Veterinary surgery : VS最新文献_第7页

Laparoscopic resection of an exostosis of the os pubis in a horse. 马耻骨外生骨骺的腹腔镜切除术。

Veterinary surgery : VS Pub Date : 2019-11-18 DOI: 10.1111/vsu.13349

M. Delcazo, F. Geburek, K. Köhler, M. Röcken, F. Theiss

{"title":"Laparoscopic resection of an exostosis of the os pubis in a horse.","authors":"M. Delcazo, F. Geburek, K. Köhler, M. Röcken, F. Theiss","doi":"10.1111/vsu.13349","DOIUrl":"https://doi.org/10.1111/vsu.13349","url":null,"abstract":"OBJECTIVE\u0000To report the diagnostic findings and laparoscopic removal of an exostosis of the os pubis in a horse.\u0000\u0000\u0000STUDY DESIGN\u0000Case report.\u0000\u0000\u0000ANIMAL\u0000One 12-year-old Black Forest draught gelding.\u0000\u0000\u0000METHODS\u0000History included recurrent colic before and during urination and poor performance. Findings at rectal examination included a pointed osseous prominence adjacent to the symphysis of the pecten ossis pubis. Cystoscopy revealed that this prominence caused a protrusion of the bladder wall into the lumen. Standing laparoscopy and laparoscopy under general anesthesia were performed.\u0000\u0000\u0000RESULTS\u0000After a failed attempt at standing laparoscopy, the horse was anesthetized, and the exostosis of the os pubis was removed laparoscopically without complications. No recurrence of clinical signs associated with the exostosis was detected 12 months postoperatively.\u0000\u0000\u0000CONCLUSION\u0000Minimally invasive surgical resection of an exostosis of the os pubis was achieved under general anesthesia with appropriately designed instruments. This treatment alleviated symptoms associated with the exostosis, including potential injury of the urinary bladder wall.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"23 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":"123955857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ex vivo comparison of barbed sutures for pelvic flexure enterotomy in horses. 马盆腔屈曲肠切开术中倒钩缝合线的离体比较。

Veterinary surgery : VS Pub Date : 2019-11-14 DOI: 10.1111/vsu.13353

M. Sinovich, D. Archer, N. Meunier, P. Kelly

{"title":"Ex vivo comparison of barbed sutures for pelvic flexure enterotomy in horses.","authors":"M. Sinovich, D. Archer, N. Meunier, P. Kelly","doi":"10.1111/vsu.13353","DOIUrl":"https://doi.org/10.1111/vsu.13353","url":null,"abstract":"OBJECTIVE\u0000To evaluate two different barbed sutures for closure of pelvic flexure enterotomies and compare results achieved with two previously described closure techniques.\u0000\u0000\u0000STUDY DESIGN\u0000Ex vivo.\u0000\u0000\u0000SAMPLE POPULATION\u0000Twenty-four fresh cadaver adult equine large colons.\u0000\u0000\u0000METHODS\u0000Cadavers were randomly assigned to four closure groups (n = 6 each group): single-layer absorbable suture, double-layer absorbable suture, single-layer unidirectional barbed suture, or single-layer bidirectional barbed suture. Construction time, luminal reduction (percentage), bursting pressure, and method of failure were measured. Cost, leakage, exposed suture, and general appearance were recorded. Comparisons were performed with one-way analysis of variance and post hoc Bonferroni test (P < .05).\u0000\u0000\u0000RESULTS\u0000Double-layer absorbable closure had the highest bursting pressure (mean = 178.5 mm Hg, SD = 9.79, P < .001) but took more time (P = .001) compared with all other groups. The construction time of both barbed suture closures did not differ from the single-layer closure (P > .06). Bursting strengths of both unidirectional (mean = 91.6 mm Hg, SD = 5.57) and bidirectional (mean = 87.5 mm Hg, SD = 8.69) barbed sutures were lower (P > .006 for both) than those of both single- (mean = 117.6 mm Hg, SD = 11.69) and double-layer (mean = 178.5 mm Hg, SD = 9.79) closures. Unidirectional barbed suture closure had a reduction in lumen diameter (P = .004) compared with bidirectional and single-layer closures.\u0000\u0000\u0000CONCLUSION\u0000Enterotomy closures with the two different barbed suture patterns were comparable in bursting strength and construction time. However, the barbed suture patterns had lower bursting strength compared with traditional single- and double-layer closures. Unidirectional barbed suture closure also reduced lumen diameter.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Closure of a large colon enterotomy with barbed suture patterns may be less secure than single- and double-layer suture closure.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125598942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Ex vivo comparison of the effect of storage temperature on canine intestinal leakage pressures. 贮藏温度对犬肠漏压影响的离体比较。

