Veterinary surgery : VS最新文献

{"title":"Comparison of chlorhexidine and alcohol-based antisepsis on the paralumbar fossa in cattle.","authors":"Aimie J Doyle,&nbsp;Matthew E Saab,&nbsp;J Trenton McClure","doi":"10.1111/vsu.13878","DOIUrl":"https://doi.org/10.1111/vsu.13878","url":null,"abstract":"<p><strong>Objective: </strong>To determine skin reaction, post-treatment reduction (immediate effect), and 1 hour post-treatment reduction (sustained effect) of aerobic bacterial colony forming units (CFU) following three antiseptic protocols in cattle.</p><p><strong>Study design: </strong>Prospective, randomized experimental study.</p><p><strong>Animals: </strong>Eighteen cows.</p><p><strong>Methods: </strong>Three sites in each paralumbar fossa were clipped and randomly assigned to one of three treatment groups: 5 minute 4% chlorhexidine gluconate scrub (CHG); 90 second 80% ethanol scrub (ET); 90 second 70% isopropyl alcohol scrub (IPA). All sites were monitored at all sampling time points and at 24 hours following treatment for adverse skin reaction. Samples were collected pre-, immediately post-, and 1 hour post-treatment and plated in duplicate. Bacterial counts were shifted to eliminate zeroes, log₁₀ transformed, and averaged. ANOVA was used to compare differences in mean reduction in log₁₀ CFU/ml between groups.</p><p><strong>Results: </strong>Reduction in log10CFU/ml was more pronounced immediately after application of IPA (p = .001) and ET (p = .001) than CHG. This reduction was better sustained after preparation with CHG than ET (p = .005) but not IPA. Immediate and sustained reductions in bacterial loads did not differ after application of IPA or ET. No adverse skin reactions were noted.</p><p><strong>Conclusions: </strong>Skin preparation with alcohol-based antiseptics was well tolerated and improved immediate bacterial reduction compared to CHG. This reduction was better sustained 1 hour after application of CHG than ET, but no difference was detected between CHG and IPA.</p><p><strong>Clinical relevance: </strong>Lack of adverse skin reaction and performance provide evidence to support skin preparation with alcohol-based antiseptics in cattle.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1191-1195"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40344383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ex vivo evaluation of a novel cell salvage device to recover canine erythrocytes.","authors":"Ivan A Kalmukov,&nbsp;Andrea Galliano,&nbsp;Janet Godolphin,&nbsp;Rui Ferreira,&nbsp;Ines Cardoso,&nbsp;Daisy J Norgate,&nbsp;Nicholas J Bacon","doi":"10.1111/vsu.13875","DOIUrl":"https://doi.org/10.1111/vsu.13875","url":null,"abstract":"<p><strong>Objective: </strong>To determine the ability of a cell salvage device to recover canine erythrocytes by direct aspiration of diluted packed red blood cells (pRBC) and saline rinse from blood-soaked surgical swabs.</p><p><strong>Study design: </strong>Experimental study.</p><p><strong>Sample population: </strong>Twelve recently expired units of canine pRBC.</p><p><strong>Methods: </strong>pRBC units donated from a pet blood bank (after quality analysis) were diluted with anticoagulant, divided into two equal aliquots, and subsequently harvested by direct suction (Su), or soaked into swabs, saline-rinsed and suctioned (Sw). The volume of product, manual packed cell volume (PCV), and red blood cell mass (rbcM) were measured and compared before and after salvaging. The rbcM recovery was recorded as percentage ([rbcM post salvage]/[rbcM presalvage]x100). Statistical analysis of all measured values was performed (significance p < .05).</p><p><strong>Results: </strong>No difference was detected between pre- and post-salvage PCV or mean rise of PCV for either group. The volume of salvaged blood was 143 ml (SD ± 2.89 ml; Su) and 139.83 ml (SD ± 3.30 ml; Sw), p < .001. The average rbcM recovered was 88.43% (Su) and 84.74%. (Sw) averaged 84.74% (p = .015). Blood type and order of processing did not influence recovery.</p><p><strong>Conclusion: </strong>The tested cell saver device reliably salvages canine blood in this ex vivo setting. Cell salvage via direct suction produces higher volumes of salvaged blood than rinsing blood-soaked swabs and salvaging the flush.