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A twelve-year-old, female Hermann’s tortoise (Testudo hermanni) was presented with an oviductal prolapse after showing tenesmus for three days prior to presentation. Radiography revealed a soft tissue opacity in the caudal coelomic cavity that ultrasonographically presented as a congested, invaginated tubular structure and was deemed to comprise the left oviduct. After repositioning the oviductal prolapse, coelioscopy confirmed that the invaginated structure consisted of the anterior part of the left oviduct and incorporated a part of the ipsilateral mesovarium and mesosalpinx. A transplastron osteotomy was carried out to perform unilateral salpingectomy and bilateral ovariectomy. A definitive diagnosis of an oviductal leiomyoma was made based on histopathological and immunohistochemical examination of the invaginated part of the oviduct. In the present case, the authors highlight that neoplastic disorders should be considered as a cause of oviductal invagination and prolapse in chelonians. To the authors’ knowledge, this is the first report of the diagnosis and successful treatment of an oviductal leiomyoma in a Hermann’s tortoise.

This study was carried out to identify the histological structures of the ovary and the related uterine tubes of the adult guinea pig (Cavica porcellus). To conduct such project, 14 adult guinea pigs at their diestrous period were collected from the local breeders directly. Animals were euthanized, dissected and subsequently ovaries and specimens from uterine tubes were collected and fixed by 10% neutral buffered formalin and some of specimens were fixed in Bouin’s solution for subsequent histochemical staining then subjected to routine processes such as dehydration, clearing, embedding and block preparation. Sections of 6 µm were prepared and stained with hematoxylin-eosin, Masson’s Trichrome, Alcian blue (pH 2.5) and Periodic acid shift stains. Gross findings showed two bilateral rounded and slightly elongated ovaries situated in the abdominal cavity suspended by mesovarium ligament. Microscopic findings revealed prominent large follicles and to a lesser extent, the small and medium types in the ovaries of adults studied guinea pigs. The data showed the presence of many pre-ovulatory follicles during the diestrous period in this polyestrous species. Gross findings of the uterine tubes revealed the presence of bilateral uterine tubes. Each tube included short straighten preampulla which was expanded cranially to form infundibulum, coiled long ampulla and finally the isthmus, the shortest and straight part traversed the cranial end of the uterine horn. Microscopically, all of the uterine tube was lined with simple columnar epithelium. Mucosa showed very long and branched mucosal folds in the pre-ampulla, for lesser extent in ampulla but shortest and widest in isthmus. Tunica muscularis was absent at infundibulum, thinnest at pre-ampulla, whereas, the thickest in isthmus. Histochemically, the non ciliated columnar cells (present mainly in the isthmus and few in ampulla) were stained positively with AB and PAS stains.

The ovarian bursa is a small peritoneal cavity enclosed by the mesovarium and mesosalpinx, which surrounds the ovaries and oviductal infundibulum in mammals. The ovarian bursa is considered as the structure facilitating the transport of ovulated oocytes into the oviduct. Our previous study revealed reduced oocyte pick‐up function in the oviduct of lupus‐prone MRL/MpJ‐Fas(lpr) (/) (lpr) mouse, suggesting the possibility of an escape of ovulated oocytes into the peritoneal cavity, despite the presence of an almost complete ovarian bursa in the mouse. In this study, we revealed anatomical and histological characteristics of the ovarian bursa in C57BL/6 N, MRL/MpJ, and MRL/MpJ‐Fas(lpr) (/) (lpr) mice. All strains had the foramen of ovarian bursa (FOB), with a size of approximately 0.04 to 0.12 cm(2), surrounded by the ligament of ovarian bursa (LOB), which is part of the mesosalpinx. The LOB was partially lined with the cuboidal mesothelial cells and consisted of a thick smooth muscle layer in all strains. In 6‐month‐old MRL/MpJ‐Fas(lpr) (/) (lpr) mice, in which the systemic autoimmune abnormality deteriorated and oocyte pick‐up function was impaired, the size of the FOB tended to be larger than that of other strains. Additionally, in MRL/MpJ‐Fas(lpr) (/) (lpr) mice at 6 months of age, there was infiltration by numerous immune cells in the mesosalpinx suspending the isthmus; however, the LOB prevented severe inflammation and showed deposition of collagen fibers. These results not only indicate that the FOB is a common structure within mice, but also imply the physiological function of the LOB and its role in maintaining the microenvironment around the ovary, as well as regulating healthy reproduction.

CASE DESCRIPTION 7 privately owned female African lions (Panthera leo) that had been bred for public exhibition and were housed in outdoor pens were evaluated prior to undergoing elective ovariectomy. CLINICAL FINDINGS All animals were healthy. Median age was 15 months (range, 9 to 34 months), and median body weight was 71 kg (156 lb; range, 48 to 145 kg [106 to 319 lb]). TREATMENT AND OUTCOME Surgical sterilization by means of single-incision laparoscopic ovariectomy was elected. A 2- to 3-cm-long skin incision was made just caudal to the umbilicus, and a single-port multiple-access device was bluntly inserted through the incision. Traction was maintained with stay sutures to provide counterpressure, and three 5-mm-diameter cannulae were introduced through the device's access channels with a blunt trocar. The abdomen was insufflated to a pressure of 12 mm Hg with CO2. Each ovary was grasped and suspended with a standard 36-cm-long laparoscopic grasper, and ovariectomy was performed with a 5-mm vessel sealer and divider device. Because of the depth of subcutaneous fat, extensive subcutaneous dissection was necessary to insert the single-port device. In contrast, fat content of the mesovarium was minimal and did not vary markedly among animals. Subjectively, single-incision laparoscopic ovariectomy was easily performed, but all surgeons had experience in laparoscopic surgery. Median duration of the surgical procedure was 29 minutes (range, 21 to 49 minutes). No perioperative complications were encountered. CLINICAL RELEVANCE Findings suggested that the single-incision laparoscopic technique may be an acceptable, minimally invasive option for ovariectomy of large felids.

