Veterinary surgery : VS最新文献

{"title":"Femorotibial kinematics in dogs treated with tibial plateau leveling osteotomy for cranial cruciate ligament insufficiency: An in vivo fluoroscopic analysis during walking.","authors":"Selena Tinga, Stanley E. Kim, S. Banks, S. Jones, B. Park, M. Burtch, A. Pozzi, D. Lewis","doi":"10.1111/vsu.13356","DOIUrl":"https://doi.org/10.1111/vsu.13356","url":null,"abstract":"OBJECTIVE\u0000To determine the ability of tibial plateau leveling osteotomy (TPLO) to address abnormal femorotibial kinematics caused by cranial cruciate ligament (CCL) rupture during walking in dogs.\u0000\u0000\u0000STUDY DESIGN\u0000Prospective, clinical.\u0000\u0000\u0000ANIMALS\u0000Sixteen dogs (20-40 kg) with unilateral complete CCL rupture.\u0000\u0000\u0000METHODS\u0000Lateral view fluoroscopy was performed during treadmill walking preoperatively and 6 months after TPLO. Digital three-dimensional (3D) models of the femora and tibiae were created from computed tomographic (CT) images. Gait cycles were analyzed by using a 3D-to-2D image registration process. Craniocaudal translation, internal/external rotation, and flexion/extension of the femorotibial joint were compared between preoperative and 6-month postoperative time points for the affected stifle and 6-month postoperative unaffected contralateral (control) stifles.\u0000\u0000\u0000RESULTS\u0000In the overall population, CCL rupture resulted in 10 ± 2.2 mm (mean ± SD) cranial tibial translation at midstance phase, which was converted to 2.1 ± 4.3 mm caudal tibial translation after TPLO. However, five of 16 TPLO-treated stifles had 4.1 ± 0.3 mm of cranial tibial subluxation during mid-to-late stance phase, whereas 10 of 16 TPLO-treated stifles had 4.3 ± 0.4 mm of caudal tibial subluxation throughout the gait cycle. Overall, postoperative axial rotational and flexion/extension patterns were not different from control, but stifles with caudal tibial subluxation had more external tibial rotation during mid-to-late stance phase compared with stifles with cranial tibial subluxation.\u0000\u0000\u0000CONCLUSION\u0000TPLO mitigated abnormal femorotibial kinematics but did not restore kinematics to control values in 15 of 16 dogs during walking.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Tibial plateau leveling osteotomy reduces cranial tibial subluxation during walking, but persistent instability is common.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124103678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term outcomes after pantarsal arthrodesis with medial plate fixation without external coaptation in 30 dogs.","authors":"Simone Anesi, S. Clarke, T. Gemmill, B. Oxley, J. Pink, Kinley D. Smith, S. Rutherford","doi":"10.1111/vsu.13354","DOIUrl":"https://doi.org/10.1111/vsu.13354","url":null,"abstract":"OBJECTIVE\u0000To report long-term outcomes of dogs treated with pantarsal arthrodesis (PTA) with medial plate fixation without external coaptation.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective case series.\u0000\u0000\u0000ANIMALS\u0000Client-owned dogs (n = 30).\u0000\u0000\u0000METHODS\u0000Medical records of dogs that had undergone a PTA with a medially applied plate without adjunctive rigid external coaptation were reviewed. Data collected included signalment, complications, and assessment of function at last physical examination. Follow-up information was obtained by phone conversations with owners. Complications were classified as minor, major II, major I, and catastrophic.\u0000\u0000\u0000RESULTS\u0000Thirty-six PTA were performed in 30 dogs. Recorded complications included eight (22.2%) minor complications, 11 (30.6%) major II complications and 11 (30.6%) major I complications. One (2.8%) dog required amputation because of catastrophic complication. Owners provided follow-up for 26 dogs at a median duration of 1215 days (range, 325-3495) after surgery. The outcome was reported as full function in 12 dogs and acceptable function in 14 dogs, with no owners reporting unacceptable function. The owner of the dog in which amputation was required was not contacted. Incorrect contact details prevented owner follow-up in the other three dogs, but all had acceptable function at last veterinary follow up.\u0000\u0000\u0000CONCLUSION\u0000Dogs treated with PTA by medially applied plate had a high incidence of complications requiring surgical or medical management, although full or acceptable function was achieved in 29 of 30 dogs.