</p><p><strong>Clinical significance: </strong>Washing blood-saturated surgical swabs results in a high harvest of red blood cells. The authors recommend it as an adjunct to direct suction to maximize erythrocyte recovery.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1223-1230"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40350004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Zygomatic arch reconstruction with a patient-specific polycaprolactone/beta-tricalcium phosphate scaffold after parosteal osteosarcoma resection in a dog.","authors":"Kyu-Won Kang,&nbsp;Jin-Hyung Shim,&nbsp;Hyun-Jung Kim,&nbsp;Byung-Jae Kang","doi":"10.1111/vsu.13895","DOIUrl":"https://doi.org/10.1111/vsu.13895","url":null,"abstract":"<p><strong>Objective: </strong>To describe the surgical application of a 3D-printing-based, patient-specific, biocompatible polycaprolactone/beta-tricalcium phosphate (PCL/β-TCP) scaffold to reconstruct the zygomatic arch after tumor resection in a dog.</p><p><strong>Animal: </strong>A 13 year old female spayed Maltese.</p><p><strong>Study design: </strong>Case report METHODS: The dog's presenting complaint was swelling ventral to her right eye. A round mass arising from the caudal aspect of the right zygomatic arch was identified by computed tomography (CT). The histopathologic diagnosis was a low-grade spindle-cell tumor. Surgical resection was planned to achieve 5 mm margins. A patient-specific osteotomy guide and polycaprolactone/beta-tricalcium phosphate (PCL/β-TCP) scaffold were produced. Osteotomy, including 30% of total zygomatic arch length, was performed using an oscillating saw aligned with the guide. The scaffold was placed in the defect. Parosteal osteosarcoma was diagnosed based on histopathological examination. Excision was complete, with the closest margin measuring 0.3 mm.</p><p><strong>Results: </strong>Mild epiphora, due to surgical site swelling, subsided after 20 days. Tissue formation within and around the porous scaffold was noted on CT 10 months postoperatively, with no evidence of metastasis or local recurrence. Facial conformation appeared symmetrical, and no complications were noted 16 months postoperatively.</p><p><strong>Conclusion: </strong>The use of a 3D-printing-based, patient-specific, biocompatible PCL/β-TCP scaffold successfully restored the structure and function of the zygomatic arch without complications, even following wide zygomectomy for complete tumor removal.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1319-1325"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40380510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preputial urethrostomy with preservation of the local anatomy in 4 dogs.","authors":"Thomas Giansetto,&nbsp;Olivier Broux,&nbsp;Géraldine Bolen,&nbsp;Stéphanie Claeys","doi":"10.1111/vsu.13884","DOIUrl":"https://doi.org/10.1111/vsu.13884","url":null,"abstract":"<p><strong>Objective: </strong>To describe a novel modified preputial urethrostomy with preservation of the local anatomy in 4 dogs.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Animals: </strong>Four client-owned male dogs.</p><p><strong>Methods: </strong>Dogs presented for dysuria and urethral obstruction and underwent a modified preputial urethrostomy as a salvage procedure after the failure of previous treatments. Urethral stenosis or tear was confirmed by cysto-urethrography in all dogs. The preputial urethrostomy involved anastomosis of the pelvic urethra with the preputial mucosa after caudal laparotomy, without dissection of the prepuce or amputation of the penis. Owner follow up was obtained by telephone interview.</p><p><strong>Results: </strong>Urinary obstruction was due to urethral stenosis in 3 dogs and severe complications following perineal urethrostomy in 1 dog. The urinary obstruction was resolved in all dogs by the modified preputial urethrostomy. None of the dogs had signs of dysuria, urinary tract infection, or dermatitis immediately postoperatively. Two dogs showed signs of urinary incontinence from 15 days to 1 month postoperatively, which persisted throughout the follow-up period.</p><p><strong>Conclusion: </strong>A functional urethral stoma was obtained in all dogs. This technique may be an alternative to prepubic urethrostomy in male dogs.