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L'objectif de cet article est de décrire de manière exhaustive la technique du lambeau péritonéal prélevé par voie cœlioscopique dans la chirurgie d'affirmation de genre homme-à-femme (HtF), en particulier dans les cas de défauts de profondeur vaginale post-vaginoplastie par lambeau pénien inversé. Nos résultats à court terme révèlent que la vaginoplastie par lambeau péritonéal, adaptée de la procédure de Davydov, montre un potentiel significatif pour l'amélioration des résultats fonctionnels et esthétiques, y compris la création d'un néo-vagin autolubrifiant. Cependant, la complexité de la procédure nécessite une expertise chirurgicale avancée et des soins postopératoires adaptés. La sélection des patientes joue également un rôle essentiel, car toutes les patientes ne sont pas des candidates idéales pour cette procédure. Malgré ses promesses, l'adoption généralisée de la technique du lambeau péritonéal dans la chirurgie d'affirmation du genre HtF est entravée par plusieurs défis, notamment la nécessité d'une formation chirurgicale spécialisée et les complications postopératoires potentielles. Ainsi, cette technique doit être considérée comme une alternative ou un complément aux méthodes traditionnelles, en fonction des facteurs propres aux patientes. Des recherches plus approfondies et des essais cliniques plus étendus sont nécessaires pour bien comprendre son potentiel et ses limites afin d'améliorer l'arsenal des options chirurgicales efficaces pour la chirurgie d'affirmation de genre HtF.œ The aim of this article is to provide a comprehensive description of the peritoneal flap technique in male-to-female (MtF) gender affirmation surgery, particularly in cases of insufficient depth after penile inversion vaginoplasty. Our short-term results reveal that the peritoneal flap vaginoplasty, adapted from the Davydov procedure, has shown significant potential for improving functional and aesthetic outcomes, including the creation of a self-lubricating neovagina. However, the complexity of the procedure requires advanced surgical expertise and appropriate postoperative care. Patient selection also plays an essential role as not all patients are ideal candidates for this procedure. Despite its promises, the widespread adoption of the peritoneal flap technique in male-to-female (MtF) gender affirmation surgery is hindered by several challenges, including the need for specialized training and potential postoperative complications. Thus, this technique should be considered as an alternative or complement to traditional methods, depending on individual patient factors. Further research and extensive clinical trials are needed to better understand its potential and limitations in order to enhance the arsenal of effective surgical options for MtF gender affirmation surgery. [ABSTRACT FROM AUTHOR]

Climate change threatens endemic island ectothermic reptiles that display small population sizes and temperature‐dependent sex determination (TSD). Studies of captive Galapagos tortoises demonstrate type A TSD with warmer incubation temperatures producing females. However, there are few published data from free‐living Galapagos tortoises on incubation temperature regimes, and none on hatchling sex ratios in the wild or the potential impacts of climate change on future sex ratios. We sought to address these deficits by quantifying incubation temperatures of nests and sex ratios of juvenile tortoises along an elevation gradient on Santa Cruz Island. We focused on three geographically separated nesting zones with mean elevations of 14 m (lower), 57 m (middle), and 107 m (upper) above sea level. Nest temperatures in 54 nests distributed across the three nesting zones were measured every 4 h throughout the incubation period using iButton thermochrons. We used coelioscopy to conduct visual exams of gonads to determine the sex of 40 juvenile tortoises from the three nesting zones. During the middle trimester of incubation, the period during which sex is determined in turtles, mean nest temperatures were 25.75°C (SD = 1.08) in the upper zone, and 27.02°C (SD = 1.09), and 27.09°C (SD = 0.85) in the middle and lower zones, respectively. The proportion of juveniles that was male increased from 11.1% in the lower zone and 9.5% in the middle zone, to 80% in the upper zone. A ca. 50 m increase in elevation induced a decrease of >1.25°C in mean nest temperature during the second trimester of incubation. Over the same elevation change, the proportion of males in the juvenile tortoise population increased by ca. 70%. Temperatures on Galapagos are predicted to increase by 1‐4°C over the next 50 years, which is likely to increase the frequency of female tortoises across the archipelago. [ABSTRACT FROM AUTHOR]

