Veterinary surgery : VS最新文献

{"title":"Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome.","authors":"K. Tobias, K. Crombie","doi":"10.1111/vsu.13812","DOIUrl":"https://doi.org/10.1111/vsu.13812","url":null,"abstract":"OBJECTIVE\u0000To describe repair of perineal hernias in dogs positioned in dorsal recumbency.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective case series.\u0000\u0000\u0000SAMPLE POPULATION\u0000Twenty-three dogs with perineal hernias treated by herniorrhaphy, with or without adjunctive procedures.\u0000\u0000\u0000METHODS\u0000Medical records from 2016 to 2020 were reviewed for technique description and animal outcomes, and owners and referring veterinarians were contacted for follow-up information.\u0000\u0000\u0000RESULTS\u0000Internal obturator muscle transposition (IOMT) was performed in 22 dogs, and polypropylene mesh repair was performed in one dog. Transection of the internal obturator tendon was feasible in all dogs undergoing IOMT. Eighteen dogs underwent abdominal pexy procedures, castration, or both during the same anesthetic period. No intraoperative complications were noted. Postoperative complications were noted in the hospital in 14 dogs and after release in 11. Incisional infection/drainage and persistent urinary incontinence were reported in four and two dogs, respectively. Hernias reoccurred in four dogs and tended to be more common in dogs that had undergone previous herniorrhaphies (p = .053). Recurrence rates were lowest in dogs that had no prior hernia repair or organ pexy (p = .035).\u0000\u0000\u0000CONCLUSION\u0000Perineal hernia repair was feasible in dorsal recumbency. Complication and recurrence rates of perineal herniorrhaphy in dorsal recumbency were similar to those reported for dogs undergoing the procedure in sternal recumbency.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Positioning of patients for perineal hernia repair can be dictated by surgeon preference. Perineal hernia repair in dorsal recumbency allows a single-stage abdominal and perineal approach without repositioning.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"416 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134467337","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 contraception of free-ranging female capybaras: Description and comparison of open and minimally invasive techniques.","authors":"Priscila R Yanai, M. Ferraro, Andressa F K T Lima, S. G. Cortopassi, Luis Claudio L C Silva","doi":"10.1111/vsu.13806","DOIUrl":"https://doi.org/10.1111/vsu.13806","url":null,"abstract":"OBJECTIVE\u0000To develop, describe, and evaluate 2 surgical techniques for contraception of free-ranging female capybaras.\u0000\u0000\u0000STUDY DESIGN\u0000Prospective study.\u0000\u0000\u0000ANIMALS\u0000Cadaveric (n = 3) and free-ranging female capybaras (n = 21).\u0000\u0000\u0000METHODS\u0000Preliminary studies of surgical anatomy were performed on 3 capybara cadavers. Two different techniques for partial salpingectomy were evaluated in free-ranging female capybaras: bilateral minilaparotomy (LTG; n = 11) or bilateral laparoscopy (LCG; n = 10). Data concerning body weight, tubal ligation time, total surgical time, incision size, and intraoperative and postoperative complications were analyzed, as well as the clinical status and incisional healing 1 week postoperatively.\u0000\u0000\u0000RESULTS\u0000Body weight (P = .214), ligation time of the left uterine tube (P = .901), and total surgical time (P = .473) were similar between the experimental groups. The ligation time of the right uterine tube was shorter in the LCG group (P = .0463). In the LTG, no differences were observed between the sides regarding the incision size (P = .478). No major intraoperative or postoperative complications occurred in either group. One LCG procedure had to be converted to LTG due to technical issues. All skin incisions healed without complication.\u0000\u0000\u0000CONCLUSION\u0000Both procedures showed similar and satisfactory outcomes.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000The proposed techniques may be a suitable alternative to conventional laparotomy for contraception of female capybaras, especially under field conditions.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128957071","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":"Medial epicondylar fissure fracture as a complication of transcondylar screw placement for the treatment of humeral intracondylar fissure.","authors":"G. Jenkins, A. Moores","doi":"10.1111/vsu.13800","DOIUrl":"https://doi.org/10.1111/vsu.13800","url":null,"abstract":"OBJECTIVE\u0000To report the incidence of medial epicondylar fissure fracture (MEFF) after medial-to-lateral transcondylar screw placement in dogs with humeral intracondylar fissure (HIF) and to identify risk factors for MEFF.