{"title":"Redo mitral valve repair under repeat cardiopulmonary bypass in a dog.","authors":"Kippei Mihara, Yuya Suzuki, Kentaro Ito","doi":"10.1111/vsu.70040","DOIUrl":"https://doi.org/10.1111/vsu.70040","url":null,"abstract":"<p><strong>Objective: </strong>To report the lifelong outcome of a redo mitral valve repair performed under repeat cardiopulmonary bypass (CPB) in a dog.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Animal: </strong>An 11-year-old, 4.0-kg neutered male Chihuahua, previously treated with surgical mitral valve repair for myxomatous mitral valve disease at the age of eight, presented with recurrent left heart failure caused by worsening residual mitral regurgitation (MR) following the initial repair.</p><p><strong>Methods: </strong>Redo mitral valve repair was performed 2 years and 7 months after the initial surgery. The procedure, conducted under hypothermic CPB, involved adding and adjusting eight artificial chordae to align with the reconstructed mitral annular plane.</p><p><strong>Results: </strong>The redo surgery successfully reduced MR, improved cardiac function, and resulted in more than 5 years of survival without MR recurrence.</p><p><strong>Conclusion: </strong>This case demonstrates the feasibility of redo mitral valve repair in managing recurrent MR in dogs, highlighting its potential to improve long-term outcomes in veterinary surgery and cardiology.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293810","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}
Marco Marcatili, Andrey Kalinovskiy, Lischer Christoph
{"title":"Use of preoperative computed tomography (CT) to plan repair of comminuted fractures of the middle phalanx in six Warmblood horses: Configuration, treatment and long-term outcome.","authors":"Marco Marcatili, Andrey Kalinovskiy, Lischer Christoph","doi":"10.1111/vsu.70039","DOIUrl":"https://doi.org/10.1111/vsu.70039","url":null,"abstract":"<p><strong>Objective: </strong>To describe the additional information provided by computed tomography (CT) in planning and assisting repair of comminuted fractures of the middle phalanx (MP) in Warmblood horses.</p><p><strong>Study design: </strong>Case series.</p><p><strong>Animals: </strong>Six adult Warmblood horses.</p><p><strong>Methods: </strong>The case records of horses undergoing CT examination prior to internal fixation of comminuted MP fractures were reviewed. All horses underwent radiographic and preoperative CT examination. A standardized fast protocol (SFP) to assess CT images was used. Surgical repair consisted of fracture repair and proximal interphalangeal joint arthrodesis using two dorsally located plates under general anesthesia. Long-term follow-up was obtained from the clinical records and/or referring veterinary surgeons.</p><p><strong>Results: </strong>In all cases, CT provided information that could not have been obtained from radiographic examination. Four horses were alive at >6 months follow up and presented with a mild 3/5 AAEP lameness.</p><p><strong>Conclusion: </strong>The SFP provided additional information regarding fracture configuration that could not have been obtained during radiographic examination in all cases. In two cases it allowed identification of a small navicular bone fracture at the level of its dorsal cortex within the distal interphalangeal joint. In one case it allowed identification of deep digital flexor tendon (DDFT) rupture. Preoperative CT scans helped in planning the positioning of two or more independent 4.5/5.5 mm cortical lag screws to improve construct stability.</p><p><strong>Clinical significance: </strong>The use of the CT SFP provides surgeons with precise fracture configuration, enables identification of concurrent pathology and optimizes surgical planning, thereby improving construct stability.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303759","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}
Sarah J Stark, Alexandra R Armstrong, Joshua L Merickel, Wanda J Gordon-Evans
