Veterinary surgery : VS最新文献

{"title":"The effect of grip location on Kirschner wire bend characteristics: An in vitro study.","authors":"Jaclyn R Gremley, S. W. Frederick, A. Cross","doi":"10.1055/s-0042-1758289","DOIUrl":"https://doi.org/10.1055/s-0042-1758289","url":null,"abstract":"OBJECTIVE\u0000To determine the effect of Kirschner wire (K-wire) grip location on bend angle, bend radius, and torque when performing a Z-bend technique.\u0000\u0000\u0000STUDY DESIGN\u0000Experimental study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Ten samples at each of five grip locations for each of three K-wire diameters.\u0000\u0000\u0000METHODS\u0000K-wires of three diameters (0.9, 1.1, 1.6 mm) were drilled into PVC pipe, and a Jacob's chuck was used to bend the wires at five periodic grip locations (distance from the bone model). Torque, bend angle, and bend radius were determined for each sample. Outcome variables were statistically analyzed by grip location to determine significant relationships.\u0000\u0000\u0000RESULTS\u0000A grip location of 2.0 cm in the 0.9 mm K-wire group minimized bend angle (mean ± SD: 75.92° ± 0.81) and bend radius (2.89 mm ± 0.08). A grip location of 3.0 cm in the 1.1 mm K-wire group minimized bend angle (72.88° ± 0.98) and bend radius (2.47 mm ± 0.20). A grip location of 3.0 cm minimized bend angle (74.38° ± 1.93) and bend radius (2.71 mm ± 0.27) in the 1.6 mm K-wire group. Torque at these grip locations for the 0.9, 1.1, and 1.6 mm K-wires was 6.50 N-m ± 0.0, 11.00 N-m ± 0.0, and 19.05 N-m ± 0.16, respectively.\u0000\u0000\u0000CONCLUSION\u0000Bend angle and bend radius can be minimized by bending K-wires at specific grip locations, though torque is not minimized at these locations. Clinical significance These findings provide an evidence-based recommendation of where surgeons should grip K-wires when bending them.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"2015 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121442445","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":"Owner-reported outcome measures in veterinary care for companion animal orthopedic patients: An international online survey of veterinarians' expectations and practices.","authors":"H. Radke, Tracy Y. Zhu, C. Knoll, M. Allen, A. Joeris","doi":"10.1111/vsu.13842","DOIUrl":"https://doi.org/10.1111/vsu.13842","url":null,"abstract":"OBJECTIVE\u0000To report veterinarians' familiarity with and perceptions of owner/observer-reported outcome measures (OROMs) and their applications in routine clinical practice.\u0000\u0000\u0000STUDY DESIGN\u0000Cross-sectional online survey.\u0000\u0000\u0000ANIMALS OR SAMPLE POPULATION\u0000A total of 441 veterinarians with a caseload of companion animal orthopedic patients.\u0000\u0000\u0000METHODS\u0000Respondents answered questions regarding their familiarity with and application of OROMs. Respondents provided opinions on statements related to reasons for using or not using OROMs in routine clinical practice, prerequisites to implement OROMs in routine clinical practice, and whether they would implement OROMs in routine clinical practice if adequate tools/technologies were available.\u0000\u0000\u0000RESULTS\u0000Most (293/441, 66.4%) respondents felt familiarity with at least one OROM. Only 17.5% (77 out of the 440 answering the question about the application of OROMs) applied OROMs in routine clinical practice. The two main reasons for not using OROMs in routine clinical practice were the lack of opportunity/feasibility and the lack sufficient information/knowledge/experiences. User-friendliness, time efficiency, and interpretability were considered the most important prerequisites for implementing OROMs in routine clinical practice. If adequate tools/technologies were available, 266/439 (60.6%) respondents indicated that they would definitely implement OROMs in routine clinical practice.\u0000\u0000\u0000CONCLUSION\u0000Although most respondents were familiar with at least one OROM, fewer than one-fifth applied them in routine clinical practice. Most respondents were willing to implement OROMs in routine clinical practice if adequate tools/technologies were available.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Our results justify further investigations to improve the application of OROMs in routine clinical practice in veterinary care of companion animal orthopedic patients.