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Seventy-four client-owned dogs (88 elbows).\u0000\u0000\u0000METHODS\u0000Medical records of dogs surgically treated for HIF, and postoperative imaging studies were reviewed for demographics, fracture characteristics, and repair techniques. The width of the transcondylar screw was expressed relative to the height of the condyle. Screw angle and degree of countersinking were recorded. Information from case records and follow-up radiographs were used to identify complications.\u0000\u0000\u0000RESULTS\u0000Medial epicondylar fissure fracture was identified in 10 elbows (11.4%) following medial-to-lateral transcondylar screw placement: 4 cases were detected intraoperatively, 2 on immediate postoperative radiographs, 1 during routine radiographic follow up, and 3 when radiographs were reviewed for this study. A larger relative screw size was found to increase the risk of MEFF (P = .004, OR = 1.5). Fifteen additional complications were identified in 13/80 elbows at a median of 6 weeks postoperatively (range 1-56 weeks). Screw loosening was the most frequent complication (n = 9) and was the only complication in dogs with MEFF (n = 3); MEFF tended to increase the risk of perioperative screw loosening (P = .06).\u0000\u0000\u0000CONCLUSION\u0000Medial epicondylar fissure fracture occurred in 10/88 elbows treated for HIF and was more common in elbows treated with a larger screw size relative to the height of the condyle.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Placing transcondylar screws with a diameter inferior to 41% of the height of the condyle is recommended to avoid MEFF. Medial epicondylar fissure fracture appears to have a low clinical significance in the perioperative period, although its effect on long-term outcome remains unknown.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130141801","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 the superior and inferior labial musculomucosal flaps in cats: An angiographic study and case series.","authors":"Laura E Canever, D. Degner","doi":"10.1111/vsu.13811","DOIUrl":"https://doi.org/10.1111/vsu.13811","url":null,"abstract":"OBJECTIVE\u0000To evaluate the angiosomes of the superior and inferior labial arteries in the cat and describe the use of a musculomucosal axial pattern flap incorporating each artery for reconstruction of palatal defects in cats.\u0000\u0000\u0000STUDY DESIGN\u0000Cadaveric study and a series of two clinical cases.\u0000\u0000\u0000SAMPLE POPULATION\u0000Five feline cadavers and two client-owned cats.\u0000\u0000\u0000METHODS\u0000The common carotid arteries of five feline cadavers were injected with barium sulfate. Radiographs of excised tissue specimens were examined to map the location of the superior and inferior labial arteries and to visualize each angiosome available for an axial pattern flap. Labial musculomucosal flaps were utilized to reconstruct palatal defects in two live cats.\u0000\u0000\u0000RESULTS\u0000The superior and inferior labia were predominantly perfused by the superior and inferior labial arteries, respectively, and the angiosome of each artery encompassed the majority of its respective labium. Comparative positive contrast angiograms revealed the vascular supply was located within the musculomucosal layer. Reconstruction of recurrent palatal defects utilizing musculomucosal flaps based on these angiosomes in two clinical cases was successful with complete survival of the flaps.\u0000\u0000\u0000CONCLUSION\u0000The upper and lower lips were found to have robust vascular supplies within the musculomucosal layer which can support musculomucosal axial pattern flaps.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000This information provides the veterinary surgeon with additional surgical options for reconstruction of central and caudal palatal defects in the cat.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"725 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123850843","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":"Short- and long-term survival after adrenalectomy in 53 dogs with pheochromocytomas with or without alpha-blocker therapy.","authors":"Dory Enright,&nbsp;Vanna M Dickerson,&nbsp;Janet A Grimes,&nbsp;Sarah Townsend,&nbsp;Kelley M Thieman Mankin","doi":"10.1111/vsu.13771","DOIUrl":"https://doi.org/10.1111/vsu.13771","url":null,"abstract":"<p><strong>Objective: </strong>To report data related to the short- and long-term survival of dogs undergoing adrenalectomy for pheochromocytoma, and to determine the influence of preoperative alpha-blocker therapy.