Veterinary surgery : VS最新文献

{"title":"Severity of nasopharyngeal collapse before and after corrective upper airway surgery in brachycephalic dogs.","authors":"Dana L Clarke,&nbsp;Jennifer A Reetz,&nbsp;Kenneth J Drobatz,&nbsp;David E Holt","doi":"10.1111/vsu.13841","DOIUrl":"https://doi.org/10.1111/vsu.13841","url":null,"abstract":"<p><strong>Objective: </strong>To determine the severity of nasopharyngeal collapse in brachycephalic dogs before and after corrective airway surgery.</p><p><strong>Animals: </strong>Twenty-three brachycephalic dogs (21 with clinical signs referrable to the upper airway) and nine clinically normal nonbrachycephalic dogs (controls).</p><p><strong>Methods: </strong>Dogs were evaluated with fluoroscopy awake and standing with the head in a neutral position. The magnitude of nasopharyngeal collapse was measured as the maximum reduction in the dorsoventral dimension of the nasopharynx during respiration and expressed as a percentage. Brachycephalic dogs were anesthetized, the airway evaluated, and corrective upper airway surgery (alaplasty, staphylectomy, sacculectomy, tonsillectomy) was performed. A cohort (n = 11) of the surgically treated brachycephalic dogs had fluoroscopy repeated a minimum of 6 weeks after surgery.</p><p><strong>Results: </strong>Median preoperative reduction in the dorsoventral dimensions of the nasopharynx was greater in brachycephalic dogs (65%; range: 8-100%) than in controls (10%; range: 1-24%, p = .0001). Surgery did not improve the reduction in dorsoventral diameter of the nasopharynx during respiration in brachycephalic dogs (n = 11) postoperatively (p = .0505).</p><p><strong>Conclusion and clinical significance: </strong>Nasopharyngeal collapse was a common and sometimes severe component of brachycephalic airway obstruction syndrome in the cohort of dogs evaluated. The lack of significant postoperative improvement may represent a type II error, a failure to adequately address anatomical abnormalities that increase resistance to airflow, or inadequate upper airway dilator muscle function in some brachycephalic dogs.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"982-989"},"PeriodicalIF":1.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40208284","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":"Comparison of median sternotomy closure-related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis.","authors":"Mariette A Pilot,&nbsp;Aaron Lutchman,&nbsp;Julie Hennet,&nbsp;Davina Anderson,&nbsp;William Robinson,&nbsp;Matteo Rossanese,&nbsp;Angelos Chrysopoulos,&nbsp;Jackie Demetriou,&nbsp;Benito De la Puerta,&nbsp;Ronan A Mullins,&nbsp;Hervé Brissot,&nbsp;Nicholas Jeffery,&nbsp;Guillaume Chanoit","doi":"10.1111/vsu.13846","DOIUrl":"https://doi.org/10.1111/vsu.13846","url":null,"abstract":"<p><strong>Objective: </strong>To determine and compare median sternotomy (MS) closure-related complication rates using orthopedic wire or suture in dogs.</p><p><strong>Study design: </strong>Multi-institutional, retrospective observational study with treatment effect analysis.</p><p><strong>Animals: </strong>331 client-owned dogs, of which 68 were excluded.</p><p><strong>Methods: </strong>Medical records of dogs with MS were examined across nine referral centers (2004-2020). Signalment, weight, clinical presentation, surgical details, complications, and outcomes were recorded. Follow-up was performed using patient records and email/telephone contact. Descriptive statistics, treatment effect analysis and logistic regression were performed.</p><p><strong>Results: </strong>Median sternotomy closure was performed with wire in 115 dogs and suture in 148. Thirty-seven dogs experienced closure-related complications (14.1%), 20 in the wire group and 17 in the suture group. Twenty-three were listed as mild, four as moderate and 10 as severe. Treatment effect analysis showed a mean of 2.3% reduction in closure-related complications associated with using suture versus wire (95% CI: -9.1% to +4.5%). In multivariable logistic regression, the only factor associated with increased risk of closure-related complications was dog size (p = .01). This effect was not modified by the type of closure used (interaction term: OR = 0.99 [95% CI: 0.96/1.01]).</p><p><strong>Conclusion: </strong>The incidence of closure-related complication after MS was low compared to previous reports. The likelihood of developing a closure-related complication was equivalent between sutures and wires, independent of dog size, despite a higher proportion of complications seen in larger dogs (≥20 kg).</p><p><strong>Clinical significance: </strong>Use of either orthopedic wire or suture appear to be an appropriate closure method for sternotomy in dogs of any size.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"990-1001"},"PeriodicalIF":1.