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Pantarsal arthrodesis offers a predictably good medium to long-term outcome in spite of a high risk of complications.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"225 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134098241","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 after surgical and conservative treatments of canine peritoneopericardial diaphragmatic hernia: A multi-institutional study of 128 dogs.","authors":"K. Morgan, Ameet Singh, M. Giuffrida, Ingrid M Balsa, G. Hayes, Margaret L Chu, Christopher B Thomson, Shiori Arai, D. Smeak, E. Monnet, L. Selmic, M. Cray, Janet A Grimes, Taylor M. Morris, J. Case, J. Biskup, Jason M. Haas, K. Thieman-Mankin, M. Milovancev, M. Gatineau","doi":"10.1111/vsu.13360","DOIUrl":"https://doi.org/10.1111/vsu.13360","url":null,"abstract":"OBJECTIVE\u0000To compare demographics and disease characteristics in dogs in which peritoneopericardial diaphragmatic hernia (PPDH) had been diagnosed and report outcomes after surgical treatment (ST) or conservative treatment (CT).\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective study.\u0000\u0000\u0000SAMPLE POPULATION\u0000One hundred twenty-eight dogs (91 ST, 37 CT) in which PPDH had been diagnosed.\u0000\u0000\u0000METHODS\u0000Medical records were reviewed for demographics, perioperative findings, and outcomes. Follow-up was obtained via telephone interview and email correspondence with owners and referring veterinarians. Baseline variables were compared between treatment groups.\u0000\u0000\u0000RESULTS\u0000Dogs treated surgically were younger (P < .001), more likely to be sexually intact (P = .002), more likely to have clinical signs from PPDH vs an incidental diagnosis (P < .001), and more likely to have other congenital abnormalities (P = .003) compared with dogs treated conservatively. Ninety-seven percent of ST dogs were discharged from hospitals. Intraoperative and postoperative complications were reported in 22% and 41% of dogs, respectively, although most complications were classified as low grade (75% and 83%, respectively). Follow-up was available in 87 dogs, at a median of 1062 days. Hernia recurrence was not reported in any surgically treated dog. The deaths of nine dogs (five ST, four CT) could be attributed to PPDH, and long median survival times were observed in both the ST and CT groups (8.2 and 5 years, respectively).\u0000\u0000\u0000CONCLUSION\u0000Preoperative characteristics differed between dogs treated conservatively vs surgically. Surgical treatment was associated with low operative mortality, and both ST and CT dogs had good long-term survival.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000A diagnosis of PPDH can confer a good long-term prognosis for both ST and CT dogs.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117031212","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":"Lip-to-nose flap for reconstruction of the nasal planum after curative intent excision of squamous cell carcinoma in cats: Description of technique and outcome in seven cases.","authors":"F. Massari, L. Chiti, Marta L P Lisi, Dario Drudi, V. Montinaro, Paolo Sommaruga","doi":"10.1111/vsu.13359","DOIUrl":"https://doi.org/10.1111/vsu.13359","url":null,"abstract":"OBJECTIVE\u0000To describe the surgical technique for nasal planum reconstruction with a lip-to-nose flap after curative intent surgical excision of squamous cell carcinoma (SCC) in cats and to report the surgical outcomes.\u0000\u0000\u0000STUDY DESIGN\u0000Short case series.\u0000\u0000\u0000ANIMALS\u0000Seven cats with SCC of the lateral (n = 6) or dorsal (n = 1) aspect of the nasal planum.\u0000\u0000\u0000METHODS\u0000After tumor excision, a mucocutaneous lip-to-nose flap was harvested from the upper lip and transposed to reconstruct the nasal planum. Variables recorded included surgical time, surgical complications, healing complications, flap success rate, and cosmetic and long-term functional outcomes.