</p><p><strong>Study design: </strong>Retrospective.</p><p><strong>Animals: </strong>Fifty-three dogs.</p><p><strong>Methods: </strong>Medical records were reviewed for dogs diagnosed with pheochromocytoma and treated with adrenalectomy between 2010 and 2020. Preoperative management, imaging studies, intraoperative cardiovascular instability, complications, and procedural information were recorded. When applicable, duration of survival and cause of death, time to recurrence or metastasis, and postoperative complications were recorded.</p><p><strong>Results: </strong>During anesthesia, a hypertensive episode was documented in 46/53 dogs and arrhythmias were recorded in 16/53 dogs. Of these, 37/46 hypertensive dogs and 11/16 dogs with arrhythmias were treated with an alpha-blocker before surgery. Intraoperative systolic blood pressures reached higher levels by a magnitude of nearly 20% in dogs that were treated preoperatively with an alpha-blocker (P = .01). All dogs survived surgery and 44 survived to discharge. Follow up ranged from 6 to 1653 days (median 450 days). Median survival time for dogs discharged from the hospital was 1169 days (3.2 years). Recurrence and metastasis were suspected in 3 and 8 dogs, respectively.</p><p><strong>Conclusion: </strong>Most dogs survived the immediate postoperative period and achieved long-term survival with a low reported incidence of tumor recurrence or metastasis. Preoperative alpha-blocker therapy was not associated with increased survival.</p><p><strong>Clinical significance: </strong>The favorable outcomes reported in this study should be taken into consideration when discussing treatment options for dogs with pheochromocytomas. This study provides no evidence to support preoperative alpha-blocker therapy.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"438-446"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39905171","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":"Center of rotation of angulation-based leveling osteotomy for stifle stabilization in skeletally immature dogs.","authors":"Laura E Peycke,&nbsp;Renee McDougall,&nbsp;Rodrigo Roca,&nbsp;David Dycus,&nbsp;Don A Hulse","doi":"10.1111/vsu.13767","DOIUrl":"https://doi.org/10.1111/vsu.13767","url":null,"abstract":"<p><strong>Objective: </strong>To describe short-term outcomes of center of rotation of angulation (CORA)-based leveling osteotomy (CBLO) in skeletally immature dogs with cranial cruciate ligament (CrCL) injury.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animals: </strong>Fifteen skeletally immature dogs (16 stifles).</p><p><strong>Methods: </strong>Medical records of dogs with CrCL injury and radiographically documented open proximal tibial physis and tibial tuberosity apophysis managed with CBLO were reviewed. Clinical assessment, radiographic assessment, and complications were reviewed.</p><p><strong>Results: </strong>Fifteen dogs (16 stifles) with radiographically documented open proximal tibial physis and tibial tuberosity apophysis and CrCL injury underwent a CBLO. Mean tibial plateau angle (TPA) was 26° preoperatively, 9° postoperatively, and 9° at final recheck. One dog developed 10° recurvatum of the proximal tibia secondary to inadvertent over rotation of the tibial plateau (TPA 3°) to protect primary repair of an insertional CrCL avulsion. Correction of the recurvatum was declined as the dog had full limb function. Two dogs developed a valgus deformity secondary to a plate screw engaging the distolateral aspect of the proximal tibial physis. Owners of these dogs reported normal function but requested surgical revision to prevent long-term problems secondary to abnormal weight bearing. Both dogs regained full function following recovery from revision surgery. At a mean time of 23 months following surgery, all dogs continued to have full function as per phone conversation with owners.</p><p><strong>Conclusion: </strong>With proper preoperative planning, CBLO is an option for skeletally immature dogs with CrCL injury.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"528-535"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39963702","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 crescent saw guide for tibial plateau-leveling osteotomy: An ex vivo study.","authors":"Lindsay C Peterson,&nbsp;Stanley E Kim,&nbsp;Adam H Biedrzycki","doi":"10.1111/vsu.13781","DOIUrl":"https://doi.org/10.1111/vsu.13781","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of a novel crescent-shaped tibial plateau-leveling osteotomy (TPLO) saw guide (crescent guide) to assist with saw control in novice participants.