Veterinary surgery : VS最新文献_第2页

Percutaneous doxycycline sclerotherapy in a horse with a mandibular aneurysmal bone cyst. 经皮强力霉素硬化治疗马下颌骨动脉瘤性骨囊肿。

IF 1.8

Veterinary surgery : VS Pub Date : 2022-11-01 Epub Date: 2022-06-22 DOI: 10.1111/vsu.13844

Jairo A Perez, Kristy L Weber, Susan J Bender, Kathryn B Wulster, Eric J Parente

{"title":"Percutaneous doxycycline sclerotherapy in a horse with a mandibular aneurysmal bone cyst.","authors":"Jairo A Perez, Kristy L Weber, Susan J Bender, Kathryn B Wulster, Eric J Parente","doi":"10.1111/vsu.13844","DOIUrl":"https://doi.org/10.1111/vsu.13844","url":null,"abstract":"Objective: To describe the use and outcome of sclerotherapy with intralesional doxycycline foam in a horse with a mandibular aneurysmal bone cyst.Study design: Case report.Animals: Client-owned 1 year old Standardbred filly.Methods: The horse presented for progressive mandibular swelling. A 10 mg/mL doxycycline foam was prepared for intralesional injection. Three doses were injected into the lesion under computed tomographic guidance at 6 and 15 weeks after initial treatment. Volume reduction was monitored after each treatment with 3D volumetric rendering and region of interest segmentation using commercially available software.Results: The volume of the lesion decreased from 458.7455 cm3 before treatment, to 363.3101 cm3 at 6 weeks, 273.5855 cm3 at 15 weeks, and 247.2316 cm3 6 months later, resulting in a total reduction of 54% of the initial volume. Bone formation was noted in the lesion. No adverse effects related to doxycycline foam injections were noted. The mandibular swelling was resolved after treatment.Conclusion: Intralesional doxycycline sclerotherapy was shown to be efficacious in reducing the volume of the aneurysmal bone cyst in the horse presented in this report. There was complete resolution of mandibular swelling with no side effects related to the intralesional injections.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1265-1272"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40178854","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}

引用次数: 2

Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension. 用自体阔筋膜移植重建尺侧腕屈肌腱治疗两只腕过伸症犬。

IF 1.8

Veterinary surgery : VS Pub Date : 2022-11-01 Epub Date: 2022-09-18 DOI: 10.1111/vsu.13890

Yuichiro Tani

引用次数: 3

Primary repair of nonsteroidal anti-inflammatory drug-associated full thickness gastrointestinal ulcers in 11 dogs. 11只犬非甾体抗炎药相关全层胃肠道溃疡的初步修复

IF 1.8

Veterinary surgery : VS Pub Date : 2022-10-01 Epub Date: 2022-07-22 DOI: 10.1111/vsu.13853

Rachel E A Dobberstein, Michelle L Oblak, Brigitte A Brisson, Ameet Singh, Noel M M Moens, Sabrina Ayoub

{"title":"Primary repair of nonsteroidal anti-inflammatory drug-associated full thickness gastrointestinal ulcers in 11 dogs.","authors":"Rachel E A Dobberstein, Michelle L Oblak, Brigitte A Brisson, Ameet Singh, Noel M M Moens, Sabrina Ayoub","doi":"10.1111/vsu.13853","DOIUrl":"https://doi.org/10.1111/vsu.13853","url":null,"abstract":"Objective: To report the outcomes of dogs that underwent primary repair of gastroduodenal perforations associated with the administration of nonsteroidal anti-inflammatory drugs (NSAID). A secondary objective was to identify clinicopathological findings that predisposed dogs to postoperative death.Study design: Retrospective study.Animals: Eleven dogs with complete gastric or duodenal perforation related to administration of an NSAID that underwent primary surgical repair.Methods: Medical records were reviewed for dogs that presented with peritonitis due to a complete gastroduodenal perforation while receiving NSAIDs between November, 2011 and January, 2021. Data collected included patient characteristics, clinical signs, clinicopathological results, surgical details, and postoperative management and outcome.Results: All dogs were large breeds (mean weight 42 kg; range 22-75 kg), with a mean age of 7.35 years. Nine dogs from a total of 11 (82 %) received a concurrent corticosteroid and NSAID, or a higher dose/frequency/length of NSAID administration than recommended by the manufacturer. All gastroduodenal perforations were found in the upper gastrointestinal tract. Eight of 11 (73%) dogs survived to discharge. The median postoperative duration of follow up was 444 days (range 2-1460 days). No association was detected between ulcer size or location and mortality.Conclusion: Most dogs who underwent primary repair of complete gastroduodenal ulcers survived. Gastroduodenal perforations were generally due to the administration of higher or longer doses of NSAIDs, or concurrent administration of another NSAID or corticosteroid.Clinical significance: Primary closure may be associated with a high success rate in dogs with full thickness gastroduodenal ulcers.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1096-1105"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40530465","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}

