Veterinary surgery : VS最新文献_第8页

Flexed radiographic angles for determination of atlantoaxial instability in dogs. 测定犬寰枢椎不稳定性的屈曲x线摄影角度。

Veterinary surgery : VS Pub Date : 2019-11-01 DOI: 10.1111/VSU.13323

Dana A White, W. Renberg, J. Roush, M. Hallman, D. Mauler, G. Milliken

{"title":"Flexed radiographic angles for determination of atlantoaxial instability in dogs.","authors":"Dana A White, W. Renberg, J. Roush, M. Hallman, D. Mauler, G. Milliken","doi":"10.1111/VSU.13323","DOIUrl":"https://doi.org/10.1111/VSU.13323","url":null,"abstract":"OBJECTIVE\u0000To determine a flexed position for radiographic diagnosis of atlantoaxial instability (AAI) and to identify radiographic measurement cutoffs to differentiate affected dogs from neurologically healthy toy breeds.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective case series and prospective case controls.\u0000\u0000\u0000ANIMALS\u0000Thirty-nine client-owned toy breed dogs in which AAI had been diagnosed and 20 neurologically healthy client-owned toy breed dogs.\u0000\u0000\u0000METHODS\u0000Medical records from three institutions were retrospectively reviewed to identify dogs affected with AAI. Flexed lateral images were reviewed, and measurements were obtained by using anatomic landmarks. Radiography was performed with control dogs to obtain the same measurements.\u0000\u0000\u0000RESULTS\u0000Flexed lateral radiographs of thirty dogs affected with AAI were found to be positioned at a mean of 51° flexion. When flexed lateral radiographs were evaluated with a cutoff value for atlas to axis angle (AAA) >10°, evaluation of all breeds represented revealed a 90% sensitivity and 90% specificity. When this cutoff was evaluated in Yorkshire terriers, Chihuahuas, and mixes of these breeds, the sensitivity was 92%, and the specificity was 92%. When the control sample was positioned at 51° ± 10°, only two of the dogs were within the AAA cutoff value of >10°. There was no difference between the measurements obtained by using the flexed lateral view (mean = 50.9°) and the exaggerated flexed lateral view (mean = 38.9°) in the control sample.\u0000\u0000\u0000CONCLUSION\u0000This study established objective measurements for the positioning and diagnosis of AAI on flexed lateral radiographs in toy breed dogs.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Atlantoaxial instability can be objectively diagnosed in sedated or anesthetized toy breed dogs when applying 51° flexion to cervical radiographs.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"98 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":"123677185","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

Comparison between optical coherence tomographic and histopathologic appearances of artifacts caused by common surgical conditions and instrumentation. 常见手术条件和器械引起的伪影的光学相干层析与组织病理表现的比较。

Veterinary surgery : VS Pub Date : 2019-11-01 DOI: 10.1111/vsu.13305

C. Cocca, L. Selmic, Jonathan P. Samuelson, Pin-Chieh Huang, Jianfeng Wang, S. Boppart

{"title":"Comparison between optical coherence tomographic and histopathologic appearances of artifacts caused by common surgical conditions and instrumentation.","authors":"C. Cocca, L. Selmic, Jonathan P. Samuelson, Pin-Chieh Huang, Jianfeng Wang, S. Boppart","doi":"10.1111/vsu.13305","DOIUrl":"https://doi.org/10.1111/vsu.13305","url":null,"abstract":"OBJECTIVE\u0000To document the appearance of artifacts created by commonly encountered surgical conditions and instrumentation on optical coherence tomography (OCT) and to compare these findings with histopathology.\u0000\u0000\u0000STUDY DESIGN\u0000Ex vivo study.\u0000\u0000\u0000ANIMALS\u0000Five canine cadavers.\u0000\u0000\u0000METHODS\u0000Skin, subcutaneous fat, skeletal muscle, and fascia samples were obtained from fresh canine cadavers. Blood pooling, hemostatic crushing, scalpel blade cut, monopolar electrosurgery, bipolar vessel sealing device, and ultrasonic energy surgical artifacts were induced on each tissue type. Each specimen was imaged with OCT and subsequently histologically processed.\u0000\u0000\u0000RESULTS\u0000Most surgical instrumentation used for tumor excision created a high-scattering region with local architectural disruption. Blood pooling was visible as a high-scattering layer overlying tissue with normal architecture. Only the scalpel blade created a focal, low-scattering area representing a sharply demarcated cut within the tissue distinct from the appearance of other instrumentation.\u0000\u0000\u0000CONCLUSION\u0000Common surgical instruments and conditions encountered during tumor excision produced high-scattering OCT artifacts in tissues commonly seen at surgical margins.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000The clinical value of OCT hinges on the ability of personnel to interpret this novel imaging and recognize artifacts. Defining and describing the appearance of common surgical artifacts provides a foundation to create image libraries with known histological and OCT interpretation, ultimately improving the diagnostic accuracy of OCT for assessment of surgical margins.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"2013 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":"133941390","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