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131154538","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":"Prospective evaluation of lymphatic embolization as part of the treatment in dogs with presumptive idiopathic chylothorax.","authors":"J. Carvajal, J. Case, Federico R Vilaplana Grosso, W. A. Fox-Alvarez, Penny J. Regier, Valentine D Verpaalen, B. Toskich","doi":"10.1111/vsu.13825","DOIUrl":"https://doi.org/10.1111/vsu.13825","url":null,"abstract":"OBJECTIVE\u0000To describe the embolization technique and short-term clinical outcome in dogs undergoing lymphatic embolization (LE) as part of treatment for presumptive idiopathic chylothorax (IC). Additionally, to document findings in computed tomography lymphangiography (CTLa) following embolization.\u0000\u0000\u0000STUDY DESIGN\u0000Prospective case series ANIMALS: Eight client-owned dogs.\u0000\u0000\u0000METHODS\u0000Dogs underwent CTLa followed by thoracic duct ligation (TDL), pericardiectomy (PC) and LE. A mixture of 3:1 lipiodol: n-butyl cyanoacrylate embolic solution was injected through a catheterized mesenteric lymphatic vessel via limited abdominal approach using intraoperative fluoroscopy. CTLa was scheduled for 12 weeks postoperatively, and long-term follow-up was obtained via telephone contact.\u0000\u0000\u0000RESULTS\u0000LE was technically successful in six of the eight dogs; and clinically successful in five of the six dogs. In the unsuccessful dog, a diagnosis of lymphangiosarcoma was determined, and the owners elected for euthanasia. Five dogs who underwent successful LE underwent CTLa at 12 weeks. Complete resolution of pleural effusion occurred in three dogs and scant pleural effusion in two dogs. A robust lymphatic embolus preventing antegrade continuation of radiocontrast was documented in all five dogs. Five of the six dogs that underwent LE, are alive and clinically normal at 358-960 days postoperatively.\u0000\u0000\u0000CONCLUSIONS\u0000LE is feasible as part of treatment for dogs with IC. Additionally, a robust lymphatic embolus and lack of radiocontrast flow past the embolus was documented at 12 weeks following surgery.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000LE has the potential to reduce surgical failure by reducing efferent lymphatic chyle flow, occluding missed lymphatic branches and preventing the development of collateral branches.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115295472","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":"Mechanical evaluation of a novel angle-stable interlocking nail in a gap fracture model.","authors":"Julie Deprey, M. Blondel, C. Saban, M. Massenzio, O. Gauthier, P. Moissonnier, E. Viguier, T. Cachon","doi":"10.1111/vsu.13837","DOIUrl":"https://doi.org/10.1111/vsu.13837","url":null,"abstract":"OBJECTIVE\u0000To describe the mechanical characteristics of a novel angle-stable interlocking nail (NAS-ILN) and compare them to those of a locking compression plate (LCP) by using a gap-fracture model.\u0000\u0000\u0000STUDY DESIGN\u0000Experimental study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Synthetic bone models.\u0000\u0000\u0000METHODS\u0000Synthetic bone models simulating a 50 mm diaphyseal comminuted canine tibial fracture were treated with either a novel angle-stable interlocking nail (NAS-ILN) or a locking compression plate (LCP). Maximal axial deformation and load to failure in compression and 4-point bending, as well as maximal angular deformation, slack, and torque to failure in torsion, were statistically compared (P < .05).\u0000\u0000\u0000RESULTS\u0000In compression, the maximal axial deformation was lower for NAS-ILN (0.11 mm ± 0.03) than for LCP (1.10 mm ± 0.22) (P < .0001). The ultimate load to failure was higher for NAS-ILN (803.58 N ± 29.52) than for LCP (328.40 N ± 11.01) (P < .0001). In torsion, the maximal angular deformation did not differ between NAS-ILN (22.79° ± 1.48) and LCP (24.36° ± 1.45) (P = .09). The ultimate torque to failure was higher for NAS-ILN (22.45 Nm ± 0.24) than for LCP (19.10 Nm ± 1.36) (P = .001). No slack was observed with NAS-ILN. In 4-point bending, the maximal axial deformation was lower for NAS-ILN (3.19 mm ± 0.49) than for LCP (4.17 mm ± 0.34) (P = .003). The ultimate bending moment was higher for NAS-ILN (25.73 Nm, IQR [23.54-26.86] Nm) than for LCP (16.29 Nm, IQR [15.66-16.47] Nm) (P = .002).