\u0000\u0000\u0000RESULTS\u0000Median surgical time was 67.5 minutes (range 49-80), and no intraoperative complications occurred. Postoperatively, six cats developed self-limiting edema of the muzzle, and one cat had nasal discharge for 2 days. No major complications occurred during the healing process, and all cats went on to achieve successful healing of their flap. A small area of partial-thickness necrosis developed at the cranial edge of the flap in three cats and healed spontaneously in all cases within a few days. According to owner satisfaction and periodic clinical assessment, cosmetic and long-term functional of outcomes were considered good in all cats.\u0000\u0000\u0000CONCLUSION\u0000The lip-to-nose flap allowed for aesthetic and functional reconstruction of the nasal planum after curative intent surgical excision of feline SCC.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000The lip-to-nose flap is an option for a single-stage reconstruction of the nasal planum following partial nasal planectomy in cats.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131812265","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 outcomes of six bulldogs with spinal lumbosacral meningomyelocele or meningocele.","authors":"Laura Martín Muñiz, S. Del Magno, G. Gandini, L. Pisoni, M. Menchetti, A. Foglia, S. Ródenas","doi":"10.1111/vsu.13342","DOIUrl":"https://doi.org/10.1111/vsu.13342","url":null,"abstract":"OBJECTIVE\u0000To report the surgical treatment and outcome of six bulldogs with spina bifida (SB) and meningocele (MC) or meningomyelocele (MMC).\u0000\u0000\u0000STUDY DESIGN\u0000Case series.\u0000\u0000\u0000ANIMALS\u0000Five French bulldogs and one English bulldog with MC or MMC.\u0000\u0000\u0000METHODS\u0000Medical records of dogs with spinal MC or MMC diagnosed by MRI at two institutions between 2013 and 2016 were reviewed for surgical treatment and outcomes.\u0000\u0000\u0000RESULTS\u0000Meningocele was diagnosed in two dogs, and MMC was diagnosed in four dogs. A lumbosacral dimple was noted in all dogs along with neurological deficits most commonly consisting of urinary and fecal incontinence (n = 6) and mild/moderate paraparesis (n = 3). Dorsal laminectomy was performed in all dogs to allow dissection of the meningeal sac to the vertebral column defect. In dogs with MMC, nerves were repositioned and protruded meninges were removed prior to suturing remaining meninges. Adhesions and filum terminale were resected in two dogs with suspected tethered cord syndrome. Urinary and fecal incontinence improved in two dogs and remained unchanged in four. Paraparesis improved in two dogs.\u0000\u0000\u0000CONCLUSION\u0000Surgical treatment resulted in partial improvement of the urinary and fecal incontinence (2/6 dogs) and paraparesis (2/3 dogs) or stable neurological condition (3/6 dogs), with only minor temporary complications.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000In the absence of published data comparing surgical and conservative treatment of puppies affected by SB and MC or MMC, early surgical treatment can be considered to prevent deterioration of neurological signs and, eventually, facilitate improvement of neurological signs.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128910067","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":"Sinocutaneous fistula repair with a masseter muscle transposition flap combined with wound matrix and cancellous bone graft in a horse: A new technique.","authors":"S. Yoshimura, S. Barber, Michelle L Tucker, J. Bracamonte, S. J. Mund, Keri L Thomas","doi":"10.1111/vsu.13352","DOIUrl":"https://doi.org/10.1111/vsu.13352","url":null,"abstract":"OBJECTIVE\u0000To describe a new technique to repair a sinocutaneous fistula with a masseter muscle transposition flap.\u0000\u0000\u0000STUDY DESIGN\u0000Case report.\u0000\u0000\u0000ANIMAL\u0000One 13-year-old thoroughbred stallion.\u0000\u0000\u0000METHODS\u0000One 13-year-old stallion with a 3.5 × 6-cm sinocutaneous fistula over the right caudal maxillary sinus was treated with a transpositional masseter muscle flap. This repair consisted of a commercial wound matrix dressing placed directly over the hole in the maxilla and secured with suture material; a cancellous bone graft collected from the right tuber coxa placed on the dressing; and a portion of the superficial layer of the masseter muscle, with its pedicle at the facial crest, transposed dorsally over the bone graft, followed by a rotational skin flap with skin rostral to the fistula to close the defect.\u0000\u0000\u0000RESULTS\u0000Seroma formation and dehiscence of the skin flap occurred, but the transposed muscle flap survived, and the technique resulted in successful closure of the sinocutaneous fistula with excellent cosmetic and functional outcome.