Veterinary Surgery最新文献

{"title":"Proximal femoral fixation method and axial load affect simulated muscle forces in an ex vivo feline limb press.","authors":"Parisa Mazdarani, Michelle B M Nielsen, James E Miles","doi":"10.1111/vsu.14252","DOIUrl":"https://doi.org/10.1111/vsu.14252","url":null,"abstract":"<p><strong>Objective: </strong>To quantify how increasing axial loads combined with different femoral fixation methods impact simulated quadriceps and gastrocnemius muscle forces.</p><p><strong>Study design: </strong>Experimental, non-randomized, ex vivo study.</p><p><strong>Methods: </strong>A custom limb press permitting axial loads of 10%-40% bodyweight with three femoral fixation models was tested with 24 limbs from 12 cats (4 per method). Fixation models were: one-complete hip mobility, two-rigid femoral fixation, three-flexion-extension hip mobility. Femoral angulation to horizontal of 60° ±5° and stifle/hock angulations of 120° ±5° were maintained using turnbuckles. Primary outcomes were bodyweight normalized quadriceps and gastrocnemius forces, and their ratio. Secondary outcomes were radiographic limb angulation and relative foot position for models 2 and 3.</p><p><strong>Results: </strong>Normalized quadriceps forces increased more with axial load in models 1 and 3 than model 2 (p = .04), whereas normalized gastrocnemius force increased more with model 2 than models 1 and 3 (p = .009). Force ratios were unaffected by axial load (p = .4), but model 2 ratios were lower than models 1 and 3 (p = .007). Femoral angulation did not differ with load (p = .1) or model (p = .9), but both stifle and hock flexed with increasing load (p < .001) but remained largely within target. Relative foot position was mean 3.9 mm more caudal in model 2 than model 3.</p><p><strong>Conclusion: </strong>Simulated muscle forces were proportionate to axial load, while rigid femoral fixation negatively affected both forces and ratios.</p><p><strong>Clinical significance: </strong>Retaining hip flexion-extension yields normalized quadriceps forces closer to in vivo values and could improve current ex vivo models.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804043","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":"Incidence of residual biologic debris and contamination of reused bipolar vessel sealing devices after ethylene oxide sterilization following splenectomy.","authors":"Christian A Folk, Nicole J Buote, Dennis E Socha, Galina M Hayes","doi":"10.1111/vsu.14153","DOIUrl":"10.1111/vsu.14153","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the present study was to quantify the amount of biologic debris present within disposable bipolar vessel sealing devices after each use for canine splenectomies and determine the aerobic bacterial load of the debris following instrument resterilization with ethylene oxide.</p><p><strong>Study design: </strong>Prospective observational clinical study.</p><p><strong>Study population: </strong>Client-owned dogs (n = 40) presenting to a single specialty hospital for open, routine, or emergency splenectomies.</p><p><strong>Methods: </strong>A total of 16 bipolar vessel sealing devices were randomly assigned to undergo one, two, three, or four splenectomies, manual hand cleanings, and ethylene oxide sterilizations before being dismantled. After final use and sterilization, each handset was agitated in phosphate-buffered saline before disassembly, which was submitted for aerobic culture. Following aseptic disassembly, all biological residue was photo-documented, collected, quantified using a subjective scoring system, and submitted for culture.</p><p><strong>Results: </strong>Biologic debris was present within the inner mechanics of all devices, specifically under the blade used for vessel transection. A linear increase in debris was not appreciated amongst devices used once versus devices used multiple times. None of the devices nor any of the biologic debris cultured positive following sterilization with ethylene oxide.</p><p><strong>Conclusion: </strong>The presence of biologic debris was documented after the initial use of disposable bipolar vessel sealing devices, but no devices or debris yielded positive culture results following ethylene oxide sterilization after splenectomies.</p><p><strong>Clinical significance: </strong>Increased risk of iatrogenic surgical site contamination from reused vessel sealing devices is unlikely when they have been cleaned and sterilized with ethylene oxide after up to four splenectomy surgeries.