ISSN 2398-2985      

Celiotomy

Jreptile
Contributor(s):

Mark Naguib

Yvette Rowntree

Synonym(s): Laparotomy


Introduction

  • Surgical celiotomy provides optimal exposure to the coelomic cavity for exploratory, diagnostic and therapeutic purposes.
  • Indications include organ biopsy, reproductive, urinary and gastrointestinal surgery.
  • Surgical approaches vary by species and indication.

Uses

  • Biopsy of coelomic organs and masses Biopsy overview.
  • Determine and treat causes of hemorrhage or effusion.
  • Gastrointestinal surgery, including gastrotomy Gastrotomy / gastrectomy, enterotomy and enterectomy Enterotomy / enterectomy.
  • Reproductive surgery, including orchidectomy, ovariectomy, salpingectomy and salpingotomy.
  • Urinary surgery, including nephrectomy and cystotomy.
  • Coelomic lavage in cases of coelomitis.

Advantages

  • Good visualization and access.

Disadvantages

  • Risks of general anesthesia, particularly in compromised animals.
  • Risks of post-operative complications, including infection and wound dehiscence.
  • Longer recovery time, larger incision and more post-operative discomfort than celioscopy.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Generally good depending on reason for surgery.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Di Girolamo N (2016) Reptile soft tissue surgery. Vet Clin North America Exotic Anim Pract 19 (1), 97-131 SciDirect.
  • Hernandez-Divers S (2010) Reptile diagnostic endoscopy and endosurgery. Vet Clinics North Am Exotic Anim Pract 13 (2), 217-242 SciDirect.
  • Sykes J M (2010) Updates and practical approaches to reproductive disorders in reptiles. Vet Clin North Am Exotic Anim Pract 13 (3), 349-373 PubMed.
  • Innis C J, Hernandez-Divers S & Martinez-Jimenez D (2007) Coelioscopic-assisted prefemoral oophorectomy in chelonians. JAVMA 230 (7), 1049-1052 VetMedResource.
  • Lennox A M (2006) Equipment for exotic mammal and reptile diagnostics and surgery. J Exotic Pet Med 15 (2), 98-105 VetMedResource
  • Lock B A (2000) Reproductive surgery in reptiles. Vet Clin North Am Exotic Anim Pract 3 (3), 733-752 PubMed.

Other sources of information

  • Chitty J & Raftery A (2013) Follicular Stasis. In: Essentials of Tortoise Medicine and Surgery. Wiley-Blackwell, UK. pp 200-204 WileyOnline.
  • Mader D R et al (2006) Surgery. In: Reptile Medicine and Surgery. Saunders Elsevier, USA. pp 581-630 SciDirect.
  • Hernandez-Divers S, McArthur S & Wilkinson R (2004) Surgery. In: Medicine and Surgery of Tortoises and Turtles. Eds: Barrows M, McArthur S & Wilkinson R. Wiley-Blackwell, USA. pp 403-464 WileyOnline.

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