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1295-1303"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40353651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retention of basic surgical skills in veterinary students.","authors":"Julie A Hunt,&nbsp;Robert S Gilley,&nbsp;Dawn Spangler,&nbsp;Tiffany Pulliam,&nbsp;Stacy Anderson","doi":"10.1111/vsu.13891","DOIUrl":"https://doi.org/10.1111/vsu.13891","url":null,"abstract":"<p><strong>Objective: </strong>To quantify veterinary students' retention of surgical skills after a 5-month period without practice.</p><p><strong>Study design: </strong>Prospective longitudinal descriptive study.</p><p><strong>Sample population: </strong>Convenience sample of second year veterinary students (n = 57).</p><p><strong>Methods: </strong>Students practiced ovariohysterectomy (OVH) on a model during 4 clinical skills laboratories during spring 2021. Students were assessed performing OVH on their model using a validated 22-item rubric. Students not meeting expectations repeated their assessment 2 weeks later. All students had a 5-month period, including summer break, without skills practice. Students were again assessed performing OVH on their model in the fall. Students' rubric scores and pass rates were compared before and after summer break.</p><p><strong>Results: </strong>Students scored lower on their retention test in fall (median = 43) than at the spring assessment (median = 56, P < .001). No difference was detected between lower and higher performing students. Five students (9%) did not meet expectations on their first assessment; more students (17/57, 30%) failed to meet expectations on their retention test (P = .004).</p><p><strong>Conclusion: </strong>Students experienced a decay in the surgical skills required to perform OVH after a 5-month period without practice, regardless of the quality of their initial performance.</p><p><strong>Clinical significance: </strong>Veterinary educators should emphasize the importance of continual practice to maintain skills and should consider assisting students in regaining skills during review sessions on models to improve surgical skill retention after a prolonged break.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1240-1246"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40366332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Left pancreaticoduodenostomy after removal of the right lobe and the head of the pancreas in a cat.","authors":"Benoît Cruciani,&nbsp;Chloé Touzet,&nbsp;Elisabeth Robin,&nbsp;Camille Bismuth","doi":"10.1111/vsu.13887","DOIUrl":"https://doi.org/10.1111/vsu.13887","url":null,"abstract":"<p><strong>Objective: </strong>To report a surgical technique for pancreaticoduodenostomy and its outcomes in a cat.</p><p><strong>Animals: </strong>A 14-year-old domestic cat.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Methods: </strong>A cat was referred to our hospital with a large abdominal mass. On ultrasonographic examination, this mass was identified as a large fluid-filled cavity in place of the right pancreatic duct and involved the pancreatic and accessory pancreatic ducts. A small echoic cavity was observed in the left pancreatic lobe. Serous fluid was collected from the large cavity. On cytology, the small cavity was consistent with an abscess. A partial left pancreatectomy was performed to remove the abscess. The large cavity was excised with the remnant of the right pancreatic lobe and body. After ligation of the pancreatic ducts, the left pancreatic duct was isolated and an end-to-side pancreaticoduodenostomy was performed.</p><p><strong>Results: </strong>The cat recovered without complications. Histological examination was consistent with chronic pancreatitis and peripheral inflammation. No evidence of postoperative pancreatic insufficiency was detected on clinical examination or laboratory findings. A focal ampulla-like dilation of the pancreatic duct was noted on ultrasonography, with no other complications at the anastomosis. The cat presented 225 days postoperatively with respiratory distress. Multiple nodules were identified throughout the lung parenchyma on radiographs. Abnormalities on ultrasonographic examination included an enlarged liver infiltrated with nodules. Due to poor prognosis, the cat was euthanized. Final histopathological diagnosis was diffuse carcinoma.</p><p><strong>Conclusion: </strong>Pancreaticoduodenostomy restored pancreaticointestinal continuity after extensive pancreatectomy involving the pancreatic ducts and resulted in long-term survival in the cat reported here.