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"534-541"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989013","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":"Long-term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog.","authors":"Agnieszka B Fracka, Matthew J Allen, Loic M Dejardin","doi":"10.1111/vsu.14175","DOIUrl":"10.1111/vsu.14175","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to describe long-term outcomes and report post-retrieval implant analysis following cementless total knee replacement (TKR) in a dog.</p><p><strong>Animal: </strong>A seven-year-old, male neutered, Labrador retriever.</p><p><strong>Methods: </strong>The dog presented for evaluation of chronic left pelvic limb lameness. Orthopedic examination identified bilateral cranial drawer and medial buttress. Radiographs revealed severe bilateral osteoarthritis with moderate joint effusion/synovial hypertrophy. Given the end-stage osteoarthritis, TKR was considered more appropriate than tibial plateau leveling osteotomy (TPLO). The dog underwent a left cementless TKR.</p><p><strong>Results: </strong>Immediate postoperative radiographs showed appropriate implant positioning. Moderate left pelvic limb lameness with full, pain free and stable stifle range of motion (ROM) was documented at 2 weeks. Increased left hindlimb weight-bearing with a peak vertical force of 70% bodyweight (BW) versus 50% BW on the contralateral leg was reported at 6 weeks. Radiographs showed good implant osseointegration. Left stifle ROM was 50°/170°, a 30° increase compared to preoperative values. Additional rechecks at 14 and 30 weeks showed gradual improvement in stifle ROM and weight-bearing. The dog was euthanized 6 years after surgery for reasons unrelated to TKR. Radiographs demonstrated static implant position without signs of osteolysis and gross examination revealed mild polyethylene wear on the caudal aspects of the tibial insert. Histological evaluation of the implant-bone interface showed extensive and robust osseointegration.</p><p><strong>Conclusion: </strong>This case demonstrates that cementless TKR can be associated with excellent clinical function over the course of at least 6 years and suggests that early surgical intervention could be considered.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"621-631"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a patient-specific 3D-printed guide for ventral slot surgery in dogs: An ex vivo study.","authors":"Meagan A Walker, Adam T Ogilvie, Grant McSorley, William Montelpare, Katie L Hoddinott","doi":"10.1111/vsu.14210","DOIUrl":"10.1111/vsu.14210","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the accuracy of ventral slot creation in canine cadavers with a three-dimensional (3D)-printed drill guide compared to the freehand technique.</p><p><strong>Study design: </strong>Ex vivo study.</p><p><strong>Sample population: </strong>Eight canine cadavers (23.4-39.8 kg).</p><p><strong>Methods: </strong>Computed tomography (CT) data was used to create patient-specific 3D-printed surgical guides for ventral slot creation. Intervertebral sites were randomized to undergo either a guided (n = 12) or freehand (n = 12) ventral slot by a novice surgery resident. Postoperative CT images were used to compare ventral slot dimensions, shape, and position.</p><p><strong>Results: </strong>Free-hand ventral slots were significantly shorter than the intended dimensions (p < .01). Dimensions of the guide-assisted ventral slots were not statistically different from the planned dimensions (p = .88, p = .72). Use of the guides resulted in improved accuracy for ventral slot positioning relative to midline and slot shape (difference in coefficient of variations, 32%, and 40%, respectively).</p><p><strong>Conclusion: </strong>Ventral slot dimensions were more accurate when created with the patient-specific 3D-printed guide compared to the freehand technique.</p><p><strong>Clinical significance: </strong>Use of a 3D-printed patient specific surgical guide improves accuracy of ventral slot creation in canine cadavers and improves surgical precision when used by a single novice surgical resident. The results of this study support evaluation of the guides in small breed cadavers and live patients.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"594-601"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972287","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":"In vivo effects of cold therapy and bandaging on core temperatures of equine superficial and deep digital flexor tendons.","authors":"Robert D McCarthy, Heather J Ordóñez, Stacy A Semevolos","doi":"10.1111/vsu.14235","DOIUrl":"10.1111/vsu.14235","url":null,"abstract":"<p><strong>Objective: </strong>To compare core temperatures of superficial and deep digital flexor tendons (SDFT, DDFT) during application of a compression cooling system versus ice boots and during subsequent lower limb bandaging.