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Ludovic Bouré DMV MSc Diplomate ACVS Diplomate ECVS Robert A. Foster BVSC PhD MAVSC Diplomate ACVP Michele Palmer RHt BSc Amanda Hathway RHt BSc 《Veterinary surgery : VS》2001,30(4):319-326
OBJECTIVE: To develop a laparoscopic technique using an endoscopic suturing device for the resection of the apex of the bladder and the umbilical structures in large-animal neonates. Study Design-Experimental study. Animals or Sample Population-Seven healthy male Holstein calves. METHODS: A laparoscopic technique for resection of the apex of the bladder was developed on 2 calf cadavers, then evaluated on 5 anesthetized calves. The calves were positioned in dorsal recumbency, and 4 ventral abdominal portals were used. The umbilical vessels were double-ligated using an endoscopic suturing device and subsequently transected. The apex of the bladder was transected between a row of laparoscopic clips applied near the apex and atraumatic laparoscopic forceps applied distally; then, the edges were apposed using an endoscopic suturing device. The dissected umbilical remnants were removed from the abdomen through a small incision centered at the umbilicus. One month later, the calves were euthanatized and a second-look laparoscopy performed; then, bladders were collected for gross and histologic examination. RESULTS: No major complications occurred during or after surgery. The endoscopic suturing device permitted both effective ligation of the umbilical vessels and closure of the bladder. During second-look laparoscopy, healing of the peritoneal surface of the bladder and umbilical vessels was assessed to be excellent in 4 calves. A focal adhesion of omentum to the bladder suture line was observed in 1 calf. Focal adhesions of the omentum to the umbilical incision site occurred in 2 calves. The bladder mucosa was completely healed at the surgical sites. CONCLUSION AND CLINICAL RELEVANCE: Resection of the apex of the bladder and umbilical vessels in calves can be accomplished laparoscopically using an endoscopic suturing device. 相似文献
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A One-Stage Marsupialization Procedure for Management of Infected Umbilical Vein Remnants in Calves and Foals 总被引：1，自引：0，他引：1
RYLAND B. EDWARDS III DVM SUSAN L. FUBINI DVM Diplomate ACVS 《Veterinary surgery : VS》1995,24(1):32-35
Five Holstein calves and two foals with omphalophlebitis were treated by surgical marsupialization of the umbilical vein remnant because complete resection of the infected tract was not possible. The infected umbilical stalk was resected, and the umbilical vein remnant was marsupialized in a one-stage procedure by suturing it into the abdominal wall lateral to the abdominal incision. Antimicrobial drugs were administered, and the marsupialized tract was irrigated until closure by second intention healing. Cellulitis associated with the marsupialization site occurred in two calves but resolved with antimicrobial therapy. Owners reported that, 9 to 60 months after surgery, there were no complications associated with the procedure. 相似文献
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C Collatos V B Reef D W Richardson 《Journal of the American Veterinary Medical Association》1989,195(9):1252-1254
An abscess of the external umbilical remnant and umbilical vein remnant was diagnosed in a 16-month-old colt, using ultrasonography. Because of the colt's size, primary closure of the surgical incision after umbilical cord resection was not complete. Vertical mattress stainless steel sutures and stents were used, and healing was by second intention. Intervening gas-filled viscera made it impossible to visualize ultrasonographically the bladder of umbilical artery remnants in a colt of this age. 相似文献
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Umbilical cord remnant infections in foals: 16 cases (1975-1985) 总被引：1，自引：0，他引：1
Infection of the umbilical cord remnants was diagnosed in 16 foals. The infection was found in the urachus alone in 3 foals, the umbilical arteries in 2 foals, the urachus and umbilical arteries in 3 foals, the urachus and umbilical vein in 2 foals, and the urachus, umbilical vein, and umbilical arteries in 2 foals. The specific location of the infection was not determined in 4 foals. Eleven foals developed an acquired patent urachus between 4 and 16 days of age. Seven foals had one or more joints infected. All foals with umbilical cord remnant infections were treated with orally, intramuscularly, or intravenously administered antibiotics and 9 foals had the umbilical cord remnants excised. Nine foals survived, 6 of which had had excision of the infected remnants. Only 2 foals with joint infections survived. 相似文献
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Marsupialization of Umbilical Vein Abscesses With Involvement of the Liver in 13 Calves 总被引：1，自引：0，他引：1