\u0000\u0000\u0000CONCLUSION\u0000A chronic maxillary sinocutaneous fistula was successfully treated by using a transposition flap of the masseter muscle and a rotational skin flap with minor complications.\u0000\u0000\u0000CLINICAL IMPACT\u0000Transposition of the superficial layer of the masseter muscle should be considered for a repair of large maxillary sinocutaneous fistulas in horses.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115615022","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":"A survey of criteria used to evaluate applications for small animal surgery residency positions.","authors":"J. Fleming, M. Giuffrida, W. Culp, J. Runge","doi":"10.1111/vsu.13345","DOIUrl":"https://doi.org/10.1111/vsu.13345","url":null,"abstract":"OBJECTIVE\u0000To determine attributes of applicants to small animal surgery residency programs (SRP) that are considered important, favorable, or detrimental according to surgeons at SRP registered with the American College of Veterinary Surgeons (ACVS).\u0000\u0000\u0000STUDY DESIGN\u0000Online survey.\u0000\u0000\u0000SAMPLE POPULATION\u0000Residency-trained surgeons at ACVS-registered SRP.\u0000\u0000\u0000METHODS\u0000An online survey was advertised to eligible surgeons. Respondents anonymously provided information about their professional backgrounds and SRP interview practices and rated candidate attributes in terms of importance during application screening and favorable or detrimental effects during selection or ranking. Responses were compared by respondent practice setting and sex.\u0000\u0000\u0000RESULTS\u0000Surveys were completed by 148 of 289 (51%) invited surgeons. Male and female surgeons were equally represented, and 61% worked in academia. Most respondents' SRP offered in-person interviews, typically to a select applicant group from whom residents were ultimately chosen. Letters of recommendation were the most influential factor in all phases of application review, particularly when respondents knew the writers. Other critical attributes were academic record, internship reputation, research activity, and indices of interpersonal skills. Nearly all respondents considered multiple prior unsuccessful applications detrimental. Academic respondents emphasized academic performance and academic internships; private practice respondents valued personal contact with applicants and surgical specialty internships. Responses did not differ by self-identified gender.\u0000\u0000\u0000CONCLUSION\u0000Surgery residency program surgeons preferred first- or second-time applicants with excellent academic credentials, specific internship and research experiences, and letters of support from trusted colleagues as well as strong interpersonal skills.\u0000\u0000\u0000CLINICAL IMPACT\u0000Prospective residents can use this information to assess their candidacies, identify potential weaknesses, and prepare competitive applications.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125313294","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":"Dynamic laryngeal collapse associated with poll flexion as a complication of laryngeal tie-forward surgery in three harness racehorses.","authors":"H. Vermedal, E. Strand","doi":"10.1111/vsu.13351","DOIUrl":"https://doi.org/10.1111/vsu.13351","url":null,"abstract":"OBJECTIVE\u0000To report dynamic laryngeal collapse (DLC) associated with poll flexion as a potential complication of the laryngeal tie-forward procedure (LTFP) in harness racehorses.\u0000\u0000\u0000STUDY DESIGN\u0000Short case series.\u0000\u0000\u0000ANIMALS\u0000Three harness racehorses.\u0000\u0000\u0000METHODS\u0000Preoperative and postoperative medical records of all harness racehorses that underwent the LTFP were reviewed, as were high-speed treadmill videoendoscopy recordings of 35 horses that returned for upper airway evaluation postoperatively.\u0000\u0000\u0000RESULTS\u0000One standardbred and two Norwegian coldblooded trotters in which dorsal displacement of the soft palate had been initially diagnosed were found to have bilateral arytenoid cartilage and vocal fold collapse associated with poll flexion after the LTFP. These three horses were otherwise clinically normal when exercised in free head carriage.