A mattress suture with pledgets can partially occlude intrahepatic shunts in 23 dogs: evaluation of long-term survival.

IF 1.6 2区 农林科学 Q2 VETERINARY SCIENCES
Margaret Chu, Sarah Marvel, Eric Monnet
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引用次数: 0

Abstract

Objective: To explore the differences in outcomes between dogs with intrahepatic portosystemic shunts (IHPSSs) partially occluded with a mattress suture with pledgets or attenuated with cellophane banding.

Methods: 74 dogs with IHPSSs were included in this retrospective study. Medical records between January 2000 and February 2020 were evaluated for information on dogs undergoing laparotomy with cellophane banding (group C) or mattress suture with pledgets (group P) for treatment of IHPSSs, including specific outcomes of survival time, persistence of clinical signs, and necessity of continued medical management. Primary veterinarians and owners were contacted for long-term follow-up.

Results: 51 dogs were entered in group C and 23 in group P. The duration of surgery was 154.6 minutes (136.3 to 170 minutes) for group C and 154.9 minutes (128.9 to 180.9 minutes) for group P. The short-term mortality rate was 2% for group C and 4% for group P. Dogs in group C had a median survival time of 3,537 days, while dogs in group P had a median survival time of 2,141 days. In the long term, dogs in group P received more medications than dogs in group C, but the distribution of the quality-of-life score was not different.

Conclusions: Mattress suture with pledgets can be used as an alternative to cellophane banding.

Clinical relevance: For dogs with IHPSSs where full surgical dissection for placement of cellophane band is not possible, partial occlusion of the shunt with a mattress suture with pledgets is a viable option with acceptable long-term outcomes.

在 23 只狗身上使用带垫片的褥式缝合可部分堵塞肝内分流管:评估长期存活率。
目的方法:74 只患有肝内门体分流术(IHPSS)的狗被纳入了这项回顾性研究。对 2000 年 1 月至 2020 年 2 月期间的医疗记录进行了评估,以了解为治疗 IHPSSs 而进行腹腔手术并使用玻璃纸扎带(C 组)或褥式缝合带(P 组)的犬只的信息,包括存活时间、临床症状的持续性以及继续接受医疗管理的必要性等具体结果。我们还联系了主要兽医和狗主人进行长期随访:C组和P组的短期死亡率分别为2%和4%。C组狗狗的中位存活时间分别为3537天和2141天。从长期来看,P 组的狗比 C 组的狗接受了更多的药物治疗,但生活质量评分的分布却没有什么不同:结论:带褥疮栓的床垫缝合可作为玻璃纸扎带的替代方法:临床意义:对于无法通过手术完全剥离以放置玻璃纸带的 IHPSS 患犬,使用带固定物的褥式缝合线部分闭塞分流道是一种可行的选择,其长期效果可以接受。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
15.80%
发文量
539
审稿时长
6-16 weeks
期刊介绍: Published twice monthly, this peer-reviewed, general scientific journal provides reports of clinical research, feature articles and regular columns of interest to veterinarians in private and public practice. The News and Classified Ad sections are posted online 10 days to two weeks before they are delivered in print.
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