Veterinary Surgery最新文献

{"title":"Impact of postoperative radiography on the management of humeral condylar fractures in immature dogs.","authors":"Stavros Karydas, Ignacio Quinonero, Jake Chitty, Davide Malucelli, Miguel Solano, Rosario Vallefuoco, Alan Danielski","doi":"10.1111/vsu.14199","DOIUrl":"10.1111/vsu.14199","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of postoperative radiographs on treatment decisions for skeletally immature dogs undergoing repair of a fractured humeral condyle.</p><p><strong>Study design: </strong>Retrospective observational multicenter study.</p><p><strong>Sample population: </strong>A total of 139 dogs (<12 months of age).</p><p><strong>Methods: </strong>Medical records of dogs who underwent humeral condylar fracture repair were retrieved and analyzed. Data collected included dog's signalment, fixation method, reported client's concerns, follow-up clinical examination findings, radiographic assessment, and any documented changes to the postoperative plan.</p><p><strong>Results: </strong>Out of the 139 cases, 23 dogs (17%) required a change in their postoperative plan. Owner concerns (OR: 7.6), prolonged use of analgesic drugs (OR: 7.9), presence of lameness (OR: 5.9), abnormal clinical findings at the time of follow-up examination (OR: 44.8) and radiographic abnormalities (OR: 51.9) significantly increased the likelihood of a change in the postoperative plan. Most importantly, none of these postoperative plan changes were solely attributed to radiographic abnormalities at the time of the follow-up examination.</p><p><strong>Conclusion: </strong>Follow-up radiographs did not influence the postoperative management plan in cases where clients reported no concerns, the dogs did not require prolonged analgesic treatment, showed no lameness on examination, and had unremarkable clinical findings CLINICAL SIGNIFICANCE: In the absence of client concerns, prolonged use of analgesic drugs, lameness on examination, and clinical abnormalities, the necessity of follow-up radiographs in immature dogs that underwent humeral condylar fracture repair is debatable.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"367-372"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855655","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":"Comparison of end-to-side versus side-to-side jejunocecostomy in horses.","authors":"Elizabeth K Moyer, Anje G Bauck, Thomas Denagamage, David E Freeman","doi":"10.1111/vsu.14200","DOIUrl":"10.1111/vsu.14200","url":null,"abstract":"<p><strong>Objectives: </strong>To compare end-to-side (ES) and side-to-side (SS) jejunocecostomy (JC) in healthy horses.</p><p><strong>Study design: </strong>Experimental study in vivo.</p><p><strong>Animals: </strong>A total of 14 healthy adult horses underwent ventral midline celiotomy, a resection, and either an ES (n = 7) or stapled SS (n = 7) JC.</p><p><strong>Methods: </strong>Surgical times and the external lengths of completed anastomoses were measured. Physical examinations and pain scoring were performed every 6 h for 5 days, then once daily until euthanasia and necropsy 28 days postoperatively.</p><p><strong>Results: </strong>The anastomosis was completed more rapidly (p < .002) with the SS JC (mean 44.21 ± 4.91 min) than the ES JC (mean 54.24 ± 4.59 min). One horse in the ES group developed colic from an ischemic anastomosis and was euthanized. Three horses (1 ES JC and 2 SS JC) exhibited mild colic postoperatively, and the remaining horses had no complications. Postoperative heart rates and pain scores were similar between groups (p < .16 and p < .67, respectively). The internal length of the anastomosis was significantly larger (p < .001) in the SS JC (mean 9.27 ± 1.05 cm) than the ES JC (mean 6.31 ± 1.4 cm) at necropsy.</p><p><strong>Conclusion: </strong>Both methods for JC were well tolerated and functional in both groups using the selected protocols for anesthesia, surgery and aftercare.</p><p><strong>Clinical significance: </strong>This study provides evidence that both stapled SS JC and handsewn ES JC are acceptable for use in clinical cases, although additional procedures are required to maximize lumen size with the ES JC.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"410-419"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855654","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":"Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs-A multicenter retrospective cohort study.","authors":"Kate A Korchek, Sun Young Kim, Po-Yen Chou, Amy S Kapatkin, Kei Hayashi","doi":"10.1111/vsu.14179","DOIUrl":"10.1111/vsu.14179","url":null,"abstract":"<p><strong>Objective: </strong>To assess the impact of a postoperative fracture gap on implant failure following radius and ulna fracture repair in toy breed dogs.