Veterinary surgery : VS Pub Date : 2019-11-13 DOI: 10.1111/vsu.13339

D. Duffy, Yi-Jen Chang, J. Balko, G. Moore

{"title":"Ex vivo comparison of the effect of storage temperature on canine intestinal leakage pressures.","authors":"D. Duffy, Yi-Jen Chang, J. Balko, G. Moore","doi":"10.1111/vsu.13339","DOIUrl":"https://doi.org/10.1111/vsu.13339","url":null,"abstract":"OBJECTIVE\u0000To determine the effect of storage temperature on cadaveric small intestinal leakage pressures after enterotomy.\u0000\u0000\u0000STUDY DESIGN\u0000Experimental ex vivo study.\u0000\u0000\u0000ANIMALS\u0000Grossly normal jejunal segments from four canine cadavers.\u0000\u0000\u0000METHODS\u0000Thirty-six jejunal segments (n = 12 segments/group) were harvested immediately after euthanasia and assigned to a fresh group (tested within 4 hours), chilled group (stored for 24 hours at 4°C before testing), or freeze-thaw group (frozen at -20°C for 7 days and thawed at 21°C for 6 hours before testing). A 2-cm antimesenteric enterotomy was performed and repaired with 4-0 monofilament suture in a simple-continuous pattern. Initial leakage pressure (ILP), maximal intraluminal pressure (MIP), and leakage location were recorded, with testing performed at room temperature.\u0000\u0000\u0000RESULTS\u0000Mean ± SD ILP for fresh, chilled, and frozen-thawed specimens was 52.9 ± 8.4, 51.8 ± 11.9 and 29.8 ± 4.4 mm Hg, respectively. There was a difference in ILP among groups (P < .003), with freeze-thaw samples demonstrating lower ILP compared with other groups. There was no difference in MIP between groups (P = .186) There was a difference in leakage location among groups (P = .004), with the majority of chilled and freeze-thaw samples leaking at the suture holes compared with the incisional line in fresh samples.\u0000\u0000\u0000CONCLUSION\u0000Freezing and subsequent thawing prior to specimen testing reduced ILP compared with use of fresh and chilled specimens but did not affect MIP among experimental groups.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Cadaveric canine intestinal specimens tested immediately after collection or after chilling for 24 hours should be recommended for ex vivo burst pressure assessment in dogs. Additional studies to evaluate loss in testing viability of chilled intestinal specimens are warranted to help govern experimental methodologies.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132073940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Influence of wire configuration on resistance to fragment distraction of tension bands placed in a greater trochanteric osteotomy model. 钢丝结构对大转子截骨模型张力带碎片牵张阻力的影响。