ADRIAN STEINER dvm CHRISTOPH J. LISCHER dvm CAROLINE OERTLE dvm 《Veterinary surgery : VS》1993,22(3):184-189
Omphalophlebitis with liver involvement was diagnosed by ultrasonography in 13 calves. In the initial surgical procedure, the infected umbilical vein was marsupialized by cranial trans-location in a median celiotomy and was flushed daily until healing occurred. In a second surgical procedure, the contracted umbilical vein was removed. Nine calves were clinically healthy after treatment. One had reformation of two abscesses because of inadequate post-surgical treatment. One calf was euthanatized because of an intussusception of the small intestine, and two calves had adverse reactions and developed septic shock when some of the lavage fluid, which was applied under pressure, entered the systemic circulation. It was concluded that umbilical vein abscesses should not be flushed under pressure in calves younger than 2 months of age. The principal advantages of cranial translocation of the umbilical vein in a median celiotomy are that only one abdominal incision is required and that the infected umbilical vein tissue does not have to be passed intraabdominally to a paramedian position. 相似文献
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Clinical, ultrasonographic, and surgical findings in foals with umbilical remnant infections 总被引：1，自引：0，他引：1
V B Reef C Collatos P A Spencer J A Orsini L M Sepesy 《Journal of the American Veterinary Medical Association》1989,195(1):69-72
Infection of umbilical arteries, umbilical vein, and/or urachus was diagnosed ultrasonographically in 33 foals 1 to 90 days old (mean, 17.7 +/- 17.3 days). In these foals, the most common initial problems were umbilical abnormalities, septic arthritis, and/or neonatal septicemia. In 16 foals, abnormalities of the external umbilical stalk were noticed on admission. Abnormalities of the internal umbilical structures were identified when enlargement and echogenic material (fluid and/or gas) were imaged ultrasonographically within these structures. Multiple structures were affected in 23 foals, with the urachus the most commonly affected structure. Surgical findings confirmed ultrasonographic identification of infected umbilical structures in 23 foals. Twenty-two samples from affected umbilical remnants submitted for culture at surgery were positive for bacterial growth. Multiple organisms were isolated in 15 cultures. Escherichia coli and beta-hemolytic streptococci were the most common isolates. Two foals died of late complications associated with surgical resection, 1 foal treated surgically and 3 foals treated medically died or were euthanatized because of other complications, and the remaining 27 foals lived. 相似文献
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G M Baxter B J Darien C E Wallace 《Journal of the American Veterinary Medical Association》1987,191(5):555-558
A persistent urachal remnant causing small intestinal strangulation was found on exploratory laparotomy in a 2-year-old cow with colic. The persistent urachus consisted of a thin cord-like band that was attached ventrally to the umbilical region and caudally to the apex of the bladder. The band had formed an internal loop and had strangulated 6 to 8 cm of the distal portion of the ileum. The persistent urachus was detached manually at the umbilicus, ligated at the apex of the bladder, and removed; intestinal resection was not necessary. The urachal remnant was probably a congenital abnormality that may have become stretched during pregnancy, forming an internal hernial loop. 相似文献
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Mueller PO Hay WP Allen D Collatos C Watson E 《Journal of the American Veterinary Medical Association》1999,214(4):532-4, 496
A 4-month-old Holstein heifer was examined because of poor growth, weight loss, dysuria, hematuria, pyuria, and a palpable mass in the right caudal quadrant of the abdomen. Clinicopathologic abnormalities included hyperfibrinogenemia, hyperproteinemia, anemia, and leukocytosis, and were consistent with chronic inflammation. Results of ultrasonographic evaluation of the umbilical cord remnants were suggestive of urachal abscess formation. Transabdominal ultrasonography of the kidneys was attempted; the right kidney appeared normal, but the left kidney could not be imaged. The calf was anesthetized and a ventral midline celiotomy was performed. The left kidney was larger than normal, was multilobulated, and contained multiple abscess. It had also broken through the peritoneum and was located in the peritoneal cavity. Unilateral nephrectomy and resection of umbilical cord remnants were performed. The calf recovered without complications and was healthy 5 years later. In this calf, ventral midline celiotomy provided sufficient surgical exposure for removal of the ectopic left kidney and resection of umbilical cord remnants. 相似文献
10.
