Veterinary surgery : VS最新文献

{"title":"Outcome of proximal femoral periprosthetic cerclage application, a response to the letter to the editor.","authors":"Sarah K. Israel, W. Liska","doi":"10.1111/vsu.13780","DOIUrl":"https://doi.org/10.1111/vsu.13780","url":null,"abstract":"","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129260556","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":"Response to letter to the editor.","authors":"Lauren M Meltzer, J. Dyce, C. Leasure, S. Canapp","doi":"10.1111/vsu.13788","DOIUrl":"https://doi.org/10.1111/vsu.13788","url":null,"abstract":"","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"62 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124325124","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":"Outcomes of 25 female dogs treated for ectopic ureters by open surgery or cystoscopic-guided laser ablation.","authors":"B. Dekerle, E. Maurice, A. Decambron, V. Viateau, C. Maurey, M. Manassero","doi":"10.1111/vsu.13807","DOIUrl":"https://doi.org/10.1111/vsu.13807","url":null,"abstract":"OBJECTIVE\u0000To report outcomes after the correction of ectopic ureter (EU) by open surgery or cystoscopic-guided laser ablation (CLA) in female dogs.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective study from 2011 to 2018.\u0000\u0000\u0000ANIMALS\u0000Twenty-five female dogs.\u0000\u0000\u0000METHODS\u0000Data collected included signalment, clinicopathologic data, procedural data, complications, and short-term and long-term outcomes. Complications were graded as minor or major if a surgical revision was required. Continence status was scored subjectively (1 = completely incontinent to 10 = fully continent).\u0000\u0000\u0000RESULTS\u0000Fifteen dogs had bilateral EU and 24 had intramural EU (iEU). Open surgical correction included 13 neoureterostomies, 2 neocystoureterostomies, and a combination of these in 2 dogs. Eight dogs underwent CLA. Eighteen dogs experienced minor complications (72%), and 2 experienced major complications (8%). One-month postoperative continence was achieved in 20/25 (80%) dogs (median score of 10). Incontinence recurred at a median time of 24.9 months in 5 dogs but responded to medical treatment. Overall, dogs remained continent for 66 months (median) and 22/25 (88%) dogs achieved continence with adjunction of medical/surgical treatment in incontinent ones. Fewer minor complications and postoperative recurrences of incontinence were documented after CLA than neoureterostomy (P < .01 and P < .05).\u0000\u0000\u0000CONCLUSION\u0000Ectopic ureter correction by open surgery or CLA resulted in a subjectively good prognosis, most dogs reaching continence within a month of surgery, although incontinence occasionally recurred in the long term. CLA was associated with fewer complications and incontinence recurrences than neoureterostomy.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Cystoscopic-guided laser ablation should be preferred to correct iEU to prevent short-term complications and the recurrence of incontinence. Further studies should investigate the cause of postoperative recurrence of urinary incontinence.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127994863","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":"Influence of screw head diameter on ex vivo fixation of equine lateral condylar fractures with 5.5 mm cortical screws.","authors":"C. Constant, I. Zderic, D. Arens, Brenna Pugliese, D. Gehweiler, Boyko Gueorguiev‐Rüegg, S. Zeiter","doi":"10.1111/vsu.13797","DOIUrl":"https://doi.org/10.1111/vsu.13797","url":null,"abstract":"OBJECTIVE\u0000To determine the influence of screw head diameter on equine condylar fracture fixation with 5.5 mm cortical screws.\u0000\u0000\u0000STUDY DESIGN\u0000Ex vivo, biomechanical study, blinded, matched-pair design.\u0000\u0000\u0000SAMPLE POPULATION\u0000Fifteen pairs of equine third metacarpal (MC3) bones.