Veterinary surgery : VS Pub Date : 2019-11-12 DOI: 10.1111/vsu.13350

E. Thompson, Amir K. Robe, S. Roe, J. Cole

{"title":"Influence of wire configuration on resistance to fragment distraction of tension bands placed in a greater trochanteric osteotomy model.","authors":"E. Thompson, Amir K. Robe, S. Roe, J. Cole","doi":"10.1111/vsu.13350","DOIUrl":"https://doi.org/10.1111/vsu.13350","url":null,"abstract":"OBJECTIVE\u0000To determine the influence of wiring configurations on initial tension and resistance to tensile loads in tension band constructs without the contributions of Kirschner-wire stabilization.\u0000\u0000\u0000STUDY DESIGN\u0000Experimental study.\u0000\u0000\u0000SAMPLE POPULATION\u0000A solid brass femur model manufactured on the basis of computed tomography of a normal right femur of a 30-kg dog modified by transection of the greater trochanter and placement of two pins that did not cross the simulated osteotomy.\u0000\u0000\u0000METHODS\u0000Four tension band configurations were applied to the metal trochanteric osteotomy model: figure-of-eight with one twist (OT), figure-of-eight with two twists (TT), dual interlocking single loop, and double loop (DL). Configurations were tested under both monotonic loading (n = 8 per configuration) and incremental cyclic loading (n = 8 per configuration). Initial tension after tying, residual tension remaining after each cycle, and failure load at 2 mm of displacement (considered equivalent to clinical failure) were compared between configurations.\u0000\u0000\u0000RESULTS\u0000The initial tension and the load to 2 mm of displacement were lower for OT wires compared with TT wires. The DL was the strongest and most stable configuration, generating 2.3 to 3.5 times greater initial tension, maintaining a greater percentage of residual tension under incremental cyclic loads, and resisting 2.0 to 2.4 times greater load before failure at 2 mm. Failure load was highly correlated with initial tension.\u0000\u0000\u0000CONCLUSION\u0000Wire configurations reaching greater initial tension, such as the DL, allowed constructs to resist higher tensile loads.\u0000\u0000\u0000CLINICAL IMPACT\u0000Wire configurations allowing higher initial tension may be warranted when tension bands are expected to sustain high tensile loads.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134233390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Accuracy of three-dimensional printed patient-specific drill guides for treatment of canine humeral intracondylar fissure. 三维打印患者专用钻头导向治疗犬肱骨髁内裂的准确性。

Veterinary surgery : VS Pub Date : 2019-11-12 DOI: 10.1111/vsu.13346

T. G. Easter, A. Bilmont, J. Pink, B. Oxley

{"title":"Accuracy of three-dimensional printed patient-specific drill guides for treatment of canine humeral intracondylar fissure.","authors":"T. G. Easter, A. Bilmont, J. Pink, B. Oxley","doi":"10.1111/vsu.13346","DOIUrl":"https://doi.org/10.1111/vsu.13346","url":null,"abstract":"OBJECTIVE\u0000To determine the accuracy of three-dimensional printed patient-specific drill guides (3D-PDG) as treatment of humeral intracondylar fissures (HIF) in dogs.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective consecutive case series.\u0000\u0000\u0000ANIMALS\u0000Client-owned dogs with HIF treated with a 5-mm transcondylar screw (TCS) placed from medial to lateral with a 3D-PDG.\u0000\u0000\u0000METHODS\u0000The proposed TCS entry point and trajectory were planned using computed tomography (CT) data and computer-aided design software (CAD), and a 3D-PDG was produced. During surgery the 3D-PDG was used to drill the pilot hole from medial to lateral; the guide was then removed, the pilot hole was overdrilled, and a 5-mm TCS was placed. Postoperative CT data were imported into CAD software, and the entry points, exit points, and trajectories were compared between the planned and actual screw locations.\u0000\u0000\u0000RESULTS\u0000Sixteen elbows from 11 dogs were included. Mean (SD) entry point translation was 1.3 mm (0.64), with all screws entering cranial to the proposed location. Mean maximum screw angulation was 5.2° (2.10°), with most screws directed caudodistal to the desired trajectory. Mean (SD) exit point translation was 1.8 mm (0.89) from the planned location. There was no intra-articular screw placement.\u0000\u0000\u0000CONCLUSION\u0000Use of a 3D-PDG permitted accurate placement of a mediolateral 5-mm locking TCS within the humeral condyle.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Three-dimensional printed patient-specific drill guides should be considered as accurate and consistent for placing TCS for treatment of HIF in dogs.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129906768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

Comparison between head-tail-rope assisted and unassisted recoveries in healthy horses undergoing general anesthesia for elective surgeries. 择期手术全麻健康马头尾绳辅助与非辅助恢复的比较