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6e/42/VSU-51-990.PMC9543654.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40404806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scientific Presentation Abstracts: 2022 ECVS 31st Annual Scientific Meeting July 7-9, Porto, Portugal.","authors":"","doi":"10.1111/vsu.13854","DOIUrl":"https://doi.org/10.1111/vsu.13854","url":null,"abstract":"","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O1-O54"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40408605","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":"Scientific Presentation Abstracts: 2022 Veterinary Endoscopy Society Annual Conference June 1-3, New York.","authors":"","doi":"10.1111/vsu.13861","DOIUrl":"https://doi.org/10.1111/vsu.13861","url":null,"abstract":"","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O12-O24"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40565341","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":"Laparoscopic ovariohysterectomy for dogs under 5 kg body weight.","authors":"Tokio Matsunami","doi":"10.1111/vsu.13720","DOIUrl":"https://doi.org/10.1111/vsu.13720","url":null,"abstract":"<p><strong>Objective: </strong>To describe the surgical method, operative time, safety, and usefulness of 3-port laparoscopic ovariohysterectomy (LOHE) using an ultrasonic coagulation and incision device in dogs <5 kg.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>Female dogs (n = 147).</p><p><strong>Methods: </strong>Animals were allocated to one of four groups by bodyweight: <2 kg (n = 18), 2-3 kg (n = 37), 3-4 kg (n = 55), and 4-5 kg (n = 37). All surgical procedures were recorded on video. Mean operative time (i.e., time from first skin incision to last suture), clinical variables, hematologic variables, and blood biochemistry were recorded. Intrasurgical and postsurgical complications were recorded, and wound complications, including signs of inflammation or hernia formation were monitored for 3 months.</p><p><strong>Results: </strong>The mean operative time for all groups was 18 min, with no significant differences between groups. Eight dogs bled from the mesometrium during surgery. Two dogs had hernia formation at a midline port incision; this complication developed by month 3. No complications such as wound dehiscence or infection of the surgical field were observed at the time of suture removal in any of the dogs.</p><p><strong>Conclusion: </strong>We performed LOHE using an ultrasonic coagulation and incision device in dogs <5 kg, and found it to be a safe procedure with minimal complications.</p><p><strong>Clinical significance: </strong>We believe that LOHE, using a 3-port and ultrasonic coagulation and incision device, is a safe, useful, and minimally invasive surgical method for sterilization of dogs <5 kg with minimal complications.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O92-O97"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39428324","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":"Thoracoscopic detection of thoracic ducts after ultrasound-guided intrahepatic injection of indocyanine green detected by near-infrared fluorescence and methylene blue in dogs.","authors":"Megan F Korpita,&nbsp;Philipp D Mayhew,&nbsp;Michele A Steffey,&nbsp;Ingrid M Balsa,&nbsp;Michelle A Giuffrida,&nbsp;Amandeep S Chohan,&nbsp;Eric G Johnson","doi":"10.1111/vsu.13682","DOIUrl":"https://doi.org/10.1111/vsu.13682","url":null,"abstract":"<p><strong>Objective: </strong>To describe and compare onset and intensity of thoracic duct (TD) coloration in healthy dogs after intrahepatic injection of either indocyanine green (ICG) visualized by intraoperative near-infrared fluorescence lymphography (NIRFL) or direct thoracoscopic visualization of methylene blue dye (MB).</p><p><strong>Study design: </strong>Prospective study.</p><p><strong>Animals: </strong>Healthy adult Beagle dogs (n = 5).</p><p><strong>Methods: </strong>All dogs had biochemical panels and complete blood counts preoperatively. Computed tomography lymphography (CTL) was performed prior to a standard 3-port thoracoscopic approach. A mixture of MB and ICG was injected by ultrasound-guided percutaneous injection into right or left-sided hepatic lobes. Data collected included dose of contrast agent (MB vs. ICG), injection site, timing, and quality of operative TD identification. Potential hepatic injury was assessed by repeat laboratory evaluation and abdominal ultrasound 14 days postoperatively.</p><p><strong>Results: </strong>Preoperative CTL provided a diagnostic study in 5/5 dogs. After intrahepatic injection of combined dyes, NIRFL allowed visualization of TDs in 5/5 dogs, but MB did not result in visible TD coloration in any dog. Intrahepatic injection of ICG achieved successful NIRFL in a median time of 6 minutes and persisted for the 20 minute observation period in all five dogs. All dogs recovered without complication and were subsequently adopted.