Objective—To describe a coelioscopic-assisted prefemoral oophorectomy technique for use in chelonians.
Animals—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.
Procedures—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.
Results—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.
Conclusions and Clinical Relevance—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.
Case Description—A 1-year-old sexually intact female Netherland dwarf rabbit was examined because of a 3-week history of signs of lethargy, decreased appetite, left unilateral exophthalmia, a previous draining sinus from a left maxillary facial abscess, and bilateral nasal discharge.
Clinical Findings—The rabbit weighed 1.0 kg (2.2 lb) and had a body condition score of 1.5/5. Physical examination revealed generalized muscle atrophy, bilateral mucopurulent nasal discharge, and severe left-sided exophthalmia. Diagnostic investigation revealed anemia, neutrophilia, severe dental disease, a superficial corneal ulcer of the left eye, and a retrobulbar abscess.
Treatment and Outcome—Stomatoscopy-aided dental trimming, tooth removal, and abscess debridement were performed. Antimicrobials were flushed into the tooth abscess cavity, and antimicrobial treatment was initiated on the basis of cytologic findings and results of bacterial culture and susceptibility testing.Two months after the initial surgery, minimal exophthalmia was evident and no further physical, radiographic, or ultrasonographic changes were evident.
Clinical Relevance—Stomatoscopy is a valuable technique that can facilitate diagnosis, treatment, and serial reevaluation of rabbits with dental disease.