Effects of acellular equine amniotic allografts on the healing of experimentally induced full-thickness distal limb wounds in horses. 脱细胞同种异体羊膜移植对实验性马远端肢体全层创面愈合的影响。

Veterinary surgery : VS Pub Date : 2019-11-01 DOI: 10.1111/vsu.13304

Alexander W Fowler, J. Gilbertie, V. Watson, T. Prange, J. Osborne, L. Schnabel

{"title":"Effects of acellular equine amniotic allografts on the healing of experimentally induced full-thickness distal limb wounds in horses.","authors":"Alexander W Fowler, J. Gilbertie, V. Watson, T. Prange, J. Osborne, L. Schnabel","doi":"10.1111/vsu.13304","DOIUrl":"https://doi.org/10.1111/vsu.13304","url":null,"abstract":"OBJECTIVE\u0000To characterize the growth factors contained in equine amniotic membrane allograft (eAM; StemWrap scaffold and StemWrap+ injection) and to evaluate the effect of eAM on equine distal limb wound healing.\u0000\u0000\u0000STUDY DESIGN\u0000Prospective experimental controlled study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Eight adult horses.\u0000\u0000\u0000METHODS\u0000Transforming growth factor (TGF)-β1, vascular endothelial growth factor (VEGF), epidermal growth factor, platelet-derived growth factor-BB, and prostaglandin E2 (PGE2 ) concentrations in StemWrap+ were assessed with enzyme-linked immunosorbent assay. Two full-thickness 6.25-cm2 skin wounds were created on each metacarpus. On one forelimb, one wound was treated with eAM, and the other was left untreated (eAM control). On the contralateral limb, one wound was treated with a silicone dressing, and the other served as negative control. Three-dimensional images were obtained to determine wound circumference and surface area analyses at each bandage change until healed. Excessive granulation tissue was debrided once weekly for 4 weeks. Biopsy samples were taken to evaluate quality of wound healing via histologic and immunohistochemistry assays.\u0000\u0000\u0000RESULTS\u0000StemWrap+ contained moderate concentrations of TGF-β1 (494.10 pg/mL), VEGF (212.52 pg/mL), and PGE2 (1811.61 pg/mL). Treatment of wounds with eAM did not affect time to healing or histologic quality of the healing compared with other groups but was associated with increased granulation tissue production early in the study, particularly on day 7.\u0000\u0000\u0000CONCLUSION\u0000Application of eAM resulted in increased granulation tissue production while maintaining appropriate healing of experimental wounds.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Use of eAM is likely most beneficial for substantial wounds in which expedient production of large amounts of granulation tissue is desirable.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"2016 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":"125719558","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: 6

Evaluation of four techniques for injection of the proximal interphalangeal joint in horses. 马近端指间关节注射四种技术的评价。

