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Veterinary Surgery: VS

Jarrod R Troy, Susan J Holcombe, Callie A Fogle, Kira L Epstein, J Brett Woodie
OBJECTIVE: To determine the influence of hyaluronate-carboxymethylcellulose (HA-CMC) membranes applied to intestinal anastomoses or enterotomies on postoperative complications after emergency exploratory celiotomy. STUDY DESIGN: Multicenter retrospective case-controlled series. ANIMALS: Adult horses (59 in the HA-CMC group and 91 controls). METHODS: Medical records from 4 referral hospitals were searched for horses ≥1 year of age, treated between 2008 and 2014 with emergency exploratory celiotomy, and surviving at least 24 hours postoperatively...
February 20, 2018: Veterinary Surgery: VS
Christopher A Adin, Callie A Fogle, Steven L Marks
To ensure patient safety and protect the well-being of interns and residents, the Accreditation Council for Graduate Medical Education (ACGME) issued guidelines in 2003 limiting the working hours of physician trainees. Although many supported the goals of the ACGME, institutions struggled to restructure their programs and hire staff required by this unfunded mandate. Numerous studies have analyzed the effects of duty hours restrictions on patient outcomes and physician training over the past 15 years. Most agree that duty hours restrictions improved well-being of house officers, but these improvements came at the expense of continuity, and patient hand-offs led to medical errors...
February 19, 2018: Veterinary Surgery: VS
Jennifer J Ree, Wendy I Baltzer, Sarah Nemanic
OBJECTIVE: To determine the rate of radiographic healing, complications, vascularization, and bone density after repair of radial and ulnar fractures in dogs <6 kg that were treated with an autogenous cancellous bone graft (BG) or free autologous omentum graft (OG). STUDY DESIGN: Prospective, randomized, controlled clinical trial with owners/radiologists blinded to treatment. ANIMALS: 25 dogs with naturally occurring traumatic radial/ulnar fractures...
February 19, 2018: Veterinary Surgery: VS
Bill Oxley
OBJECTIVE: To report the use of a 3-dimensional (3D)-printed patient-specific reduction guide system to facilitate minimally invasive plate osteosynthesis (MIPO) of a humeral fracture in a cat. STUDY DESIGN: Case report. ANIMALS: A 9-year-old male neutered domestic short hair cat weighing 4.4 kg. METHODS: A 9-year-old male domestic short hair cat was presented with a comminuted, mid-diaphyseal left humeral fracture. Computed tomographic data were processed to yield 3D mesh representations of both humeri and subsequently manipulated in computer-aided design software...
February 15, 2018: Veterinary Surgery: VS
David G Suarez-Fuentes, Dane M Tatarniuk, Stephanie S Caston, Kevin D Kersh, Alex M Gillen, Ashley M Hays
OBJECTIVE: To compare outcomes after semitendinosus tenotomy performed under standing sedation versus general anesthesia. STUDY DESIGN: Retrospective case series. SAMPLE POPULATION: 20 horses with fibrotic myopathy of the semitendinosus muscle. METHODS: Medical records (2002-2015) of horses undergoing tenotomy of the semitendinosus muscle for the treatment of fibrotic myopathy were reviewed. Signalment, history, affected muscles, restrain method, surgical procedures, and short-term outcome as well as complications were retrieved from records...
February 13, 2018: Veterinary Surgery: VS
Ferenc Tóth, Jim Schumacher
Repair of hernias of the abdominal wall of horses is often augmented by inserting a prosthetic mesh. In this review, we describe the various characteristics of prosthetic meshes used for hernia repair and present 2 systems that are used by surgeons in the human medical field to classify techniques of prosthetic mesh herniorrhaphy. Both of these classification systems distinguish between onlay, inlay, sublay, and underlay placements of mesh, based on the location within the abdominal wall in which the prosthetic mesh is inserted...
February 5, 2018: Veterinary Surgery: VS
Tristram C Bennett, Brad M Matz, Ralph A Henderson, Rodney C Straw, Julius M Liptak, Laura E Selmic, Francesco Collivignarelli, Paolo Buracco
OBJECTIVE: To describe the complications and outcome after total prostatectomy in dogs with histologically confirmed prostatic carcinoma. STUDY DESIGN: Multi-institutional retrospective case series. ANIMALS: 25 client-owned dogs. METHODS: Medical records of dogs undergoing total prostatectomy were reviewed from 2004 to 2016. Data retrieved included signalment, presenting signs, preoperative clinical findings, laboratory data, diagnostic imaging, surgical technique, histologic diagnosis, postoperative complications, occurrence of postoperative metastasis, and survival...
