Veterinary Surgery最新文献

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Use of an autologous pericardial patch to repair a post-traumatic caudal vena cava cicatrix in a dog. 使用自体心包补片修复一只狗的创伤后尾腔静脉闭塞。
IF 1.3 2区 农林科学
Veterinary Surgery Pub Date : 2024-11-01 Epub Date: 2024-07-15 DOI: 10.1111/vsu.14136
Joshua M Winter, Joshua Hannabuss, Daniel J Brockman
{"title":"Use of an autologous pericardial patch to repair a post-traumatic caudal vena cava cicatrix in a dog.","authors":"Joshua M Winter, Joshua Hannabuss, Daniel J Brockman","doi":"10.1111/vsu.14136","DOIUrl":"10.1111/vsu.14136","url":null,"abstract":"<p><strong>Objective: </strong>To report the use of a pericardial patch graft to repair a post-traumatic caudal vena cava cicatrix in a dog.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Animals: </strong>A 1 year-old Rottweiler presenting with ascites following presumed blunt thoracic trauma.</p><p><strong>Methods: </strong>Kinking of the caudal vena cava and resultant Budd-Chiari-like syndrome was diagnosed on echocardiography and computed tomographic angiography (CTA). Surgical exploration via right sixth intercostal thoracotomy was performed. Release of the cicatrix was unsuccessful in reducing the pressure gradient and a pericardial patch graft repair of the thoracic caudal vena cava was therefore performed to relieve the obstruction.</p><p><strong>Results: </strong>The dog recovered from surgery and was discharged after 3 days. Follow-up at 6 weeks showed resolution of ascites and all clinical signs. Owner telephone follow-up at 24 months post-surgery confirmed that the dog remained clinically normal.</p><p><strong>Conclusion: </strong>A pericardial patch graft technique can be used successfully to reconstruct the thoracic caudal vena cava, in cases of traumatic kinking where dissection of the fibrotic band alone fails to reduce caudal caval pressure.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1455-1460"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617212","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}
引用次数: 0
Surgical treatment of traumatic nasal avulsion in a brachycephalic dog. 肱骨犬鼻腔外伤性撕脱的手术治疗。
IF 1.3 2区 农林科学
Veterinary Surgery Pub Date : 2024-11-01 Epub Date: 2024-09-23 DOI: 10.1111/vsu.14165
Yuya Saitoh, Bettina R M Darveshi, Tina J Owen
{"title":"Surgical treatment of traumatic nasal avulsion in a brachycephalic dog.","authors":"Yuya Saitoh, Bettina R M Darveshi, Tina J Owen","doi":"10.1111/vsu.14165","DOIUrl":"10.1111/vsu.14165","url":null,"abstract":"<p><strong>Objective: </strong>To describe the successful treatment of traumatic nasal avulsion injury resulting in dynamic nasal stenosis and rostroventral deviation of the nasal cartilage.</p><p><strong>Animals: </strong>A 6-year-old spayed female pug presented with traumatic nasal avulsion injuries.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Methods: </strong>The initial surgical intervention involved facial reconstructive surgery to repair a maxillary lip avulsion. Following the diagnosis of stenosis in both common nasal meatuses resulting in respiratory distress a week after the initial surgery, balloon dilatation of the nasal passages and rhinoplasty were additionally performed. Ten weeks after the traumatic event, the diagnosis of dynamic nasal stenosis and rostroventral nasal cartilage deviation secondary to dorsal and lateral nasal ligament injuries was made. Balloon dilatation was repeated, along with nasal skin fold resection and realignment of the nasal passages. To stabilize nasal alignment, dorsal and lateral nasal ligaments were reconstructed to stabilize the alignment. Bilateral temporary endonasal stents were inserted into the nasal meatuses to maintain alignment and patency of the dilated passage during recovery.</p><p><strong>Results: </strong>No complications were observed after the final surgery. The stents were subsequently removed 4 weeks after placement. An 8-month follow-up examination following the final surgical procedure revealed improved and subjectively normal airflow through both nares. The dog died 2 years after the last surgery due to severe bronchitis. Until her death, the dog tolerated exercise well and maintained good breathing even at night without snoring during sleep.</p><p><strong>Conclusion: </strong>This case report describes the successful surgical treatment of traumatic nasal avulsion injury in a brachycephalic dog.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1469-1476"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296687","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}
