Avian Soft Tissue Surgery.

Basic surgical instrumentation for avian soft tissue surgery includes soft tissue retractors, microsurgical instrumentation, surgical loupes, and head-mounted lights. Hemostasis is fundamental during the surgical procedures. The indications, approach, and complications associated with soft tissue surgeries of the integumentary (digit constriction repair, feather cyst excision, cranial wound repair, sternal wound repair, uropygial gland excision), gastrointestinal (ingluviotomy, crop biopsy, crop burn repair, celiotomy, coelomic hernia and pseudohernia repair, proventriculotomy, ventriculotomy, enterotomy, intestinal resection and anastomosis, cloacoplasty, cloacopexy), respiratory (rhinolith removal, sinusotomy, tracheotomy, tracheal resection and anastomosis, tracheostomy, pneumonectomy) and reproductive (ovocentesis, ovariectomy, salpingohysterectomy, cesarean section, orchidectomy, vasectomy, phallectomy) systems are reviewed.

[A training model for laparoscopic dismembered pyeloplasty].

OBJECTIVE: To introduce a training model for laparoscopic dismembered pyeloplasty. METHODS: The model of ureteropelvic junction obstruction was simulated using pig kidney and chicken crop. With the model placed in a training box, 8 residents without laparoscopic experience but with basic technical training performed 10 rounds of anastomosis according to the standard operation procedures. For each resident, the operating time and quality of the operation were recorded and assessed. RESULTS: All the 8 residents successfully completed the training. The operating time decreased from 72.70∓8.26 min in the first training session to 54.50∓7.69 min in the last training session, and the anastomosis error score decreased from 5.60∓1.35 to 2.50∓1.58 min, showing significant differences between the recordings (P<0.05). CONCLUSION: This simple training model allows effective simulation of the surgical procedures of laparoscopic pyeloplasty and is suitable for training surgeons without laparoscopic experiences.

Ingluviotomy tube placement for lead-induced crop stasis in the California condor (Gymnogyps californianus).

Six free-flying California condors (Gymnogyps californianus) were diagnosed with acute lead toxicosis that caused crop distension and stasis. Between January 2006 and January 2007, the birds were referred to the Phoenix Zoo in Arizona for emergency treatment. In 5 birds, an ingluviotomy was performed to place a feeding tube from the crop to the proventriculus, which allowed a temporary bypass of the dysfunctional esophagus until normal function and motility were regained. A crop-support pressure bandage was placed in 4 birds to improve crop emptying into the proventriculus and to prevent crop distension. Although chelation therapy is the gold standard treatment for lead toxicosis, severe cases of lead-induced crop stasis are not acutely reversible with pharmaceuticals. In these condors, placement of a feeding tube was deemed prudent to ensure a viable enteric route of nutritional support during the standard treatment and recovery period in acute lead toxicosis with crop stasis.

[Animal model for training in laparoscopic pyeloplasty]. / Modelo animal de entrenamiento en pieloplastia laparoscópica.

OBJECTIVE: With the coming of the laparoscopy, multiple surgical techniques have been developed that have revolutionized the urological practice. The laparoscopic pyeloplasty has been one of the techniques most developed. However, there are very few training models that permit the surgeon to decrease the learning curve. An animal model of training for the laparoscopic pyeloplasty technique is described. METHODS: Eight procedures of laparoscopic pyeloplasty were performed using the animal model (Gallus gallus) in the laparoscopic practice laboratory of the Urology Service of the University Hospital of Caracas. The preparation times of the model and the operation times of each surgeon were compared. The statistical analysis was made calculating the mean operation time, standard deviation, frequencies and percentages. A significant value was considered as p < 0.05. RESULTS: The laparoscopic pyeloplasty procedure was performed successfully in all of the cases by two surgeons. The preparation time ranged from a maximum of 14 minutes to a minimum of 6 minutes, this being the same for both surgeons in the fourth case. The operation time ranged from a maximum of 65 minutes to a minimum of 43 minutes, observing significant differences when comparing the times individually for each surgeon. Only one case had filtration when comparing the patency of the specimen. CONCLUSIONS: The animal model of training of laparoscopic pyeloplasty that is described is economical, reproducible, of easy availability and it makes it possible to develop laparoscopic surgical skills and competency necessary for reconstructive surgery and techniques that warrant intracorporeal suture.

A novel training model for laparoscopic pyeloplasty using chicken crop.