February 5, 2018: Veterinary Surgery: VS
Christine Hsueh, Michelle Giuffrida, Philipp D Mayhew, J Brad Case, Ameet Singh, Eric Monnet, David E Holt, Megan Cray, Chiara Curcillo, Jeffrey J Runge
OBJECTIVE: To describe pet owner preferences within the veterinary community when choosing operative techniques for canine spay. STUDY DESIGN: Prospective survey. SAMPLE POPULATION: 1234 respondents from 5 veterinary university teaching hospitals in North America. METHODS: An electronic survey was distributed to faculty, students, and staff that currently are or previously were dog owners. Responses were analyzed to determine what spay technique respondents would choose for their own dogs...
February 5, 2018: Veterinary Surgery: VS
Eric M Zellner, Michael J Hale, Karl H Kraus
OBJECTIVE: To report the application of a plate to treat a complicated calcaneal tendon rupture and the resulting outcome. STUDY DESIGN: Clinical case report. ANIMALS: A 3-year-old Labrador retriever. METHODS: A 3-year-old Labrador retriever was treated for a partially ruptured calcaneal tendon. Two primary tendon repairs with sutures and external fixation had failed. A veterinary cuttable plate was placed to internally span the tendon over the primary repair...
February 2, 2018: Veterinary Surgery: VS
Heidi Phillips, Gary W Ellison, Kyle G Mathews, Lillian R Aronson, Chad W Schmiedt, Gil Robello, Laura E Selmic, Clare R Gregory
OBJECTIVE: To assess the content and face validity of a model of an obstructed feline ureter as a tool for teaching ureteral microsurgery. STUDY DESIGN: Prospective, experimental study. SAMPLE POPULATION: Seven expert and 11 novice microsurgeons. METHODS: The model was created from latex rubber with an inner diameter of 0.8 mm and an outer diameter of 5 mm. The "ureter" was created with an inner compartment, a thin wall, and a soft, outer layer mimicking periureteral fat...
January 30, 2018: Veterinary Surgery: VS
Julie A Williamson, Robin Farrell, Casey Skowron, Brigitte A Brisson, Stacy Anderson, Dawn Spangler, Jason Johnson
OBJECTIVE: To evaluate a method to assess surgical skills of veterinary students that is based on digital recording of their performance during closure of a celiotomy in canine cadavers. SAMPLE POPULATION: Second year veterinary students without prior experience with live animal or simulated surgical procedure (n = 19) METHODS: Each student completed a 3-layer closure of a celiotomy on a canine cadaver. Each procedure was digitally recorded with a single small wide-angle camera mounted to the overhead surgical light...
January 30, 2018: Veterinary Surgery: VS
Davide De Lorenzi, Diana Bertoncello, Chiara Mantovani, Enrico Bottero
OBJECTIVE: To report clinical features, diagnosis, surgical treatment, and outcomes of brachycephalic dogs with nasopharyngeal sialoceles (NPS). STUDY DESIGN: Retrospective case series. ANIMALS: Eleven brachycephalic dogs with NPS. METHODS: Diagnosis of NPS was based on identification of cystic nasopharyngeal masses containing saliva-like mucoid material on retroflexed endoscopy. Biopsies were obtained to support the diagnosis...
January 30, 2018: Veterinary Surgery: VS
Sherisse A Sakals, Clarence A Rawlings, Jamie Laity, Erik H Hofmeister, MaryAnn G Radlinsky
OBJECTIVE: To describe a laparoscopically assisted ovariectomy (LAO) technique in the cat with a bipolar vessel sealing device (BVSD) or suture ligation and to compare the outcomes to open ovariohysterectomy (OO). STUDY DESIGN: Randomized prospective study ANIMALS: Healthy, adult, sexually intact female cats (n = 30). METHODS: Ten cats were assigned to each group: LAO with BVSD (group A), LAO with ligation (group B), and OO with ligation (group C)...