引用次数: 0
Laparoscopic ultrasound-guided microwave ablation of hepatocellular carcinoma in a dog. 腹腔镜超声引导下的狗肝细胞癌微波消融术。
IF 1.3 2区 农林科学
Veterinary Surgery Pub Date : 2024-11-01 Epub Date: 2024-09-16 DOI: 10.1111/vsu.14163
Francesca P Solari, J Brad Case, Federico R Vilaplana Grosso, Judith Bertran, Stacey Fox-Alvarez, Roniel Cabrera
{"title":"Laparoscopic ultrasound-guided microwave ablation of hepatocellular carcinoma in a dog.","authors":"Francesca P Solari, J Brad Case, Federico R Vilaplana Grosso, Judith Bertran, Stacey Fox-Alvarez, Roniel Cabrera","doi":"10.1111/vsu.14163","DOIUrl":"10.1111/vsu.14163","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to describe laparoscopic ultrasound (LUS) to guide microwave ablation (MWA) of hepatocellular carcinoma (HCC) in a dog.</p><p><strong>Animals: </strong>A 13-year-old female spayed Husky.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Methods: </strong>The dog was referred for laparoscopic MWA of a caudate lobe HCC measuring 2.7 cm × 1.9 cm× 2.3 cm. Laparoscopic ultrasound was used to guide percutaneous placement of a MWA probe within the caudate lobe mass. LUS was used to determine the tumor margins for placement of the probe within the medial and lateral aspects as well as the center of the mass. Additionally, LUS allowed visualization of vessels within the tumor so they could be avoided during probe placement.</p><p><strong>Results: </strong>Safe ablation was accomplished, and the dog recovered uneventfully with no complications. Follow-up computed tomography (CT) 3- and 12-months postoperatively revealed complete ablation of the caudate lobe mass. However, progressive increase in size of the right medial lobe mass occurred. Right medial liver lobectomy was performed 13 months after MWA, with a histopathologic diagnosis of HCC. The dog was euthanized 777 days post MWA and 1445 days post initial left lateral lobectomy for HCC.</p><p><strong>Conclusion: </strong>Laparoscopic ultrasound was useful in guiding complete and safe MWA of an HCC in this dog. Laparoscopic ultrasound should be considered when performing laparoscopic MWA of liver lesions in dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1495-1503"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296616","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}
引用次数: 0
Use of a free proximal ulnar autograft for ipsilateral radial lengthening in a dog with a short radius and subsequent elbow incongruity. 使用游离尺骨近端自体移植物为一只桡骨短小并随后出现肘关节不协调的狗进行同侧桡骨延长术。
IF 1.3 2区 农林科学
Veterinary Surgery Pub Date : 2024-11-01 Epub Date: 2024-06-24 DOI: 10.1111/vsu.14135
Julia J Sevy, John Bevan
{"title":"Use of a free proximal ulnar autograft for ipsilateral radial lengthening in a dog with a short radius and subsequent elbow incongruity.","authors":"Julia J Sevy, John Bevan","doi":"10.1111/vsu.14135","DOIUrl":"10.1111/vsu.14135","url":null,"abstract":"<p><strong>Objective: </strong>To report the technique and outcome of proximal ulnar autograft transplantation to achieve ipsilateral radial lengthening in a dog with premature closure of both proximal and distal radial physes.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Animals: </strong>An 8-month-old female spayed Border Collie.</p><p><strong>Methods: </strong>The dog was presented for a grade III/IV left thoracic limb lameness localized to the elbow. Orthogonal radiographs of both forelimbs revealed a 7% length deficit of the left radius and elbow subluxation indices indicative of left elbow incongruity due to suspect premature closure of both radial physes. Radial lengthening consisted of a proximal ulnar ostectomy, a radial osteotomy, and transplantation of the ulnar autograft into the radial osteotomy site secured with an eight-hole dynamic compression plate. Orthopedic examinations were conducted at 2 weeks, 4 weeks, and 3 years postoperatively. Radiographic examinations were completed preoperatively, immediately postoperatively, and at 4 weeks and 3 years postoperatively.