引用次数: 2

Subcutaneous vascular access port implantation in the axillary or femoral/external iliac vein at the time of full limb amputation in dogs. 犬全肢截肢时腋窝静脉或股静脉/髂外静脉皮下血管通路植入术。

IF 1.8

Veterinary surgery : VS Pub Date : 2022-10-01 Epub Date: 2022-07-11 DOI: 10.1111/vsu.13848

Andrea Galliano, Diogo Miraldo, Laurent Findji

{"title":"Subcutaneous vascular access port implantation in the axillary or femoral/external iliac vein at the time of full limb amputation in dogs.","authors":"Andrea Galliano, Diogo Miraldo, Laurent Findji","doi":"10.1111/vsu.13848","DOIUrl":"https://doi.org/10.1111/vsu.13848","url":null,"abstract":"Objective: To report outcomes and complications after placement of a subcutaneous vascular access port (SVAP) in the jugular (jSVAP), axillary (aSVAP), and femoral or external iliac vein (fSVAP) in dogs.Study design: Retrospective.Methods: Medical records from a single hospital, covering a period between September 2015 and October 2020, were reviewed to identify dogs that had an SVAP placed. Complications and outcomes for dogs who had an SVAP placed in the axillary vein, or femoral/external iliac vein during amputation for appendicular skeletal neoplasm, and in the external jugular vein were recorded and analyzed statistically.Results: Subcutaneous vascular access ports were placed in the axillary vein in 13 dogs, femoral/external veins in 4 dogs, and in the jugular vein in 19 dogs. The SVAPs fulfilled their purpose throughout treatment in 12/13 aSVAP, 4/4 fSVAP, and 15/19 jSVAP. Dogs were followed for a median of 145.5 days (range 30-945 days). Minor and major complications were recorded in 1/13 and 2/13 aSVAPs, 0/4 and 0/4 fSVAPs, and 3/19 and 4/19 of jSVAPs. Two dogs with jSVAPs were euthanized due to SVAP-related complications. No difference in complication rate was detected between groups (P = .12).Conclusion: No difference in short-term outcome was detected between implantation sites for subcutaneous vascular access ports.Clinical significance: The axillary or femoral/external iliac veins offer alternative sites for placement of SVAP in dogs undergoing limb amputation.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1161-1166"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40580789","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}

引用次数: 0

Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers. 描述和评估一种新的经口内窥镜对犬尸体的aryten固定术。

IF 1.8

Veterinary surgery : VS Pub Date : 2022-10-01 Epub Date: 2022-07-12 DOI: 10.1111/vsu.13851

Kaitlyn L McNamara, William Alexander Fox-Alvarez, James C Colee

{"title":"Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers.","authors":"Kaitlyn L McNamara, William Alexander Fox-Alvarez, James C Colee","doi":"10.1111/vsu.13851","DOIUrl":"https://doi.org/10.1111/vsu.13851","url":null,"abstract":"Objective: To describe the transoral endoscopic arytenopexy (TEA) and evaluate its effects on the rima glottis area (RGA) and laryngeal epiglottic-glottic seal (LEGS). We hypothesize the TEA will be a feasible surgical technique and the TEA will provide a significant increase in RGA with minimal change to the LEGS.Study design: Canine cadaveric model.Animals: Fifteen medium- to large-breed canine cadavers.Methods: Endoscopic photos of the larynx were taken with the epiglottis open for baseline RGA measurement and closed for baseline measurement of exposed RGA and LEGS. A custom endoscopic gag port (EGP) facilitated the TEA, performed by suturing the lateral aspect of the left arytenoid soft tissues to adjacent pharyngeal wall across the piriform recess. Endoscopic photos were repeated to measure changes in RGA and LEGS. A computerized planimetric analysis program was used to calculate baseline RGA and LEGS. The RGA was reported in % change from baseline. The LEGS was reported as intact or altered. A nonparametric Wilcoxon signed-rank test was used to compare baseline to post-TEA RGA.Results: The mean baseline RGA was 0.52 ± 0.28 cm3 and mean post-TEA RGA was 0.78 ± 0.37 cm3 (p-value < .0001). The LEGS remained intact post-TEA in all cadavers.Conclusions: The TEA was technically feasible and resulted in an increase in RGA while maintaining the LEGS.Clinical significance: The TEA may provide a minimally invasive addition to the established techniques for reducing airway resistance while minimizing the impact on the LEGS.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1111-1117"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40494937","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}

引用次数: 0

A three-portal laparoscopic hysterectomy in a chimpanzee (Pan troglodytes) with a uterine manipulator and vessel sealing device. 使用子宫操纵器和血管密封装置的黑猩猩(类人猿)三门腹腔镜子宫切除术。