</p><p><strong>Study design: </strong>Experimental study.</p><p><strong>Animals: </strong>Paired forelimbs of six sedated horses.</p><p><strong>Methods: </strong>Thermocouples were placed in the core of SDFT and DDFT of both front limbs of each horse. A compression cooling system was applied to one front limb and an ice boot was applied to the other front limb for 60 min and then removed for 60 min. Standing bandages were then applied to both front limbs for 60 min and removed. A random coefficient regression model was fitted for cold therapy data and two-way ANOVA with repeated measures was performed to compare treatment effects of time and cold therapy method (p ≤ .05).</p><p><strong>Results: </strong>The compression cooling system resulted in greater drop in core temperatures from baseline of both tendons than ice boots (p = .04) (decreased by 10.8 ± 4.0°C SDFT, 9.8 ± 3.6°C DDFT in compression cooling system limbs; 7.5 ± 3.1°C SDFT, 6.5 ± 2.4°C DDFT in ice boot limbs). Standing bandages significantly increased core temperatures of the SDFT (4.1° ± 2.7) and DDFT (3.7° ± 2.5) from baseline during the treatment period (p < .0001).</p><p><strong>Conclusion: </strong>The compression cooling system provided superior cooling of the SDFT and DDFT than ice boots, when applied to normal horses in an experimental setting. Bandaging increased flexor tendon temperatures but remained within physiological limits.</p><p><strong>Clinical significance: </strong>The compression cooling system is recommended rather than ice boots for more rapid and consistent cooling of tendons.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"470-477"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493794","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":"Serum amikacin concentrations in dogs with naturally occurring open wounds treated with topical amikacin in carboxymethylcellulose hydrogel.","authors":"Zong H Peng, Vanna M Dickerson, Virginia R Fajt, Emily N Gould, Madeline Droog, Kelley M Thieman Mankin","doi":"10.1111/vsu.14195","DOIUrl":"10.1111/vsu.14195","url":null,"abstract":"<p><strong>Objective: </strong>To quantify serum amikacin concentrations in dogs undergoing wound management with topical amikacin (45 mg/mL) 3% carboxymethylcellulose hydrogel.</p><p><strong>Study design: </strong>Prospective clinical study.</p><p><strong>Sample population: </strong>Eleven client-owned dogs.</p><p><strong>Methods: </strong>Dogs with naturally occurring wounds, undergoing treatment with topical amikacin gel, were enrolled. A whole blood sample was collected prior to initial application of the gel. Up to a maximum dose of 30 mg/kg of gel, was applied directly on the wound and the wound was bandaged. Serial blood sampling was performed at approximately 2, 4, 8, 12, 18, 24, 32, 40, 48, 56, 64, and 72 h after application of amikacin gel. The sampling schedule was reset following each bandage change and new application of the gel. Up to 20 samples per dog were collected. The Siemens Syva EMIT Amikacin Assay was used to quantify the concentration of amikacin in each blood serum sample. The lower limit of quantification (LLOQ) of the test was 2.5 μg/mL.</p><p><strong>Results: </strong>Amikacin gel was applied a total of 31 times (dose range, 0.1-24.9 mg/kg). A total of 153 samples were analyzed. Five samples in three different dogs were above the LLOQ at approximately 2 h after gel application (range 2.75-3.82 μg/mL). All other samples were below the LLOQ.</p><p><strong>Conclusion: </strong>Routine use of amikacin gel for open wound management did not result in serum amikacin levels above 5 μg/mL.</p><p><strong>Clinical significance: </strong>Topical amikacin gel may be a safe treatment option for wounds in dogs with resistant infections or biofilms.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"453-460"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ex vivo biomechanical comparison of pedicle screw and rod constructs with and without interbody fusion devices for equine cervical vertebral stabilization.","authors":"Lynn M Pezzanite, Brad B Nelson, Amy C Downey, Ben Gadomski, Kirk McGilvray, Kenzie Baer, Sarah M Kappel, Yvette Nout-Lomas, Howard B Seim, Jeremiah T Easley","doi":"10.1111/vsu.14226","DOIUrl":"10.1111/vsu.14226","url":null,"abstract":"<p><strong>Objective: </strong>To determine the biomechanical properties of pedicle screw and rod (PSR) constructs alone and with an interbody fusion device (PSRIFD) for equine ventral cervical vertebral stabilization.