\u0000\u0000\u0000METHODS\u0000Lateral condylar fractures were simulated by parasagittal osteotomies and repaired pairwise by 2 × 5.5 mm cortical screws of 8 mm (standard) or 10 mm (modified) head diameter. Interfragmentary compression at maximum screw insertion torque was measured. The instrumented specimens were pairwise stratified for biomechanical testing under the following modalities (n = 5): (1) screw insertion torque to failure, (2) quasi-static axial load to failure, and (3) cyclic axial load to 2 mm displacement followed by failure. Tests (1) and (2) were analyzed for yield, maximum, and failure torque/angle and load/displacement, respectively. Number of cycles to 2 mm displacement and failure was assessed from test (3).\u0000\u0000\u0000RESULTS\u0000Maximum insertion torque was greater, and failure angle smaller, when constructs repaired with modified screws were tested (8.1 ± 0.5 vs. 7.4 ± 0.5 Nm; P = .0047 and 550 ± 104 vs. 1130 ± 230; P = .008). Axial yield (7118 ± 707 vs. 5740 ± 2267 N; P = .043) and failure load (12 347 ± 3359 vs. 8695 ± 2277 N; P = .043) were greater for specimens repaired with modified screws. No difference was detected between constructs in the number of cycles to 2 mm displacement.\u0000\u0000\u0000CONCLUSION\u0000Condylar MC3 osteotomies repaired with modified 5.5 mm cortical screws sustained greater maximal hand torque insertion, smaller insertion failure angle and 1.4 fold greater quasi-static failure forces than constructs repaired with standard 5.5 mm screws.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Use of modified screws with larger heads may improve the fixation of condylar fractures in horses. These results provide evidence to justify clinical evaluation in horses undergoing fracture repair.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114642559","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":"Surgical ligation of patent ductus arteriosus in dogs: Incidence and risk factors for rupture.","authors":"Janet A Grimes, K. T. Thieman Mankin","doi":"10.1111/vsu.13802","DOIUrl":"https://doi.org/10.1111/vsu.13802","url":null,"abstract":"OBJECTIVE\u0000To determine the rates of rupture and mortality associated with surgical ligation of patent ductus arteriosus (PDA) in dogs and to identify risk factors for rupture.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective cohort.\u0000\u0000\u0000ANIMALS\u0000Two-hundred and eighty-five dogs with PDA undergoing surgical ligation.\u0000\u0000\u0000METHODS\u0000Information regarding signalment, weight, surgical findings, complications, presence of residual flow, and survival was recorded. Age, weight, and presence of residual flow were compared between cases with and without rupture.\u0000\u0000\u0000RESULTS\u0000The initial surgical approach was extrapericardial (144), intrapericardial (46), not reported (94), or Jackson-Henderson (1). Rupture of the PDA occurred in 7.0% of dogs (20/285, 13 extrapericardial, 3 intrapericardial, 4 not reported). No difference in age or weight was found between dogs with and without rupture. Overall mortality was 0.4% (1/285). Additional major complications occurred in 1.4% of dogs, all in the nonrupture group. The overall rate of residual flow after ligation was 9.4%. Dogs with rupture were more likely to have residual flow than those without rupture (P = .012). If ligation was performed after rupture (rather than hemostasis only), no difference in residual flow rates (P = .398) was noted between dogs with rupture and those without.\u0000\u0000\u0000CONCLUSION\u0000The rate of rupture with surgical ligation of PDAs was low. No specific risk factors for rupture were identified.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Successful treatment of PDA rupture is possible, evidenced by the low mortality rate in this population of dogs. Ligation of the PDA after rupture, either in the concurrent or a subsequent procedure, reduces the odds of residual flow.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133646404","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":"Incidence and severity of short-term incisional complications after intraoperative local infiltration of liposomal bupivacaine in dogs.","authors":"Ashley M Power, Talon S McKee, Kara Jordan, P. Bergman, K. Davis","doi":"10.1111/vsu.13803","DOIUrl":"https://doi.org/10.1111/vsu.13803","url":null,"abstract":"OBJECTIVE\u0000To report the incidence of short-term incisional complications in dogs receiving intraoperative local infiltration of liposomal bupivacaine.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective study.