IF 1.8

Veterinary surgery : VS Pub Date : 2022-10-01 Epub Date: 2022-07-28 DOI: 10.1111/vsu.13856

Jasmine Y Sarvi, Sara M Gardhouse, Kara A Berke, Rebeka L Weber, Kara Hiebert, John H Whittaker, Nathaniel Kapaldo

{"title":"A three-portal laparoscopic hysterectomy in a chimpanzee (Pan troglodytes) with a uterine manipulator and vessel sealing device.","authors":"Jasmine Y Sarvi, Sara M Gardhouse, Kara A Berke, Rebeka L Weber, Kara Hiebert, John H Whittaker, Nathaniel Kapaldo","doi":"10.1111/vsu.13856","DOIUrl":"https://doi.org/10.1111/vsu.13856","url":null,"abstract":"Objective: To report the treatment and outcome of a a captive chimpanzee (Pan troglodytes) undergoing 3-portal laparoscopic hysterectomy. Additionally, the technique used for successful urinary catheterization is described.Animals: A 29-year-old female intact chimpanzee with uterine bleeding.Study design: Clinical case report.Methods: Uterine changes consistent with adenomyosis and/or endometriosis were noted on abdominal ultrasonographic and computed tomographic examinations. A urinary catheter was placed before a 3-portal laparoscopic hysterectomy with a uterine manipulator (VCare) and a vessel sealer (Ligasure). The uterus was submitted for histopathology.Results: Preoperative urinary catheterization was achieved with several modifications and prevented bladder protrusion into the surgical field. Laparoscopy provided excellent visualization of the pelvic structures and VCare effectively maneuvered the uterus for a safe and efficient dissection. The use of the vessel sealer was effective, and bleeding was minimal. Anesthesia and surgery lasted 240 and 150 minutes, respectively. No complications were encountered. Histopathological changes of the uterus were consistent with adenomyosis and myometrial hyperplasia. The chimpanzee recovered uneventfully and returned to normal behavior with no recurrence of uterine bleeding 5 months after surgery.Conclusion: The 3-portal laparoscopic technique reported here allowed hysterectomy without complication in this chimpanzee. Urinary catheterization was technically challenging but successful.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1167-1174"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40552094","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}

引用次数: 0

Teaching veterinary surgical skills: Comparison of massed versus spaced instruction. 兽医外科技能教学:集中教学与间隔教学的比较。

IF 1.8

Veterinary surgery : VS Pub Date : 2022-10-01 Epub Date: 2022-08-25 DOI: 10.1111/vsu.13870

Heidi E Banse, Rose E Baker, Cullen Domaracki, Charles McCauley, Brandy Duhon, Beth Grandt, Kate Jackson, Dawn M Spangler, Julie A Hunt

{"title":"Teaching veterinary surgical skills: Comparison of massed versus spaced instruction.","authors":"Heidi E Banse, Rose E Baker, Cullen Domaracki, Charles McCauley, Brandy Duhon, Beth Grandt, Kate Jackson, Dawn M Spangler, Julie A Hunt","doi":"10.1111/vsu.13870","DOIUrl":"https://doi.org/10.1111/vsu.13870","url":null,"abstract":"Objective: To determine the effect of massed instruction (MI) versus spaced instruction (SI) of veterinary surgical skills on students' cognitive load and skill retention.Study design: Prospective randomized cohort study STUDY POPULATION: First-year veterinary students from Louisiana State University (LSU; n = 47) and Lincoln Memorial University (LMU; n = 101).Methods: Students were randomized to MI (two skills in a single session of twice the duration) or SI (one skill per session on two consecutive days). Instructors, instructional ratio, and total educational time was equivalent. Following instruction, students completed a cognitive load questionnaire and underwent a structured assessment immediately after (LMU only), 1 day after, and 3-4 weeks after learning the second skill. Students completed two supervised practice sessions one and 2 weeks after the initial laboratory session(s).Results: Overall cognitive load did not differ between groups (p > .05), although LMUs MI group reported higher physical and time demands, effort, and frustration. At initial assessment, SI students scored higher than MI students for the first skill at both LSU (mean checklist score = 27.7 vs. mean = 24; p = .004) and LMU (mean global rating score = 4.76 vs. mean = 4.55; p = .029). Differences between groups were no longer evident by 3-4 weeks after instruction.Conclusion: SI may lead to improved immediate performance; however, supervised practice was sufficient to overcome the initial disparity.Clinical significance: SI may be beneficial for initial skill performance. However, SI and MI students had similar performance after 3 weeks, suggesting the more convenient curricular design of MI may be sufficient as long as practice sessions are incorporated.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1118-1125"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40345560","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}

引用次数: 1

Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment. 评估肝外门系统分流犬的不同血液检查以评估手术治疗后分流关闭。