Veterinary surgery : VS Pub Date : 2019-11-01 DOI: 10.1111/vsu.13296

M. Mereu, C. Hawkes, L. Cuddy, J. F. Perez Olmos, M. Pazzola, T. McNally

{"title":"Evaluation of four techniques for injection of the proximal interphalangeal joint in horses.","authors":"M. Mereu, C. Hawkes, L. Cuddy, J. F. Perez Olmos, M. Pazzola, T. McNally","doi":"10.1111/vsu.13296","DOIUrl":"https://doi.org/10.1111/vsu.13296","url":null,"abstract":"OBJECTIVE\u0000To describe a dorsoproximal midline (DPM) standing technique for proximal interphalangeal joint (PIPJ) injection and to compare it to established dorsolateral flexed (DLF), palmaroproximal (PP), and dorsolateral standing (DLS) techniques.\u0000\u0000\u0000STUDY DESIGN\u0000Ex vivo study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Sixty cadaver equine thoracic limbs.\u0000\u0000\u0000METHODS\u0000Limbs were divided into four groups (n = 15 each group), DLF, DPM, PP, and DLS. For each technique, three operators injected radiopaque contrast and methylene blue into the PIPJ in five limbs. The number of attempts required was recorded. Successful injection was confirmed by radiographic presence of contrast media within the PIPJ. Iatrogenic cartilage damage was assessed by gross examination. Statistical analysis was performed by Wilcoxon signed-rank test (P < .05).\u0000\u0000\u0000RESULTS\u0000The overall success rates were 86.6% to 93.3%. Although there was no difference in success rate, the frequency of needle repositioning was influenced by injection technique (P = .009). Dorsolateral standing had the highest mean ± SD value of attempts required to insert the needle in the joint space (2.62 ± 1.94). Injection technique influenced cartilage damage (P = .025), with the highest frequency recorded for DLS.\u0000\u0000\u0000CONCLUSION\u0000All four techniques for injecting the PIPJ were highly successful; DLS was associated with the highest number of needle repositionings and the highest incidence of iatrogenic injury to cartilage.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Dorsolateral flexed should be considered as an alternative to the DLS technique to reduce iatrogenic cartilage injury when injecting the PIPJ. Dorsoproximal midline and DLF techniques have success rates comparable to traditional techniques, with lower incidence of iatrogenic cartilage damage in cadaver limbs.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"70 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":"123101699","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: 2

Custom acetabular prosthesis for total hip replacement: A case report in a dog with acetabular bone loss after femoral head and neck ostectomy. 全髋关节置换术中定制髋臼假体:股骨头颈骨切除术后髋臼骨丢失犬一例报告。

Veterinary surgery : VS Pub Date : 2019-11-01 DOI: 10.1111/vsu.13303

E. Castelli, P. Schmierer, A. Pozzi

{"title":"Custom acetabular prosthesis for total hip replacement: A case report in a dog with acetabular bone loss after femoral head and neck ostectomy.","authors":"E. Castelli, P. Schmierer, A. Pozzi","doi":"10.1111/vsu.13303","DOIUrl":"https://doi.org/10.1111/vsu.13303","url":null,"abstract":"OBJECTIVE\u0000To describe the application of a custom acetabular prosthesis (CAP) for total hip replacement (THR) in a dog 20 months after femoral head and neck ostectomy (FHNO).\u0000\u0000\u0000STUDY DESIGN\u0000Case report.\u0000\u0000\u0000ANIMAL\u0000A 10-year-old, male, castrated, Labrador retriever with progressive lameness and pain after FHNO.\u0000\u0000\u0000METHODS\u0000Acetabular bone stock was assessed as insufficient for conventional THR, so a biflanged CAP was designed and three-dimensionally printed in titanium to bridge the bone defect. The CAP had a porous surface for long-term biologic fixation on the backside and was anchored to the ilium and ischium with screws. A polyethylene cup was cemented into the CAP, and a bolted cementless femoral stem was inserted.\u0000\u0000\u0000RESULTS\u0000The loss of the conventional anatomic landmarks complicated intraoperative orientation and led to eccentric reaming and 5-mm malalignment of the CAP. Reduction of the prosthetic joint was difficult because of periarticular fibrosis, loss of functional muscle length, and thickness of the CAP, and intraoperative shortening of the stem neck was required. Postoperative complications included sciatic neurapraxia, which resolved with time and conservative management. Absence of pain and improvement of range of motion were observed at clinical examination 12 months after surgery; however, moderate hind limb lameness persisted due to muscle tension. No evidence of implant loosening was noted on radiographs acquired 24 months after surgery.\u0000\u0000\u0000CONCLUSION\u0000Femoral head and neck ostectomy with poor functional outcome was ameliorated by using a CAP in this dog.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Use of a CAP can be considered to treat acetabular defects in dogs.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"5 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":"114281894","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: 7