A juvenile red-tailed hawk (Buteo jamaicensis) was presented to the Ontario Veterinary College from a wildlife rehabilitation facility for the assessment of an arrowhead foreign body injury. The hawk was found on the ground with the left wing in a dropped position. Radiographic images revealed an arrowhead foreign body superimposed over the left lung and thoracic air sacs, immediately medial to the ribs on the ventrodorsal view, and ventral to the scapulae on the right latero-lateral view. A coelioscopy was performed using a left lateral approach with a 2.7-mm rigid endoscope into the left caudal thoracic air sac, with an additional instrument port through the left abdominal air sac. The arrowhead was visualized adjacent to the left lung, separated from the cranial thoracic air sac cavity by a membrane of fibrous tissue. The tissue membrane was radiosurgically incised. Forceps were then used to guide an Endoloop around the arrowhead. The arrowhead was secured by tightening the Endoloop, and the body wall incision was extended to facilitate the arrowhead extraction. [ABSTRACT FROM AUTHOR]

The purpose of this study was to assess the unilateral prefemoral coelioscopicassisted approach for ovariosalpingectomy in a d'Orbigny slider (Trachemys dorbigni) using a digital otoscope. Twenty healthy turtles were randomly assigned to one of two groups, for right (GR; n=10) or left (GL; n=10) prefemoral access, for coelioscopic-assisted ovariosalpingectomy. Anesthesia and surgery times, body weight, and ovary/oviduct weight data were recorded. Anesthesia and surgery times did not differ significantly between the groups. Wound closure was the most time-consuming surgical step. Ovary and body weights significantly affected the exposure time of the ipsilateral and contralateral ovaries, respectively. Two intraoperative complications were reported. All the animals recovered uneventfully. The digital otoscope can be safely and effectively used for coelioscopic-assisted single-access, unilateral prefemoral ovariosalpingectomy in d'Orbigny slider. [ABSTRACT FROM AUTHOR]

The aim of this study was to assess how red-eared sliders (Trachemys scripta elegans) respond to anaesthesia itself and coelioscopy. For that purpose, the turtles were anaesthetised with ketamine–medetomidine or propofol, and the activities of superoxide dismutase (SOD), catalase (CAT) and glutathione S-transferase (GST) and the level of malondialdehyde (MDA) were determined by spectrophotometry. The possible genotoxic effects of the anaesthetic agents were estimated by comet assay. A total of 24 turtles were included in this study. The animals were divided into four groups according to the anaesthetic protocol and according to whether endoscopy would be performed. Significantly decreased activities of CAT were found only in the propofol group and in turtles undergoing coelioscopy. Both anaesthetic protocols induced significantly increased MDA levels, while no differences were observed after the intervention. A significant increase in GST activity was detected in turtles after both anaesthetic protocols, but after coelioscopy significant changes in GST activity were found only in the propofol group. However, no differences in SOD activity and no DNA damages were detected in either group. These findings suggest that ketamine–medetomidine may be more suitable anaesthetic agents in red-eared sliders than propofol. [ABSTRACT FROM AUTHOR]

An adult female chicken, from a small backyard flock, was presented to the Ontario Veterinary College Avian and Exotics Service for evaluation of dyspnea and recurrent ascites. An antemortem diagnostic evaluation included a coelomocentesis, coelomic ultrasound, and a coelioscopy procedure. A sample of the fluid collected during the coelomocentesis was submitted for analysis and was determined to be a nonspecific modified proteinaceous transudate. The coelomic ultrasound examination identified numerous coalescing fluid-filled and solid nodules throughout the coelom. However, no site of origin of the nodules could be identified. A coelioscopy of the intestinal-peritoneal cavity was performed by a ventral midline approach, and biopsies collected during the procedure were submitted for histologic examination. The pathologic diagnosis of the biopsy samples was a disseminated neoplasia, presumptively coelomic adenocarcinoma. The chicken received palliative treatment which included periodic coelomocentesis, meloxicam, antibiotics, and deslorelin following the diagnosis of a disseminated neoplasia. Three months following initial presentation the patient was euthanatized. A postmortem examination with histopathology confirmed the tissue biopsy results of coelomic neoplasia. Further immunohistochemistry supported mesothelioma as the definitive diagnosis. This case documents the usefulness of intestinal-peritoneal coelioscopy in identifying neoplasia as the cause of ascites in a pet chicken as well as describing the clinical features and progression of a mesothelioma in this species. [ABSTRACT FROM AUTHOR]