IF 1.8

Veterinary surgery : VS Pub Date : 2022-10-01 Epub Date: 2022-06-21 DOI: 10.1111/vsu.13840

Nausikaa Devriendt, Dominique Paepe, Gonçalo Serrano, Hilde de Rooster

{"title":"Evaluation of different blood tests in dogs with extrahepatic portosystemic shunts to assess shunt closure after surgical treatment.","authors":"Nausikaa Devriendt, Dominique Paepe, Gonçalo Serrano, Hilde de Rooster","doi":"10.1111/vsu.13840","DOIUrl":"https://doi.org/10.1111/vsu.13840","url":null,"abstract":"Objective: To determine the sensitivity and specificity of different individual and combined blood tests to assess extrahepatic portosystemic shunt (EHPSS) closure after gradual attenuation of EHPSS in dogs.Study design: Clinical prospective study.Animals: Twenty client-owned dogs with EHPSS.Methods: Fasting ammonia (FA), preprandial, postprandial, and paired serum bile acids (SBA), the lidocaine/monoethylglycylxylidide (L/MEGX) test, and serum hyaluronic acid (SHA) were performed at diagnosis, and 1, 3, and 6 months postoperatively. Transsplenic portal scintigraphy was performed to determine EHPSS closure 3 months postoperatively. Their sensitivity and specificity in determining shunt closure postoperatively were calculated.Results: When assessing a single blood parameter, FA had the highest specificity (100%), whereas SHA and MEGX measured 15 min after lidocaine administration (T15) had the highest sensitivity (96.9% and 96.2%, respectively) for determining shunt closure postoperatively. The most promising blood test combinations were SHA (sensitivity 96.9%, specificity 81.8%), combined with the L/MEGX test (MEGX at T15: sensitivity 100%, specificity 72.4%) or the L/MEGX test (MEGX at T15) combined with either FA (sensitivity 100%, specificity 82.8%) or postprandial SBA (sensitivity 100%, specificity 81.5%).Conclusion: Both SHA and the L/MEGX test were sensitive tests for determining shunt closure after gradual attenuation of EHPSS. Test performances could even be improved by combining these tests with each other or with traditional tests such as FA or postprandial SBA.Clinical significance: Although SHA and the L/MEGX test are sensitive blood tests for determining EHPSS closure, especially when combined with traditional blood tests, imaging is still needed to confirm EHPSS closure.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1142-1152"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40162968","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}

引用次数: 2

The effect of grip location on Kirschner wire bend characteristics: An in vitro study. 握柄位置对克氏针弯曲特性影响的体外研究。

Veterinary surgery : VS Pub Date : 2022-09-01 DOI: 10.1055/s-0042-1758289

Jaclyn R Gremley, S. W. Frederick, A. Cross

{"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}

引用次数: 0

A novel video-assisted thoracoscopic approach for pectus excavatum surgical treatment in a dog. 一种新的电视胸腔镜方法用于犬漏斗胸手术治疗。

IF 1.8

Veterinary surgery : VS Pub Date : 2022-08-01 Epub Date: 2022-06-20 DOI: 10.1111/vsu.13843

Diego Bobis Villagrà, Tim M Charlesworth

{"title":"A novel video-assisted thoracoscopic approach for pectus excavatum surgical treatment in a dog.","authors":"Diego Bobis Villagrà, Tim M Charlesworth","doi":"10.1111/vsu.13843","DOIUrl":"https://doi.org/10.1111/vsu.13843","url":null,"abstract":"Objective: To describe a novel, video-assisted thoracoscopic surgery (VATS) approach used to treat pectus excavatum (PE) in a dog.Animals: A 5 month-old, 5.1 kg, intact, female, Cockapoo.Study design: Case report.Methods: Clinical, imaging and surgical records of a dog with severe PE who underwent VATS-assisted sternal cast placement were reviewed and reported. Treatment involved introduction of a mild pneumothorax and use of VATS, allowing direct visualization and therefore safe passage of circumsternal sutures as they were placed to reduce the risk of vascular/cardiac or pulmonary penetration and intraoperative complication in this patient.Results: Treatment involved introduction of a mild pneumothorax and use of VATS, allowing direct visualization and therefore safe passage of circumsternal sutures as they were placed to reduce the risk of vascular/cardiac or pulmonary penetration and intraoperative complications in this patient. The patient recovered well and had an excellent long-term outcome with significantly improved vertebral index and frontosagittal index.Conclusion: This modified technique resulted in an excellent outcome and minimized the risk of intraoperative complications during the surgical procedure in a dog.Clinical significance: This novel VATS approach for PE correction may provide a useful technique to help reduce intraoperative risk during PE correction in dogs.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"1009-1015"},"PeriodicalIF":1.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40071478","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}

引用次数: 1