Development and validation of a brachycephalic risk (BRisk) score to predict the risk of complications in dogs presenting for surgical treatment of brachycephalic obstructive airway syndrome. 开发和验证短头风险(BRisk)评分，以预测短头阻塞性气道综合征手术治疗犬的并发症风险。

Veterinary surgery : VS Pub Date : 2019-10-01 DOI: 10.1111/vsu.13291

J. Tarricone, G. Hayes, Ameet Singh, G. Davis

{"title":"Development and validation of a brachycephalic risk (BRisk) score to predict the risk of complications in dogs presenting for surgical treatment of brachycephalic obstructive airway syndrome.","authors":"J. Tarricone, G. Hayes, Ameet Singh, G. Davis","doi":"10.1111/vsu.13291","DOIUrl":"https://doi.org/10.1111/vsu.13291","url":null,"abstract":"OBJECTIVE\u0000To develop and validate a preoperative brachycephalic risk (BRisk) score that objectively and accurately predicts the risk of major complications or death in dogs undergoing corrective surgery for brachycephalic obstructive airway syndrome (BOAS).\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective multicenter cohort study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Score development n = 233 dogs, validation n = 50 dogs.\u0000\u0000\u0000METHODS\u0000Data were collected on signalment, medical history, reason for presentation, physical examination, and preoperative diagnostic findings. The primary outcome measures included risk of major complications (requirement for postoperative oxygen support for >48 hours or postoperative temporary/permanent tracheostomy) or death within the hospitalization period. The score was developed by using data from two centers and was validated in a third center. The 10-point BRisk score was modeled on breed, history of previous surgery, concurrent procedures, body condition score, airway status, and admission rectal temperature.\u0000\u0000\u0000RESULTS\u0000The score was associated with negative outcome (P < .0001) and discriminated well in both the construction (area under the receiver operator characteristic [AUROC] = 0.83) and validation groups (AUROC = 0.84). Dogs with scores >3 were 9.1 times more likely to have a negative outcome (95% CI = 3.9-21.2) compared with dogs with scores ≤3.\u0000\u0000\u0000CONCLUSION\u0000The BRisk score developed from admission data in this study accurately rated the risk of negative outcome of dogs undergoing corrective surgery for BOAS.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Preoperative determination of the BRisk score may assist triage, management of owner expectations, decision making regarding intervention selection, and characterization of populations in clinical research.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"48 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132658160","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: 9

Utility of bronchoscopy combined with surgery in the treatment and outcomes of dogs with intrathoracic disease secondary to plant awn migration. 支气管镜联合手术治疗因植物芒迁移引起的犬胸内疾病的疗效

Veterinary surgery : VS Pub Date : 2019-10-01 DOI: 10.1111/vsu.13287

Erin A Gibson, Ingrid M Balsa, P. Mayhew, K. Phillips, M. Giuffrida, W. Culp, M. Steffey, L. Johnson

{"title":"Utility of bronchoscopy combined with surgery in the treatment and outcomes of dogs with intrathoracic disease secondary to plant awn migration.","authors":"Erin A Gibson, Ingrid M Balsa, P. Mayhew, K. Phillips, M. Giuffrida, W. Culp, M. Steffey, L. Johnson","doi":"10.1111/vsu.13287","DOIUrl":"https://doi.org/10.1111/vsu.13287","url":null,"abstract":"OBJECTIVE\u0000To evaluate the diagnostic and therapeutic utility of bronchoscopy in dogs undergoing computed tomography (CT) and surgery for intrathoracic disease (pyothorax and pneumothorax) secondary to migrating plant awns (MPA) and to report outcomes in dogs that did and did not undergo bronchoscopy in addition to CT and surgery.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective case series.\u0000\u0000\u0000ANIMALS\u0000Thirty-seven client-owned dogs.\u0000\u0000\u0000METHODS\u0000Medical records from 2008 to 2017 were reviewed for dogs with documented MPA in the thoracic cavity treated with CT and surgery with or without bronchoscopy. Information regarding diagnostics, treatments, complications, and outcomes relating to hospitalization was evaluated.\u0000\u0000\u0000RESULTS\u0000At least one abnormal lung lobe was identified by CT in all dogs. Bronchial abnormalities were identified with bronchoscopy in 21 of 22 dogs (95.4%) with available reports. Agreement between CT and bronchoscopy findings ranged from 50% to 81.8%, depending on lung lobe. Thirty-six dogs had one or more lung lobes surgically removed. Thirty-seven MPA were retrieved via bronchoscopy in 10 of 27 (37%) dogs, and 39 MPA were retrieved at surgery in 26 of 37 (70.3%) dogs. Actinomyces spp. were cultured from surgical samples in 7 of 33 (21.2%) dogs. Thirty-five of 37 (94.6%) dogs survived to discharge.\u0000\u0000\u0000CONCLUSION\u0000Migrating plant awns were successfully retrieved via bronchoscopy. Agreement between CT findings and bronchoscopy was inconsistent, so there may be roles for both modalities. Short- and long-term survival was excellent in this cohort.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Bronchoscopy may allow for diagnostic and therapeutic advantages compared with CT in dogs with endobronchial MPA. Actinomyces spp appear to be variably present in surgically acquired bacterial cultures in dogs with MPA.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129008265","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: 7

