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在圈养的狒狒中进行腹腔镜输卵管切除术以控制生育。

Laparoscopic salpingectomy in Papio hamadryas for birth control in captivity.

机构信息

Dipartimento Dell'Emergenze e trapianti di Organo, sez. Cliniche Veterinarie e P.A., Università degli studi di Bari, Bari, Italy.

Zoosafari di Fasano, Brindisi, Italy.

出版信息

Vet Surg. 2022 Jul;51 Suppl 1:O98-O106. doi: 10.1111/vsu.13760. Epub 2022 Jan 5.

DOI:10.1111/vsu.13760
PMID:34985139
Abstract

OBJECTIVE

To evaluate the feasibility of laparoscopic salpingectomy in baboons (Papio hamadryas). We hypothesized that laparoscopic salpingectomy could be performed in baboon species within a reasonable amount of surgical time, with minor complications occurring at low rates.

STUDY DESIGN

Case series and technique description.

ANIMALS

Sixteen baboons (n = 16).

METHODS

The surgical procedures were performed using the 3-port technique, with 5 mm instruments and a telescope placed at the umbilical and hypogastric regions. A salpinx dissection was performed, using a radiofrequency bipolar vessel sealing device, from the fimbriae to the uterine attachments. We evaluated the surgical duration, learning curve, and intraoperative and early postoperative complications.

RESULTS

Ten adult and 6 subadult baboons with a mean weight of 9.32 kg, a range of 4-14.2 kg, and a standard deviation (SD) of 3.09 kg were included in the study. The total duration of surgery was 28.75 min (range, 16-50 min; SD, 9.60 min). The installation phase was completed in a mean time of 7.68 min (range, 3-15 min; SD, 3.43 min), and the time to complete the salpingectomy of both salpinges was 9.68 min (range, 4-20 min; SD, 3.97 min). No complications were observed in the postoperative period.

CONCLUSION

Laparoscopic salpingectomy in Papio hamadryas was feasible, with an acceptable surgical time, low invasiveness, and only minor technical perioperative complications.

CLINICAL SIGNIFICANCE

Laparoscopic salpingectomy could be a viable and safe therapeutic option in nonhuman primate birth-control programs.

摘要

目的

评估在狒狒(Papio hamadryas)中进行腹腔镜输卵管切除术的可行性。我们假设在合理的手术时间内,腹腔镜输卵管切除术可以在狒狒物种中进行,且并发症发生率低、程度较轻。

研究设计

病例系列和技术描述。

动物

16 只狒狒(n=16)。

方法

使用 3 孔技术进行手术,使用 5mm 器械和放置在脐部和下腹部的望远镜。从输卵管伞端到子宫附件进行输卵管解剖,使用射频双极血管密封装置。我们评估了手术时间、学习曲线以及术中及术后早期并发症。

结果

本研究纳入了 10 只成年和 6 只未成年狒狒,平均体重为 9.32kg,范围为 4-14.2kg,标准差(SD)为 3.09kg。手术总时长为 28.75 分钟(范围,16-50 分钟;SD,9.60 分钟)。安装阶段平均耗时 7.68 分钟(范围,3-15 分钟;SD,3.43 分钟),完成双侧输卵管切除术的时间为 9.68 分钟(范围,4-20 分钟;SD,3.97 分钟)。术后无并发症发生。

结论

在 Papio hamadryas 中进行腹腔镜输卵管切除术是可行的,具有可接受的手术时间、较低的侵袭性,仅有轻微的技术围手术期并发症。

临床意义

腹腔镜输卵管切除术可能是灵长类动物节育方案中一种可行且安全的治疗选择。

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