Objective To describe our surgical techniques for laparoscopic ovarian tissue harvesting and orthotopic ovarian cortex grafting (LOOCG). Design This video article uses surgical cases to demonstrate the detailed surgical techniques. Institutional Review Board approval was not required for this video presentation. Setting University hospital. Patient(s) Patients presenting with indication for fertility preservation by means of ovarian tissue harvesting and orthotopic ovarian cortex grafting (in case of setting up a high risk of gonadotoxicity treatment or patients presenting with a pathology with risk of premature ovarian failure). Intervention(s) Ovarian tissue harvesting: The entire ovary is harvested by placing an EndoGIA stapler to ensure the control of infundibulopelvic ligament and then, after reloading, the section of the mesovarium. LOOCG one-step procedure: A large and superficial incision of the peritoneum is performed to create a peritoneal pocket. The fragments of ovarian cortex are secured with the use of nonresorbable surgical wire (Prolene 5.0) and introduced into the peritoneal pocket. The peritoneum is not closed after placing the graft. Main Outcome Measure(s) Value and feasibility of LOOCG. Restoration of endocrine function and fertility results. Result(s) Thirty-four patients were included from November 2011 to October 2017. LOOCG restored ovarian endocrine activity in 88.2% of cases. Ten patients had become pregnant (29.4%), and the same number gave birth to at least one child. Conclusion(s) Our surgical approach is simple, safe, and reproducible and seems to be as effective as previously described techniques. It deserves to be proposed to patients eligible for ovarian cortex grafting.

OBJECTIVE To describe a minimally invasive 3-portal laparoscopic approach for elective ovariohysterectomy and the outcome of that procedure in a population of goats. DESIGN Descriptive clinical study. ANIMALS 16 healthy client-owned goats. PROCEDURES Food but not water was withheld from all goats for 24 hours before the procedure. Goats were anesthetized and positioned in dorsal recumbency. Three laparoscopic portals were created in the caudoventral portion of the abdomen, and the abdomen was insufflated to a maximum pressure of 10 mm Hg. A blunt-tip vessel sealer and divider device was used to transect the left and right mesovarium and mesometrium and uterus, and the resected tissue was removed from the abdomen. After hemostasis was verified, the portals were closed in a routine manner and anesthesia was discontinued. Goats were discharged from the hospital 24 hours after the procedure, and owners were contacted by telephone or email to obtain short- and long-term follow-up information by use of standardized questions. RESULTS All procedures were performed by a surgeon and assistant surgeon. The procedure was not complex and was easily learned. No intraoperative complications were reported, and only 1 goat required rescue analgesia post-operatively. No other postoperative complications were recorded. Median surgery time was 43 minutes (range, 20 to 65 minutes). All owners were satisfied with the outcome of the procedure, and several perceived that the procedure improved goat behavior. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that laparoscopic ovariohysterectomy was a viable alternative for elective sterilization of female goats.

The climate of Mongolia is dry and extreme, with cold seasons during the 5-7 months of year, which is one of the causes of cold-borne disorders occurring in people. In our country, there are cases of women with inflammatory disease of reproductive organ too. Although the researches on ovarian mast cells have been common so far, the researches on mesovarium mast cells, which have good blood and nerve supply, are pretty uncommon. The researches on cold stress induced changes in mesovarium mast cells’ number, size and structure in relation with menstrual cycle hasn’t been done yet in our country. In our study, we have chosen 16 rats in control group and 48 rats in cold stress group, a total of 64 rats. The cold stress group was divided again into 3 groups (16:16:16) and underwent daily cold stress (refrigerator-15°C) from 8:00 am-11:00 am for 7, 14, 21 days in order to generate cold stress model. The number, shape, structural changes, size, perimeter, length and width of the mesovarium mast cell were determined. The determination of estrous cycles was carried out at 8 am on test day by taking a smear from the vagina using Papanicolaou test and the phases of estrous cycle was determined by histological test.

A female Indian star tortoise (Geochelone elegans) was evaluated for anorexia and suspected coelomic masses. Clinical examination indicated follicular stasis. The tortoise was anesthetized and placed in dorsal left lateral recumbency for a right prefemoral approach. The ovaries and oviducts were exposed through the right prefemoral incision. The ovarian vasculature, the mesovarium, the oviduct, mesosalpinx and associated vasculature were ligated and transected. Bilateral oophorosalpingectomy was performed through the incision, without coelioscopy. Since then, the same procedure has been performed in five other tortoises, and all recovered well. These results suggest that bilateral oophorosalpingectomy, performed through a prefemoral incision, without coelioscopy, is a safe and practical approach for treating follicular stasis in tortoises.

Background Adnexal torsion is a gynaecologic emergency caused by partial or complete twisting of the mesovarium; accounting for 3% of all gynaecological surgeries. We report a rare presentation of bilateral adnexal torsion within a period of 4 months in normal appearing ovaries. Case A 35-year-old women underwent total laparoscopic hysterectomy for third-degree uterine prolapse presented with left adnexal torsion within 45 days post surgery and later right adnexal torsion within a span of 2 months. She underwent laparoscopic left salpingo-oophorectomy and laparoscopic right oophoropexy later. Conclusion Predisposing factors for adnexal torsion is not known and its recurrence is definitely a concern. The importance of early diagnosis and surgical intervention in adnexal torsion is highlighted in a report showing delay of intervention for 36 h resulting in significant congestion and necrosis.