\u0000\u0000\u0000CONCLUSION\u0000Dynamic laryngeal collapse associated with poll flexion can occur as a complication after the LTFP in harness racehorses and should be considered as a differential in horses with persistence of airway problems after surgery.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Postoperative DLC may be underdiagnosed in harness racehorses because this complication is obvious only when horses are driven with bit and reins during high speed treadmill or overground videoendoscopy.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127917658","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 eight cats with oral neoplasia treated with radical mandibulectomy.","authors":"S. Boston, L. V. van Stee, N. Bacon, D. Szentimrey, B. Kirby, S. V. van Nimwegen, V. Wavreille","doi":"10.1111/vsu.13341","DOIUrl":"https://doi.org/10.1111/vsu.13341","url":null,"abstract":"OBJECTIVE To report outcomes after radical mandibulectomy in cats. STUDY DESIGN Multi-institutional retrospective study. ANIMALS Eight cats were included. METHODS Medical records were searched for cats with confirmed oral neoplasia treated with radical mandibulectomy. Data collected included demographics, surgical procedure, histopathological diagnosis, postoperative management, and outcomes. RESULTS Ages ranged from 8 to 17 years. All cats had 75% to 90% of the mandible removed and feeding tubes placed. Seven cats had squamous cell carcinoma, and one cat had a giant cell tumor. Six cats ate on their own postoperatively. Three cats had local recurrence and tumor-related died at 136 and 291 days. Six cats had no recurrence, with survival times of 156, 465, 608, and 1023 days, and two cats were still alive at 316 and 461 days after surgery. The three long-term survivors died of causes unrelated to oral neoplasia. One cat died at 156 days due to aspiration of food material. The overall estimated mean survival time was 712 days. CONCLUSION After radical mandibulectomy, independent food intake was achieved in 6 of eight cats, and four cats lived longer than one year. CLINICAL SIGNIFICANCE Radical mandibulectomy should be considered for the treatment of extensive oral neoplasia in cats. Successful long-term outcomes are possible with aggressive supportive care perioperatively.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115463340","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":"Identification of cutaneous arteries of the perineal and caudal thigh region: A cadaveric study in 12 cats.","authors":"Courtney V Andries, D. Degner, M. Ibrahim","doi":"10.1111/vsu.13355","DOIUrl":"https://doi.org/10.1111/vsu.13355","url":null,"abstract":"OBJECTIVE\u0000To describe the location of the dorsal perineal artery in cats and identify landmarks for axial pattern flaps based on this vessel.\u0000\u0000\u0000STUDY DESIGN\u0000Anatomic study.\u0000\u0000\u0000ANIMALS\u0000Twelve feline cadavers.\u0000\u0000\u0000METHODS\u0000Nonselective barium sulfate angiography was performed via injection of the descending aorta. Skin excised from the perineum and thighs was evaluated via gross inspection and radiography to identify angiosomes.\u0000\u0000\u0000RESULTS\u0000The dorsal perineal artery had a robust angiosome on the caudal thigh in 10 of 12 cadavers. The artery exited the ischiorectal fossa along the muscular furrow between the biceps femoris and semitendinosus muscles and passed sagittally toward the popliteal fossa in those 10 specimens. All cadavers had a consistent angiosome based on the ventral perineal artery, which was located on the caudomedial thigh. All cadavers also had a consistent angiosome from a cutaneous branch of the popliteal artery, which traveled in a distal to proximal direction starting at the popliteal fossa.\u0000\u0000\u0000CONCLUSION\u0000The dorsal perineal artery had a large cutaneous angiosome on the caudal thigh, which was consistent in most cats. The ventral perineal artery and cutaneous branch of the popliteal artery had consistent but smaller cutaneous angiosomes.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000The axial pattern flaps of the cutaneous branches of the dorsal and ventral perineal arteries and the popliteal artery provide a robust arterial blood supply to the skin of the perineum and the caudal thigh. These three flaps may therefore have adequate vascular supply to consistently survive in most cats.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131845173","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}