</p><p><strong>Conclusion: </strong>NIRFL of the TD can be achieved with intraoperative hepatic injection of ICG. Intrahepatic injection of MB did not result in visible TD coloration.</p><p><strong>Clinical significance: </strong>Hepatic intra-parenchymal injection is a reliable alternative portal into the TD system for intraoperative visualization of TD anatomy using ICG in dogs.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O118-O127"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13682","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39212442","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":"Thoracoscopic treatment of persistent right aortic arch in dogs with and without one lung ventilation.","authors":"Sarah J Marvel,&nbsp;Ahmed Hafez,&nbsp;Eric Monnet","doi":"10.1111/vsu.13717","DOIUrl":"https://doi.org/10.1111/vsu.13717","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate thoracoscopic treatment of persistent right aortic arch (PRAA) in dogs with and without the use of one lung ventilation (OLV).</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Animals: </strong>Twenty-two (client-owned and shelter) dogs diagnosed with PRAA.</p><p><strong>Methods: </strong>Medical records were reviewed retrospectively and intraoperative and immediate postoperative data were compared between dogs that underwent thoracoscopic treatment of PRAA with (OLV+) and without (OLV-) OLV.</p><p><strong>Results: </strong>Ten of the 12 dogs in the OLV+ group and 7/10 dogs in the OLV- group had their left ligamentum arteriosum successfully ligated during thoracoscopy. Median surgical time, surgery complications, anesthesia complications, and rate of conversion to an open thoracotomy due to limited visualization or surgical complications were similar between the two groups.</p><p><strong>Conclusion: </strong>Thoracoscopic treatment of PRAA can be performed with or without OLV. Surgical time, intraoperative complications, and conversion rates were similar between dogs that underwent thoracoscopic treatment of PRAA with and without OLV. OLV may not have contributed to improved visualization in this group of dogs.</p><p><strong>Clinical significance (or impact): </strong>The use of OLV is safe during thoracoscopic treatment of PRAA. OLV did not appear to provide significant benefits in this case series and thoracoscopic treatment of PRAA in dogs may be performed successfully with or without the use of OLV.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O107-O117"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/vsu.13717","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39342226","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":"Pet-owner perceptions of laparoscopy in an urban hybrid veterinary practice.","authors":"Nicole J Buote,&nbsp;Patrick Carney,&nbsp;Julia Sumner","doi":"10.1111/vsu.13730","DOIUrl":"https://doi.org/10.1111/vsu.13730","url":null,"abstract":"<p><strong>Objective: </strong>To investigate owner perceptions of laparoscopic surgery, including attitudes towards paying more for minimally invasive surgery (MIS).</p><p><strong>Study design: </strong>Randomized cross-sectional prospective survey.</p><p><strong>Sample population: </strong>One hundred owners presenting at a combined general and specialty practice.</p><p><strong>Methods: </strong>Participants were interviewed using a survey tool to assess prior knowledge of laparoscopic procedures, attitude for or against these procedures, reasons for this attitude, and whether they would pay more for the procedures. Demographic data were collected.</p><p><strong>Results: </strong>Fifty-five percent of owners had previous knowledge of laparoscopy. Ninety-two percent of owners would choose laparoscopy over an open procedure for their pet. Reasons given for preferring laparoscopy: less postoperative pain (66.3%), shorter length of hospitalization (26.1%), better cosmesis (20.1%), perception of lower cost (15.2%), faster return to function (14.1%), length of anesthesia (5.4%), and other reasons (26.1%). Ninety-one percent of owners were willing to pay more for MIS. Among owners who indicated they would be willing to pay more, owners presenting with dogs were 2.5 times more likely to be willing to pay at least $1000 more than owners presenting with cats.</p><p><strong>Conclusion: </strong>The majority of owners surveyed at a large hybrid hospital in an urban setting choose laparoscopic over open procedures and were willing to pay more for them.</p><p><strong>Clinical significance: </strong>The results highlight the importance of client and veterinarian education regarding the options of MIS for pets, as owners who are informed may prefer referral for the procedures. The financial investment to build a MIS practice may be justified.