Javma-journal of The American Veterinary Medical Association最新文献

{"title":"Right lateral thoracic radiographic metrics help discriminate cranial mediastinal masses and pleural effusion in cats.","authors":"Adam B Moore, Laura A Nafe, Kaitlyn M DeAngelis, Ryan D Baumwart, R Mackenzie Hallman, Mark E Payton, Carol R Reinero","doi":"10.2460/javma.24.12.0814","DOIUrl":"https://doi.org/10.2460/javma.24.12.0814","url":null,"abstract":"<p><strong>Objective: </strong>Determine whether the tracheal bifurcation (TB) is displaced caudally in cats with a mediastinal mass compared to cardiogenic pleural effusion, noncardiogenic pleural effusion, and no significant thoracic disease.</p><p><strong>Methods: </strong>Medical records between 2005 and 2017 at the Oklahoma State University Boren Veterinary Medical Teaching Hospital and University of Missouri Veterinary Health Center were reviewed retrospectively. Advanced imaging or necropsy was required for inclusion into mediastinal mass, cardiogenic pleural effusion, and noncardiogenic pleural effusion groups. Three evaluators blinded to diagnosis obtained the following measurements on a lateral radiograph: number of intercostal spaces from first rib to TB (ICS), distance from caudal aspect of the manubrium to TB (MTB), vertebral score by drawing MTB from the fourth thoracic vertebra and counting included vertebral bodies (VS), and distance from first rib to TB (RTB). A 2-factor ANOVA was used, and sensitivity and specificity for each evaluator accurately diagnosing the presence or absence of a mediastinal mass was calculated. Data were reported as mean ± SEM.</p><p><strong>Results: </strong>76 cats were included. The mediastinal mass group had significantly increased ICS (6.1 ± 0.16), MTB (8.9 ± 0.18 cm), VS (7.4 ± 0.16), and RTB (7.5 ± 0.17 cm) compared to other groups. An MTB ≥ 7.5 and RTB ≥ 6 had the best sensitivity for detecting the presence of a mediastinal mass.</p><p><strong>Conclusions: </strong>An MTB ≥ 7.5 cm and/or RTB ≥ 6 cm indicated potential for a mediastinal mass and warranted further diagnostics.</p><p><strong>Clinical relevance: </strong>Lateral radiographic measurements associated with position of the TB aided practitioners in determining when advanced imaging was warranted for diagnosis of a mediastinal mass.</p>","PeriodicalId":14658,"journal":{"name":"Javma-journal of The American Veterinary Medical Association","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute canine coxofemoral disease and chronic canine coxofemoral disease were associated with similar long-term functional outcomes following femoral head ostectomy.","authors":"Kelsey R Schaul, Helga F Bleyaert","doi":"10.2460/javma.25.04.0272","DOIUrl":"https://doi.org/10.2460/javma.25.04.0272","url":null,"abstract":"<p><strong>Objective: </strong>To retrospectively compare functional outcomes of femoral head ostectomy (FHO) between dogs receiving surgery for chronic coxofemoral disease (CD) versus acute traumatic injury (AT).</p><p><strong>Methods: </strong>Medical records of dogs undergoing FHO at 4 hospitals between January 2014 and August 2023 were reviewed. Demographic data, body weight, body condition score (BCS), indication for FHO (CD vs AT), pre- and postoperative lameness scores, and postoperative complications were recorded. Information was gathered via client survey regarding postoperative physiotherapy, ability (average disability score), and client assessment of quality of life at the owner-perceived peak postoperative health.</p><p><strong>Results: </strong>68 cases (CD, n = 27; AT, 41) met inclusion criteria. Chronic disease cases were younger with lower BCS than AT cases. Median (IQR) preoperative lameness scores were higher in AT cases (5.0/5.0 [4.0 to 5.0]) than CD cases (2.5/5.0 [1.5 to 4.0]) and were equivalent in both groups (2/5 [1.0 to 3.0]) after 4 to 6 postoperative weeks. Forty-one cases (60.3%) were treated with capsulorrhaphy during FHO, with significantly more AT dogs treated (CD, n = 12; AT, 29). Minor and major complications were reported in 23 (33.8%) and 9 (13.2%) cases, respectively. Joint capsulorrhaphy was associated with higher ambulation and lower disability scores. Postoperative physiotherapy was not associated with improved long-term outcomes.</p><p><strong>Conclusions: </strong>Regardless of indication, dogs receiving FHO reached similar levels of function but never achieved normal ambulation. Joint capsulorrhaphy was associated with improved functional outcomes.