{"title":"Black thyroid in a dog on long-term doxycycline therapy.","authors":"Sarah J Stark, Alexandra R Armstrong, Joshua L Merickel, Wanda J Gordon-Evans","doi":"10.1111/vsu.70041","DOIUrl":"https://doi.org/10.1111/vsu.70041","url":null,"abstract":"<p><strong>Objective: </strong>To increase awareness of black thyroid in dogs and to prevent unnecessary total thyroidectomy. A benign condition called \"black thyroid\" has been documented in greater than 250 people on chronic minocycline therapy, and rarely in animals. To our knowledge this is the first report of black thyroid in an animal secondary to doxycycline therapy.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Animal: </strong>One 10 year-old female spayed Collie-cross dog.</p><p><strong>Methods: </strong>A dog on long-term doxycycline underwent a right parotid sialoadenectomy and left thyroidectomy to remove associated tumors. Black pigmentation of both thyroid lobes was observed intraoperatively. The left thyroid gland and associated nodule were excised, leaving the right lobe intact.</p><p><strong>Results: </strong>Histopathology of the left thyroid nodule and right parotid salivary gland were consistent with thyroid follicular-compact cell carcinoma with metastasis. Finely granular brown pigment was present multifocally within the cytoplasm of many of the thyroid follicular cells and extracellularly within the colloid as irregular gray to brown glassy aggregates. The pigment was negative for iron and calcium and had minimal to no immunoreactivity for melanin.</p><p><strong>Conclusion: </strong>These findings aligned with those reported for the condition black thyroid in humans. At this time, there is no evidence that performing a thyroidectomy is necessary or appropriate for black thyroid. Veterinary surgeons should be aware that dogs on long-term doxycycline therapy may have this discoloration, so unnecessary total thyroidectomy can be prevented in affected animals.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281182","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}
Sharon Jeong, Stephanie Bond, Warwick Bayly, Albert Sole-Guitart
{"title":"Laser fenestration of the dorsal pharyngeal recess does not correct experimentally induced dorsal nasopharyngeal collapse in horses.","authors":"Sharon Jeong, Stephanie Bond, Warwick Bayly, Albert Sole-Guitart","doi":"10.1111/vsu.70023","DOIUrl":"https://doi.org/10.1111/vsu.70023","url":null,"abstract":"<p><strong>Objective: </strong>To quantify the impact of experimentally induced dorsal nasopharyngeal collapse (NPC) on respiratory performance parameters and assess the efficacy of laser fenestration of the dorsal pharyngeal recess as a treatment option for experimentally induced NPC.</p><p><strong>Study design: </strong>Experimental interventional study.</p><p><strong>Animals: </strong>Six adult Standardbreds (one with naturally occurring disease).</p><p><strong>Methods: </strong>After an 8 week conditioning program, baseline parameters (V̇O<sub>2</sub>max, pharyngeal pressure, peak airflows, upper airway resistance) and dynamic endoscopy videos were collected in a high-speed treadmill test (T1). Dorsal NPC was induced via bilateral glossopharyngeal neurectomy, followed by data collection 2 weeks later (T2). Laser fenestration of the dorsal pharyngeal recess was then performed, followed by final data collection 3 weeks later (T3). Respiratory performance parameters for T1-T2, T2-T3, and T1-T3 were compared using paired t-test (p < .05) to evaluate the impact of NPC and efficacy of surgery. Dynamic endoscopy videos were subjectively graded and compared.</p><p><strong>Results: </strong>Moderate to severe dorsal NPC was successfully induced in five horses, with subjective improvement seen on dynamic endoscopy in 2/5 horses after fenestration. After NPC induction, V̇O<sub>2</sub>max, minute ventilation, and peak expiratory flow rates decreased by 63.5 mL/kg/min (p = .006), 78.8 L/min (p = .039) and 21.8 L/s (p = .013) respectively. Following fenestration, peak inspiratory flow rates decreased by 7.1 L/s (p = .03). In the naturally occurring case, V̇O<sub>2</sub>max increased by 12.9 mL/kg/min post-fenestration with subjective improvement in the degree of collapse.</p><p><strong>Conclusion: </strong>Respiratory performance parameters worsened following NPC induction in comparison with the baseline and did not improve following laser fenestration.</p><p><strong>Clinical significance: </strong>This experimental model did not support clinical application of laser salpingopharyngostomy to treat NPC.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276191","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}
Sophie N Cormillot, Nicole J Buote, Shinyee Su, Mark Rishniw