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1304-1310"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33465469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment and outcomes of five dogs with intrathoracic migration of porcupine quills.","authors":"Meagan Ann Walker,&nbsp;Katie Leigh Hoddinott,&nbsp;Adam Timothy Ogilvie","doi":"10.1111/vsu.13860","DOIUrl":"https://doi.org/10.1111/vsu.13860","url":null,"abstract":"<p><strong>Objective: </strong>To describe the perioperative findings and outcomes in dogs that underwent exploratory thoracotomy following porcupine quill migration and report (1) the use of traction alone for the removal of superficial quills in the pulmonary parenchyma, and (2) the use of exploratory pericardiotomy for the incidental identification of cardiac quills.</p><p><strong>Animals: </strong>Five client-owned dogs.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Methods: </strong>Medical records of dogs with pneumothorax or pericardial effusion secondary to porcupine quill migration from January 2019 to January 2022 were reviewed. Advanced imaging and a median sternotomy were performed in each dog. Demographics, preoperative findings, surgical treatment, and outcome were recorded.</p><p><strong>Results: </strong>Pulmonary quills were treated with gentle traction or lung lobectomy. The intraoperative palpation or appearance of the pericardium prompted pericardiotomy in three dogs, exposing epicardial and intravascular quills. No evidence of these quills was detected on preoperative advanced imaging or on gross appearance of the pericardium. Quills were removed with a combination of gentle traction, purse-string sutures, and mattress sutures. Pneumothorax and pericardial effusion resolved postoperatively in all dogs. All dogs survived to discharge.</p><p><strong>Conclusion: </strong>Traction allowed removal of quills that were superficially attached to the pulmonary parenchyma without the need for subsequent lobectomy. Epicardial and myocardial quills were detected following pericardiotomy in three dogs despite the absence of quills grossly penetrating the pericardium. Preoperative imaging did not allow consistent detection of quills.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1257-1264"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40501667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment and outcomes of two pigs treated for hemoabdomen secondary to splenic disease.","authors":"Brooke L Schultz,&nbsp;Lauren C Bookbinder,&nbsp;Elaine F Claffey,&nbsp;Lauren K Luedke,&nbsp;Barbara Delvescovo,&nbsp;Susan L Fubini,&nbsp;Rolfe M Radcliffe","doi":"10.1111/vsu.13858","DOIUrl":"https://doi.org/10.1111/vsu.13858","url":null,"abstract":"<p><strong>Objective: </strong>To report the management and outcomes of two pigs undergoing emergency surgery for hemoabdomen secondary to splenic disease.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Animal: </strong>Two adult pigs with hemoabdomen and suspected splenic pathology.</p><p><strong>Methods: </strong>Pigs were admitted for several clinical signs including lethargy, inappetence, vomiting, abdominal distention, hypothermia, and tachycardia. Abdominal ultrasound and abdominocentesis led to a diagnosis of hemoabdomen secondary to splenic disease.</p><p><strong>Results: </strong>The spleen was confirmed as the source of hemorrhage during midline exploratory celiotomy in both pigs. Splenic rupture resulted from splenic vein thrombosis in one pig and splenic torsion in the other. Complications included intraoperative hemorrhage and intraabdominal adhesion formation. Four years following splenectomy, one pig was euthanized because of widespread small intestinal adhesions causing luminal obstruction, while the other pig was euthanized following a diagnosis of chronic myeloid leukemia.</p><p><strong>Conclusions: </strong>A ventral midline celiotomy provided adequate exposure for splenectomy. The procedure allowed resolution of signs in both pigs. Splenic pathology, such as vessel thrombosis or torsion, may result in splenic rupture and should be considered as a differential in pigs with hemoabdomen.