Ovariectomy via the prefemoral fossa is a well-described technique for sterilization in chelonians. The choice between lateral and dorsal recumbency is generally left to the surgeon’s preference, with no data supporting an objective superiority of one over the other. Twenty-four sexually mature female pond sliders (Trachemys scripta) were enrolled for elective prefemoral endoscope-assisted oophorectomy, and were randomly divided in two groups: 12 animals were placed in right lateral recumbency with a left fossa approach (Group A), and 12 in dorsal recumbency with a right fossa approach (Group B). Scoring systems were applied to assess the ease of access to the coelomic cavity, and the ease of identification of the ovary opposite to the surgical incision. A negative correlation was found between the body weight of the animals and the ease of access to the coelom (p = 0.013), making the access easier in smaller animals. No significant difference was found between the two groups in terms of ease of access to the coelomic cavity, first ovary removal time, ease of identification of the second ovary, second ovary removal time, or total surgery time.

Heterotopic pregnancy is defined as the coexistence of intrauterine pregnancy (IP) and ectopic pregnancy (EP), regardless of its location. It is a type of bi-ovular dizygotic twin pregnancy, its occurrence in a spontaneous cycle is rare. This is a rare and serious pathology which may compromise maternal prognosis. We report two cases of heterotopic pregnancy treated in the Department of Gynecology and Obstetrics I at the University Hospital Hassan II of Fez, over a one-year period. Clinical, ecographic and therapeutic data of this pathology were reported. Pelvic pain was the main reason for consultation. The diagnosis of heterotopic pregnancy was suspected on ultrasound in both cases. The first patient underwent conservative treatment by laparoscopy while the second patient underwent salpingectomy by mini-transverse laparotomy. IP outcome was favorable both cases. [ABSTRACT FROM AUTHOR]

The article discusses a study that presents the first record of early gender coelioscopy of surubim hybrids Pseudoplatystoma corruscans x Pseudoplatystoma reticulatum. It states that a total of 113 surubim hybrids were analysed. Moreover, the study concludes that coelioscopy is a reliable technique to identify the gender of female surubim hybrids during the early developmental stages.

Abstract: Coelioscopy is a surgical technique in which small incisions are made into the coelomic cavity through which specific instrumentation is inserted to evaluate the internal structures within. For this reason, coelioscopy must be considered a less-invasive surgical method than traditional abdominal surgery. This study was aimed at evaluating and adapting the general coelioscopic principles of the technique to teleosts (10 European eels [Anguilla anguilla]). All the examined fish were anaesthetized with tricaine methanesulfonate solution. The coelioscopic procedures were performed with a rigid, 30° offset, 1.9-mm diameter endoscope connected to a portable video system. The results confirm that coelioscopy represents an imaging technique with high sensitivity in evaluating the coelomic organs in European eels. [Copyright &y& Elsevier]

Abstract: We report two cases of robot-assisted coelioscopic proximal tubal reanastomosis after proximal tubal ligature. Patients were aged 43 and 34 years respectively and had previously undergone proximal tubal ligation by coagulation section at 37 years of age for the first patient, and by Filshie clip at 24 years for the second one. Both had regular menstrual cycles and their ovarian reserve was good. Their partners were presenting with normal sperm criteria. Proximal tubal reanastomosis was carried out in September 2010 by robotic coelioscopy with five extramucous vicryl 5-0 stitches on each tube and positive blue testing. Total durations of the interventions were 200 and 220minutes respectively. Postoperative outcomes were simple and patients had spontaneous pregnancy at 4 and 2.5 months respectively. Both pregnancies show normal progress currently. This is a contribution to literature data meant to determine the role of robotics in proximal tubal reanastomosis. [Copyright &y& Elsevier]