</p><p><strong>Clinical relevance: </strong>These findings may help guide expectations for dogs receiving FHO. Additionally, joint capsulorrhaphy may be preferable in FHO cases.</p>","PeriodicalId":14658,"journal":{"name":"Javma-journal of The American Veterinary Medical Association","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing post-cardiac arrest care for dogs and cats: a veterinary technician's guide to the RECOVER Initiative.","authors":"Colleen Johnson","doi":"10.2460/javma.25.03.0136","DOIUrl":"https://doi.org/10.2460/javma.25.03.0136","url":null,"abstract":"<p><p>Cardiopulmonary arrest, the acute cessation of ventilation and perfusion, can result from various clinical conditions in veterinary patients. Advances in CPR have improved the return of spontaneous circulation rates, but most patients rearrest within 24 hours, known as the post-cardiac arrest period. Ideal postresuscitation care, as seen in human medicine, reduces morbidity and mortality by focusing on cardiopulmonary stabilization, identifying the cause of cardiopulmonary arrest, neuroprotection, and preventing recurrence. In this narrative review, we will look at how care has evolved prior to and within the Reassessment Campaign on Veterinary Resuscitation guidelines while providing a clinical overview of the post-cardiac arrest period.</p>","PeriodicalId":14658,"journal":{"name":"Javma-journal of The American Veterinary Medical Association","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiographic tracheal and carina distension is associated with diagnosis of laryngeal paralysis in dogs.","authors":"Rachel E Natsume, Mariana T Quina, Jason B Arble, Steven W Frederick, Lauren E Drenning","doi":"10.2460/javma.25.03.0173","DOIUrl":"https://doi.org/10.2460/javma.25.03.0173","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether radiographic carina distension is a potential diagnostic indicator of laryngeal paralysis (LP) in dogs.</p><p><strong>Methods: </strong>Dogs diagnosed with LP on upper airway examination at a veterinary specialty hospital were retrospectively identified if they underwent orthogonal thoracic radiographic evaluation between January 2013 and January 2024. Each case was matched 1:1 with similar patients without underlying cardiorespiratory disease that underwent orthogonal thoracic radiographic evaluation. The thoracic inlet (TI), intrathoracic (TT), and carina tracheal diameters (CD) as well as the width of the proximal third rib (3R) were measured with picture archiving and communication system software for each lateral projection of preoperative radiographs. The TT:TI, TT:3R, TI:CD, TT:CD, CD:3R, and TI:3R ratios were calculated.</p><p><strong>Results: </strong>Mean (SD) CD:3R, TT:3R, and TI:3R ratios were significantly higher in dogs with LP. The mean (SD) ratio for LP dogs and non-LP control dogs was 3.16 (0.61) and 1.94 (0.21) for CD:3R, 2.81 (0.56) and 1.71 (0.21) for TT:3R, and 2.55 (0.52) and 1.55 (0.20) for TI:3R. For every 0.10 increase in the ratio, the odds of a dog having LP increased by 1.87 times for CD:3R (95% CI, 1.54 to 2.4), 2.1 times for TT:3R (95% CI, 1.68 to 2.8), and 2.2 times for TI:3R (95% CI, 1.74 to 3.1). The area under the receiver operator characteristics curve was 0.97 (95% CI, 0.95 to 1.00), 0.98 (95% CI, 0.96 to 1.00), and 0.98 (95% CI, 0.95 to 1.00) for CD:3R, TT:3R, and TI:3R, respectively, indicating outstanding diagnostic discrimination.</p><p><strong>Conclusions: </strong>Tracheal diameter ratios of 2.3 (CD:3R), 1.9 (TT:3R), and 1.9 (TI:3R) or greater were associated with LP in dogs.</p><p><strong>Clinical relevance: </strong>Tracheal and carina diameter ratios may help guide ancillary diagnostic testing in cases of suspected LP.</p>","PeriodicalId":14658,"journal":{"name":"Javma-journal of The American Veterinary Medical Association","volume":" ","pages":"1-6"},"PeriodicalIF":1.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antiarrhythmic efficacy and safety of oral mexiletine in dogs with ventricular arrhythmias: a multicentre, retrospective analysis.","authors":"Giovanni Romito, Chiara Mazzoldi, Silvia Travaglini, Paola Paradies, Alessandra Recchia, Prisca Castagna, Nazzareno Giuseppe Pelle, Carlotta Valente, Helen Poser, Carlo Guglielmini","doi":"10.2460/javma.25.02.0088","DOIUrl":"https://doi.org/10.2460/javma.25.02.0088","url":null,"abstract":"<p><strong>Objective: </strong>To describe mexiletine's efficacy in suppressing ventricular arrhythmias (VAs) and its safety in dogs.