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1206-1214"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40522582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a modified radiographic union scale for tibial fractures scoring system in staged bilateral tibial plateau leveling osteotomy procedures and comparison of first and second side radiographic bone healing.","authors":"Kyle J Walker,&nbsp;John Litterine-Kaufman,&nbsp;Roy F Barnes,&nbsp;John M French,&nbsp;Steven L Tsai,&nbsp;Deborah A Keys","doi":"10.1111/vsu.13873","DOIUrl":"https://doi.org/10.1111/vsu.13873","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the inter- and intra-rater reliability of the tibial plateau leveling osteotomy (TPLO) modified radiographic union scale for tibial fractures (mRUST), a semiquantitative scoring system, as compared with the subjective evaluation of radiographic union for staged TPLOs.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>Forty-eight dogs, 96 stifles.</p><p><strong>Methods: </strong>Medical records were reviewed for dogs with bilateral cranial cruciate ligament injuries diagnosed at presentation that underwent staged bilateral TPLOs within 6 months and had both immediate and recheck postoperative radiographs. Radiographs were anonymized, reviewers were blinded, radiographic union was evaluated subjectively, and TPLO mRUST scores were assigned.</p><p><strong>Results: </strong>The subjective evaluation's intra-rater reliability was 0.72 (Kappa 95% CI 0.65-0.79) and inter-rater reliability was 0.33 (Kappa 95% CI 0.28-0.39). The TPLO mRUST scoring system intra-rater reliability was 0.73 (95% CI 0.68-0.78) and inter-rater reliability was 0.56 (95% CI 0.41-0.68). There was no difference in the degree of bone healing quantified by the TPLO mRUST scoring system (95% CI - 0.1-1.2, P = .09) or subjective evaluation (P = .48) between the first and second side TPLOs. The TPLO mRUST scores were positively correlated with subjective healing (r = 0.94, 95% CI 0.92-0.96, P < .0001, and for scores ≥10/12, 99%, 244/246) were subjectively assigned as radiographically healed.</p><p><strong>Conclusion: </strong>The TPLO mRUST scoring system improved inter-rater reliability compared to subjective evaluation of radiographic union.</p><p><strong>Clinical significance: </strong>The TPLO mRUST scoring system should be considered as a semiquantitative supplemental tool for evaluating radiographic union.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1231-1239"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40377178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Toyoda technique for total cystectomy and cutaneous ureterostomy in a cat.","authors":"Noritaka Maeta,&nbsp;Kenji Kutara,&nbsp;Kanna Saeki,&nbsp;Fumio Hoshi","doi":"10.1111/vsu.13865","DOIUrl":"https://doi.org/10.1111/vsu.13865","url":null,"abstract":"<p><strong>Objectives: </strong>To report the technique and outcome of a cat treated with a total cystectomy and bilateral cutaneous ureterostomy.</p><p><strong>Animals: </strong>A 16-year-old male castrated domestic shorthair cat.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Case presentation: </strong>A cat was referred after a 2-week history of pollakiuria and hematuria. Transitional cell carcinoma (TCC) was suspected based on ultrasonographic, cytologic, and contrast computed tomographic (CT) findings. A total cystectomy was combined with a modified cutaneous ureterostomy: the ureter, incised like a fish-mouth aperture, was anastomosed to the skin after the creation of a rectangular-shaped defect. Complete excision of a TCC was confirmed histologically.</p><p><strong>Results: </strong>Ureteral stents were removed 7 days (left) and 28 days (right) postoperatively. The cat's incontinence was managed with an absorbent diaper surrounding the ureteral stomata. The right ureter became obstructed 14 months after surgery, and the cat died at home approximately 16 months after surgery. In spite of the urinary incontinence, the owner was satisfied with the surgery and evaluated the cat's quality of life as satisfactory.</p><p><strong>Conclusions: </strong>The total cystectomy and cutaneous ureterostomy described here allowed urinary excretion and resulted in long-term survival of a cat with bladder TCC.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1280-1286"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40537552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}