days after surgery. A second box turtle died 2 days after removal of retained eggs and a large bacterial granuloma.
Results suggest that coelioscopic-assisted prefemoral oophorectomy is a practical and safe method for treating reproductive disorders and performing elective oophorectomy in turtles. This technique represents a potential alternative to plastron osteotomy in sexually mature chelonians.
描述一种用于龟类的腹腔镜辅助股前卵巢切除术技术。
描述性报告。
11只成年雌性龟（6只红耳龟、2只箱龟、1只彩龟、1只四眼斑水龟和1只中华条颈龟）。5只龟因生殖道疾病需要进行卵巢切除术；其余6只接受择期卵巢切除术。
龟类麻醉后仰卧位摆放。在股前窝做一个切口，将一根2.7毫米的硬性内窥镜插入体腔，用于识别卵巢。用镊子抓住每个卵巢，通过股前切口将其取出。结扎卵巢血管，切断卵巢系膜。常规缝合。
8只龟通过单一切口进行了双侧卵巢切除术。2只龟进行了单侧卵巢切除术以试图保留生殖潜力。1只曾接受过手术有单侧卵巢残留的龟进行了单侧卵巢切除术。9只龟康复。1只患有严重肝脂肪变性的箱龟术后7天死亡。另1只箱龟在取出残留卵和一个大的细菌性肉芽肿后2天死亡。
结果表明，腹腔镜辅助股前卵巢切除术是治疗龟类生殖疾病和进行择期卵巢切除术的一种实用且安全的方法。该技术是性成熟龟类腹甲截骨术的一种潜在替代方法。