Veterinary surgery : VS Pub Date : 2019-11-09 DOI: 10.1111/vsu.13347

Stefanie Arndt, K. Hopster, V. Sill, K. Rohn, S. Kästner

{"title":"Comparison between head-tail-rope assisted and unassisted recoveries in healthy horses undergoing general anesthesia for elective surgeries.","authors":"Stefanie Arndt, K. Hopster, V. Sill, K. Rohn, S. Kästner","doi":"10.1111/vsu.13347","DOIUrl":"https://doi.org/10.1111/vsu.13347","url":null,"abstract":"OBJECTIVE\u0000To compare attempts to stand, duration, quality, and occurrence of injuries between head-tail rope assistance and unassisted recoveries in healthy horses undergoing general anesthesia for elective surgeries.\u0000\u0000\u0000STUDY DESIGN\u0000Randomized, prospective, clinical trial.\u0000\u0000\u0000METHODS\u0000Three hundred one healthy horses undergoing elective surgeries were randomly assigned to recover with head-tail rope assistance (group A) or unassisted (group U); 305 recoveries (group A, n = 154; group U, n = 151) were analyzed. Anesthesia was maintained with isoflurane and triple drip. For each recovery, attempts to stand, duration, quality, and recovery-associated injuries were recorded. Data were analyzed by linear regression and analysis of covariance.\u0000\u0000\u0000RESULTS\u0000Anesthesia duration was similar between groups (mean ± SD, 70 ± 29 minutes). Compared with group U, group A had fewer attempts to stand (median [range], group A = 1 [1-7] vs group U = 3 [1-34]) and shorter duration of recovery (mean ± SD, A = 36 ± 12 minutes vs U = 41 ± 15 minutes). Recovery quality in group A (28 points [15-70]) was better than that in group U (38 points [11-87]). More horses had recovery-associated injuries in group U (9 horses) compared with group A (2 horses). One horse per group was euthanized.\u0000\u0000\u0000CONCLUSION\u0000Head-tail rope assistance reduced standing attempts, shortened recovery duration, improved recovery quality, and reduced recovery-associated minor injuries after general anesthesia for elective surgery in healthy horses. Fatalities could not be prevented.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Head-tail rope assistance may improve recovery in healthy horses after short-duration elective surgeries with isoflurane and triple drip.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"98 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116649733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 25

Do prevalence rates and severity of acquired urinary incontinence differ between dogs spayed by laparoscopy or laparotomy? Comparing apples with apples with a matched-pair cohort study. 腹腔镜手术和开腹手术对犬后天性尿失禁的发生率和严重程度有何不同?用配对队列研究比较苹果和苹果。

Veterinary surgery : VS Pub Date : 2019-11-03 DOI: 10.1111/vsu.13343

K. Lutz, S. Hartnack, I. Reichler

{"title":"Do prevalence rates and severity of acquired urinary incontinence differ between dogs spayed by laparoscopy or laparotomy? Comparing apples with apples with a matched-pair cohort study.","authors":"K. Lutz, S. Hartnack, I. Reichler","doi":"10.1111/vsu.13343","DOIUrl":"https://doi.org/10.1111/vsu.13343","url":null,"abstract":"OBJECTIVE\u0000To compare the prevalence rates and severity of acquired urinary incontinence (AUI) between dogs spayed with laparoscopic and open laparotomy approaches.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective matched-pair cohort study.\u0000\u0000\u0000ANIMALS\u0000In total, 1285 privately owned dogs spayed >5 years previously were included in the study.\u0000\u0000\u0000METHODS\u0000Laparoscopically spayed dogs were matched with dogs spayed by traditional laparotomy. Matching variables were breed, bodyweight, age at spaying, time of spaying in relation to the onset of puberty, time interval since spaying, and age. In 400 matched-paired dogs, the outcome of AUI was assessed by using an owner questionnaire. A conditional logistic regression for matched pairs was performed on the data of 308 dogs.\u0000\u0000\u0000RESULTS\u0000Among 308 dogs, 30 and 29 dogs spayed by laparotomy and laparoscopy, respectively, were affected by AUI. The identified risk factors for AUI were age and time interval since spaying. The surgical approach (laparoscopy or laparotomy) was neither revealed as a risk factor nor did it influence the severity of AUI.\u0000\u0000\u0000CONCLUSION\u0000The risk of AUI after spaying is not influenced by the surgical approach, (laparoscopy or laparotomy). Nearly every fifth dog spayed by laparotomy or by laparoscopy was affected by AUI. A relatively longer time interval since spaying and increased age of the dog increased the risk for AUI.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Owners of dogs with a predisposition for AUI must be counseled about this risk when they present their dogs for spaying, regardless of surgical approach chosen.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114886672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Total hip arthroplasty to address chronic hip luxation with pseudoacetabulum formation in seven dogs. 全髋关节置换术治疗伴假髋臼形成的慢性髋关节脱位7只狗。

