ISSN 2398-2985      

Salpingotomy / salpingectomy

Jreptile

Synonym(s): Oophrectomy, Ovariectomy


Introduction

Salpingectomy

  • Surgical technique of sterilization for prevention and treatment of reproductive disease:
    • Most performed for treatment of pre-ovulatory follicular stasis in lizards and Chelonia Pre- / post-ovulatory stasis .
    • In Chelonia, can be performed via plastron osteotomy or pre-femoral fossa celioscopy.
  • Rarely performed in snakes as a preventative procedure due to the extensive length of the reproductive tract.
  • May be used for treatment of unilateral ovarian disease in animals involved in breeding programs.
  • Surgical approaches vary by species and indication for procedure.

Salpingotomy

  • Surgical technique used for resolving cases of obstructive dystocia.
  • Alternative to salpingectomy and allows for preservation of the reproductive tract in valuable breeding animals; preserves ovarian tissue.

Uses

Advantages

  • When done preventatively, carries a lower risk of anesthesia and post-operative complications, eg lower risk of coelomitis.
  • If used for treatment of pre-ovulatory follicular stasis, lowers the risk of recurrent episodes. The ovarian tissue may be difficult to remove in its entirety in some lizard species, such as iguanas and there is a risk of recurrence.

Disadvantages

  • In non-reproductively active reptiles, the ovaries are small and may be difficult to locate.
  • Risk of anesthesia, particularly in compromised animals.
  • When performed for pre-ovulatory follicular stasis, there is a risk of coelomitis resulting from ruptured follicles. These may be present pre-surgically or occur during surgery.
  • Longer recovery time, larger incision, and more post-operative discomfort than celioscopy 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

  • Good for salpingotomy.
  • Guarded for salpingectomy.
  • Pre-ovulatory follicular stasis is often a long-standing condition before patients are presented to the clinician. Even with successful surgery, secondary issues such as severe hepatic lipidosis and continued anorexia may lead to euthanasia of the patient.

Further Reading

Publications

Refereed Papers

  • Recent references from PubMed and VetMedResource.
  • Di Girolamo N & Selleri P (2017) Reproductive disorders in snakes. Vet Clin Exot Anim 20 (2), 391-408 PubMed.
  • Di Girolamo N & Mans C (2016) Reptile soft tissue surgery. Vet Clin Exot Anim 19 (1), 109-114 PubMed.

Other sources of information

  • Divers S J (2019) Surgery: Principles and Techniques. In: BSAVA Manual of Reptiles. 3rd edn. Ed: Girling S J & Raiti P. BSAVA, UK. pp 223-228.

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