\u0000\u0000\u0000ANIMALS\u0000Client-owned dogs (n = 218).\u0000\u0000\u0000METHODS\u0000Medical records were searched for dogs whose surgical site was infiltrated with liposomal bupivacaine. Records were reviewed for complications within 20 days postoperatively. Cases were categorized by: (1) surgical wound classification (clean, clean-contaminated, contaminated); (2) labeled versus off-label use in orthopedic surgery - stifle surgery to address cranial cruciate ligament (CCL) disease versus other orthopedic procedures; and (3) orthopedic versus soft-tissue surgery.\u0000\u0000\u0000RESULTS\u0000Complications were documented in 43/218 (19.7%) records, including 27/218 (12.4%) complications that resolved spontaneously or with topical treatment. The incidence of short-term incisional complications did not differ between surgical wound classifications (P = 0.55) or between labeled versus off-label use in orthopedic surgery (P = 0.21). Complications seemed more common after soft-tissue procedures (32/123; 26.0%) than orthopedic procedures (11/95; 11.6%) (P < 0.01).\u0000\u0000\u0000CONCLUSION\u0000Surgical wound classification or type of orthopedic procedure did not seem to influence incisional complications of infiltrated surgical sites. Complications were more common after soft-tissue procedures than orthopedic procedures.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Infiltration of surgical sites with liposomal bupivacaine seems safe in a broader range of orthopedic procedures than currently labeled. The results also justify further investigation in soft-tissue surgery.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121161703","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":"Application of a bilateral temporal fascia free graft in a dog with multifragmented frontal sinus and nasal bone fracture.","authors":"Lucile Dunand, E. Belluzzi, A. Bongartz, J. Caraty","doi":"10.1111/vsu.13804","DOIUrl":"https://doi.org/10.1111/vsu.13804","url":null,"abstract":"OBJECTIVE\u0000To describe the use of temporal fascia free grafts to treat dorsal open comminuted frontal sinus and nasal fractures.\u0000\u0000\u0000ANIMAL\u0000One Belgian shepherd dog.\u0000\u0000\u0000STUDY DESIGN\u0000Case report METHODS: A 5-year-old spayed female Belgian shepherd was admitted with severe facial deformation due to trauma. A deep, 3 cm wide wound was present between the nose and the frontal sinus. No abnormalities were detected on neurological examination. On computed tomographic examination, comminuted open fractures of the frontal and nasal bones were associated with a severe depression of the dorsal wall and presence of bone fragments in the sinus cavities. Bone fragments were apposed with polydioxanone monofilament suture. Bilateral temporal fascia grafts were placed over the bone fragments.\u0000\u0000\u0000RESULTS\u0000The integrity of the frontal and nasal cavities, and the facial profile of the dog were restored. No short-term or long-term complications were observed after 4 months follow up.\u0000\u0000\u0000CONCLUSION\u0000The innovative combination of suture apposition of bone fragments and a temporal fascia free graft resulted in very satisfying long-term outcomes in a dog with open sinus and nasal bone fractures.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128380132","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":"Stem selection for total hip replacement.","authors":"S. Roe, D. Marcellin-Little","doi":"10.1111/vsu.13792","DOIUrl":"https://doi.org/10.1111/vsu.13792","url":null,"abstract":"","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128221744","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":"The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs.","authors":"J. S. Raleigh, P. Mayhew, L. Visser, M. Milovancev, C. A. Kuntz, L. Formaggini, Hsien-Chieh Chiu, O. Skinner, J. Naiman, M. Oblak, J. McAnulty, C. Hoffman, M. Brückner, Ameet Singh","doi":"10.1111/vsu.13795","DOIUrl":"https://doi.org/10.1111/vsu.13795","url":null,"abstract":"OBJECTIVE\u0000To describe the clinical characteristics, perioperative protocols, and outcomes in dogs diagnosed with ventricular fibrillation (VF) while undergoing pericardiectomy.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective, multi-institutional study.