Veterinary surgery : VS Pub Date : 2019-11-01 DOI: 10.1111/vsu.13317

S. Jones, Edyta Bula, J. Dyce

{"title":"Total hip arthroplasty to address chronic hip luxation with pseudoacetabulum formation in seven dogs.","authors":"S. Jones, Edyta Bula, J. Dyce","doi":"10.1111/vsu.13317","DOIUrl":"https://doi.org/10.1111/vsu.13317","url":null,"abstract":"OBJECTIVE\u0000To compare the outcome of dogs treated with total hip arthroplasty (THA) for chronic hip luxation and pseudoacetabulum formation to that of dogs with simple hip dysplasia and secondary osteoarthritis.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective, case-controlled study.\u0000\u0000\u0000ANIMALS\u0000Seven dogs with pseudoacetabulum (group 1) and 21 matched control dogs (group 2).\u0000\u0000\u0000METHODS\u0000Each dog in group 1 was matched with three control dogs, primarily according to similarity of THA implant type and size. Patterns of radiographic pathology were characterized in each dog. Outcome measures included operative time, acetabular cup position/orientation (inclination angle, angle of lateral opening, version angle) complications, and long-term outcomes. Outcome measures were compared between groups using linear regression (P = .05).\u0000\u0000\u0000RESULTS\u0000The presence of a pseudoacetabulum was associated with ilial remodeling and heterotopic bone formation concentric to the luxated femoral head. Exposing the native acetabulum and reducing the prosthesis were surgically challenging. The mean (SD) operative time of dogs in group 1 (96 [18] minutes) was longer than that of dogs in group 2 (63 [14] minutes; P = .00002). Cup position/orientation was not different between dogs in group 1 and group 2. One intraoperative complication and two minor postoperative complications occurred in group 1 dogs. All dogs had good long-term outcomes.\u0000\u0000\u0000CONCLUSION\u0000Total hip arthroplasty in dogs with a pseudoacetabulum was more challenging than in control dogs. However, the procedure provided good to excellent long-term clinical outcomes in all dogs.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Surgeons should be prepared for the specific surgical challenges associated with THA in dogs with pseudoacetabulum formation.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"358 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122764222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Ceratohyoidectomy in standing sedated horses. 静置马角鼻骨切除术。

