Sathe Swanand R
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, IA, United States.
Front Vet Sci. 2018 Oct 23;5:266. doi: 10.3389/fvets.2018.00266. eCollection 2018.
Laparoscopic artificial insemination (LAI) is an intrauterine method of insemination, especially utilized in the small ruminant species to bypass their unique anatomically tortuous cervix. There are several advantages of LAI that include efficient use of processed semen leading to higher pregnancy rates. Success of LAI programs depends on proper implementation of estrus synchronization programs, patient selection and thorough knowledge of the reproductive physiology. In addition, proper equipment and surgical expertise help in reducing patient morbidity and mortality rates. LAI can be associated with several complications as a result of inadequate patient preparation, poor technique or equipment failure. Hence, a thorough planning is essential to carry out the procedure safely and with consistent success rates. Addition of LAI to a small ruminant/food animal practice can be quite profitable and professionally fulfilling, as long as an appropriate investment in equipment and adequate training of veterinarians and technical staff is implemented. Though the technique for performing LAI has been mentioned briefly through various research articles, this article serves as the first comprehensive review of the technique, equipment used, associated complications and useful practical tips that could serve as a guideline for clinicians interested in adding this service to their practice. The article also contains some novel research supported ideas to provide laparoscopic insufflation that have been recently developed.
腹腔镜人工授精(LAI)是一种子宫内授精方法,尤其用于小型反刍动物,以绕过其解剖结构独特且弯曲的子宫颈。LAI有几个优点,包括有效利用处理后的精液,从而提高妊娠率。LAI项目的成功取决于发情同步程序的正确实施、患者选择以及对生殖生理学的透彻了解。此外,合适的设备和手术专业知识有助于降低患者的发病率和死亡率。由于患者准备不足、技术欠佳或设备故障,LAI可能会引发多种并发症。因此,进行全面规划对于安全实施该手术并取得稳定成功率至关重要。只要对设备进行适当投资,并对兽医和技术人员进行充分培训,将LAI添加到小型反刍动物/食用动物诊疗业务中可能会相当盈利且令人满足。尽管通过各种研究文章简要提及了实施LAI的技术,但本文是对该技术、所用设备、相关并发症以及有用实用技巧的首次全面综述,可为有兴趣在其诊疗业务中增加此项服务的临床医生提供指导。本文还包含一些近期开发的关于提供腹腔镜充气的新研究支持观点。