Abstract: The term minimally invasive surgery refers to procedures performed using endoscopic guidance to enter a part of the body (e.g., laparoscopy, thoracoscopy, arthroscopy, rhinoscopy, gastroscopy). Endoscope-assisted procedures generally use a rigid endoscope to improve visualization and/or access or permit completion of the procedure extracorporeally to access internal body structures through small openings compared with traditional “open” incision techniques. Endoscope-assisted procedures currently performed in exotics include, but are not limited to, exploratory laparoscopy/coelioscopy/thoracoscopy, procurement of thoracic and abdominal organ biopsies, intestinal foreign body removal, cystotomy, and reproductive sterilization. [Copyright &y& Elsevier]

The article focuses on the use of diagnostic coelioscopy as an effective endoscopic technique for the examination of coelomic viscera and for liver and kidney biopsy in freshwater turtles. According to the authors, endoscopy has been used to examine gastrointestinal tracts and coeloms of chelonians, remove foreign bodies, and enable the collection of tissue samples for laboratory tests. Details related to the methods employed to evaluate the ability of the endoscopic technique to visualize visceral structures are also presented. Based on the study, it is inferred that by using a 2.7-millimeter rigid endoscopy system, the procedures of coelioscopy and liver and kidney biopsy could be performed safely and the specimens collected could also be used for histologic examinations.

Copyright of Journal Africain D'Hépato-Gastroentérologie is the property of Lavoisier and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract: Introduction: The aim of this study was to determine the epidemiological, clinical and therapeutic features, and the outcome of peritoneal tuberculosis in an endemic area of tuberculosis on the basis of our experience. Methods: All cases of peritoneal tuberculosis confirmed by histologic examination and hospitalized in the department of gastroenterology of Hedi-Chaker hospital between January 1987 and December 2006 were analyzed retrospectively. Results: Forty-two cases (mean age 38 years) were included in this study. Clinical presentation was dominated by ascites (100%), fever (76.2%) and abdominal pain (73.8%). The average delay for consultation after the first symptom was 3.6 months. The ascites was exudative in 100% of cases with lymphocytic predominance in 96.6%. The tuberculous skin test was above 10mm in 39.1% of cases. All of our patients had a peritoneal exploration. A nodular aspect of the peritoneal cavity was found in 40 patients (95.2%). Adhesions were noted in 25 patients. Therapeutic protocols varied among years. The outcome was favorable in all patients. Conclusion: Diagnosing peritoneal tuberculosis is a challenge for clinicians. Coelioscopy with peritoneal biopsies still remains the method of choice to establish a definite diagnosis of peritoneal tuberculosis. [Copyright &y& Elsevier]

On 23 September 1901, at the 73rd meeting of the Society of German Natural Scientists and Physicians in Hamburg, following his lecture "On the inspection of the gullet and the stomach with flexible instruments", the surgeon and gastroenterologist Georg Kelling from Dresden performed a laparoscopy on a dog. He called this procedure coelioscopy. Kelling's ingenious idea to connect his oral insufflation device with the Fiedler trocar and the Nitze cystocope, led to the coelioscopy in 1901 and marked the hour of birth of laparoscopy. Until today, Georg Kelling has not experienced the appreciation he is entitled to. He is the forgotten pioneer of a method that today plays an important role in diagnostics and therapeutics. The present standard of endoscopy has confirmed the anticipations of Georg Kelling that he had hundred years ago. His name therefore deserves a fixed place in the history of medicine and especially in the history of endoscopy. Georg Kelling and his wife were killed during the heavy air raids on Dresden on 13 and 14 February 1945, but his vague footprints are still in the sands of medical history. [ABSTRACT FROM AUTHOR]

Copyright of Der Urologe A is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Diabetes & Metabolism is the property of Masson Editeur and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To investigate the effects of coeliosurgery by catecholamine assays and the use of urapidil in the management of phaeochromocytoma.Study design: Prospective cohort study.Patients: Nine consecutive patients from April 1997 to April 2001.Methods: Urapidil (250 mg·j–1) was administered by continuous intravenous infusion three days before surgery and continued throughout anaesthesia. Plasma catecholamine concentrations were measured before surgery, after induction of anaesthesia, during insufflation, after adrenalectomy and in the recovery room. Haemodynamic disorders were treated by nicardipine ± esmolol bolus doses.Results: Creation of pneumoperitoneum and adrenal gland manipulations resulted in significant catecholamine releases associated with hypertension in five and eight patients respectively. Preventive urapidil use enabled easy control of blood pressure variations by additive antihypertensive drugs.Conclusion: Perioperative α1 blockade by urapidil enables an effective and easy control of acute peroperative haemodynamic changes. [Copyright &y& Elsevier]

