Page 971 - Small Animal Internal Medicine, 6th Edition
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CHAPTER 54   The Practice of Theriogenology   943





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                                                                         FIG 54.17
                                                                         Norwegian rigid transcervical catheters.
            FIG 54.14
            Image showing the appropriate length of vaginoscope
            required to visualize the canine cervix for transcervical
            insemination.
                                                                                                        0


                                                                                                        1


                                                                                           FOLLICLE     2


                                                                                                        3


                                                                                                        4
                                                                      L  OVARY





                                                                 FIG 54.18
                                                                 Normal sagittal canine left ovary in the follicular phase of
            FIG 54.15                                            the estrous cycle. The developing follicles (arrow) will
            Endoscopic vaginoscope Karl Storz Hopkins Telescope with   increase in size over time to the point of ovulation.
            protective external sheath, 30-degree telescope, 3.5-mm
            width, 3 ports, and 29-cm working length.
                                                                   Ultrasonography can be used to identify ovulation in the
                                                                 bitch, but early attempts were discouraging. The small size
                                                                 of the ovaries and their similarity to close structures make
                                                                 them difficult to visualize. Recent improvements in scanhead
                                                                 technology and operator expertise have made ovarian ultra-
                                                                 sound more effective. During proestrus, multiple anechoic
                                                                 follicular cystic structures can be identified, enlarging with
                                                                 time (up to 1.0 cm in diameter). These structures ultimately
                                                                 have distinct thin walls and anechoic fluid centers with
                                                                 distal  enhancement (Fig. 54.18).  The  surface  of  the ovary
                                                                 may become irregular or lumpy. The anechoic fluid-filled
                                                                 follicles acutely become hypoechoic to hyperechoic corpora
                                                                 hemorrhagica at the time of ovulation, progressing over
                                                                 several days to a thicker walled corpora lutea (Fig. 54.19).
                                                                 The ovarian follicles do not collapse in the bitch and queen.
                                                                 During diestrus the ovaries may be lobular; the corpora lutea
                                                                 are obvious hypoechoic structures of variable size. Results
                                                                 show a close correlation to ovulation as predicted by LH
            FIG 54.16
            Endoscopic vaginoscope Karl Storz Uretero-renoscope with   and progesterone testing. The main drawback is that imaging
            telescope and instrument sheath combined into one 8F to   must be performed 2 to 3 times daily when ovulation is
            13.5F unit with 3 ports and 34-cm working length.    anticipated.
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