</p><p><strong>Study design: </strong>Ex vivo study.</p><p><strong>Sample population: </strong>Synthetic bones (n = 54) and medium sized dog pelvic limbs (n = 36).</p><p><strong>Methods: </strong>The 6 participants (interns and residents) without any prior experience performing a TPLO each performed 9 osteotomies on synthetic tibia models, and 6 osteotomies in cadaveric limbs of medium-sized dogs. Osteotomies made with the crescent guide were compared with those made with a standard jig and a radial saw guide with a jig. Osteotomy angulation, distance of eccentricity (DOE), and medial tibial cortical damage (synthetic bone models only) were measured from calibrated photographs. Participants rated their experiences with each technique.</p><p><strong>Results: </strong>There was no difference in the DOE, coronal or axial osteotomy angulation between the 3 alignment devices for synthetic bone models or cadavers. Average medial cortical damage with the crescent guide (3.8 ± 7.3 mm² ) was lower than with the radial guide (35.7 ± 27 mm² ) and standard jig (51.2 ± 63.2 mm² ) guides (P = <.01). Five of 6 participants preferred the crescent guide over the standard jig and radial guide.</p><p><strong>Conclusion: </strong>There was no difference in accuracy of osteotomy positioning but using the crescent guide resulted in lower cortical damage and more favorable participant perceptions.</p><p><strong>Clinical relevance: </strong>The crescent guide may improve control of the radial saw during TPLO in novice surgeons but does not appear to aid accurate osteotomy positioning.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"509-519"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39928128","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 site infection-inflammation in dogs draped with a single-layer Kraton elastic seal extremity drape for stifle surgery.","authors":"Alison E Morgera,&nbsp;Michael G Hoelzler,&nbsp;Thomas D Scavelli,&nbsp;Amy L Hackett","doi":"10.1111/vsu.13773","DOIUrl":"https://doi.org/10.1111/vsu.13773","url":null,"abstract":"<p><strong>Objective: </strong>To compare the incidence of surgical site infection-inflammation in dogs undergoing elective orthopedic surgery of the stifle after draping with a single-layer Kraton elastic seal patient drape or conventional double-layer drapes.</p><p><strong>Study design: </strong>Prospective clinical trial.</p><p><strong>Sample population: </strong>A total of 789 dogs.</p><p><strong>Methods: </strong>Dogs were assigned to one of two groups: (1) conventional draping with 4-corner drapes and an overlying patient drape (n = 390) or (2) a Kraton seal extremity patient drape without 4-corner drapes (n = 399). All dogs were evaluated for surgical site infection-inflammation by 21 days and 6 months postoperatively.</p><p><strong>Results: </strong>The distribution of surgical procedures did not differ between draping techniques and included tibial tuberosity advancement (TTA, n = 480), tibial plateau leveling osteotomy (TPLO, n = 10), extracapsular lateral suture (ECLS, n = 130), medial patellar luxation repair (MPL, n = 63), lateral patellar luxation repair (LPL, n = 1), ECLS/MPL (n = 68), TTA/MPL (n = 12), TTA with joint capsule biopsy (n = 1), and stifle arthroscopy combined with TTA or TPLO (n = 24). Duration of follow up was 180 days (range 3-180 days) for clinical examinations and 182 days (range 2-182 days) for phone communications. Infection-inflammation was documented in 9 dogs after double-layer draping and 11 dogs after single-layer draping at 21 days postoperatively and in 12 dogs after double-layer draping and 7 dogs after single-layer draping at 6 months postoperatively.</p><p><strong>Conclusion: </strong>No difference in postoperative infection-inflammation was detected between canine stifle surgeries draped with a single-layer Kraton extremity patient drape or double-layer drapes.</p><p><strong>Clinical significance: </strong>The single-layer Kraton extremity patient drape is a viable alternative to conventional double-layer draping in canine stifle surgery.</p>","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":" ","pages":"464-473"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39876604","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":"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}