Ovariectomy is a common surgical spaying method in mares, which it leads to short/medium-term masculinization and improves especially their stamina. This study aimed to assess the economic, clinical and histological aspects of the polyamide tie-rap for haemostasis in surgical sterilization of twelve seven-year-old mares, with or without ovary excision. The equines were spayed with polyamide tie-rap for pedicle preventive haemostasis. The left ovary was excised after mesovarium clamping. The polyamide device was also used in the opposite pedicle, though the ovary was not excised. The mean operating cost was determined, the wound healing was assessed and macroscopic and histological evaluation of the pedicles and ovaries were achieved in the post-op. The mean operating cost of the surgical procedure was US$ 69,44. The ovaries were atrophied and with multifocal necrosis areas, firm irregular nodules and follicles. These nodules were histologically recognized as granulomas. The polyamide tie-rap was efficient in controlling hemorrhage and safe for surgical purpose in the experimental model studied. However, it did not interrupt ovarian activity in the non-excised gland.

The differential diagnosis of lesions arising in the broad ligament is quite large. Many of these lesions can be clinically interpreted before surgery as adnexal or uterine neoplasms. Although some lesions are similar to those arising in other müllerian sites, there are unique lesions as well. The lesions are uncommon and may prove challenging to clinicians. The purpose was to review the scope of lesions affecting the broad ligament. A literature review was conducted. A Medline search was performed using the terms broad ligament, mesosalpinx, and mesovarium. A review of the scope of broad ligament lesions is presented to assist in developing a differential diagnosis if a patient with such a lesion is encountered.

Summary This report describes a method for removal of large granulosa cell tumours through small paralumbar incisions using laparoscopic dissection of the mesovarium and subsequent removal of the ovary in a sterile retrieval bag via morcellation. Morcellation allows division of the granulosa cell tumour and subsequent reduction of incision size required for removal. The use of a specimen retrieval bag prevented contamination of the abdomen and incision with tumour cells during activation of the morcellator.

A resorbable self-locking device (LigaTie) was developed to enable safe and easy surgical ligation of blood vessels. The aim of this study was to compare the long-term in vivo resorption of the device to a commercially available suture of equivalent material (Maxon) following ovarian pedicle ligation. After ovariohysterectomy follow-up ultrasound examinations were performed monthly on 21 dogs ligated with the device and 22 dogs ligated with the suture material until no hyperechoic remnants, acoustic shadowing or local tissue reactions were detected. In both groups, the ovarian pedicles gradually decreased in size. Ligation material was considered macroscopically resorbed when ultrasound showed no signs of the device or suture, ovarian pedicle or tissue reaction. Macroscopic resorption had occurred without signs of complications and was complete by four months for sutures and 5.5 months for the device. The results show that resorption time in vivo for the resorbable self-locking device is mildly longer than suture of the same material and that no complications of device resorption were detected, supporting that the resorbable self-locking device is safe for in vivo use.

The purpose of this study was to provide a detailed laparoscopic anatomy of the caudal abdominal region of mare in a standing position and to evaluate and modify a technique for standing laparoscopic ovariectomy using combination between hand-tied ligating loop and electrocoagulation techniques, as the ligating loops, electrocoagulation, and modified electroligation laparoscopic ovariectomy were applied using nine adult mares. Laparoscopy was practical and effective for direct visual examination of internal abdominal organs in the mare. Ventral dislocation of abdominal viscera after pneumoperitoneum was established with the mare in standing position, which provided an excellent inspection of the dorsal and ventral structures in the peritoneal cavity on the right and left sides. Standing laparoscopic ovariectomy using an electroligation modified method was considered a safe and effective method for hemostasis of the mesovarium, technically easy, time saving, and economical. The mean surgical time for bilateral ovariectomy was 40 ± 7.63, 60 ± 5.25, and 85 ± 6.43 minutes for electroligation-modified technique, ligating loops technique, and electrocoagulation technique, respectively.

An unusual case of epithelioid hemangioendothelioma occurring in the paraovarian region is presented. The patient, a 39-year-old woman, presented with a lower abdominal mass, which was noted to be in the para-ovarian tissue (mesovarium) at laparotomy. Histopathological examination showed the presence of plump epithelioid cells arranged in cords and nodules set within a fibrous stroma. Univacuolated cells, some containing erythrocytes and nascent vascular channels, were also present. The tumor cells stained strongly for vascular markers, and the features were typical of an epithelioid hemangioendothelioma. Two years after the operation, the patient is alive and well with no evidence of recurrent or metastatic disease.

Background Ligation of the mesovarium in female dogs may be cumbersome with risk of complications and is associated with intense noxious stimuli. A resorbable implant, a self-locking loop designed for surgery, was developed as an alternative to traditional ligation. The study aimed to test the feasibility of ligating the canine ovarian pedicle with the implant and to compare its performance to traditional suture ligation. Results In total 45 intact female dogs destined for elective ovariohysterectomy and adoption were included. In 21 dogs the new resorbable implant was used to ligate the mesovarium, and in 24 control dogs traditional suture was used with one encircling ligature. Mean weight of implant dogs was 10.7 ± 5.6 kg (range 3.5–22.0), and mean weight of control dogs was 12.8 ± 6.4 kg, (range 4.1–27.0). The body weight of dogs did not differ between groups (P = 0.25). In total, 42 ovarian pedicles were successfully ligated with the implant. In one control dog, intraoperative haemorrhage from the left ovarian pedicle was diagnosed. The mesovarium was re-ligated and haemostasis was confirmed. All dogs recovered uneventfully. The ligation time of the mesovarium was significantly shortened (P = 0.02) by using the self-locking implant versus a single ligature (3′28′′ ± 1′05′′ and 5′29′′ ± 3′54′′, respectively). Total duration of surgery differed between the groups (P = 0.02) with a shortened duration of surgery when using the self-locking implant (15′56′′ ± 2′47′′ and 20′39′′ ± 8′58′′, study group versus control group, respectively). In both groups, duration of surgery and time required to ligate the ovarian pedicle were longer in larger dogs than smaller dogs. Conclusion The results of this feasibility study suggested the implant can be used to ligate the canine mesovarium. Compared with traditional suture ligation, the results suggested that time to ligate the ovarian pedicle and duration of surgery were significantly reduced with the implant. More time was required to perform surgeries in larger dogs.