</p><p><strong>Results: </strong>Lameness improved with a grade II/IV lameness at 4 weeks postoperatively and complete resolution at 3 years postoperatively. Radiographic examination at 4 weeks showed persistent radial lengthening of 1 cm, and a decreased humeroradial index (HRI), humeroulnar index (HUI), and radioulnar index (RUI) compared with preoperative values. At the 3 year examination, the HRI and HUI had increased indicating progression of elbow incongruity. The patient remained clinically unaffected.</p><p><strong>Conclusion: </strong>In dogs with radial shortening and elbow incongruity, use of an ipsilateral proximal ulnar autograft with rigid internal fixation can be an effective treatment for radial lengthening to improve elbow congruity and resolve lameness.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1448-1454"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459661","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}
引用次数: 0
Investigating the weekend effect in decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion: An observational cohort study of 460 cases (2018-2023). 探究急性椎间盘突出症胸腰椎半椎板切除减压术的周末效应:460例观察性队列研究(2018-2023年)。
IF 1.3 2区 农林科学
Veterinary Surgery Pub Date : 2024-11-01 Epub Date: 2024-03-31 DOI: 10.1111/vsu.14089
Daniel Low, Scott Rutherford
{"title":"Investigating the weekend effect in decompressive thoracolumbar hemilaminectomy for acute intervertebral disc extrusion: An observational cohort study of 460 cases (2018-2023).","authors":"Daniel Low, Scott Rutherford","doi":"10.1111/vsu.14089","DOIUrl":"10.1111/vsu.14089","url":null,"abstract":"<p><strong>Objective: </strong>To investigate if weekend surgery is associated with poorer outcomes in dogs with acute thoracolumbar intervertebral disc extrusion (IVDE) undergoing decompressive thoracolumbar hemilaminectomy.</p><p><strong>Study design: </strong>Retrospective observational cohort study.</p><p><strong>Sample population: </strong>A total of 460 consecutive cases were reviewed, with 401 dogs undergoing weekday surgery (Cohort WD), and 59 dogs undergoing weekend surgery (Cohort WE).</p><p><strong>Methods: </strong>Medical records of a surgical referral center in the UK were reviewed. Preoperative patient demographic and clinical data, and postoperative outcome data were collected with a minimum 28-day follow-up period. Multivariable logistic regression analysis was used to model the odds of a negative outcome.</p><p><strong>Results: </strong>Cohort WE had a higher preoperative proportion of nonambulatory dogs (p = .0115) but there were no significant differences between the nonambulatory (p = .3762) and deep-pain negative subgroups (p = .6199). Cohort WE had a higher risk of not recovering ambulation compared to Cohort WD [79.2% vs. 91.6% recovery; adjusted OR 3.010 (95% CI: 1.259-7.190); p = .0132] and had a higher risk of postoperative morbidity [32.2% vs. 17.2%; adjusted OR 2.015 (95% CI: 1.089-3.729); p = .0257]. There were no significant differences in other outcome measures between cohorts.</p><p><strong>Conclusion: </strong>Weekend surgery in canine decompressive thoracolumbar hemilaminectomy may be associated with poorer patient outcomes, specifically higher postoperative morbidity and a poorer rate of recovery of ambulation.</p><p><strong>Clinical significance: </strong>This study demonstrates a weekend effect in veterinary surgery, which may be important in surgical decision-making in acute thoracolumbar IVDE. Further scrutiny of the patient's journey through the veterinary healthcare system is warranted.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1420-1429"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332000","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}
引用次数: 0
Description of a cricotracheostomy technique for permanent tracheostomy in eight dogs. 描述在八只狗身上进行永久性气管造口术的环形气管造口技术。
IF 1.3 2区 农林科学
Veterinary Surgery Pub Date : 2024-11-01 Epub Date: 2024-10-04 DOI: 10.1111/vsu.14173
Jordan D Pieczynski, Bryden J Stanley, Kathleen M Ham