Veterinary surgery : VS Pub Date : 2019-11-01 DOI: 10.1111/vsu.13319

J. Racine, T. O'Brien, B. Bladon, A. Cruz, M. Stoffel, Kati Haenssgen, D. Rodgerson, M. A. Livesey, C. Koch

{"title":"Ceratohyoidectomy in standing sedated horses.","authors":"J. Racine, T. O'Brien, B. Bladon, A. Cruz, M. Stoffel, Kati Haenssgen, D. Rodgerson, M. A. Livesey, C. Koch","doi":"10.1111/vsu.13319","DOIUrl":"https://doi.org/10.1111/vsu.13319","url":null,"abstract":"OBJECTIVE\u0000To investigate the feasibility and complications associated with ceratohyoidectomy (CHE) in standing sedated horses unaffected (experimental horses) and standing sedated horses affected (clinical cases) with temporohyoid osteoarthropathy (THO).\u0000\u0000\u0000STUDY DESIGN\u0000Case series.\u0000\u0000\u0000ANIMALS\u0000Six experimental horses and four clinical cases.\u0000\u0000\u0000METHODS\u0000Standing CHE was performed in six experimental horses euthanized 30 minutes (n = 3) and 7 days (n = 3) postoperatively. The four clinical cases were presented because of central facial nerve paralysis (n = 3), vestibular ataxia (n = 3), auricular hemorrhage (n = 2), quidding (n = 1), and oesophageal impaction (n = 1). Evolution was assessed by clinical examination during hospitalization and later by telephone interviews for the clinical cases.\u0000\u0000\u0000RESULTS\u0000The procedure was successfully performed in all horses. Experimental horses did not show any short-term postoperative complications. Hemorrhage was experienced intraoperatively in one of the clinical cases and was successfully managed with placement of hemostatic forceps. Vestibular ataxia and other symptoms of THO improved within days, but facial nerve paralysis did not improve until 9 days to 6 months after surgery. Follow-up ranged from 9 to 24 months. All clinical cases returned to performance, and client satisfaction was excellent.\u0000\u0000\u0000CONCLUSION\u0000Ceratohyoidectomy was consistently feasible in standing sedated horses. The method did not result in postoperative complications and led to resolution of clinical signs associated with THO.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Standing CHE should be considered in horses affected with THO, especially when horses present with marked vestibular deficits and ataxia, to reduce risks associated with recovery from general anesthesia.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128752125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Extracorporeal shock wave therapy improves short-term limb use after canine tibial plateau leveling osteotomy. 体外冲击波治疗改善犬胫骨平台平截骨术后短期肢体使用。

Veterinary surgery : VS Pub Date : 2019-11-01 DOI: 10.1111/vsu.13320

K. Barnes, Alexander Faludi, C. Takawira, K. Aulakh, N. Rademacher, Chin-Chi Liu, Mandi J. Lopez

{"title":"Extracorporeal shock wave therapy improves short-term limb use after canine tibial plateau leveling osteotomy.","authors":"K. Barnes, Alexander Faludi, C. Takawira, K. Aulakh, N. Rademacher, Chin-Chi Liu, Mandi J. Lopez","doi":"10.1111/vsu.13320","DOIUrl":"https://doi.org/10.1111/vsu.13320","url":null,"abstract":"OBJECTIVE\u0000To determine the influence of postoperative extracorporeal shock wave therapy (ESWT) on hind limb use after tibial plateau leveling osteotomy (TPLO).\u0000\u0000\u0000STUDY DESIGN\u0000Randomized, prospective clinical trial.\u0000\u0000\u0000ANIMALS\u0000Sixteen client-owned dogs, 2 to 10 years old weighing 18 to 75 kg.\u0000\u0000\u0000METHODS\u0000Dogs were randomly assigned to treatment cohorts, TPLO with ESWT (ESWT, n = 9) or TPLO without ESWT (control, n = 7). Treatment consisted of 1000 pulses at 0.15 mJ/mm2 immediately and 2 weeks after surgery. Subjective pain, stifle goniometry, stifle circumference, peak vertical force (PVF) and vertical impulse (VI) were measured before surgery, prior to ESWT, and 2 and 8 weeks after surgery. Measures were compared between treatments at each time point and among time points for each treatment (P < .05).\u0000\u0000\u0000RESULTS\u0000The PVF (5.5 ± 1.0 N/kg, mean ± SD) and VI (0.67 ± 0.14 N-s/kg) of surgically treated limbs in the ESWT cohort were higher 8 weeks after surgery compared with preoperative (3.8 ± 1.1 N/kg, P < .0001 and 0.47 ± 0.21 N-s/kg, P = .0012, respectively) values. In the control cohort, PVF (2.9 ± 1.3 N/kg, P = .0001) and VI (0.33 ± 0.20 N-s/kg, P = .0003) 2 weeks after surgery and VI (0.42 ± 0.2 N-s/kg, P = .0012) 8 weeks after surgery were lower (4.59 ± 2.33 N/kg and 0.592 ± 0.35 N-s/kg, respectively) than before surgery. Other parameters did not differ between groups.\u0000\u0000\u0000CONCLUSION\u0000Weight bearing increased faster after TPLO in dogs treated with postoperative ESWT.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000This study provides evidence to consider adjunct ESWT after TPLO.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132712783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18