</p><p><strong>Study design: </strong>Cadaveric ex vivo biomechanical analysis.</p><p><strong>Sample population: </strong>A total of 14 (n = 14) adult equine cervical vertebral columns.</p><p><strong>Methods: </strong>Cervical vertebral columns were stabilized by PSR alone (n = 6) or PSRIFD (n = 5). Three columns were left unaltered as controls. Non-destructive biomechanical testing showed the kinematic range of motion (ROM), compliance, and neutral zone of each spinal unit in the three main kinematic directions (flexion-extension, lateral bending and axial rotation). Destructive testing was performed to identify mode of failure and stiffness in flexion. Non-destructive and destructive biomechanical data were compared by ANOVA between experimental groups.</p><p><strong>Results: </strong>In flexion-extension, PSR and PSRIFD had significantly lower ROM, compliance and neutral zone than controls (all p < .05). ROM, compliance and neutral zone were not different between PSR and PSRIFD groups. In axial rotation, the neutral zone of PSR was lower than PSRIFD (p = .013) and both were lower than controls (p < .0001 and p < .02, respectively). Stiffness and moment failure between PSR and PSRIFD groups were not different. All constructs failed through articular process joint dislocation, though the PSRIFD group also had ventral IFD migration.</p><p><strong>Conclusion: </strong>PSR and PSRIFD groups have similar biomechanical properties and modes of failure, though PSRIFD had higher catastrophic injury potential.</p><p><strong>Clinical significance: </strong>These findings support that PSR constructs provide comparable biomechanical stability to PSRIFD, reducing time and potential complications associated with IFD placement.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"610-620"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426333","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":"Breakage of cementless press-fit femoral stems following total hip arthroplasty in dogs: 14 cases (2013-2023).","authors":"Jose L Carvajal, William M Karlin, Denis J Marcellin-Little, Michael P Kowaleski, Valentine D Verpaalen, Laurent P Guiot, Po-Yen Chou, Nicolas P Barthelemy, Peter J Lotsikas, Stanley E Kim","doi":"10.1111/vsu.14227","DOIUrl":"10.1111/vsu.14227","url":null,"abstract":"<p><strong>Objective: </strong>To report breakage of press-fit cementless femoral stems in dogs after total hip arthroplasty (THA).</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animals: </strong>Thirteen dogs (14 stems).</p><p><strong>Methods: </strong>Medical records were obtained for client-owned dogs that underwent THA between 2013 and 2023. Demographic data, implant type and size, time to stem breakage, and radiographic assessment of implant size were recorded. Implant size was compared with the manufacturers' guidelines based on body weight. Treatment-associated complications and overall outcomes were also recorded.</p><p><strong>Results: </strong>Fourteen broken stems were reported in 13 dogs. Thirteen were size #5, #6, or #7 Biologic Fixation (BFX) lateral bolt stems and one was a size #5 standard BFX stem. A +9 head was used in 5 of 11 cases with 17 mm diameter heads. The median time from THA to stem breakage was 522 days (interquartile range, 330-905 days). Ten of the 14 stems were radiographically undersized. The weights of 10 of 13 dogs were at, or exceeded, weight-limit guidelines. Eleven stems were revised with a new stem, two were explanted, and one was partially explanted. Major complications of revision included stem rebreakage, periprosthetic fracture, and pin and tension band-fixation failure. Full function was achieved in 9 of 10 dogs with revised stems based on owner and surgeon assessment.</p><p><strong>Conclusion: </strong>Most of the stems that broke were BFX lateral bolt stems and were undersized both radiographically and in comparison with weight-limit guidelines. Revision can be successful, although the complication rate is high.</p><p><strong>Clinical significance: </strong>The use of small, undersized BFX lateral bolt stems should be avoided.