A urachal remnant, causing pollakiuria and dysuria, was diagnosed by rectal palpation of a urinary bladder adhesion and endoscopic visualization of a urinary bladder diverticulum. Surgical excision of the remnant resulted in relief of abnormal micturition, but the filly was euthanatized 9 months after surgery because of a chronic ventral midline incisional infection. Pollakiuria and dysuria associated with urachal abscessation occur most commonly in calves. This report documents the syndrome in a horse. 相似文献
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OBJECTIVE: To determine the distribution of drying times of umbilical cords of dairy calves and to determine if cord dryness is a reliable indicator of age. DESIGN: An observational study was undertaken in a spring calving herd in Victoria, of the umbilical cords of 188 calves (82 Friesian bulls, 82 Friesian heifers, 24 crossbreds). PROCEDURE: Umbilical cords were examined daily, visually and by palpation, until the cord to the junction of the skin on the abdomen of the calf was dry, shrivelled and inflexible. RESULTS: Drying times ranged from 1 to 8 days. By the fifth day of life, the umbilical cords of 96.7% of all calves, 97.5% Friesian heifer calves, 87.5% of Friesian bull calves and 100% of cross-bred calves were dry. If cord dryness only was used to select calves for sale, 91.3% of all calves, 86.4% of Friesian bull calves and 100% of cross bred calves could have been sold before their fifth day of life. If calves were selected on age only, 3.3% of all calves, 2.5% of Friesian heifer calves and 12.5% of Friesian bull calves would have been sold before their umbilical cord was dry. CONCLUSION: The dairy industry cannot rely on cord dryness alone as an indicator of age for selection of calves for sale and transportation. Cord dryness is a poor indicator of age. 相似文献
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Abstract CASE HISTORY:?A 3-month-old female Warmblood foal was presented after displaying signs of colic with pyrexia for 5 days. CLINICAL AND PATHOLOGICAL FINDINGS:?The foal continued to show signs of colic, frequently passed urine, and was pyrexic with an elevated white blood cell count. The umbilical stalk was thickened but there was no evidence of purulent material. Exploratory laparotomy revealed an enlarged left umbilical artery remnant tightly adhered to the bladder wall. The left umbilical artery continued to an aneurysm involving the distal aorta. The foal was subject to euthanasia and post-mortem examination confirmed a spherical aortic aneurysm, in the dorsal midline caudal to the kidneys that contained a large thrombus. Histopathological examination revealed inflammation and necrosis of the tunica intima and tunica media of the left umbilical artery with suppuration and bacterial colonies evident in the periarterial tissues. DIAGNOSIS:?Infected aortic aneurysm presumably caused by an umbilical artery infection. CLINICAL RELEVANCE:?A previously undetected umbilical infection appears to have resulted in an unusual delayed complication causing signs of colic in a foal. Veterinarians should be aware of this condition, and the possibility that it may be a cause of signs of colic in foals. Diagnosis based on ultrasonography should be possible, but may require sedation, visceral analgesia and careful examination. 相似文献
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The objective of this study is to describe morbidity and mortality in calves <1-year-old and to associate the impact of gastrointestinal and haemoparasitoses on morbidity and mortality by comparing these parameters in ill and well calves in the cotton zone of Burkina Faso. Fifty-nine herds selected in two villages were involved. Calves born between February 1997 and February 1999 were monitored up to 1 year of age or until the end of the study in April 1999. Blood and faecal samples were taken from ill calves and matched with samples taken from well calves (as control) for analysis of haemoparasites and gastrointestinal worms. Infected ill calves were treated with a trypanocidal drug and/or an anthelmintic. Dead calves were