\u0000\u0000\u0000CONCLUSION\u0000The NAS-ILN showed greater stiffness in compression and 4-point bending, and a greater resistance to failure in compression, torsion, and 4-point bending, than LCP.\u0000\u0000\u0000CLINICAL IMPACT\u0000Based on these results, NAS-ILNs could be considered as alternative implants for the stabilization of comminuted fractures.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133517627","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":"Proximal sesamoid bone microdamage is localized to articular subchondral regions in Thoroughbred racehorses, with similar fracture toughness between fracture and controls.","authors":"L. Luedke, Phoebe Ilevbare, K. Noordwijk, P. Palomino, S. McDonough, S. Palmer, P. Basran, E. Donnelly, H. Reesink","doi":"10.1111/vsu.13816","DOIUrl":"https://doi.org/10.1111/vsu.13816","url":null,"abstract":"OBJECTIVE\u0000To determine whether proximal sesamoid bone (PSB) microdamage and fracture toughness differ between Thoroughbred racehorses sustaining PSB fracture and controls.\u0000\u0000\u0000STUDY DESIGN\u0000Cadaveric case-control.\u0000\u0000\u0000ANIMALS\u0000Twenty-four Thoroughbred racehorses (n = 12 PSB fracture, n = 12 control).\u0000\u0000\u0000METHODS\u0000Proximal sesamoid bones were dissected, and gross pathological changes and morphological measurements were documented. High-speed exercise history data were evaluated. Microdamage was assessed in fracture, fracture-contralateral limb (FXCL) and control PSBs using whole bone lead uranyl acetate (LUA) staining with micro-CT imaging or basic fuchsin histological analysis. Fracture toughness mechanical testing was carried out in 3-point-bending of microbeams created from PSB flexor cortices. Data were analyzed using ordinal logistic and linear regression models.\u0000\u0000\u0000RESULTS\u0000Microdamage was detected most commonly in the articular subchondral region of PSBs via LUA micro-CT and basic fuchsin histology. There were no differences in microdamage between FXCL and control PSBs. Fracture toughness values were similar for FXCL (1.31 MPa√m) and control (1.35 MPa√m) PSBs. Exercise histories were similar except that horses sustaining fracture spent a greater percentage of their careers in rest weeks.\u0000\u0000\u0000CONCLUSION\u0000Microdamage was detected in the articular region of PSBs but was not greater in horses sustaining catastrophic PSB fracture. Fracture toughness of PSB flexor cortices did not differ between FXCL and control PSBs.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Although uncommon, microdamage is localized to the articular region of Thoroughbred racehorse PSBs. Catastrophic PSB failure is not associated with lower PSB flexor cortex fracture toughness.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131042483","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":"Long-term follow up of 44 cats undergoing total hip replacement: Cases from a feline hip registry (2010-2020).","authors":"Verónica Rodiño Tilve, S. Allaith, S. Girling, A. Moores, Lauren Mulholland, Shane D. Morrison, J. Onyett, T. Maddox, B. Lascelles, S. Langley-Hobbs, E. Comerford","doi":"10.1111/vsu.13822","DOIUrl":"https://doi.org/10.1111/vsu.13822","url":null,"abstract":"OBJECTIVE\u0000To report indications, complications, and long-term outcomes following feline total hip replacement (THR) using a client-based clinical metrology questionnaire, the Feline Musculoskeletal Pain Index (FMPI), and owner satisfaction.\u0000\u0000\u0000STUDY DESIGN\u0000Multi-institutional retrospective cohort study.\u0000\u0000\u0000ANIMALS\u0000Cats (n = 44) that underwent THR (n = 56).\u0000\u0000\u0000METHODS\u0000Feline THRs submitted to a registry over a 10-year period were reviewed. The FMPI and owner satisfaction surveys were used to assess outcome.