</p><p><strong>Study design: </strong>Retrospective multicenter cohort study.</p><p><strong>Animals: </strong>A total of 80 client-owned toy breed dogs.</p><p><strong>Methods: </strong>Medical records and radiographs were reviewed for dogs <3.5 kg that had surgical repair of simple transverse radius and ulna fractures at four institutions from 2005 to 2019. Data collected included signalment, fracture location, implant types and thickness, plate working length, evidence of a postoperative fracture gap in the caudal cortex, postoperative care, occurrence of implant failure, and other complications. The association between potential risk factors and complications was examined using multivariable logistic regression.</p><p><strong>Results: </strong>A postoperative fracture gap in the caudal cortex was noted in 37 cases, and 10 cases experienced implant failure. Of the 43 cases without a gap, one case experienced implant failure. After adjusting for other variables, the fracture gap was significantly associated with implant failure (odds ratio = 23.0 [95% confidence interval: 2.7; 197.9], p = .004). Prolonged external coaptation was associated with minor and major complications other than implant failure (p = .04), while the absence of coaptation confounded the effects of the fracture gap on implant failure.</p><p><strong>Conclusion and clinical significance: </strong>Reduction of the caudal cortex of the radius is imperative to promote bone healing and prevent implant failure in transverse radius and ulna fractures of toy breed dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"287-296"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509129","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 association between gonadectomy and timing of gonadectomy, and the risk of canine cranial cruciate ligament disease: A systematic review and meta-analysis.","authors":"Daniel Low, Laura Costa, James Hawkesby, Ludovica Nardulli, Adelina Proteasa, Vasileios Vallios","doi":"10.1111/vsu.14197","DOIUrl":"10.1111/vsu.14197","url":null,"abstract":"<p><strong>Objective: </strong>To determine if gonadectomy in dogs is associated with the risk of cranial cruciate ligament disease (CrCLD) and to quantify the magnitude of the association.</p><p><strong>Study design: </strong>Systematic review and meta-analysis.</p><p><strong>Sample population: </strong>Comparative studies with gonadectomized and entire dogs, with CrCLD as an outcome measure.</p><p><strong>Methods: </strong>A systematic search of the primary and gray literature was performed. The effect size of the outcome measure was defined as the OR and 95% CI. Subgroup analysis was performed with sex, breed, and age at gonadectomy. A pooled OR (95% CI) was generated from meta-analysis of relevant studies. Certainty in the body of evidence was rated with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework.</p><p><strong>Results: </strong>The literature search yielded 1398 results and 24 relevant studies were included for synthesis. Gonadectomized female (pooled OR = 2.293, 95% CI = 1.768-2.945) and male (pooled OR = 2.117, 95% CI = 1.665-2.691) dogs were both at increased odds of developing CrCLD in comparison with entire female and male dogs, respectively. Subgroup analysis showed that gonadectomy at 1 year or less was consistently associated with an increase in odds of developing CrCLD in both sexes. Overall certainty in the evidence was rated as moderate. All included studies were observational and no controlled trials were available.</p><p><strong>Conclusion: </strong>In data with moderate certainty, gonadectomy is associated with increased odds of developing CrCLD in both sexes, particularly in dogs gonadectomized at 1 year of age or less.</p><p><strong>Clinical significance: </strong>This study provides an estimate of the true effect size of gonadectomy on the odds of developing CrCLD, which may be useful for clinical decision making surrounding gonadectomy and the timing of gonadectomy.