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"561-572"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450306","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":"Needle tenoscopy of the digital flexor tendon sheath in a standing equine cadaver model using a novel approach and guided palmar/plantar annular ligament desmotomy.","authors":"Louise J Breen, John D Stack, Alex M Gillen, Chris M Baldwin","doi":"10.1111/vsu.14213","DOIUrl":"10.1111/vsu.14213","url":null,"abstract":"<p><strong>Objective: </strong>(1) To evaluate the feasibility of needle tenoscopy of the digital flexor tendon sheath (DFTS) using basisesamoid (BS) and proximolateral (PL) approaches in a standing equine cadaver model. (2) To report visualization of intrathecal DFTS anatomy via both approaches. (3) To determine the efficacy of needle scope-guided palmar/plantar annular ligament (PAL) desmotomy. (4) To report any iatrogenic damage associated with the procedure.</p><p><strong>Study design: </strong>Ex vivo experimental.</p><p><strong>Sample population: </strong>Ten equine cadaver limbs.</p><p><strong>Methods: </strong>Limbs were placed in a Kimzey leg-saver splint and needle tenoscopy was performed using the BS and PL approaches. Two European College of Veterinary Surgeons (ECVS) Diplomates assessed and categorized intrathecal site visualization as poor, partial, or excellent. Needle scope-guided PAL desmotomy was performed after DFTS exploratory needle tenoscopy. Limbs were dissected and examined for the presence of iatrogenic damage and completeness of PAL desmotomy. A Wilcoxon signed-rank test was used to compare visualization scores for both approaches.</p><p><strong>Results: </strong>Needle tenoscopy of the DFTS in a standing model was feasible from both BS and PL approaches. Excellent visualization of clinically significant intrathecal anatomy within the fetlock canal was achieved from both approaches (p ≤ .001), with minimal iatrogenic damage. The PL approach allowed more structures to be visualized than the BS approach (p = .025). All PAL desmotomies were completed without associated iatrogenic damage.</p><p><strong>Conclusion: </strong>Needle tenoscopy of the DFTS in a standing model provided excellent visualization of intrathecal sites within the fetlock canal. It facilitated complete PAL desmotomy.</p><p><strong>Clinical significance: </strong>Needle ten0oscopy can be used to assess the DFTS and to guide PAL desmotomy in a standing horse.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"524-533"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of skin preparation on surgical site infection and lift of adhesive surgical drapes.","authors":"James W Gant, Josh E Collins, Zachary A Miller, Richard L Einsporn","doi":"10.1111/vsu.14198","DOIUrl":"10.1111/vsu.14198","url":null,"abstract":"<p><strong>Objective: </strong>To determine the influence on surgical site infection (SSI) rates when using 0.7% iodophor and 74% isopropyl alcohol versus 2% chlorhexidine and 70% isopropyl alcohol. To evaluate the adherence of an iodophor-impregnated surgical incise drape when used in conjunction with 0.7% iodophor and 74% isopropyl alcohol.</p><p><strong>Study design: </strong>Combines retrospective control and prospective data.</p><p><strong>Sample population: </strong>This study included dogs and cats, 653 retrospective cases and 435 prospective cases, with 447 incisions.</p><p><strong>Methods: </strong>The SSI rate of a 2% chlorhexidine and 70% isopropyl alcohol preparation was retrospectively reviewed. The prospective population received 0.7% iodophor and 74% isopropyl alcohol; risk factors for SSI were evaluated and incise drape lift was documented.</p><p><strong>Results: </strong>A 1.8% difference in SSI between the chlorhexidine group and 0.7% iodophor and 74% isopropyl alcohol group was found (p = .25). The drape lift was 13.2%. Drape lift (p = .026), increased body weight (p = .008), and the use of glutaraldehyde for instrument sterilization (p = .055) were associated with an increased risk of SSI development.</p><p><strong>Conclusion: </strong>The 0.7% iodophor and 74% isopropyl alcohol treatments demonstrated similar effectiveness to 2% chlorhexidine and 70% isopropyl alcohol in skin preparation. Using an iodophor-impregnated drape with 0.7% iodophor and 74% isopropyl alcohol reduced both drape lift and the risk of SSI.</p><p><strong>Clinical significance: </strong>These findings support the combined use of an incise drape with 0.7% iodophor and 74% isopropyl alcohol preparation, provide evidence against the use of glutaraldehyde, and indicate that heavier patients have an increased risk of SSI.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"478-485"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872880","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}