Use of perioperative variables to determine the requirement for repeat celiotomy in horses with postoperative reflux after small intestinal surgery. 利用围手术期变量确定小肠手术后反流马是否需要重复开腹。

Veterinary surgery : VS Pub Date : 2019-10-01 DOI: 10.1111/vsu.13306

C. Jacobs, D. Stefanovski, L. Southwood

{"title":"Use of perioperative variables to determine the requirement for repeat celiotomy in horses with postoperative reflux after small intestinal surgery.","authors":"C. Jacobs, D. Stefanovski, L. Southwood","doi":"10.1111/vsu.13306","DOIUrl":"https://doi.org/10.1111/vsu.13306","url":null,"abstract":"OBJECTIVE\u0000To determine whether perioperative variables can be used to differentiate a medical vs a surgical reason for postoperative reflux (POR) after small intestinal (SI) surgery in horses.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Horses >1 year of age that recovered from SI surgery and had POR.\u0000\u0000\u0000METHODS\u0000Medical records of horses that underwent SI surgery and developed POR from 2009-2015 were reviewed. Surgical reasons for POR were defined as an anastomosis complication, mechanical obstruction, or nonviable intestine identified at repeat celiotomy/necropsy. A medical reason for POR was presumed when the POR improved with medical treatment or when no surgical reasons were identified at repeat celiotomy/necropsy. Perioperative variables were analyzed and used to develop a logistic regression model.\u0000\u0000\u0000RESULTS\u0000Fifty-one horses had POR after SI surgery. After initial SI surgery, 14 horses had surgical reasons for POR diagnosed at repeat celiotomy or necropsy. Thirty-seven horses were considered to have medical reasons for POR because their POR resolved with medical management or functional ileus was diagnosed at repeat celiotomy/necropsy. A greater volume and a greater duration of POR were not associated with a surgical reason for POR. Rather, a postoperative (PO) fever and the timing of colic in the PO period were associated with a surgical reason for POR.\u0000\u0000\u0000CONCLUSION\u0000Horses that developed a fever and colic in the PO period after SI surgery were more likely to have a surgical reason for POR.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000These findings may provide guidance for clinicians when they are making decisions about repeat celiotomy in horses with POR after SI surgery.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124390244","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

Impact of epidural bupivacaine on perioperative opioid requirements, recovery characteristics, and duration of hospitalization in dogs undergoing cystotomy: A retrospective study of 56 cases. 硬膜外布比卡因对56例膀胱切除术犬围手术期阿片类药物需求、恢复特征和住院时间的影响:回顾性研究