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"254-267"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829940","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":"Use of intraoperative transsplenic injection of agitated saline to confirm temporary full attenuation of congenital extrahepatic portosystemic shunts in dogs.","authors":"Juan A García, Fernando Reina, Rafael Romero, Carlos Macías, Juan M Ramírez","doi":"10.1111/vsu.14194","DOIUrl":"10.1111/vsu.14194","url":null,"abstract":"<p><strong>Objective: </strong>To describe the use of intraoperative transsplenic injection of agitated saline (TIAS) and confirm temporarily full attenuation of extrahepatic portosystemic shunt (EHPSS) in dogs.</p><p><strong>Study design: </strong>Retrospective case series.</p><p><strong>Animals: </strong>A total of 40 dogs.</p><p><strong>Methods: </strong>Medical records of dogs that underwent surgical attenuation of EHPSS between January 2014 and May 2021 were reviewed. A ventral midline celiotomy was performed, the EHPSS identified and dissected, and temporal occlusion performed using Rummel tourniquets or silicone vascular loops. A wide range microconvex transducer was used to visualize the right atrium via a subxiphoid acoustic window. Agitated saline was injected into the splenic parenchyma while the right atrium was ultrasonographically monitored before and after temporary occlusion of the EHPSS. Case details, intra- and postoperative findings, and long-term outcome were recorded.</p><p><strong>Results: </strong>The agitated saline was immediately identified within the right atrium after injection into the splenic parenchyma before temporary occlusion of the EHPSS in all cases. After temporary occlusion, the agitated saline was not observed within the right heart, except in two dogs in which a second vessel bypassing the liver circulation was identified. No intra- or postoperative complications were recorded. Long-term clinical outcome was considered good to excellent in all cases.</p><p><strong>Conclusion: </strong>Intraoperative TIAS confirmed temporary full attenuation of EHPSS.</p><p><strong>Clinical significance: </strong>Intraoperative TIAS is an easy, safe and reproducible technique to assess intraoperative full occlusion of EHPSS.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"321-333"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872883","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":"Application and influence of four drain configurations on fluid dispersal and retrieval in a cadaveric canine wound infusion-retrieval system model.","authors":"Makensie L Anderson, Miriam Bates, Marije Risselada, George E Moore","doi":"10.1111/vsu.14191","DOIUrl":"10.1111/vsu.14191","url":null,"abstract":"<p><strong>Objective: </strong>To describe fluid dispersal and retrieval patterns in an infusion-retrieval system across various configurations and locations in a cadaveric canine model.</p><p><strong>Study design: </strong>Cadaveric study.</p><p><strong>Animals: </strong>Four large breed canines.</p><p><strong>Methods: </strong>Four full-thickness wounds (10 × 10 cm) were created bilaterally in four canine cadavers (shoulder, thorax, flank, and thigh). A wound infusion catheter and active suction drain were placed in four configurations (diagonal, opposite, parallel, and perpendicular) and the incisions were closed. Diluted methylene blue was instilled, allowed to dwell for 10 min, and quantified after retrieval. A 14 × 14 cm full-thickness skin segment, including the initial 10 × 10 cm wound, was removed. Images of the removed skin and cadaver wound bed were taken to calculate surface area (SA) and to evaluate fluid dispersion. A mixed-effects linear regression model was used for statistical analysis.</p><p><strong>Results: </strong>Fluid retrieval did not differ by configuration (p = .92) or location (p = .32), although the perpendicular configuration resulted in the highest retrieval (11.35 ± 6.1 mL) (56.8 ± 30% volume instilled) and the flank location resulted in the lowest (7.2 ± 6.4 mL) (35.9 ± 32% volume instilled). Configuration influenced SA coverage of the wound bed (p < .01), whereas location did not (p = .10). The parallel configuration had the greatest SA coverage (83.4 ± 11.6%). No difference existed for leakage of methylene blue (MB) beyond the borders for configuration (p = .74) or location (p = .10).</p><p><strong>Conclusion: </strong>The parallel configuration maximized the fluid dispersion within the cadaveric wound bed in comparison with other configurations (p < .01).</p><p><strong>Clinical significance: </strong>An infusion-retrieval system could be considered during wound closure to administer topical solutions and remove excess free fluid.