\u0000\u0000\u0000RESULTS\u0000Forty-four cats met the inclusion criteria. Median age was 2 years (range: 0.9-11), and median bodyweight 5 kg (range: 3.3-7.6). British Shorthair and Domestic Shorthair were the most frequent breeds. Most cats were neutered males (33/44) and slipped capital femoral epiphysis (SCFE) was the most common surgical indication (34/56). All implants were cemented micro and nano hip implants. Overall complications (11/56) included 9 major complications. The median duration of follow up was 752 days (range: 102-3089). No association was found between clinical variables and complications. The FMPI score improved from 0.111 (range: 0-1.222) to 2.111 (range: 0.888-3.666) postoperatively (P < .001). Owner satisfaction was reported as \"very good\" in 30/33 cases (90.9%).\u0000\u0000\u0000CONCLUSION\u0000A validated client metrology questionnaire showed clinical improvement in cats following THR. The most common indication for THR in cats was SCFE occurring in young male neutered cats. Complication rates were comparable to previous reports.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Total hip replacement appears to be a successful surgical treatment for feline hip disease with very good owner satisfaction and acceptable complication rates.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129305748","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 customized 3D-printed saw guide for tibial plateau leveling osteotomy: An ex vivo study.","authors":"Seungeon Lee, Jinsu Kang, Namsoo Kim, S. Heo","doi":"10.1111/vsu.13826","DOIUrl":"https://doi.org/10.1111/vsu.13826","url":null,"abstract":"OBJECTIVE\u0000To determine whether a tibial plateau leveling osteotomy (TPLO) performed with a customized 3D-printed guide and jig is more accurate than the traditional technique using a jig alone.\u0000\u0000\u0000STUDY DESIGN\u0000In vitro study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Cadaveric canine pelvic limbs (n = 10) and 20 synthetic bone models.\u0000\u0000\u0000METHODS\u0000Tibial plateau leveling osteotomy using a jig with (n = 10) and without (n = 10) a customized 3D-printed guide were performed in bone models, and TPLO using a jig with (n = 5) and without (n = 5) a customized 3D-printed guide were performed in cadaveric limbs. Angulation of the osteotomy, angulation of the proximal jig pin, angular/torsional deformity and medial cortex damage were measured from photographs of the specimens and compared.\u0000\u0000\u0000RESULTS\u0000In the bone models, there were differences with and without the 3D guide for mean osteotomy inclination (-0.06° vs. -1.74°, P < .001), osteotomy torsion (5268 vs. 10 469 visible osteotomy pixels, P < .001), and medial cortical damage (2970 vs. 18 562 pixels, P < .001). In the cadaveric study, osteotomy inclination (-1.1° vs. 1.01°, P < .01), induced angular deformity (0.17° vs. -3.01°, P < .001) and angulation of the proximal jig pin (-0.27° vs. 0.80°, P < .001) differed between groups.\u0000\u0000\u0000CONCLUSION\u0000The 3D-printed guide during TPLO resulted in slightly more accurate osteotomies and proximal jig pin placement, and reduced medial cortex damage.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000A customized 3D-printed guide may improve intraoperative accuracy for TPLO, although the clinical significance of the small benefits is unknown.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125592537","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":"Balloon catheter as an extraction device for caudal vena cava adrenal tumor thrombectomy in a dog: A case report.","authors":"Kenneth M Young, B. Stanley, D. Degner","doi":"10.1111/vsu.13821","DOIUrl":"https://doi.org/10.1111/vsu.13821","url":null,"abstract":"OBJECTIVE\u0000To report the use of a balloon catheter as an extraction device for a posthepatic caval thrombus in a dog with a right adrenal tumor.\u0000\u0000\u0000ANIMALS\u0000Twelve-year-old male neutered Chihuahua mix dog.\u0000\u0000\u0000STUDY DESIGN\u0000Case report METHODS: The dog presented for the evaluation of a hepatic mass. Computed tomography of thorax and abdomen was performed, and a right lateral liver lobe mass and a right adrenal mass were noted. The adrenal mass had a caval thrombus extending almost to the level of the right atrium. Traditional methods of tumor thrombectomy were unsuccessful. Extraction of the thrombus was facilitated by passing a balloon catheter through the caudal vena cavotomy until it was cranial to the thrombus, inflating the balloon and slowly withdrawing the catheter.\u0000\u0000\u0000RESULTS\u0000A malignant pheochromocytoma was diagnosed on histology. The dog had a subjectively assessed good quality of life until it was euthanized 118 days postoperatively for acute dyspnea.