The ovaries are paired pelvic organs, each measuring on average 3 × 2 × 2 cm. They are attached to the cornua of the uterus by a condensation of fibrous tissue called the ligament of the ovary (utero-ovarian ligament). This is the remnant of the gubernaculum, which plays a role in the descent of the ovary during embryogenesis, and is the homologue of the gubernaculum testis in the male. The suspensory ligament of the ovary runs from the pelvic side wall to the ovary. The fallopian tubes extend from the angle of the uterus laterally and end in the expanded fimbriated portion called the uterine infundibulum (funnel). They lie in close proximity to the ovaries. The mesovarium is a double fold of peritoneum that is attached to the back of the ovary and carries the neurovascular bundle to the ovary across the top of the suspensory ligament. The ureters, gonadal vessels, and bifurcation of the iliac vessels lie deep into the ovaries (Figure 5.1).

A 13-year old intact female poodle showed persistent signs of estrus. Ultrasonographically, a large cystic mass containing echogenic fluid with a thin wall was observed, and it was 8 cm in diameter. The cystic mass was located at the mesovarium between the left ovary and uterine horn, and it was identified as a giant parovarian cyst. A right ovarian mass was histologically diagnosed as a granulosa cell tumor. Persistent estrogen hormone secretion by the granulosa cell tumor was thought to cause a rapid increase in the size of the parovarian cyst. This rare cystic mass originated from the genital system and was differentiated from the uterus.

Viral haemorrhagic septicaemia virus (VHSV) genotype IVb was recently detected as the cause of numerous mortality events in Great Lakes fish. In situ hybridization was used to examine the gonads from 13 fish, including freshwater drum Aplodinotus grunniens and muskellunge Esox masquinongy that were infected naturally, as well as rainbow trout Oncorhynchus mykiss and fathead minnows Pimphales promelas, which were experimentally infected. Although the ovaries and testes of fish infected by VHSV IVb had few lesions, viral RNA was present in the ovaries of the rainbow trout and fathead minnow and was abundant in the gonads of muskellunge and in the ovaries of freshwater drum. Viral RNA was present mainly surrounding yolk vacuoles/granules or adjacent to the germinal vesicle, with lesser amounts found within the germinal vesicle, in the mesovarium and/or tunica albuginea and blood vessels of the ovary. Viral RNA was also found in and surrounding primary and secondary spermatocytes of the muskellunge.

OBJECTIVE: To describe a motorized morcellator technique for laparoscopic removal of granulosa-theca cell tumors (GCT) in standing mares and to evaluate long-term outcome. STUDY DESIGN: Case series. ANIMALS: Mares (n=7) aged 4-15 years, with unilateral GCT. METHODS: Tumor size was determined by transrectal palpation and ultrasonography. Standing sedated mares had 3 laparoscopic portal sites in the paralumbar fossa. After laparoscopic observation of the GCT, the mesovarium was desensitized, the ovarian pedicle transected with a LigaSure device, and the ovary grasped with forceps and cut in cylindrical tissue blocks using a motorized morcellator. Tissue blocks were removed through the laparoscopic sleeve. Outcome was determined by telephone interview of owners 6-40 months after surgery. RESULTS: Estimated ultrasonographic median GCT diameter was 17 cm (range, 10-22 cm). Surgical time was 2-4.5 hours. There were no surgical complications. Two mares had mild subcutaneous emphysema at the portals after surgery. Convalescence was short, owners were satisfied with cosmetic outcome, and clinical signs associated with GCT did not recur. CONCLUSION: The motorized morcellator allows piecemeal removal of large GCT through a relatively small laparoscopic portal. Surgical complications were rare and the cosmetic outcome is favorable. CLINICAL RELEVANCE: A motorized morcellator is a safe and minimally invasive technique for laparoscopic removal of GCT in mares.

Objective To evaluate the effect of local anaesthesia of the mesovarium on end-tidal isoflurane (F e ′iso) concentration and vital parameters during canine ovariohysterectomy. Study design Prospective, randomized, blinded study. Animals Twenty client-owned dogs undergoing elective ovariohysterectomy. Mean age 1.7 (±0.53, SD) years and mean body weight 21 kg (±5.9, SD). Methods Pre-medication was with intravenous acepromazine (0.02 mg kg−1) and methadone (0.1 mg kg−1). Anaesthesia was induced with propofol and maintained with isoflurane in oxygen. One group (n = 10) received local infiltration of the mesovarium with 0.5 mL lidocaine 2% and one group (n = 10) with 0.5 mL NaCl 0.9%. Heart (HR) and respiratory rates (fr), invasive mean arterial blood pressure (MAP) and F e ′isowere recorded. The F e ′iso was adjusted according to changes in HR, RR and MAP. Time points used for comparison were T1 (after induction of anaesthesia before surgery), T2 (after lidocaine infiltration of the mesovarium) and T3 (surgical manipulation of the ovaries). Data were analysed using a mixed model for repeated measurement anova and the Tukey adjustment. Results are presented as mean ± SD; p Results In both groups, HR and fr remained stable at the three time points. Mean values ranged from 84 to 94 beats minute−1 and from 10 to 14 breaths minute−1. The F e ′iso was significantly lower at T3 compared to T1 and mean values ranged from 0.95% to 1.24%. The mean arterial blood pressure was significantly higher at T3 compared to T1 and mean values ranged from 58 to 96 mm Hg. At none of the time points were there significant differences between the two groups for HR, fr, MAP or F e ′iso. Conclusion Neither an isoflurane sparing effect nor a difference in autonomic response to surgery was demonstrated following local anaesthesia of the mesovarium. Clinical relevance There appeared to be minimal benefit from local anaesthesia of the mesovarium during this study.