necropsied; adult-worm burdens were determined and brain smears taken to detect the presence of Cowdria ruminantium. Diarrhoea was the main clinical observation and most calves shed worm eggs. The EPG for gastrointestinal parasites was higher neither in ill calves nor in diarrhoeal calves. Infections by trypanosome species were observed in ill calves only (prevalences of 8% and 15% in Daboura and Kourouma, respectively). Average PCV in infected calves (28%) was lower than that in non-infected calves (37%). Most ill calves (86%) recovered 2 weeks after the treatment with anthelmintic and/or trypanocide. The post-mortem worm counting in 12 calves revealed that half of necropsied calves had a burden ranging from 2040 to 20,072 helminths. Infection by Babesia bigemina was found in the blood smear of one ill calf and the presence of C. ruminantium was noted in the brain smear of one calf. 相似文献
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The purpose of this study was to assess the usefulness of diagnostic ultrasound for the detection of umbilical defects in calves. The medical records of 25 calves having undergone an ultrasound examination and for which a final diagnosis was available were reviewed retrospectively. Ultrasound was accurate (p = 0.05) for the diagnosis of umbilical defects in calves. Overall sensitivity (0.89) and specificity (0.83) were similar. Ultrasound was a better predictor of abnormal (PV' = 0.94) than normal PV- = 0.71) structures. Ultrasound was a good predictor (p < 0.05) of disease and normalcy in all umbilical region subdivisions except the umbilical vein (p = 0.16). Specificity was greater than sensitivity in all areas except the umbilical stalk. Sensitivity was lowest (0.50) for detection of umbilical herniae and lesions in the umbilical vein. When multiple umbilical areas were affected, ultrasound identified all lesions in 4 of 7 calves. Criteria determined to be subjectively useful in the sonographic diagnosis of infection in umbilical remnants were gas andlor echogenic fluid in the lumen and a thickened, hypoechoic wall. 相似文献
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Clinical findings, therapy, and prognosis of 20 calves with urachal problems were studied and are discussed. Ultrasonography proved to be a valuable adjunct diagnostic procedure to manual palpation. It allowed exact evaluation of the intraabdominal umbilical cord size and was an important aid in the selection of the correct therapy. A complete omphalourachectomy was performed in calves with an extra- and intraabdominal umbilical cord diameter of up to 10 cm, otherwise drainage was established. Based on our results prognosis for calves with urachitis is independent of the size of the umbilicus and can be judged as favourable in cases without systemic complications. 相似文献
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Two trials were designed to investigate whether bovine viral diarrhoea virus (BVDV) could be transmitted after the birth of persistently infected calves, even if they were removed immediately after birth. In trial 1, 11 calves were actively exposed to fetal fluids and uterine lochia collected from cows that had delivered calves persistently infected with type 1 BVDV. One calf that was exposed to a sample taken on the day of calving seroconverted. In trial 2, six calves were housed in stables where persistently infected calves were being born and then removed immediately from their dams and from the stable unit within two to three hours. One of four calves in close contact with the cows after delivery seroconverted and one of two calves housed within the same stable unit became infected. 相似文献
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Treatment of patent urachus associated with a congenital imperforate urethra in a calf 总被引：1，自引：0，他引：1
Patent urachus is a common condition in calves which is frequently associated with omphalitis. A membranous urethral diaphragm prevented closure of the urachus in a female calf. The patent urachus was complicated by an ascending infection of the intraabdominal umbilical remnants. Following surgical removal of the urachus and umbilical vessels along with transection of the membranous diaphragm the calf experienced an uncomplicated recovery. This case stresses the importance of assuring urethral patency when managing a case of patent urachus. 相似文献