{"title":"Surgeon hand size influences laparoscopic finger loop handle preference.","authors":"Sophie N Cormillot, Nicole J Buote, Shinyee Su, Mark Rishniw","doi":"10.1111/vsu.70030","DOIUrl":"https://doi.org/10.1111/vsu.70030","url":null,"abstract":"<p><strong>Objective: </strong>To compare the comfort and functionality of three sizes of laparoscopic ring/finger loop handles during a laparoscopic cup biopsy task and determine which design feature was most associated with comfort.</p><p><strong>Study design: </strong>Prospective, blinded, randomized three-way cross-over study.</p><p><strong>Sample population: </strong>Participants (n = 120) at the 2022 American College of Veterinary Surgeons (ACVS) annual symposium.</p><p><strong>Methods: </strong>Participants performed a laparoscopic cup biopsy task using three differently sized finger loop handles. Participants were blinded to the handles and randomized in their order of presentation. Each participant completed a demographic survey and a post-task four-question survey regarding handle characteristics and preferences.</p><p><strong>Results: </strong>Female participants had a median glove size of six compared to males with a size seven. Female participants described the small handle as most comfortable (52/81, 64.2%); male participants preferred the medium and large handles equally. Participants glove size predicted the \"most comfortable\" handle size (p < .001). Both glove size and gender predicted the \"least comfortable\" handle size (p < .001, p < .045, respectively). Female participants reported that the characteristic \"easier to turn dial\" was the most important reason for comfort (31/81; 38.3%). Male participants reported that \"fingers felt more comfortable in grips\" as the most important reason for comfort (15/27, 55.6%).</p><p><strong>Conclusion: </strong>Surgeons with smaller glove sizes (<6.5) and female surgeons experience more difficulty with commonly available laparoscopic handles. The most important design feature for laparoscopic equipment is dependent on glove size.</p><p><strong>Clinical significance: </strong>Surgeons should review all available options for laparoscopic handles to improve ergonomics during laparoscopic surgery.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276106","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}
David E Freeman, Bryana Smith, Anje G Bauck, Thomas Denagamage, Elizabeth K Moyer, Sierra Chanutin
{"title":"Modified stapled jejunocecostomy in horses.","authors":"David E Freeman, Bryana Smith, Anje G Bauck, Thomas Denagamage, Elizabeth K Moyer, Sierra Chanutin","doi":"10.1111/vsu.70019","DOIUrl":"https://doi.org/10.1111/vsu.70019","url":null,"abstract":"<p><strong>Objective: </strong>To develop a modified stapled (MS) jejunocecostomy (JC) in healthy horses.</p><p><strong>Study design: </strong>In vivo experimental study.</p><p><strong>Animals: </strong>Six healthy adult horses underwent ventral midline celiotomy, a jejunal resection, and an MS.</p><p><strong>Methods: </strong>Time to complete anastomosis and anastomotic length at necropsy were recorded. Horses were assessed by physical examination every 6 h for 5 days after surgery, then once daily until euthanasia at 7 days. A group of seven horses that had a stapled side-to-side JC and were euthanized 28 days postoperatively was used as an historical control (SS).</p><p><strong>Results: </strong>All MS horses recovered well, although one developed transient mild colic and another had a brief period of pyrexia and diarrhea. Postoperative heart rates returned to preoperative values shortly after surgery. At necropsy, the MS anastomoses appeared grossly to be healing well and formed a wide triangulated stoma. Times to complete the anastomosis (p = .49) and lumen size at necropsy (p = .32) were similar for both groups.</p><p><strong>Conclusion: </strong>The MS method was performed with ease and appeared to function effectively. It produced a triangulated stoma that could facilitate flow and reduce the risk of impaction.</p><p><strong>Clinical significance: </strong>This study supports the use of MS for JC in horses. Although the study size was small, the results compared favorably with historical data for a SS for JC in healthy horses. The elimination of oversewn ends simplifies the MS technique and allows a single application of the stapler, minimizing cost.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207740","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}
Virginia Melly, Kyla F Ortved, Holly L Stewart, Darko Stefanovski, Dean W Richardson, Kirstin A Bubeck, Patricia M Hogan, José M García-López
