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A '''peritoneal tap''' provides useful information; however most UK donkeys carry considerable fat deposits above the linea alba. If ultrasound is available, the depth of the peritoneal fat may be measured and an appropriate needle or (more safely) a teat cannula used.
 
A '''peritoneal tap''' provides useful information; however most UK donkeys carry considerable fat deposits above the linea alba. If ultrasound is available, the depth of the peritoneal fat may be measured and an appropriate needle or (more safely) a teat cannula used.
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In aged donkeys, a good assessment of [[Dental Problems - Donkey|dental disorders]] and possible [[Chronic foot disease - donkey|chronic hoof disease]] should be made before surgery is contemplated. Our records show that internal neoplasia is also a significant complicating factor in geriatric donkeys. This should be taken into account and discussed with the donkey owner, especially if there has been a history of progressive weight loss, or unexplained changes in haematological/biochemical
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In aged donkeys, a good assessment of [[Dental Problems - Donkey|dental disorders]] and possible [[Foot Disease (Chronic) - Donkey|chronic hoof disease]] should be made before surgery is contemplated. Our records show that internal neoplasia is also a significant complicating factor in [[Geriatric Donkey|geriatric donkeys]]. This should be taken into account and discussed with the donkey owner, especially if there has been a history of progressive weight loss, or unexplained changes in haematological/biochemical parameters. Despite all the warnings, donkeys have been successfully operated on for correctable surgical lesions, for example, small intestine strangulation and large colon displacements.
parameters. Despite all the warnings, donkeys have been successfully operated on for correctable surgical lesions, for example, small intestine strangulation and large colon displacements.
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Surgical correction of urogenital problems has been used at The Donkey Sanctuary for the following conditions: caesarean section,
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==Urogenital surgery==
ovariohysterectomy for pyometra, ovary removal, bladder stone removal, and cryptorchidism. The approach required will depend on the surgery to be performed.  
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Surgical correction of urogenital problems has been used at [http://drupal.thedonkeysanctuary.org.uk The Donkey Sanctuary] for the following conditions: caesarean section, ovariohysterectomy for pyometra, ovary removal, bladder stone removal, and cryptorchidism. The approach required will depend on the surgery to be performed.  
    
We have used  
 
We have used  
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* paramedian approach for cryptorchidism  
 
* paramedian approach for cryptorchidism  
 
* ventral abdominal approach for colic and caesarean operations
 
* ventral abdominal approach for colic and caesarean operations
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'''Pyometra''' has been recognised in a number of our donkeys. Most donkey pregnancies are unplanned and unmonitored, which may lead to a higher incidence of endometritis. This, combined with cervical lacerations, can cause accumulation of pus in the uterus.
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In some cases the only presenting sign is low grade pain, manifesting as dullness. On rectal examination, a distended uterus can be felt.
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Medical attempts to resolve the pyometra should be made using uterine drainage and prostaglandin mediated cervical relaxation. If this fails, surgical removal of the uterus may be attempted (Thiemann and Makhambeni, 2006).
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[[Pyometra - Donkey|'''Pyometra''']]
The donkey cervix may be predisposed to the development of pyometra, as it is longer than the cervix in the horse mare and protrudes into the vagina (Vendrammi et al 1998; Pugh, 2002). This makes drainage of the uterus difficult. There is also a  reference in the literature to removal of a uterine tumour in a donkey mare (Bonfig and Ingenhorst, 1992).
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'''Ovarian removal''' has been indicated for cases showing pain associated with grossly enlarged ovaries due to cysts, haematoma and abscesses. In female donkeys presenting with signs of abdominal pain, a rectal examination is indicated to assess the condition of the ovaries. Ultrasound per rectum and via the flank is required to fully evaluate the ovary. We have encountered
 
'''Ovarian removal''' has been indicated for cases showing pain associated with grossly enlarged ovaries due to cysts, haematoma and abscesses. In female donkeys presenting with signs of abdominal pain, a rectal examination is indicated to assess the condition of the ovaries. Ultrasound per rectum and via the flank is required to fully evaluate the ovary. We have encountered
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* Thiemann, A. (2008) Surgery In Svendsen, E.D., Duncan, J. and Hadrill, D. (2008) ''The Professional Handbook of the Donkey'', 4th edition, Whittet Books, Chapter 16
 
* Thiemann, A. (2008) Surgery In Svendsen, E.D., Duncan, J. and Hadrill, D. (2008) ''The Professional Handbook of the Donkey'', 4th edition, Whittet Books, Chapter 16
 
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* Bonfig, H., Ingenhorst, I. (1992). ‘Surgical removal of a pedunculated uterine tumour in a donkey mare’. ''Tierarztl Prax'' 20(1). pp 65-68.
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* Pugh, D.G. (2002). ‘Donkey reproduction’. ''AAEP proceedings'' 48. pp 113-114
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* Thiemann, A.K., Makhambeni, M.M.S. (2006). ‘Five cases of ovariohysterectomy in the donkey’. '''Proceedings of the 9th congress of the W.E.V.A.'' pp 487-489.
 
* Thiemann, A.K., Makhambeni, M.M.S. (2006). ‘Five cases of ovariohysterectomy in the donkey’. '''Proceedings of the 9th congress of the W.E.V.A.'' pp 487-489.
* Vendrammi, O.M., Guintard, C. , Moreau, J., and Taintuner, D. (1989). ‘Cervix conformation: a first anatomical approach in Baudet de Poitou jenny asses’. ''Animal Science'' 66. pp 741-744.</font color>
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* Abd El-Karim, R.(1995). ‘Two cases of rectal prolapse in the donkey’.''Equine Veterinary Education 7'' (1). pp 12-14.
 
* Abd El-Karim, R.(1995). ‘Two cases of rectal prolapse in the donkey’.''Equine Veterinary Education 7'' (1). pp 12-14.
 
* Bell, N.J., Thomas, S. (2001). ‘Use of sterile maggots to treat panniculitis in an aged donkey’. ''Veterinary Record 149''. pp 768-770.
 
* Bell, N.J., Thomas, S. (2001). ‘Use of sterile maggots to treat panniculitis in an aged donkey’. ''Veterinary Record 149''. pp 768-770.
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