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→Coeliotomy approach
==Coeliotomy approach==
==Coeliotomy approach==
[[Image:Ventral_abdo_vein.bmp|300px|thumb|right|'''The ventral abdominal vein''' (Copyright © RVC and its licensors, Sean Bobbit, Sue Evans, Andrew Devare and Claire Moore. All rights reserved)]]
[[Image:Ventral_abdo_vein.bmp|300px|thumb|right|'''The ventral abdominal vein''' (Copyright © RVC and its licensors, Sean Bobbit, Sue Evans, Andrew Devare and Claire Moore. All rights reserved)]]
Common indications for coeliotomies include dystocia and related problems, abscesses and exploratory surgery especially for taking biopsies. Consider magnification for small snakes and lizards.
===Lizards===
===Lizards===
* Paralumbar and midline approaches are recommended.
* Paralumbar and midline approaches are recommended.
===Snakes===
===Snakes===
* The coeliotomy incision is usually made lateral to the ventral scales between the first two rows of lateral scales (between the scales rather than through them). This will allow eversion of the skin without any distortion when suturing. There are three layers to incise – skin, muscle and pleuroperitoneum. When closing, muscle and pleuroperitoneum can be sutured together.
'''Abcesses''' - Abscesses should be dissected out and removed in total, unlike cats or dogs where a simple drain may suffice. The wound is flushed with a diluted antiseptic such as chlorhexidene. After extraction the skin is sutured for primary healing or left open to heal by secondary intention.
'''Abcesses''' - Abscesses should be dissected out and removed in total, unlike cats or dogs where a simple drain may suffice. The wound is flushed with a diluted antiseptic such as chlorhexidene. After extraction the skin is sutured for primary healing or left open to heal by secondary intention.