{"title":"Plate fixation of small metacarpal and metatarsal bone fractures in 27 horses.","authors":"Virginia Melly, Kyla F Ortved, Holly L Stewart, Darko Stefanovski, Dean W Richardson, Kirstin A Bubeck, Patricia M Hogan, José M García-López","doi":"10.1111/vsu.70032","DOIUrl":"https://doi.org/10.1111/vsu.70032","url":null,"abstract":"<p><strong>Objective: </strong>To present fracture cases selected for plate fixation (PF), describe surgical techniques and assess their association with postoperative complications and return-to-work outcomes in horses undergoing PF for small metacarpal/metatarsal (SMCT) fractures.</p><p><strong>Study design: </strong>Multicenter retrospective study.</p><p><strong>Animals: </strong>A total of 27 horses.</p><p><strong>Methods: </strong>Horses treated with PF of a SMCT fracture between 2008 and 2023 across three hospitals were included. Medical records and imaging were reviewed. Long-term outcomes were established by readmission to the hospital, telephone interviews, and/or race records. Univariable and multivariable regression models evaluated variables associated with return to intended use.</p><p><strong>Results: </strong>PF of fractures was performed in 27 horses. Fractures were all in the proximal SMCT, with 20/27 (74.1%) articular, 22/27 (96.3%) comminuted, and 24/27 (81.5%) displaced. Of horses with follow-up, 19/25 (76%) returned to prior work level. Postoperative complications occurred in 9/27 (33.33%) horses. No individual explanatory variable was significantly associated with return to use in the univariable analysis. Racehorse earnings per start were lower postoperatively compared to preoperatively (p = .02).</p><p><strong>Conclusion: </strong>Most horses treated for SMCT fractures with PF returned to prior work level, although postoperative complications were common. None of the explanatory variables were significantly associated with return to use.</p><p><strong>Clinical significance: </strong>PF for proximal SMCT fractures is effective, yielding high return-to-work rates and better outcomes than previously reported case series.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207748","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}
Faolain M Barrett, Josh D Roth, Herman Feller, Jessica McCarthy
{"title":"Double plate fixation improves stiffness in a comminuted canine scapula fracture gap model compared to single plate fixation.","authors":"Faolain M Barrett, Josh D Roth, Herman Feller, Jessica McCarthy","doi":"10.1111/vsu.70008","DOIUrl":"https://doi.org/10.1111/vsu.70008","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether a secondary plate on the caudolateral aspect of the scapula increases stiffness and reduces primary plate strain compared to a single plate along the cranial scapula spine in a comminuted fracture gap model.</p><p><strong>Study design: </strong>Ex vivo mechanical study.</p><p><strong>Sample population: </strong>A total of 14 paired canine scapulae.</p><p><strong>Methods: </strong>A comminuted fracture gap model was created. A 2.4 mm plate was secured along the cranial aspect of the scapula spine in 28 scapulae. A secondary 2.0 mm plate was secured on the caudolateral border of 14 scapulae. Scapula were sinusoidally loaded from -20 to -200 N for 7200 cycles at 2 Hz. The displacement was measured, and stiffness calculated. Digital image correlation calculated primary plate surface strain. A two-way ANOVA assessed displacement and stiffness. Primary plate strain was assessed with a paired t-test. Statistical significance was set at p < .05.</p><p><strong>Results: </strong>Mean displacement was higher in the single plate group, -0.81 mm (± 0.14) compared to the double plate group, -0.48 mm (± 0.08) (p < .0001). Mean stiffness was lower in the single plate group, 392.8 N/mm (± 13.72) compared to the double plate group, 563.7 N/mm (± 5.89) (p <.0001). There was no difference in primary plate surface strain between the two groups.</p><p><strong>Conclusion: </strong>Double plate fixation improved stiffness in a comminuted scapula fracture gap model compared to single plate fixation.</p><p><strong>Clinical significance: </strong>The placement of an additional plate placed on the caudolateral aspect of the scapula improves stiffness in comminuted scapula body fractures.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207816","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}
Veterinary SurgeryPub Date : 2025-10-01Epub Date: 2025-08-18DOI: 10.1111/vsu.70003
Luca Ciammaichella, Jessica Campanerut, Luciano Pisoni, Veronica Cola, Stefano Zanardi, Armando Foglia, Chiara Ferrari, Dina Guerra, Laura Marconato, Sara Del Magno
