犬预防性腹腔镜辅助胃固定术的远期疗效和并发症。

Natasha K Loy Son, Ameet Singh, P. Amsellem, J. Kilkenny, B. Brisson, M. Oblak, A. Ogilvie
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引用次数: 17

摘要

目的探讨预防性腹腔镜辅助胃固定术(LAG)对犬的短期和长期疗效(>12个月)、并发症和饲主满意度。研究设计回顾性研究。动物:科学家拥有的狗(n = 49)。方法对2所兽医专科医院进行预防性LAG治疗的犬进行研究。回顾医疗记录,记录手术时间、麻醉时间、同时进行的腹内和腹外手术以及术中和术后并发症。获得兽医和/或饲主随访以确定LAG的结果和满意度。结果49只狗中有5只(10%)在LAG期间出现了与腹部通路相关的并发症。4%(2/49)的犬出现术中并发症。89%的狗(44/49)可获得随访信息。在随访期间,有4只狗死于与LAG或胃扩张扭转(GDV)无关的原因。两只狗经历了严重的术后并发症,需要额外的兽医干预。30%(13只狗)经历了轻微的术后自限性伤口相关并发症。中位随访时间为698天(范围411-1825天)。没有狗经历过GDV。百分之百的狗主人对LAG感到满意,他们会在未来的宠物身上重复这个过程,并会向朋友或家人推荐这个过程。结论lag是预防GDV的有效方法,在该犬群中具有较高的客户满意度。术后伤口并发症发生率中等,轻微且自限性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long-Term Outcome and Complications Following Prophylactic Laparoscopic-Assisted Gastropexy in Dogs.
OBJECTIVE To characterize the short- and long-term outcome (>12 months), complications, and owner satisfaction following prophylactic laparoscopic-assisted gastropexy (LAG) in dogs. STUDY DESIGN Retrospective study. ANIMALS Client-owned dogs (n = 49). METHODS Dogs that underwent prophylactic LAG at 2 veterinary academic hospitals were studied. Surgical time, anesthesia time, concurrent intra- and extra-abdominal procedures, and intraoperative and postoperative complications were recorded following review of medical records. Veterinarian and/or owner follow-up was obtained to determine outcome and satisfaction with LAG. RESULTS Five of 49 dogs (10%) experienced complications related to abdominal access during LAG. Four percent (2/49) of dogs experienced an intraoperative complication. Follow-up information was available for 89% of dogs (44/49). Four dogs died of causes unrelated to LAG or gastric dilatation volvulus (GDV) in the follow-up period. Two dogs experienced major postoperative complications requiring additional veterinary intervention. Thirty percent (13 dogs) experienced a minor postoperative self-limiting wound-related complication. Median follow-up time was 698 days (range, 411-1825). No dogs experienced GDV. One hundred percent of dog owners were satisfied with LAG, would repeat the procedure in a future pet, and would recommend the procedure to a friend or family member. CONCLUSION LAG was an effective procedure for prevention of GDV and was associated with high client satisfaction in this cohort of dogs. A moderate rate of postoperative wound complications occurred that were minor and self-limiting in nature.
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