\u0000\u0000\u0000ANIMALS\u0000Sixteen client-owned dogs.\u0000\u0000\u0000METHODS\u0000Cases were accrued through a listserve request posted to 3 subspecialty veterinary societies. Dogs were included if they developed VF during a pericardiectomy performed through an open or thoracoscopic approach. Data collected included signalment, history and physical examination, surgical approach, histopathology, treatment, and outcome.\u0000\u0000\u0000RESULTS\u0000Indications for pericardiectomy included idiopathic chylothorax (n = 7), neoplasia (4), idiopathic pericardial effusion (4), and foreign body granuloma (1). Surgical approaches included thoracoscopy (12), intercostal thoracotomy (3) and median sternotomy (1). Electrosurgical devices were used to complete at least part of the pericardiectomy in 15 of 16 dogs. Ventricular fibrillation appeared to be initiated during electrosurgical use in 8/15 dogs. However, in 5/15 dogs it was not obviously associated with electrosurgical use. In 3/16 dogs the timing of initiation of VF was unclear. In 7/16 dogs, cardiac arrhythmias were noted prior to the development of VF. Fourteen of 16 dogs died from intraoperative VF.\u0000\u0000\u0000CONCLUSION\u0000In most dogs ventricular fibrillation was a fatal complication of pericardiectomy. Ventricular fibrillation might be associated with the use of electrosurgical devices and cardiac manipulation during pericardiectomy although a causal link could not be established from the data in this study.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Surgeons must be aware of the risk of VF during pericardial surgery. Electrosurgery might need to be used judiciously during pericardiectomy, particularly in dogs exhibiting cardiac arrythmias.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116935252","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":"Effect of perfusate volume on amikacin concentrations after saphenous intravenous regional limb perfusion in standing, sedated horses.","authors":"Kelsey A Jurek, M. Schoonover, Megan R. Williams, P. Rudra","doi":"10.1111/vsu.13789","DOIUrl":"https://doi.org/10.1111/vsu.13789","url":null,"abstract":"OBJECTIVE\u0000To determine the influence of perfusate volume on synovial fluid amikacin concentrations in the joints of the hind limb after standing saphenous intravenous regional limb perfusion (IVRLP).\u0000\u0000\u0000STUDY DESIGN\u0000Randomized crossover design.\u0000\u0000\u0000ANIMALS\u0000Six adult horses.\u0000\u0000\u0000METHODS\u0000Saphenous IVRLP was performed in 6 standing horses with 1 g of amikacin diluted with 0.9% NaCl to volumes of 10 ml, 60 ml, and 120 ml. Samples of synovial fluid from the tarsocrural, metatarsophalangeal, and hind limb distal interphalangeal joints were collected at 15 and 30 min after perfusate administration. Concentrations of 40 μg/ml and 160 μg/ml were considered therapeutic for susceptible and resistant pathogens, respectively.\u0000\u0000\u0000RESULTS\u0000No difference in synovial fluid amikacin concentrations was detected between volumes in any joint (P = .4). All synovial fluid amikacin concentrations were higher at 30 min compared to 15 min (P = .003). All median synovial fluid amikacin concentrations at 30 min were > 40 μg/ml using the 60 ml and 120 ml volumes. Synovial fluid amikacin concentrations >40 μg/ml were only reached in the hind limb distal interphalangeal joint when the 10 ml volume was used. All median synovial fluid amikacin concentrations observed were < 160 μg/ml.\u0000\u0000\u0000CONCLUSIONS\u0000Target concentrations for pathogens that were considered susceptible were consistently reached with perfusate volumes of 60 ml and 120 ml. However, median synovial fluid amikacin concentrations did not reach target levels for resistant pathogens.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Perfusate volumes of 60 ml or 120 ml are recommended to treat infections due to susceptible pathogens in the joints of the distal hind limb. These results justify investigation of saphenous IVRLP with different perfusate volumes using higher doses of amikacin.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116605123","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}