Torsion angle determines the incidence of necrosis among patients with ovarian torsion. The purpose of this study was to evaluate the association between torsion angle and findings on CT scan. We retrospectively reviewed CT scan findings obtained less than 36 h before surgery for 31 patients with ovarian torsion. Ovarian torsion angles measured intraoperatively ranged from 90° to 1260°. Ovaries with torsion angles less than 360° rarely develop necrosis. Patients were divided into two groups according to torsion angle

Objective— To describe a laparoscopic technique for granulosa cell tumor removal using a vessel sealing device (LigaSure™) in standing mares. Study Design— Retrospective study. Animals— Eight mares (8–24 years old; weighing, 406–525 kg). Methods— Before surgery, ovarian size and adjacent body wall thickness was determined by ultrasonography. Mares were sedated and after local anesthesia (inverted L and local infiltration), laparoscopic cannulation was performed without insufflation. The mesovarium was anesthetized and the LigaSure instrument applied to the mesovarium for hemostasis and resection to remove the affected ovary. Mares were hospitalized for 24 hours before discharge. Results— Median ovarian diameter was 10.5 cm (range, 6–14 cm). Median surgery time was 75 minutes (range, 40–180 minutes). Hemostasis was achieved using the LigaSure device in all mares. Median length of the abdominal wall incision made to remove the ovary was 13 cm (range, 5–17 cm); no incisional complications occurred. Conclusions— The LigaSure vessel sealing device provided adequate hemostasis for removal of larger neoplastic ovaries in standing mares. Clinical Relevance— Concerns of ligature placement can be alleviated by use of the LigaSure device and standing laparoscopic technique provides excellent observation of the surgical field ensuring hemostasis.

The main objective of this study was to evaluate laparoscopic ovariectomy and to develop an optimal surgical technique for this procedure in standing cattle. Eight cows underwent laparoscopic ovariectomy. In two cows, a bilateral flank approach was used and in six cows, both ovaries were removed via a left flank approach. An important prerequisite for ensuring sufficient intrabdominal space for instrumentation, optimal endoscopic orientation and easy access to the ovaries and uterus was withholding feed for at least 36 h prior to surgery. The cows were sedated with xylazine and the portal sites infiltrated with lidocaine. The portal for the laparoscope was at the ventral angle of the left paralumbar fossa, approximately 10 cm cranioventral to the tuber coxae. The instruments were inserted through two portals approximately 20 cm and 30 cm ventral to the tuber coxae. After abdominal insufflation with carbon dioxide, the left ovary was grasped and local anesthetic was injected into the mesovarium and mesosalpinx. The mesovarium was transected using bipolar cauterization and the ovary removed through an extended instrument portal. The right ovary was removed in the same way. The incisions were closed with single interrupted absorbable sutures in the musculature and single interrupted non-absorbable sutures in the skin. The procedure lasted 120-150 min. Bilateral laparoscopic ovariectomy via left flank approach in standing cows is feasible. This procedure involves special instrumentation, but is minimally invasive and allows optimal visualization of the ovaries and uterus.

Objective— To describe use of a polyamide tie-rap to ligate the mesovarium during standing laparoscopic ovariectomy in mares. Study Design— Prospective study. Animals— Ten mares. Methods— Bilateral ovariectomy was performed in 10 mares. Standing laparoscopic ovariectomy was performed using 3 portals in the paralumbar fossa. A commercial polyamide tie-rap was prepared as a loop and marked with 4 colored lines close to the buckle, to enable us to check whether the loop was tightened securely. The ovary was grasped with forceps and after the mesovarium was minimally transected cranially and caudally, the loop of the tie-rap was inserted in the abdomen and placed around the mesovarium. It was firmly tightened, until at least 3 of the 4 marks were visible, then the end of the tie-rap was cut. The ovary was transected and removed through an enlarged 3rd portal. The contralateral ovary was removed similarly through the opposite paralumbar fossa. Repeat laparoscopy was performed in 8 mares, 2, 3, 4, and 12 weeks later. Results— None of the mares had postoperative discomfort. On repeat laparoscopy, there was complete encapsulation of the stump and tie-rap after 3–4 weeks. In 2 mares, an adhesion between the left stump and the mesentery of the descending colon was observed. Conclusion— Ligation of the mesovarium can be easily and safely performed using a polyamide tie-rap during standing laparoscopic ovariectomy in mares. Clinical Relevance— Standing laparoscopic ovariectomy using a polyamide tie-rap is a safe, technically easy and reliable surgical procedure in the mare.

Objective—To compare intraoperative pain responses following intraovarian versus mesovarian injection of lidocaine in mares undergoing laparoscopic ovariectomy. Design—Randomized controlled trial. Animals—15 mares between 4 and 20 years old. Procedure—Standard bilateral laparoscopic ovariectomy was performed. Prior to manipulation of the ovary, 2% lidocaine (10 mL) was injected into the ovary and saline (0.9% NaCl) solution (10 mL) was injected into the mesovarium on 1 side, with saline solution (10 mL) injected into the ovary and 2% lidocaine (10 mL) injected into the mesovarium on the other side. Presence (yes vs no) and severity (visual analogue scale) of pain were scored at 5 times (grasping of the ovary, dissection of the mesosalpinx, tightening of the first loop ligature, tightening of the second loop ligature, and transection of the ovarian pedicle) by 2 individuals blinded to treatment and each other's observations. Results—During 4 of the 5 observation periods, significantly fewer mares had signs of pain following mesovarian injection of lidocaine, and during 2 of the 5 observation periods, visual analogue scale score was significantly lower. Conclusions and Clinical Relevance—Results suggest that mesovarian injection of lidocaine is associated with significantly lower pain responses, compared with intraovarian injection, in horses undergoing laparoscopic ovariectomy. (J Am Vet Med Assoc 2005;227:593–596)

The ovaries of Labeo victorianus are paired organs situated in the peritoneal cavity and suspended on either side of the midline by a mesovarium. A capsule, composed of dense, regularly-arranged collagen and elastic fibres mixed with a few smooth muscle cells, enclosed the ovaries and gave off connective tissue septa, forming the ovigerous lamellae, which contained germ and follicle cells. Eight discrete stages of recrudescence were identified: oogonia, chromatin nucleolar oocytes, perinucleolar oocytes, primary yolk vesicle oocytes, secondary yolk vesicle oocytes, tertiary yolk vesicle oocytes, post-ovulatory follicles and atretic oocytes. Ovulation seemed to be synchronised with the onset of rainfall, with some deviations in the Sio River population. Gonadosomatic index variation followed a bimodal pattern, with maxima between January–February and between September–October for both populations. The same pattern was exhibited for both rainfall and water levels at the two study sites. Successful ovulation...