Copyright of Journal Africain D'Hépato-Gastroentérologie is the property of Lavoisier and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal Africain D'Hépato-Gastroentérologie is the property of Lavoisier and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Simple Summary: Ovariectomy via the prefemoral fossa, with or without endoscopic assistance, is a well-described technique for elective and therapeutic sterilization in chelonians. The choice between lateral and dorsal recumbency is generally left to the surgeon's preference, with no data supporting an objective superiority of one over the other. In pond sliders, common pets but also an invasive alien species in Europe, we compared two different recumbencies (right lateral with a left fossa approach, and dorsal with a right fossa approach) regarding ease of access to the coelomic cavity, ease of identification of the ovary opposite to the surgical breach, first and second ovary removal times, and total surgical time. No significant difference was found between the two groups for any evaluated parameter. Endoscope-assisted prefemoral ovariectomy in mature pond sliders can be indifferently performed in lateral or dorsal recumbency, depending on the preference of the surgeon, on the animal's pathophysiologic status, or on the necessity to perform concurrent procedures. Ovariectomy via the prefemoral fossa is a well-described technique for sterilization in chelonians. The choice between lateral and dorsal recumbency is generally left to the surgeon's preference, with no data supporting an objective superiority of one over the other. Twenty-four sexually mature female pond sliders (Trachemys scripta) were enrolled for elective prefemoral endoscope-assisted oophorectomy, and were randomly divided in two groups: 12 animals were placed in right lateral recumbency with a left fossa approach (Group A), and 12 in dorsal recumbency with a right fossa approach (Group B). Scoring systems were applied to assess the ease of access to the coelomic cavity, and the ease of identification of the ovary opposite to the surgical incision. A negative correlation was found between the body weight of the animals and the ease of access to the coelom (p = 0.013), making the access easier in smaller animals. No significant difference was found between the two groups in terms of ease of access to the coelomic cavity, first ovary removal time, ease of identification of the second ovary, second ovary removal time, or total surgery time. [ABSTRACT FROM AUTHOR]

Abstract: Massive obesity is an important risk factor in gynaecologic surgery. The traumatic effect of traditional laparotomy on the parietal wall is responsible for important perioperative morbidity. We describe the first reported case of an obese woman (Body Mass Index=55 kg/m2) with stage IIA neuroendocrine carcinoma of the cervix treated by laparoscopy after radiochemotherapy. After a complete response to radiochemotherapy, the patient underwent laparoscopic hysterectomy and bilateral salpingo-oophorectomy. The laparoscopic procedure was performed with a low-pressure pneumoperitoneum. She was discharged at day 2. No major complication was observed. Surgical and anesthesiological laparoscopic management in obese women are discussed. [Copyright &y& Elsevier]

The aim of this study was to assess how red-eared sliders (Trachemys scripta elegans) respond to anaesthesia itself and coelioscopy. For that purpose, the turtles were anaesthetised with ketamine-medetomidine or propofol, and the activities of superoxide dismutase (SOD), catalase (CAT) and glutathione S-transferase (GST) and the level of malondialdehyde (MDA) were determined by spectrophotometry. The possible genotoxic effects of the anaesthetic agents were estimated by comet assay. A total of 24 turtles were included in this study. The animals were divided into four groups according to the anaesthetic protocol and according to whether endoscopy would be performed. Significantly decreased activities of CAT were found only in the propofol group and in turtles undergoing coelioscopy. Both anaesthetic protocols induced significantly increased MDA levels, while no differences were observed after the intervention. A significant increase in GST activity was detected in turtles after both anaesthetic protocols, but after coelioscopy significant changes in GST activity were found only in the propofol group. However, no differences in SOD activity and no DNA damages were detected in either group. These findings suggest that ketamine-medetomidine may be more suitable anaesthetic agents in red-eared sliders than propofol.