\u0000\u0000\u0000CONCLUSION\u0000Balloon catheter-assisted thrombectomy was successful in removing an extensive caval thrombus that was otherwise difficult to extract via conventional methods. This technique can be considered in cases with extensive tumor thrombus either as a method of choice or when other methods of thrombus extraction have failed.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128320380","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":"What's the evidence? A review of current instruction and assessment in veterinary surgical education.","authors":"M. Simons, Julie A Hunt, S. Anderson","doi":"10.1111/vsu.13819","DOIUrl":"https://doi.org/10.1111/vsu.13819","url":null,"abstract":"Veterinary surgical education is improved by studying the relevant literature. The aim of this literature review was to report the theory and methods used to provide surgical education to veterinary students; to discuss the training most likely to create a competent general practitioner; and to review assessment methods for simulated and live surgeries. The literature reviewed demonstrates that new graduates are expected to perform small animal sterilization, dental extraction, onychectomy, abscess treatment, aural hematoma repair, and mass removal with little or no supervision. Students require repetitive practice to reach competence; some practice can take place in a clinical skills laboratory on models or cadavers. When training novices, distributing practice over a longer time improves retention, but months without practice causes skills to decay. Suturing skills may be taught on models at a ratio of 1 instructor per 10 students. Veterinary students require 6-10 repetitions of each small animal sterilization surgery to reach competence; however, learning curves for other surgeries have not been established. Assessment of surgical skills has been undertaken using objective structured clinical examinations (OSCEs) and observed model and live surgeries. Additional validated rubrics are needed in the field. Surgical educators are urged to continue to search for innovative ways to foster deliberate practice, assess skill, and provide feedback for students.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"5 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132891740","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":"Ureteropyeloscopic removal of a nephrolith from a 19 year old Hanoverian gelding.","authors":"A. L. Moss, E. Acutt, Tarini Ullal, T. J. Applegate, E. Hackett","doi":"10.1111/vsu.13815","DOIUrl":"https://doi.org/10.1111/vsu.13815","url":null,"abstract":"OBJECTIVE\u0000To describe the ureteropyeloscopic removal of a nephrolith in a horse.\u0000\u0000\u0000ANIMALS\u0000A 19 year old Hanoverian gelding with history of urolithiasis requiring surgical intervention.\u0000\u0000\u0000STUDY DESIGN\u0000Case report METHODS: The horse presented with signs of abdominal straining and stranguria. A proximal urethral calculus was palpable externally within the perineal urethra. Perineal urethrostomy (PU) at the location of the urethral calculi was performed to remove the urethral obstruction. Left nephrolithiasis was then treated by endoscopic retrieval, inserting the endoscope through the PU. The procedures were performed over 2 consecutive days, with the horse standing and sedated. Medical therapy included antimicrobial and anti-inflammatory treatment.\u0000\u0000\u0000RESULTS\u0000The ureteropyeloscopic removal of a nephrolith from the left renal pelvis was completed. No complications were appreciated following the procedure, and the horse was able to return to athletic activity within 2 weeks. The horse had no further clinical signs referable to urinary dysfunction 7 months later.\u0000\u0000\u0000CONCLUSION\u0000Ureteropyeloscopic removal of a nephrolith from the renal pelvis is technically feasible in the equine patient and preserves function of the affected kidney. The availability of a treatment that maintains renal function is a distinct benefit over unilateral nephrectomy, particularly when treating a condition that frequently involves both kidneys.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122830165","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}