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"398-409"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682888","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":"Effect of an adjustable ceiling to prevent premature rising attempts after general anesthesia in healthy ponies and horses: A pilot study.","authors":"Anna Lindqvist, Görel Nyman, Anneli Rydén, Ove Wattle","doi":"10.1111/vsu.14181","DOIUrl":"https://doi.org/10.1111/vsu.14181","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess and compare the recovery of ponies and horses following general anesthesia in two different settings: a recovery box with an inflexible, adjustable ceiling, and free recovery without restraints. Our primary objective was to evaluate the effect of adjustable ceilings on the prevention of premature attempts to rise during recovery. The secondary aim was to compare the physiological stress indicators during recovery.</p><p><strong>Study design: </strong>Prospective, randomized, experimental study.</p><p><strong>Animals: </strong>Six healthy ponies and 10 healthy horses.</p><p><strong>Methods: </strong>This study used a crossover design with two settings: an inflexible, adjustable ceiling and free recovery. Recovery was scored using a quality scoring system. Heart rate, and lactate, glucose, and cortisol levels were analyzed and compared between the animals and recoveries.</p><p><strong>Results: </strong>All animals had a higher recovery quality (p = .026) with an adjustable ceiling than with free recovery. No differences were observed in glucose level or heart rate between the two settings. However, horses had higher blood lactate, 2.9 ± 1.2 mmol/L versus 1.6 ± 0.7 mmol/L (p = .025), and serum cortisol, 184 ± 81 nmol/L versus 93 ± 20 nmol/L (p = .031) in restricted recovery than free recovery, respectively.</p><p><strong>Conclusion: </strong>An inflexible, adjustable ceiling improved the quality of recovery and prevented premature rising attempts; however, it was associated with increased lactate and cortisol levels, indicating an increased level of stress.</p><p><strong>Clinical significance: </strong>Limiting premature rising attempts with an adjustable ceiling during recovery phase has the potential to improve the quality of recovery in horses. Further research is needed to draw conclusions for clinical use.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068119","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 full-thickness mesh grafts and full-thickness meek micrografts in five horses with ear skin defects caused by trauma or neoplasm resection.","authors":"Nina Resetic, Francesco Comino, Jacintha Wilmink, Dylan A Gorvy","doi":"10.1111/vsu.14220","DOIUrl":"https://doi.org/10.1111/vsu.14220","url":null,"abstract":"<p><strong>Objectives: </strong>To report the management and outcomes of five horses with ear skin defects treated with the use of full-thickness mesh grafts and full-thickness Meek micrografts.</p><p><strong>Animals: </strong>Five horses with acute or granulating pinna skin wounds.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Methods: </strong>A full-thickness graft was harvested from the pectoral region under general anesthesia. The sheet graft was stretched on a sterile plastic board with the epidermal side facing down. The subcutaneous fat and fascia were removed by sharp dissection. The skin graft was then meshed by hand or using a block mesher, or manually cut into micrografts, and transferred to the ear wounds. Cyanoacrylate glue or staples were used to fixate the graft. Immobilization was achieved with a thermoplastic splint, stockinette and an adhesive elastic bandage.</p><p><strong>Results: </strong>A full-thickness meshed sheet graft was used in two horses to cover a fresh or granulating degloving wound, and in two horses to cover a fresh skin defect after excision of a cutaneous neoplasm. A full-thickness Meek micrograft was used in one horse to cover a granulating degloving wound. Complete acceptance of the graft was achieved in all five cases within 2 weeks after grafting, with a good to excellent cosmetic appearance and retained function of the pinna.</p><p><strong>Conclusion: </strong>Full-thickness meshed sheet grafts or full-thickness Meek micrografts provide an effective treatment for ear skin defects with an excellent outcome regardless of etiology.