Ovariectomy is a treatment employed in the mare for removal of granulosa theca cell tumours (GCT), and for behaviour modification in mares that become aggressive during oestrus. The most common technique is laparoscopic ovariectomy under standing sedation, using sequential electrocoagulation and transection of the mesovarium. In the treatment of GCT the prognosis for resolution of behaviour and return to normal fertility is excellent. When treating mares exhibiting aggressive behaviour during oestrus, approximately 75 per cent of mares will show a significant improvement in their behaviour, over a course of up to 18 months.

A 5-year-old cheetah suffered a complete prolapse of the left uterine horn after the birth of her second litter. Two attempts to reduce the prolapse transvaginally failed. The animal was hospitalized 13 days after the prolapse first occurred, and an ovariohysterectomy was performed to resolve the prolapse. The prolapsed uterine horn had been mutilated: its tip, together with the ipsilateral ovary was absent. Laparotomy revealed no sign of recent or past hemorrhage or adhesions, or any signs of the left ovarian artery or left ovarian vein in the remnants of the left mesovarium. A large vein crossed the uterine body from the left uterine horn to join the right uterine vein, presumably serving as the only route of venous drainage for the prolapsed uterine horn. A possible cause for the prolapse is excessive mobility of the uterus due to prior rupture of its mesial support. The animal died 24 days after surgery due to chronic renal failure, as a result of severe renal amyloidosis.

Immunohistochemical localization and distribution of endothelin (ET-1) and nitric oxide synthase (eNOS) were investigated in precollector and collector lymphangions of lymphatic vessels leaving the ovary and were found in the vascular subovarian plexus (mesovarium) as well as in those emanating from the oviductal isthmus and uterine horn (mesosalpinx and mesometrium, respectively) forming the paraovarian lymphatic plexus in the broad ligament of the uterus during different phases of the estrous cycle in pigs. The polyclonal antibody for ET-1 and the monoclonal antibody for eNOS isoform were used for studies on the light-microscopic level. Immunoreactivities to both ET-1 and eNOS were observed in the endothelial cell cytoplasm of precollector and collector lymphangions and were not demonstrated in smooth muscle cells of the lymphatics examined. In the endothelium, the intensity of immunostaining for ET-1 and eNOS was found to be estrous phase-dependent and differed between precollector and collector lymphangions. In general, immunoreactivity to ET-1 was more intense in the endothelium of shrunken lymphangions, whereas that for eNOS was more intense in lymphangions with the large lumen. These results suggest that ET-1 and eNOS can play a role in mechanisms regulating the vascular contractile activity promoting lymph flow during the estrous cycle in the porcine broad ligament.

A report of a female Holstein Friesian heifer with ovarian hypoplasia is presented. The heifer had normal female external genitalia, but showed neither estrus nor became pregnant after siring with a fertile bull. At necropsy the vagina, uterine body and uterine horns appeared normal. Bilateral streak structures surrounded by mesovarium were observed and dissected for further investigation. Histological investigation revealed that a case of bilateral total ovarian hypoplasia was the cause of infertility. This is the first published report of ovarian hypoplasia from Antalya province in Turkey. (C) 2014 Elsevier GmbH. All rights reserved.

A 16-yr-old northern water snake (Nerodia sipedon) presented with a large, firm midcoelomic swelling. A complete blood count, survey radiographs, coelomic ultrasound, and fine needle aspirate of the mass were performed. Survey radiographs revealed a soft tissue opacity mass. Ultrasonographic examination confirmed the presence of the mass but could not aid in its visceral localization. After 2 weeks, the snake presented again because of continued anorexia and poor quality of life. Euthanasia was performed. Gross necropsy revealed a multilobulated mass attached to and effacing the splenopancreas. Histologically, the mass was composed of cuboidal to columnar neoplastic epithelial cells forming tubules surrounded by variable amounts of fibrovascular stroma. Histological examination and immunohistochemical staining of other tissues revealed local invasion in the subserosa and tunica muscularis of the stomach, metastasis within the liver, in the mesovarium, and an intravascular metastasis within the ventricle of the heart surrounded by a thrombus.

Objectives To report a combination of standing laparoscopic technique for intra-abdominal dissection of the mesovarial pedicle followed by a limited ventral median celiotomy under general anesthesia for removal of enlarged ovaries in mares. Study Design Case series. Animals Mares (n = 20) aged 3–22 years with unilateral enlarged ovaries. Methods Enlarged ovaries were confirmed by transrectal palpation and ultrasonography. After sedation, 3 laparoscopic portals were made in the paralumbar fossa. The mesovarium was desensitized and dissected using a vessel sealing device, and the ovary was left free in the abdomen. Then under general anesthesia, the mare was positioned in dorsal recumbency and an 8 cm ventral median celiotomy made for ovary retrieval in a specimen bag. Results This 2-step procedure was successfully used for removal enlarged ovaries (12–50 cm) in 17 mares and for management of behavioral problems in 3 mares. No operative or postoperative complications occurred. Owner satisfaction and cosmesis were considered excellent. Conclusions Standing laparoscopy combined with a limited median celiotomy is a safe technique for ovariectomy in mares. This technique mitigates most of the disadvantages of standing flank ovariectomy and a conventional open ventral median approach.