{"title":"Description of a cricotracheostomy technique for permanent tracheostomy in eight dogs.","authors":"Jordan D Pieczynski, Bryden J Stanley, Kathleen M Ham","doi":"10.1111/vsu.14173","DOIUrl":"10.1111/vsu.14173","url":null,"abstract":"<p><strong>Objective: </strong>To describe and report the outcome of a cricotracheostomy (CT) technique for the creation of a permanent upper airway ventral cervical stoma in dogs.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Animals: </strong>Eight client-owned dogs.</p><p><strong>Methods: </strong>Upper airway obstruction due to various disease processes was confirmed via upper airway examination and appropriate imaging. Medical records were reviewed to assess complications experienced during and following permanent CT. Owner questionnaires regarding quality of life (QoL) following permanent CT were performed.</p><p><strong>Results: </strong>All dogs experienced a routine recovery. The CT provided a robust dorsolateral. wall to the stoma from the cricoid cartilage. The stomata did not show any evidence of dorsal wall collapse or stenosis. Four dogs required further skin fold resection. The high position of this stoma also appears to be appropriate functionally with bilateral cervical skin fold resections. The owner questionnaires reported high satisfaction in the postoperative QoL.</p><p><strong>Conclusion: </strong>CT was feasible and led to a reliable outcome for surgical patients and improvement in QoL. Comparative clinical investigation of the CT technique with traditional permanent tracheostomy techniques is indicated to definitively prove the validity and any superiority of the CT technique.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1485-1494"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376113","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}
引用次数: 0
Pleomorphic sarcoma secondary to proximal femoral epiphysiolysis with bone infarction over 4 years after cementless total hip replacement in a dog. 一只狗在接受无骨水泥全髋关节置换术 4 年后,继发于股骨近端骨骺溶解和骨梗塞的多形性肉瘤。
IF 1.3 2区 农林科学
Veterinary Surgery Pub Date : 2024-11-01 Epub Date: 2024-08-22 DOI: 10.1111/vsu.14154
Matthew D Barnhart, Roy Pool, William D Liska
{"title":"Pleomorphic sarcoma secondary to proximal femoral epiphysiolysis with bone infarction over 4 years after cementless total hip replacement in a dog.","authors":"Matthew D Barnhart, Roy Pool, William D Liska","doi":"10.1111/vsu.14154","DOIUrl":"10.1111/vsu.14154","url":null,"abstract":"<p><strong>Objective: </strong>To report a capital physeal fracture as the result of a bone infarction with subsequent neoplastic transformation 4 years following total hip replacement.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Animals: </strong>Five-year-old female spayed golden retriever.</p><p><strong>Methods: </strong>The dog was initially presented for evaluation of a 2 week history of spontaneous right hind-limb lameness. Pelvic radiographs demonstrated a displaced capital epiphysis and proximal femur changes consistent with a bone infarction. A cementless total hip replacement was performed, and limb function returned to normal until 51 months after surgery. A radiolucency adjacent to the femoral stem at the greater trochanter, partial calcar resorption, and stable implants were present on pelvic radiographs acquired 52 months after surgery. Surgical exploration of the surgical site for tissue collection for histopathology and bacteria culture was performed 58 months following surgery. No bacterial growth occurred and histologic findings were nonspecific. A right hind-limb amputation was performed 61 months after total hip replacement due to the dog's progression to a non-weight-bearing lameness, Additional tissue samples were taken from the femur for histopathologic examination.</p><p><strong>Results: </strong>Histopathologic examination was consistent with a pleomorphic sarcoma. No metallic or polyethylene particulate debris was present. Nine months after surgery there was evidence of regional and distant spread of the neoplasia.</p><p><strong>Conclusion: </strong>In similar cases, submitting the femoral head for histopathologic examination should be considered at the time of the hip replacement surgery. If bone infarction is diagnosed as a causative agent, given the possibility of malignant transformation, long-term serial radiographic monitoring should be given serious consideration.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1461-1468"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018752","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}