PURPOSE: To create a model for laparoscopic pyeloplasty training using the crop and esophagus of a chicken. The model can be used to simulate the steps taken during laparoscopic pyeloplasty and to help trainees practice laparoscopic suturing skills. MATERIALS AND METHODS: The chicken crop and esophagus were used to simulate the renal pelvis and ureter, respectively. These were exposed by reflecting the skin overlying the neck and thorax. The crop was thoroughly cleaned and filled with water via the esophageal end to simulate the dilated renal pelvis. The chicken was positioned within an indigenously made laparoscopic training box. Laparoscopic pyeloplasty was performed using the dismembered Anderson Hynes technique. The model was used over a period of 1 month by three urology trainees in their final year of training. They were assessed with respect to time needed to complete anastomosis and quality of anastomosis. RESULTS: The mean operative time showed a marked reduction from the second to the fourth attempt. There was also a significant improvement in the quality of anastomosis from the first to the fourth attempt. At the end of four attempts, all trainees were able to satisfactorily complete a good quality ureteropelvic anastomosis in a mean time of 67.7 minutes (range 62-76 min). CONCLUSION: Laparoscopic suturing skills require effective training and constant practice to perfect the technique. Adequate practice on this chicken model shortens the learning curve, makes the trainee more confident of his or her skills, and improves his operative performance.

Treatment of lead toxicity and crop stasis in a California condor (Gymnogyps californianus).

A free-ranging California condor (Gymnogyps californianus) presented severely dehydrated, unable to stand, very weak, and with a distended crop. Toxicologic analysis revealed an elevated blood lead level of 291.4 microg/ ml. There was no evidence of lead exposure on radiographs. The condor was treated with chelating agents and intensive supportive care. Over a period of 10 days, a majority of its clinical signs improved, and lead levels dropped to near normal. However, the condor was left with a severe, persistent crop stasis and malnutrition. An esophagostomy tube, and later an ingluviostomy tube, were placed and maintained for a period of 1 mo. The condor was managed with continuous infusion feeding. After the feeding tube was removed, the condor was managed with small amounts of soft food orally. After 10 wk of treatment, the crop returned to normal function.

Status of the digestive system and tibiae of cropectomized hens at night.

Experiments were conducted to determine the effect of cropectomy on the total amount and calcium content of ingesta in the digestive tract of the laying hen at night, as well as to determine if any abnormal physiological changes had occurred in the cropectomized hens. Treatments were cropectomized, sham operated and unoperated control hens. The gizzards from cropectomized hens contained about twice as much feed at 7:30 p.m. as that of the controls. The gizzard weight, without contents, was also significantly heavier in cropectomized hens than that of the controls. At 7:30 p.m. total contents of the digestive system of cropectomized and control hens were 15.94 gm. versus 24.07 gm., respectively. The control birds also had 2.71 times more total calcium in the digestive system at 7:30 p.m. than the cropectomized birds. The contents of the small intestine of cropectomized birds had 17% more calcium at 7:30 p.m. than did that of the controls. However, by 5:30 a.m. the contents of the small intestine of the control birds had 3.17 times more calcium than did that of the cropectomized birds. No differences were found between treatments or between time periods in relation to tibia breaking strength, calcium content of tibia or percent tibia ash. The degree of dietary calcium deficiency at night appears to be greater with cropectomized hens, even though the gizzard compensates, in part, for the loss in storage capacity of the crop. It is hypothesized from these data that the crop is an important and necessary organ in the laying hen for supplying nutrients throughout the night when the hen is not consuming feed.

The effect of cropectomy on selected reproductive and physiological characteristics of laying hens.

Two-hundred and fifty Babcock B-300 pullets (18 weeks of age) were either cropectomized, sham-operated or used as unoperated controls in two experiments. Although feed consumption was slightly less in cropectomized birds than in control birds, the pattern of feed consumption in relation to time of day remained unchanged. Egg production and body weight of cropectomized birds were significantly lower than that of control or sham birds. Egg weight was not affected by cropectomy or the sham operation. Cropectomy had no influence on the pattern of serum calcium or on egg specific gravity in relation to time of day; however, serum calcium and egg specific gravity was consistently lower at each time interval measured throughout the day or night when compared to that of controls. The adverse effect of cropectomy on specific gravity of eggs and serum calcium indicated that the crop is an important organ in the laying hen. The crop appeared to serve as a storage depot for feed providing the bird with nutrients necessary for optimal shell quality during periods on non-consumption.