This paper describes a case of laparoscopic-assisted ovariohysterectomy in a female cat presenting pyometra and mammary fibroadenomatous hyperplasia. Using four portals, mesovarium were ligated by titanium ligature clips whereas the uterine vessels were occluded by video-assisted conventional ligatures. There were no postoperative complications. Video-assisted technique can be an alternative method for treatment of pyometra and cystic endometrial hyperplasia in female cats. Este artigo descreve um caso de ovariohisterectomia por laparoscopia assistida em uma gata com sinais de piometra e hyperplasia mamária fibroadenomatosa. Usando quatro portais, os mesovários foram ligados com grampos de ligadura de titânio enquanto que os vasos uterinos foram ocluídos por ligaduras convencionais vídeo assistidas. Não houve complicações pós-operatórias. Esta técnica pode ser uma alternativa para tratamento de piometra e hiperplasia cística endometrial em gatas.

Among sturgeons, the occurrence of individuals with gonads containing both testis and ovary components is considered pathological, and such fish are described as intersex individuals or intersexes. Intersexes are observed in both wild and cultured populations of sturgeon, usually at low frequencies. In the present study, intersex Russian (Acipenser gueldenstaedtii) and Siberian (Acipenser baerii) sturgeons constituted 30% of the studied populations. Macroscopically, intersex gonads were recognizable from 500 days posthatching (dph). Initially, gonads with predominantly male characteristics (testis-ova) were observed, but in older fish gonads with predominantly female traits (ova-testis) were more frequent. Using microscopic analysis, intersex gonads were discernible by 130-200 dph. Observations of intersex germinal epithelium development and analysis of sex distribution in the study populations indicated that feminization was occurring. Histological analysis revealed that differentiation of the germinal epithelium in such gonads was accompanied by various morphological alterations (transformations) that were described using quantitative and localization criteria. The most common type of transformations, massive subepithelial transformations, was manifested by the presence of abundant female germinal tissue located under the gonad surface epithelium in the developing testis. These transformations were identified in the early development stage (100-200 dph). In this type of transformation, differentiation of female germinal tissue at the gonad surface and male tissue at the mesorchium/mesovarium resulted in complete formation of both male and female germinal epithelia within the same gonad.

A five-year-old female cat weighing 3 kg was presented by the owner after noticing a large pink, bilobed mass protruding through the vulva during labour. The cat was in good condition, with appropriate lactation, and the newborn kittens were nursing normally. The uterus was not reverted or invaginated at examination, and there was rupture of the mesovarium, mesometrium and uterine-vaginal connection around the cervix. Manual reduction of the prolapsed uterus was not possible because of torn ligaments. A coeliotomy was performed to remove the ovaries, and the apex of the uterine horns was passed by the vaginal route. The remaining part of the mesometrium was disconnected, and the prolapsed uterus was removed. The queen and kittens were discharged from the hospital on the second day after surgery. An unusual feature of this case is that the prolapse was complete, without eversion of any part of the uterus through a vaginal tear.

Objective—The purposes of this study were to develop a technique of paralumbar fossa laparoscopic ovariectomy using Endoloop ligatures and to avoid a laparotomy incision for ovary removal by using a 33–mm diameter muscle spreader trocar-cannula unit. Animals or Sample Population—Seven mares. Methods—Bilateral laparoscopic ovariectomy was performed under general anesthesia in two horses and under neuroleptanalgesia and local anesthesia in five standing mares. Ovaries were approached from the ipsilateral paralumbar fossa through two portal sites located in the paralumbar fossa and a third between the 17th and 18th ribs. Insufflation of the abdominal cavity was achieved using an automatic carbon dioxide insufflator. Two Endoloop ligatures were placed on the mesovarium. The cannula, located in the center of the paralumbar fossa, was removed, and a 33-mm diameter trocar-cannula unit, with a cone-shaped muscle spreader extremity, was inserted through the same portal. The mesovarium was transected between the ovary and the ligatures. The ovaries were removed from the abdomen through the 33-mm diameter cannula. The abdominal wall was closed in a routine manner. Results—No major complications occurred during or after surgery. Conclusion—Paralumbar fossa laparoscopic ovariectomy in mares using Endoloop ligatures and the 33-mm diameter trocar-cannula unit was an effective technique for ovariectomy of normal ovaries in this study. Clinical Relevance—Endoloop ligatures provide a viable alternative for laparoscopic ligation of ovarian pedicles in mares.

A variety of approaches and techniques for ovariectomy in mares have been described, including laparoscopic procedures performed with the mare standing (Lloyd and others 2007), or with the mare anaesthetised (Ragle and others 1996). Open ventral midline or oblique paramedian approaches have been described as well (Carson-Dunkerley and Hanson 1997). The main complications reported for ovariectomy of enlarged ovaries in mares are due to incomplete haemostasis, excessive tension on the mesovarium and incision-related complications (Nickels 1988). Laparoscopy provides a modern and efficient method for ovariectomy; however, expensive equipment and expertise with the technology are necessary for safe operation (Desmaizieres and others 2003). The open-flank approach for removal of enlarged pathological ovaries described herein eliminates the risks involved with general anaesthesia, enable secure mesovarium ligation with reduced tension, while avoiding the downsides of laparoscopy. The objective of the current study is to describe the technique and the clinical outcome of ovariectomy of large ovaries in standing mares using an open-flank approach. All mares referred for ovariectomy due to an enlarged ovary between the years 2002–2010 were included in the study (Table 1). Collected data included: signalment, side and size of the affected ovary, histological diagnosis, complications and reproductive status following surgery. The study included 14 mares, aged 3–17 years, weighing 350–500 kg. Breeds represented were Arabian (11), Thoroughbred, Warmblood, and Quarter Horse (1 each). All mares underwent unilateral ovariectomy through an open-flank approach for removal of an enlarged ovary, with the mare standing. In eight mares, the right ovary was removed, and in seven mares, the left ovary was removed (one mare had both ovaries removed 3 years apart). Prior to referral, all mares were evaluated by their referring veterinarians, due to complaints …