January 27, 2018: Veterinary Surgery: VS
Philip J Kieffer, P O Eric Mueller
OBJECTIVE: To describe the structure and role of morbidity and mortality rounds (MMR) in resident training programs of the American College of Veterinary Surgeons (ACVS). STUDY DESIGN: Cross-sectional analysis: survey. SAMPLE POPULATION: ACVS surgical resident program directors. METHODS: Electronic surveys consisting of 27 questions were sent to the directors of 142 ACVS resident programs. RESULTS: Forty-five (31...
December 27, 2017: Veterinary Surgery: VS
Yukiko Nakano, Kohei Nakata, Sanae Shibata, Yasuhiro Heishima, Hidetaka Nishida, Hiroki Sakai, Hirohito Yano, Hiroaki Kamishina
OBJECTIVE: To evaluate the safety of an intraoperative fluorescein sodium (FS) injection and elucidate the relationships between the MRI findings, pathological diagnoses, and intraoperative staining characteristics of intracranial lesions in 22 dogs. STUDY DESIGN: Prospective case series. ANIMALS: Twenty-two dogs with intracranial lesions. METHODS: FS was intravenously administered to 22 dogs undergoing craniotomy for suspected intracranial tumors to evaluate perioperative and postoperative adverse effects...
December 16, 2017: Veterinary Surgery: VS
Lea M Liehmann, Tanja Seny, Gilles Dupré
OBJECTIVE: To describe the optimal recumbency for laparoscopic ovariectomy (LapOVE) in dogs. STUDY DESIGN: Prospective clinical trial. ANIMALS: Sixteen healthy client-owned female dogs undergoing routine single-port LapOVE. METHODS: Anesthetized dogs were placed in dorsal recumbency on a tilting operation table. The operating laparoscope was introduced and, after inspection of abdominal organs, directed toward the randomly assigned ovary...
December 16, 2017: Veterinary Surgery: VS
Amanda K Hartnack, Molly E Jordan, Allen J Roussel
OBJECTIVE: This article describes complications following surgical dehorning of goats. STUDY DESIGN: Retrospective. Medical records of goats that underwent surgical dehorning were reviewed. ANIMALS: Two hundred thirty-nine goats. METHODS: The medical records of 239 goats, not previously dehorned by other methods, that were cosmetically dehorned between January 2006 and April 2016, were reviewed. Data retrieved from the medical records included breed, weight, the surgeon performing the procedure, intraoperative complications, and the occurrence of return visits to the teaching hospital because of complications related to the dehorning procedure...
December 14, 2017: Veterinary Surgery: VS
Brian Petrovsky, Eric Monnet
OBJECTIVE: To determine the efficacy of repeated decontamination and sterilization of a disposable port intended for 1-time use during single-incision laparoscopy. STUDY DESIGN: Experimental; prospective, controlled design. METHODS: Six single-access ports used 4 times and 6 single-access ports used 8 times to perform various clean, minimally invasive surgeries were evaluated. Ports were decontaminated in an enzymatic cleaner (dilution, 3:100) and cleaned with a scrub brush for 5 minutes...
December 8, 2017: Veterinary Surgery: VS
Nora M Biermann, J T McClure, Javier Sanchez, Aimie J Doyle
OBJECTIVE: To determine the incidence of and associated risk factors for glove perforation in large animal surgery. STUDY DESIGN: Prospective observational cohort study. SAMPLE POPULATION: Surgical gloves (n = 917) worn during 103 large animal surgical procedures. METHODS: Gloves worn by personnel involved in sterile preparation and surgical procedures were tested for perforation by 2 previously validated methods, water leak test (WLT) and electroconductivity testing (ECT)...
December 8, 2017: Veterinary Surgery: VS
Zeev Schwartz, Bradley R Coolman
OBJECTIVE: To report the clinical features and outcomes of linear gastrointestinal incisions closed with skin staples in dogs. STUDY DESIGN: Historical cohort study. ANIMALS: 333 client-owned dogs. METHODS: Medical records from 1 private referral hospital were searched for dogs that underwent gastrointestinal surgery between November 1999 and October 2015. Cases were included if skin staplers were used to close linear gastrointestinal incisions...
December 8, 2017: Veterinary Surgery: VS
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