引用次数: 0
Transcerebellar ventriculoperitoneal shunt for management of presumed arachnoid diverticulum in the fourth ventricle of a dog. 经小脑脑室腹腔分流术治疗狗第四脑室假定蛛网膜憩室。
IF 1.3 2区 农林科学
Veterinary Surgery Pub Date : 2024-11-01 Epub Date: 2024-03-22 DOI: 10.1111/vsu.14090
Sophie Wyatt, Joe Fenn, Elsa Beltran
{"title":"Transcerebellar ventriculoperitoneal shunt for management of presumed arachnoid diverticulum in the fourth ventricle of a dog.","authors":"Sophie Wyatt, Joe Fenn, Elsa Beltran","doi":"10.1111/vsu.14090","DOIUrl":"10.1111/vsu.14090","url":null,"abstract":"<p><strong>Objective: </strong>To describe the approach for placement of a transcerebellar fourth ventriculoperitoneal shunt for management of presumed fourth ventricle arachnoid diverticulum and secondary obstructive hydrocephalus of a dog. To describe the outcome of this procedure.</p><p><strong>Study design: </strong>Case report.</p><p><strong>Animals: </strong>Male entire English springer spaniel, 3 years 9 months of age.</p><p><strong>Methods: </strong>The dog was initially presented for management of acute, progressive, and multifocal brainstem and forebrain dysfunction. Magnetic resonance imaging revealed internal obstructive hypertensive hydrocephalus. The dog was managed via ventriculoperitoneal shunting from the left lateral ventricle and made an excellent recovery. The dog acutely deteriorated 18 months after initial discharge and follow-up magnetic resonance imaging confirmed the ventricular shunt remained in situ with normal-sized lateral ventricles but revealed a cystlike lesion within the fourth ventricle, presumed to be a fourth ventricle arachnoid diverticulum. The diverticulum was causing mass effect and resultant compression of adjacent neuroparenchyma. A second ventriculoperitoneal shunt was subsequently placed into the fourth ventricle via the caudal cranial fossa and cerebellum. This was attached to a three-way connector, to which the existing shunt (within the left lateral ventricle) was also attached, and then secured to the existing medium-pressure valve.</p><p><strong>Results: </strong>Postoperatively, the dog immediately developed mild vestibular-cerebellar ataxia, with a marked improvement after 3 months. There were no shunt-associated complications. Long-term follow up at 40 months after the second surgical procedure revealed a normal neurological examination.</p><p><strong>Conclusion: </strong>Transcerebellar ventriculoperitoneal shunt placement for treatment of a presumed fourth ventricle arachnoid diverticulum was performed and was associated with a favorable long-term outcome.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1430-1437"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194691","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}
引用次数: 0
Hybrid, transarticular external fixation with platelet-rich plasma injection as a treatment for partial calcaneal tendon disruption in dogs without primary tenorrhaphy. 混合式经关节外固定术与富血小板血浆注射,用于治疗狗的部分小头肌腱断裂,无需进行原发性腱鞘切除术。
IF 1.3 2区 农林科学
Veterinary Surgery Pub Date : 2024-11-01 Epub Date: 2024-09-16 DOI: 10.1111/vsu.14164
Ryan A Boharski, Jason L Wheeler, Alan R Cross, Joshua Jackson, Steven Peterson
{"title":"Hybrid, transarticular external fixation with platelet-rich plasma injection as a treatment for partial calcaneal tendon disruption in dogs without primary tenorrhaphy.","authors":"Ryan A Boharski, Jason L Wheeler, Alan R Cross, Joshua Jackson, Steven Peterson","doi":"10.1111/vsu.14164","DOIUrl":"10.1111/vsu.14164","url":null,"abstract":"<p><strong>Objective: </strong>To report the use of a hybrid, transarticular external skeletal fixator and platelet-rich plasma injection without primary tenorrhaphy for management of partial calcanean tendon disruption in dogs.</p><p><strong>Study design: </strong>Multi-institutional retrospective study.</p><p><strong>Animals: </strong>A total of 11 client-owned dogs.