{"title":"Complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in 127 dogs with malignant tumors.","authors":"Luca Ciammaichella, Jessica Campanerut, Luciano Pisoni, Veronica Cola, Stefano Zanardi, Armando Foglia, Chiara Ferrari, Dina Guerra, Laura Marconato, Sara Del Magno","doi":"10.1111/vsu.70003","DOIUrl":"10.1111/vsu.70003","url":null,"abstract":"<p><strong>Objective: </strong>To describe the complications of medial retropharyngeal, axillary, and ilio-sacral lymphadenectomy in dogs with malignant tumors, and to identify possible risk factors.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Animals: </strong>A total of 140 surgical accesses (86 axillary, 27 ilio-sacral, 27 retropharyngeal) in 127 dogs.</p><p><strong>Methods: </strong>Dogs with cutaneous/subcutaneous cancer undergoing staging, lymph node (LN) mapping and extirpation of medial retropharyngeal, axillary, and/or ilio-sacral LNs, with a minimum follow-up of 1 month, were included. Retrieved information included signalment, tumor histotype, LN characteristics, excision of contiguous LNs, anesthesia duration, intra- and postoperative complications. Data were statistically analyzed to identify risk factors for complication development.</p><p><strong>Results: </strong>Intraoperative complications were registered in 3/140 (2%) procedures, including hemorrhage during medial iliac lymphadenectomy (2/27, 7%) and difficulty locating the axillary LN (1/86, 1%). Postoperative complications occurred in 32/140 (23%) cases, with rates of 41% (11/27) following ilio-sacral lymphadenectomy, 26% (7/27) after medial retropharyngeal lymphadenectomy, and 16% (14/86) following axillary lymphadenectomy. Ilio-sacral lymphadenectomy presented a higher risk of intraoperative (p = .033) and postoperative complications (p = .020). Enlarged (p = .030) or metastatic (p = .030) LNs were more prone to develop intraoperative complications. No risk factor retained significance on multivariate analysis. Median follow-up, conducted through physical examination, was 225 days (range, 30-1735).</p><p><strong>Conclusion: </strong>Medial retropharyngeal and axillary lymphadenectomies were generally safe, associated with minor and easily manageable complications. Conversely, ilio-sacral lymphadenectomy carried a higher risk of intraoperative complications, particularly in cases with enlarged LNs, and postoperative complications, potentially related to the caudal laparotomic approach.</p><p><strong>Clinical significance: </strong>Lymphadenectomies of medial retropharyngeal, axillary, and ilio-sacral lymph nodes present relatively low complication rates.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1463-1476"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875453","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}
Veterinary SurgeryPub Date : 2025-10-01Epub Date: 2025-06-16DOI: 10.1111/vsu.14292
Donghwi You, Hwi-Yool Kim
{"title":"Evaluation of a knotless barbed suture for canine total lung lobectomy: An ex vivo study.","authors":"Donghwi You, Hwi-Yool Kim","doi":"10.1111/vsu.14292","DOIUrl":"10.1111/vsu.14292","url":null,"abstract":"<p><strong>Objective: </strong>To compare leakage pressure and ligation time of bronchial sealing using barbed sutures, stapling devices, or traditional sutures during total lung lobectomy in dogs.</p><p><strong>Study design: </strong>Experimental ex vivo study with randomized order of procedures.</p><p><strong>Sample population: </strong>A total of 30 lung lobes from five canine cadavers weighing 10-13 kg.</p><p><strong>Methods: </strong>The lobe samples were randomly allocated to the stapling device (ST), traditional suture ligation (TR), or barbed suture ligation (BA) group (n = 10 each). Bronchial ligation time was recorded for each procedure. Each bronchial stump was tested for air leakage for pressures up to 80 cmH<sub>2</sub>O.</p><p><strong>Results: </strong>The median air leakage pressure was 45.0 cmH<sub>2</sub>O (range: 30.0-80.0) for the ST, 47.5 cmH<sub>2</sub>O (range: 36.0-80.0) for the TR, and 57.5 cmH<sub>2</sub>O (range: 25.0-80.0) for the BA (p = .36). No group showed leakage at physiological airway pressures (< 20 cmH<sub>2</sub>O). At pressures up to 80 cmH<sub>2</sub>O, leakage was observed in nine of 10 bronchial stumps in the ST, eight of 10 in the TR, and six of 10 in the BA (p = .43). The mean bronchial ligation time was 2.4 ± 0.5 min for the ST, 14.1 ± 3.4 min for the TR and 10.7 ± 1.6 min for the BA (p < .01).</p><p><strong>Conclusion: </strong>Barbed sutures for bronchial closure provided comparable leakage pressure to stapling devices and traditional sutures and reduced suturing time compared to traditional sutures.</p><p><strong>Clinical significance: </strong>Barbed suture ligation might be a viable alternative for canine total lung lobectomy.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1424-1432"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310506","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}