Veterinary surgery : VS Pub Date : 2019-10-01 DOI: 10.1111/vsu.13290

D. Floriano, Michael J Sahagian, L. Chiavaccini

{"title":"Impact of epidural bupivacaine on perioperative opioid requirements, recovery characteristics, and duration of hospitalization in dogs undergoing cystotomy: A retrospective study of 56 cases.","authors":"D. Floriano, Michael J Sahagian, L. Chiavaccini","doi":"10.1111/vsu.13290","DOIUrl":"https://doi.org/10.1111/vsu.13290","url":null,"abstract":"OBJECTIVE\u0000To compare perioperative opioid consumption and duration of hospitalization (DOH) in anesthetized dogs receiving opioid-based analgesia (OBA) vs those receiving bupivacaine epidural-based analgesia (EPID) during cystotomy.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective cross-sectional study.\u0000\u0000\u0000ANIMALS\u0000Fifty-six client-owned dogs undergoing cystotomy.\u0000\u0000\u0000METHODS\u0000Clinical records of dogs undergoing cystotomy between January 2015 and December 2017 were reviewed. Demographic data, duration of anesthesia and surgery, anesthetic management, perioperative opioid consumption expressed in morphine equivalents (ME), perioperative use of adjuvant analgesics, time to first micturition, time to eat, time to ambulate, and DOH were recorded. Opioid consumption and DOH were compared with a Wilcoxon rank-sum test, followed by linear regression analysis as appropriate. Time to first micturition, time to eat, and time to walk unassisted were modeled with Cox-proportional hazard models.\u0000\u0000\u0000RESULTS\u0000Dogs treated with EPID during surgery required 1.5 mg/kg ME less compared with those treated with OBA (P = .04) during surgery. Three of 19 dogs treated with EPID vs 15 of 37 dogs receiving OBA required intraoperative adjuvant analgesics (P = .06). Dogs treated with EPID regained motor function slower than dogs treated with OBA (P = .01); however, there was no difference in time to urinate, time to eat, or DOH between treatments.\u0000\u0000\u0000CONCLUSION\u0000Perioperative lumbosacral epidural with bupivacaine reduced intraoperative opioid consumption in dogs anesthetized for cystotomy.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000The use of epidural bupivacaine in dogs undergoing cystotomy may reduce intraoperative opioid requirements without affecting return of bladder function or DOH.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131857680","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: 6

Osteochondral fragments of the pastern joint at the origin of the collateral ligament of the distal sesamoid bone: performance after arthroscopic removal (2000-2015). 远端籽骨副韧带起始处的粘关节骨软骨碎片:关节镜切除后的表现(2000-2015)。

Veterinary surgery : VS Pub Date : 2019-10-01 DOI: 10.1111/vsu.13307

C. T. Moyer, L. Bramlage, S. Werre, A. Ruggles, R. Embertson, S. Hopper

{"title":"Osteochondral fragments of the pastern joint at the origin of the collateral ligament of the distal sesamoid bone: performance after arthroscopic removal (2000-2015).","authors":"C. T. Moyer, L. Bramlage, S. Werre, A. Ruggles, R. Embertson, S. Hopper","doi":"10.1111/vsu.13307","DOIUrl":"https://doi.org/10.1111/vsu.13307","url":null,"abstract":"OBJECTIVE\u0000To describe the presence of fragments in the dorsal proximal interphalangeal (PIP) joint and to report flat racing performance after surgical treatment.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Thirty-nine affected thoroughbred flat racehorses and 169 age- and sex-matched maternal siblings.\u0000\u0000\u0000METHODS\u0000Medical records from 2000 to 2015 were reviewed for thoroughbred horses that underwent arthroscopic removal of osteochondral fragments in the dorsal aspect of the PIP joint. The horses' 2-year-old year, 3-year-old year, and career athletic performances were compared with their matched siblings.\u0000\u0000\u0000RESULTS\u0000Thirty-nine thoroughbred horses were included, varying in age from 4 months to 4 years, with osteochondral fragments in 42 PIP joints. Hind limbs (92%) were more commonly affected than forelimbs (8%). Fragments were located within the origin of the collateral ligament of the distal sesamoid (navicular) bone. After surgery, the likelihood of starting a race did not differ between treated horses (27/39 [69%]) and maternal siblings (129/169 [76%], P = .15). Race earnings did not differ between treated horses and their siblings during their 2-year-old year (P = .66), 3-year-old year (P = .43), or career (P = .60).\u0000\u0000\u0000CONCLUSION\u0000Removing osteochondral fragments from the origin of the collateral ligament of the distal sesamoid bone did not impair the ability to race or earning potential for affected thoroughbred racehorses compared with their maternal siblings.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Fragments from the dorsal aspect of the PIP joint in racehorses can be removed arthroscopically resulting in a good clinical outcome and future flat racing performance comparable to matched controls.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"52 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120928274","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