</p><p><strong>Methods: </strong>In a multicenter retrospective study, dogs received oral mexiletine, prescribed as a second-line antiarrhythmic in addition to a first-line agent, for the treatment of VA ineffectively controlled by initial monotherapy. Signalment, clinical, diagnostic, therapeutic, and outcome data were retrieved. Only dogs that underwent Holter monitoring both before and after starting mexiletine treatment were included in the ECG analysis of efficacy. This was represented by a reduction in the Lown-Wolf grade < 5 or a reduction in the number of ventricular premature complexes ≥ 85%. Treatment-related side effects (TRSE) were noted in all dogs. Statistical analysis was performed to compare selected data before and after mexiletine prescription.</p><p><strong>Results: </strong>38 dogs were included. Twenty dogs met the criteria for the efficacy analysis; mexiletine effectively suppressed VA in 16 of 20 cases (80%). In 11 of 38 dogs (28.9%), TRSE occurred (ie, gastrointestinal and neurological signs in 10 of 11 [90.9%] and 1 of 11 cases [9.1%], respectively). Supportive therapies were prescribed to 10 of 11 dogs (90.9%) and the daily dose of mexiletine was reduced in 6 of 11 dogs (54.5%), resulting in resolution of TRSE in 5 of 11 dogs (45.5%). In the remaining 6 of 11 dogs (54.5%), the persistence of TRSE led to the discontinuation of mexiletine. The median duration of TRSE was 7 days (IQR, 4 to 10 days).</p><p><strong>Conclusions: </strong>Mexiletine was highly effective in suppressing VA, but reversible gastrointestinal TRSE occurred relatively frequently.</p><p><strong>Clinical relevance: </strong>Useful information on the effects of mexiletine in dogs with VAs is provided.</p>","PeriodicalId":14658,"journal":{"name":"Javma-journal of The American Veterinary Medical Association","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metronidazole-sulfadimethoxine combination affects diet digestibility, immunity indicators, fermentation metabolites, and intestinal microbiome of puppies.","authors":"Karina S K Melotto, Renata B M S Souza, Eduarda L Fernandes, Lorenna N A Santos, Laiane S Lima, Heloísa L Silva, Simone G Oliveira, Ananda P Félix","doi":"10.2460/javma.25.02.0109","DOIUrl":"https://doi.org/10.2460/javma.25.02.0109","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effects of a commercial metronidazole-sulfadimethoxine formulation on the apparent digestibility coefficients and metabolizable energy of the diet and immunity, gut permeability, fermentation metabolites, and intestinal microbiome of puppies.</p><p><strong>Methods: </strong>12 growing Beagles (65 ± 14 days old) were divided into a control group (n = 6), without administration of antimicrobials, and an antimicrobials group (6), with oral administration (q 24 h) of 15 mg of metronidazole and 15 mg of sulfadimethoxine/kg of body weight for 5 days. Both groups were fed the same dry extruded diet for growing dogs for 80 days. Diet digestibility and fecal characteristic analyses were performed between days 20 and 25. Feces were collected for ammonia, pH, short-chain fatty acids, branched-chain fatty acids, phenols, indoles, biogenic amines, immunoglobulin A, and fecal microbiome analysis. In addition, blood samples were collected to analyze intestinal permeability and inflammatory and oxidative indicators.</p><p><strong>Results: </strong>The use of antimicrobials reduced the diet apparent digestibility coefficients of dry matter, organic matter, and crude protein and resulted in lower butyrate and higher branched-chain fatty acid concentrations in feces. The antimicrobials group had higher serum concentrations of nuclear factor κB and higher intestinal permeability. The use of antimicrobials reduced fecal immunoglobulin A (days 50 and 80), bacterial diversity, and genera such as Blautia and Turicibacter.</p><p><strong>Conclusions: </strong>Metronidazole combined with sulfadimethoxine may negatively affect markers of intestinal functionality, increasing inflammation, and compromising the intestinal barrier function in puppies.</p><p><strong>Clinical relevance: </strong>Antimicrobials may negatively affect intestinal health indicators in puppies, and veterinarians should consider their use carefully.