The objective of this study was to determine the effect of bilateral laparoscopic ovariectomy on peritoneal fluid values in mares and compare how this effect was modified by the method of ovarian vessel hemostasis used. Ten mares undergoing standing bilateral laparoscopic ovariectomy were used in a randomized clinical study. During surgery, blood vessels within the mesovarium were either: (1) sealed and transected with a vessel sealing and dividing device (VSDD), or (2) ligated using two loops placed proximal to each ovary and then the mesovarium transected using laparoscopic scissors. The ovaries were removed through the ipsilateral body wall. Abdominocentesis was performed before surgery and 24 h and 72 h after surgery. Markers of peritoneal inflammation, as measured by total nucleated cell count, total protein (TP) and red blood cell count via abdominocentesis, were consistently increased for all groups compared to pre-operative values. The mean (range) of TP for the VSDD group was 4.14 (3.9-4.5) g/dL, and that for the ligating loop group was 3.18 (2.7-3.5) g/dL. Use of the VSDD resulted in significantly greater TP concentrations in the abdominal fluid at 24 h and 72 h post-operatively when compared to a ligating loop (P

In its upper part, the mesovarium and the mesosalpinx are very thin, composed almost exclusively of peritoneum.

Development of the genital peritoneum in the sheep was studied in embryos/fetuses that were 27-69 days old. The plica mesonephrica was the first visible fold of the urogenital organs of the embryos and was the origin of the proximal mesorchium or mesovarium. The plica suspensoria gonadalis fixed the gonad to the mesonephros and held the cranial genital ligament and the cranial part of the gubernaculum. The distal and the cranial part of the gernaculum. The distal mesorchium or mesovarium evolved from this fold. The inguinal fold fixed the caudal part of the gubernaculum. The suspensory fold of the gonad and plica inguinalis formed a system of serosal folds called the Plica gonadoinguinalis. The fold of the genital ducts had two parts, divided by the crossing with the gubernaculum. The mesepididymis or mesosalpinx evolved from the cranial part of the fold, while the caudal part was the origin of the mesoductus deferens or mesometrium. The caudal part of the right and left folds contributed to defining another system of peritoneal folds, the Plica genitalis. A rearrangement of some accepted terms in the nomenclature is proposed, as are some new terms. An analysis of the meaning of some terms, especially those applied to systems of peritoneal folds, is given to aid in their interpretation.

An endoscopic sterilisation technique for use in Galapagos tortoises (Geochelone nigra) was developed as part of a conservation and ecosystem restoration project. Fifteen female giant Galapagos tortoises were anaesthetised, intubated and positioned in dorsal recumbency. A bilateral prefemoral approach was made and the ovaries were identified using a 5 mm × 33 cm rigid telescope. In the case of endoscope-assisted oophorectomy, the ovaries were exteriorised through the same incision, the vasculature was ligated and the mesovarium was transected. Two tortoises had immature ovaries that could not be exteriorised. In these animals, endoscopic oophorectomy was performed using radiosurgery. Closure of the incisions was routine. All tortoises except one recovered well from surgery. There were no reported complications six weeks and six months postoperatively, and all were successfully released on to Pinta Island in May 2010.

Foi caracterizada a morfologia macroscópica do genital feminino, de seis exemplares adultos de paca (Cuniculus paca), mediante dissecação das cavidades abdominal e pélvica imediatamente após o óbito. Os ovários apresentam forma ovoide, achatados dorso-ventralmente, de coloração amarela esbranquiçada com pequenos pontos avermelhados em sua superfície; têm localização sublombar, caudal aos rins; estão envoltos por uma rasa bolsa ovárica e fixados pelo mesovário; a tuba uterina é um órgão par, de aspecto sinuoso, contínua aos ovários, estando inserida na mesossalpinge e se estendendo até o início de cada corno uterino correspondente. Os cornos uterinos retilíneos fixam-se à parede abdominal pelo mesométrio e se unem pelo ligamento intercornual na altura da entrada da pelve, onde se posicionam dorsalmente à vesícula urinária; duas cevices estão presentes, embora o septo uterino que as separa seja incompleto, caracterizando presença de dois óstios uterinos internos e um único óstio uterino externo, considerando-se este útero como duplo incompleto. A vagina é um órgão tubular que se posiciona ventral ao reto e dorsal à vesícula urinária e à uretra, não se verificou a presença de vestíbulo e a vagina e a uretra não possuem ponto comum de convergência, abrindo-se, cada uma delas, diretamente na região vulvar, que se apresenta plana, com reduzidos lábios vulvares, apenas o clitóris de forma cônica é pouco proeminente e apresenta duas estruturas pontiagudas em sua região distal. Não se verificaram diferenças estatisticamente significativas nas mensurações realizadas nos ovários, tubas uterinas e cornos uterinos, ao se comparar os antímeros direito e esquerdo.

Publisher Summary This chapter discusses in detail regarding hormonal regulation of ovarian function in reptiles. In reptiles, the ovaries are paired, hollow, oval (or, in snakes, elongate) structures attached to the dorsal body wall by a mesovarium. The reptilian ovary has two primary functions: the production of gametes and the secretion of hormones with regulatory effects on the female reproductive system. Ovarian differentiation begins during embryonic development. In many species, primordial follicles are present in the ovary by the time of hatching. The ovary produces steroid hormones (estrogens, androgens, and progestins) that circulate in association with plasma-binding proteins and bind to three complementary classes of specific tissue receptors. Metabolism of the primary steroids by peripheral tissues may involve either derivatization or conjugation. Ovarian activity is regulated via the hypothalamo–pituitary–gonadal (HPG) axis. Follicular maturation typically involves the deposition of large amounts of yolk during vitellogenesis, which is stimulated by estrogens secreted by the granulose cells. In both oviparous and viviparous reptiles, the postovulatory follicles are transformed into secretory corpora lutea, which produce progesterone for species-specific periods. Luteolysis is stimulated by prostaglandins. Further research is particularly required into non-steroidal hormones produced by, or influencing, the reptilian ovary.