</p><p><strong>Methods: </strong>Medical records from two referral centers from 2019 to 2022 were reviewed for inclusion in the study. Dogs diagnosed with partial, non-traumatic calcanean tendon disruption treated with hybrid, transarticular external skeletal fixation and platelet-rich plasma injection were included in the study. Cases that did not include complete postoperative follow-up over 8-12 weeks and owner-reported outcomes at >6 months were excluded from the study. Dogs with traumatic laceration or those in which a primary tenorrhaphy was performed were also excluded.</p><p><strong>Results: </strong>A total of 11 (n = 11) dogs met the inclusion criteria. Median follow-up time was 18.5 months (6 months-34 months). Mean time of fixation was 9 weeks (6 weeks-12 weeks). Five dogs returned to full, pain-free function (5/11 = 45%). Five dogs had an acceptable return to function (5/11 = 45%). One dog had an unacceptable outcome (1/11 = 9%). Pin tract complications occurred in five dogs (5/11 = 45%) and resolved with medical intervention.</p><p><strong>Conclusion: </strong>The results of this study suggest that temporary tibiotarsal immobilization with a hybrid, transarticular external skeletal fixator and platelet-rich plasma injection without primary tenorrhaphy can lead to a successful outcome in dogs with partial calcanean tendon disruption.</p><p><strong>Clinical significance: </strong>Temporary hybrid, transarticular external skeletal fixation and platelet-rich plasma injection without primary tenorrhaphy may play a role in the management of partial calcanean tendon disruption in dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1390-1398"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296615","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}
引用次数: 0
Effect of hydrocolloid-nitric oxide wound dressings on wound healing in dogs. 水胶体一氧化氮伤口敷料对狗伤口愈合的影响。
IF 1.3 2区 农林科学
Veterinary Surgery Pub Date : 2024-11-01 Epub Date: 2024-08-16 DOI: 10.1111/vsu.14149
Jenniffer M Rodriguez-Diaz, Mandy L Wallace, Sarah A Emond, Danielle McNabney, Katie M Hodges, Elizabeth W Howerth
{"title":"Effect of hydrocolloid-nitric oxide wound dressings on wound healing in dogs.","authors":"Jenniffer M Rodriguez-Diaz, Mandy L Wallace, Sarah A Emond, Danielle McNabney, Katie M Hodges, Elizabeth W Howerth","doi":"10.1111/vsu.14149","DOIUrl":"10.1111/vsu.14149","url":null,"abstract":"<p><strong>Objective: </strong>To determine the rates of wound healing in surgically created wounds between nitric oxide releasing wound dressings and control wound dressings.</p><p><strong>Study design: </strong>Prospective, controlled, randomized experimental study.</p><p><strong>Animals: </strong>Purpose-bred, adult, male Beagles (n = 6).</p><p><strong>Methods: </strong>Four 2 × 2 cm wounds were surgically created on the trunk of each dog with each wound randomized to treatment with a nitric oxide wound pad (NP), nitric oxide wound gel (NG), plain hydrocolloid wound dressing (HC), or Telfa pad (T). Wound images were taken daily for 8 days then every other day until day 21 with images masked and randomized for evaluation. Total wound area, contraction percentage, and days until granulation were calculated.</p><p><strong>Results: </strong>Time to first appearance of granulation tissue was significantly shorter for NP (3.2 days) than for NG (4 days; p = .023), HC (4.5 days; p = .001), and T (5.2 days; p < .0001). There were significant differences in total wound area and contraction percentage between sites and treatments (p < .001). Total wound area for NG was lower than treatment T (0.7 ± 0.1 cm<sup>3</sup>; p < .001), HC (0.9 ± 0.1 cm<sup>3</sup>, p < .001), and NP (0.6 ± 0.1 cm<sup>3</sup>, p < .001).</p><p><strong>Conclusion: </strong>Use of a nitric oxide wound dressing resulted in faster wound healing as evidenced by lower total wound area and higher contraction in the NG group and faster time to granulation tissue development in the NP group.</p><p><strong>Clinical significance: </strong>Nitric oxide wound dressings are innovative and inexpensive products that can significantly decrease the amount of time and cost necessary for open or second intention wound resolution in dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1351-1365"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989064","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}
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