</p>","PeriodicalId":14658,"journal":{"name":"Javma-journal of The American Veterinary Medical Association","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lag screw compression effectively treats proximal subchondral bone cysts and fissures in the first phalanx of mature performance horses.","authors":"Michelle Maguire, Robert Brusie","doi":"10.2460/javma.25.03.0134","DOIUrl":"https://doi.org/10.2460/javma.25.03.0134","url":null,"abstract":"<p><strong>Objective: </strong>To determine the outcome of skeletally mature performance horses with subchondral bone cysts and fissures in the proximal aspect of the first phalanx treated by lag screw compression.</p><p><strong>Methods: </strong>Case records of horses that underwent lag screw compression to treat subchondral bone lesions in the proximal aspect of the first phalanx were reviewed. Performance horses > 5 years old with lameness referrable to the fetlock region; radiographic or other advanced imaging evidence of subchondral bone lesions, with no other concurrent cause for lameness; and at least 6 months of follow-up data were included. Follow-up information was obtained from referring veterinarians and telephone questionnaires with owners.</p><p><strong>Results: </strong>41 horses met the inclusion criteria: 29 horses with subchondral bone cysts and 12 horses with subchondral bone fissures. Warmblood was the predominant breed type, and show jumping was the predominant athletic discipline. At 6 months postoperatively, 85% (35 of 41) of horses were sound (95% CI, 74.6% to 96.2%), with a return to previous athletic level in 73% (30 of 41; 95% CI, 59.7% to 86.7%). Horses treated for subchondral bone cysts had higher rates of soundness (90% vs 75%; risk difference, 14.7%; Cohen's h = 0.36) and return to intended use (76% vs 67%; risk difference, 9.2%; Cohen's h = 0.28) compared with those treated for subchondral bone fissures. However, these differences were not statistically significant.</p><p><strong>Conclusions: </strong>Lag screw compression may be beneficial in the treatment of subchondral bone lesions in the proximal aspect of P1.</p><p><strong>Clinical relevance: </strong>This surgical technique may provide an effective treatment for subchondral lesions of the first phalanx where conservative therapies have failed, and may have mitigated the risk of progression to macrofracture.</p>","PeriodicalId":14658,"journal":{"name":"Javma-journal of The American Veterinary Medical Association","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The sorting hat of specialty veterinary medicine-the proportion of residents sorted into each Hogwarts House varies for different specialties.","authors":"Carolyn L Chen, Mandy L Wallace, Janet A Grimes","doi":"10.2460/javma.25.02.0060","DOIUrl":"10.2460/javma.25.02.0060","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to determine whether residents in certain veterinary specialties were more likely to be sorted into a particular House at Hogwarts School of Witchcraft and Wizardry, the famous Harry Potter fiction universe.</p><p><strong>Methods: </strong>This was an observational survey study. An online survey was administered to veterinary residents in an AVMA-accredited residency program from April 17 to June 30, 2023. Residents were asked their specialty, whether their program is academic or private practice, and which Hogwarts House they were sorted into by the Wizarding World website Sorting Ceremony quiz. All completed surveys were included.</p><p><strong>Results: </strong>488 veterinary residents participated. Of these, 25% were sorted into Gryffindor, 27% into Hufflepuff, 30% into Ravenclaw, and 18% into Slytherin; 48% of anesthesia and 50% of large animal surgery residents were sorted into Ravenclaw, and 50% of oncology residents were sorted into Hufflepuff. Residents in private practice programs were more commonly sorted into Gryffindor (37%), while those in academic training programs were more commonly sorted into Ravenclaw (33%) compared to other Houses.</p><p><strong>Conclusions: </strong>The proportion of residents sorted into each Hogwarts House varies for different specialties and training program types. Parallels can be drawn between different specialties and characteristics of each House.</p><p><strong>Clinical relevance: </strong>Veterinary residents are fairly equally sorted into the 4 Hogwarts Houses, but residents in certain specialties or practice types may be more likely to be sorted into one House than another.