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047526","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":"Treatment of antebrachial deformities secondary to premature closure of the distal radial physis using circular external skeletal fixation and distraction osteogenesis in skeletally immature dogs.","authors":"Kevin A de Moya, Christopher M Gauthier, Robert M Radasch, Dan D Lewis, Stanley Kim, Ross H Palmer, Jason Bleedorn","doi":"10.1111/vsu.14214","DOIUrl":"https://doi.org/10.1111/vsu.14214","url":null,"abstract":"<p><strong>Objective: </strong>To report clinical outcomes of skeletally immature dogs with antebrachial deformities secondary to premature closure of the distal radial physis (PCDRP) treated with angular corrections and distraction osteogenesis using circular external skeletal fixation (CESF).</p><p><strong>Study design: </strong>Retrospective multi-institutional case series.</p><p><strong>Animals: </strong>A total of 12 client-owned dogs with premature distal radial physeal closure.</p><p><strong>Methods: </strong>Medical records from four hospitals between 2009 and 2022 were reviewed. Preoperative and final radiographic measurements of limb alignment and osteoarthritis were compared. Long-term outcomes were obtained using an owner questionnaire.</p><p><strong>Results: </strong>Mean ± SD age and bodyweight were 7.5 ± 1.7 months and 12.8 ± 11.1 kg. Distal radial corrective osteotomies and distraction osteogenesis were performed in all dogs. Mean ± SD time between surgery and fixator removal was 78 ± 20 days. Uncomplicated osseous union was documented in 9/12 dogs. Final mean affected limb anatomic lateral distal radial angle (aLDRA) of 85.6° was higher than preoperative values 71.6° and within reported normal ranges. A total of 10 of 12 dogs had mild non-progressive elbow osteoarthritis at final follow up, including two dogs with mild residual elbow incongruity. Major complications occurred in two dogs and included permanent carpal flexor contracture and radial fracture through a pin tract. Minor complications including persistent loss of carpal extension, radioulnar synostosis, and pin tract drainage occurred in 10/12 dogs. Owner questionnaires were obtained from 8/12 dogs and all reported good to excellent function.</p><p><strong>Conclusion: </strong>Angular correction and lengthening using CESF can achieve target alignment and improved clinical function with moderate complications in growing dogs with PCDRP.</p><p><strong>Clinical significance: </strong>Distraction osteogenesis and angular corrections can be considered as a treatment option for PCDRP in skeletally immature dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012700","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":"Prestretching increases working space at the same insufflation pressure in dogs undergoing laparoscopic procedures.","authors":"Colin Chik, Nicole Buote, Galina Hayes, Manuel Martin-Flores","doi":"10.1111/vsu.14215","DOIUrl":"https://doi.org/10.1111/vsu.14215","url":null,"abstract":"<p><strong>Objective: </strong>To determine if prestretching (PS) of the abdominal wall provided improved working space during elective laparoscopic procedures in dogs.</p><p><strong>Study design: </strong>Prospective cohort study.</p><p><strong>Animals: </strong>Fifty client-owned dogs undergoing elective laparoscopic procedures.</p><p><strong>Methods: </strong>Skin markings were used to evaluate stretching of the abdominal wall. The distance from the subumbilical port to the caudal aspect of the gallbladder was measured as a proxy for intra-abdominal working length (IWL). Prestretching was performed by insufflating to an intra-abdominal pressure (IAP) of 10 mmHg for 3 min. The abdomen was desufflated back to 6 mmHg for the remainder of the procedure. A computed volumetric value utilizing skin measurements and IWL was used as a proxy for intra-abdominal working space (IWS). Percentage changes in IWL and IWS were compared.</p><p><strong>Results: </strong>Increasing the IAP from 6 to 10 mmHg increased the IWL by 7% (IQR 9.5%) and the IWS by 10.4% (IQR 13.8%) (p = .004 and .005, respectively). Returning to 6 mmHg after prestretching resulted in a median increase in IWL of 4.4% (IQR 5.7%) and IWS of 6.9% (IQR 5.4%) compared with the initial 6 mmHg IAP measurements (p < .001 for both). Intra-abdominal working length and IWS were similar at the end of surgery compared with post-PS 6 mmHg IAP measurements.</p><p><strong>Conclusion: </strong>Prestretching resulted in improved IWL and IWS, although not to the extent achieved by higher insufflation pressures. The effects of PS persisted throughout the laparoscopic procedures performed in this study.</p><p><strong>Clinical significance: </strong>Prestretching can provide additional laparoscopic IWL and IWS at a lower IAP.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012692","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}