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O80-O91"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39499880","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":"Minimally invasive video-assisted parathyroidectomy in dogs: Technique description and feasibility study.","authors":"Julia P Sumner,&nbsp;Filipe N C M Espinheira Gomes,&nbsp;James A Flanders","doi":"10.1111/vsu.13759","DOIUrl":"https://doi.org/10.1111/vsu.13759","url":null,"abstract":"<p><strong>Objective: </strong>To describe a minimally invasive approach to the parathyroid gland for the treatment of primary hyperparathyroidism.</p><p><strong>Study design: </strong>Surgical technique description and clinical case report.</p><p><strong>Animals: </strong>Five canine cadavers and 5 client-owned dogs with primary hyperparathyroidism.</p><p><strong>Methods: </strong>A surgical technique for minimally invasive video-assisted parathyroidectomy (MIVAP), described for humans, was adapted for dogs. With the dog in dorsal recumbency, a 15 mm incision was made on the midline, 1 finger width caudal to the cricoid cartilage of the larynx. A 5 mm 30° rigid endoscope was inserted into the peritracheal space with the aid of a blunt suction dissector, and fine elevators. The parathyroid was subsequently removed using electrocautery and blunt and sharp dissection. The technique was refined in 5 cadaver dogs to assess feasibility, and was subsequently performed in 5 clinical cases.</p><p><strong>Results: </strong>A minimally invasive approach to the parathyroid gland was possible and allowed successful removal of a parathyroid mass in 5 dogs without complication. The use of fluid ingress was trialed in 1 cadaver and not found to be helpful. The use of a blunt suction dissector greatly facilitated dissection of the peritracheal space.</p><p><strong>Conclusion: </strong>Minimally invasive video-assisted parathyroidectomy is feasible in dogs and was not associated with complications in 5 clinical cases.</p><p><strong>Clinical significance: </strong>Minimally invasive techniques tend to reduce morbidity and are popular with pet owners. This study demonstrates that a minimally invasive technique may be considered for parathyroidectomy in dogs.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O167-O173"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39824324","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":"Intraoperative cholangiography and bile duct flushing in 47 dogs receiving laparoscopic cholecystectomy for benign gallbladder disease: A retrospective analysis.","authors":"Hiroo Kanai,&nbsp;Tomomi Minamoto,&nbsp;Aya Nukaya,&nbsp;Motoki Kondo,&nbsp;Toshihide Aso,&nbsp;Ayako Fujii,&nbsp;Ken Hagiwara","doi":"10.1111/vsu.13731","DOIUrl":"https://doi.org/10.1111/vsu.13731","url":null,"abstract":"<p><strong>Objective: </strong>To describe a laparoscopic approach for performing intraoperative cholangiography (IOC) and bile duct flushing (BDF) during laparoscopic cholecystectomy (LC) in dogs. To investigate the clinical outcomes of dogs undergoing these procedures for the treatment of benign gallbladder disease, ie gallbladder mucocele (GM) or cholecystitis.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>Forty-seven client-owned dogs.</p><p><strong>Methods: </strong>Medical records of client-owned dogs with benign gallbladder diseases that underwent IOC and BDF during LC between September 2016 and December 2019 were reviewed. Of these dogs, only dogs with GM or cholecystitis were included in the study. The fundus dissection first method was used for LC. Intraoperative cholangiography and BDF procedures were performed laparoscopically using a catheter inserted into the cystic duct following dissection within the subserosal layer of the gallbladder. Videos recorded during each procedure were reviewed, and data on procedure duration, completion, outcome, and technical approach were recorded.</p><p><strong>Results: </strong>Forty-seven dogs were included in the study. The median procedure time for BDF and IOC was 4 min (range, 2-48 min), and no intraoperative or postoperative complications occurred.</p><p><strong>Conclusion: </strong>During LC, BDF and IOC were performed safely and successfully. Intraoperative cholangiography identified obstructions and strictures in the common bile duct that were not detected using BDF alone.</p><p><strong>Clinical significance: </strong>Our findings suggest that BDF and IOC are both safe and time effective and should be considered for routine use by surgeons during LC.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"O150-O159"},"PeriodicalIF":1.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39447184","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}