</p>","PeriodicalId":14658,"journal":{"name":"Javma-journal of The American Veterinary Medical Association","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective study of compliance and persistence of topical ophthalmic medications prescribed to dogs at a veterinary teaching hospital.","authors":"Ashley N Bowyer, Jessica M Meekins, Eduarda M Bortoluzzi, Amy J Rankin","doi":"10.2460/javma.25.03.0132","DOIUrl":"https://doi.org/10.2460/javma.25.03.0132","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate compliance and persistence of topical ophthalmic medications prescribed to dogs.</p><p><strong>Methods: </strong>Retrospective review of medical records from dogs examined by the Ophthalmology Service at Kansas State University from April 2022 through July 2024, prescribed at least 1 topical ophthalmic medication, and returned for 1 recheck examination. Medication compliance and persistence (MCP) was reported by clients and evaluated at the client level and individual drug level. A general linear model and χ2 tests were used to analyze variables.</p><p><strong>Results: </strong>Overall, 273 of 381 (72%) of clients administered all medications as prescribed and 496 of 592 (79%) individual medications were given as prescribed. Factors significantly associated with MCP included appointment type (P = .002), medication frequency (P = .006), recheck interval (P = .002), and recheck compliance (P = .002). Patients presented to other services had reduced odds of MCP when compared to appointments directly with the Ophthalmology Service (OR, 0.22; 95% CI, 0.08 to 0.57). Odds of MCP were lower with a recheck interval > 30 days (OR, 0.31; 95% CI, 0.15 to 0.62) and a prescribed frequency > 4 times daily (OR, 0.27; 95% CI, 0.12 to 0.61). Immunomodulatory and glaucoma drugs had a significantly higher MCP rate (92% P = .02 and 89% P = .04, respectively), while lubricants had a lower MCP rate (70% P = .04). Depletion of medication supply was the most common reason for non-MCP.</p><p><strong>Conclusions: </strong>Type, frequency, and access to medication, appointment type, and recheck factors influenced MCP in this population.</p><p><strong>Clinical relevance: </strong>Shorter recheck intervals and providing an adequate supply of medication may improve MCP of topical ophthalmic medications prescribed to dogs.</p>","PeriodicalId":14658,"journal":{"name":"Javma-journal of The American Veterinary Medical Association","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of a bipolar vessel-sealing device for removal of caudal rectal masses in the dog has a similar complication rate to mucosal eversion suture technique (2019-2023).","authors":"Brandon Halper, Ryan Fulcher","doi":"10.2460/javma.25.04.0255","DOIUrl":"https://doi.org/10.2460/javma.25.04.0255","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to compare complication rates between the use of a vessel-sealing device (VSD) for removal of canine caudal rectal masses (CRM) to mucosal eversion suture (MES) techniques.</p><p><strong>Methods: </strong>This was a retrospective case-control study from a referral practice in the US between January 2019 and May 2023 on client-owned dogs that had CRM removal through a transanal rectal eversion approach with only a VSD or MES techniques. The study compared age, weight, sex, clinical signs, preoperative diagnostics, histopathology results, and short-term complications within 14 days postoperatively.</p><p><strong>Results: </strong>There were 36 dogs, including 15 in the VSD group and 21 in the MES group. It was found that the complication rate postoperatively was 27% in the VSD group and 24% in the MES group. There was found to be no significant difference in the complications associated with VSD and MES techniques on the removal of CRM in dogs.</p><p><strong>Conclusions: </strong>Dogs undergoing polypectomy overall had a low chance of postoperative complications following removal with a VSD. There were no major complications such as perforation with the use of a VSD.</p><p><strong>Clinical relevance: </strong>We believe a VSD can be used safely to remove CRMs through a transanal approach, with comparable short-term complications to traditional MES techniques.</p>","PeriodicalId":14658,"journal":{"name":"Javma-journal of The American Veterinary Medical Association","volume":" ","pages":"1-6"},"PeriodicalIF":1.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}