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The umbilical arteries, urachus, and umbilical vein were scanned ultrasonographically in 13 clinically normal foals that ranged in age from 6 hours to 4 weeks. Sonograms were obtained using a 7.5-MHz sector scanner transducer placed across the midline of the ventral portion of the foal's abdominal wall. The umbilical vein was scanned from the umbilical stalk to its entrance into the hepatic parenchyma. The mean (+/- SD) diameter of the umbilical vein was 0.61 +/- 0.20 cm immediately cranial to the umbilical stalk, 0.52 +/- 0.19 cm midway between the umbilicus and liver, and 0.6 +/- 0.19 cm at the liver. The urachus and umbilical arteries were scanned from the umbilical stalk to the apex of the urinary bladder and had a mean total diameter of 1.75 +/- 0.37 cm at the bladder apex. The umbilical arteries also were scanned along either side of the bladder and had a mean diameter of 0.85 +/- 0.21 cm. These measurements and the ultrasonographic appearance of the internal umbilical structures from clinically normal foals can be used as references to diagnose abnormalities of the umbilical structures in neonatal foals. 相似文献
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The ability of stable flies (Stomoxys calcitrans), horn flies (Haematobia irritans), and tabanids (Diptera: Tabanidae) to transmit bovine leukosis virus (BLV) was investigated. Stable flies and horn flies were fed on blood collected from an infected cow, and the flies' mouthparts were immediately removed, placed in RPMI-1640 medium, ground, and inoculated into sheep and calves. Infection of sheep occurred with mouthparts from as few as 25 stable flies or 25 horn flies. However, sheep were not infected when removal of stable fly mouthparts was delayed greater than or equal to 1 hour after blood feeding. Infection of calves occurred after inoculation of mouthparts removed immediately after feeding from as few as 50 stable flies or 100 horn flies. Infected blood, applied by capillary action to the mouthparts (labella) of 15 deer flies (Chrysops sp) and a single horse fly (Tabanus atratus) caused infection in each of 2 sheep. Infection did not occur in 2 calves inoculated daily for 5 days with mouthparts from 50 horn flies collected after feeding on a BLV-infected steer. Four calves receiving bites from 75 stable flies interrupted from feeding on a BLV-positive cow also were not infected. Seronegative cattle held for 1 to 4 months in a screened enclosure with positive cattle in the presence of biting flies were not infected with BLV. The feeding behavior of each insect is discussed to assess their potential as vectors of BLV. 相似文献
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Herrmann R Utz J Rosenberger E Wanke R Doll K Distl O 《Berliner und Münchener tier?rztliche Wochenschrift》2001,114(1-2):22-29
The frequency of congenital hernia was investigated in German Fleckvieh calves being driven up for sale on livestock markets for breeding and fattening calves in Miesbach and Traunstein. Data were collected on 77 livestock auctions in the years 1996 and 1997. Altogether 53,105 calves were examined and 1.8% of these calves showed a congenital umbilical hernia. The incidence of umbilical hernia was significantly influenced by the sex of the calf, the occurrence of multiple births, the market place/market date, the sire and the sire line. Red Holstein blood proportion, lactation number, duration of pregnancy and 305 day milk performance were not of significant importance. Herd milk level did not influence the incidence of congenital umbilical hernia, however, herdmate averages for calves differed significantly in their incidence. The average difference of the market price between male calves affected by congenital umbilical hernia and not affected male calves amounted to 75 DM, in female calves, however, only to 38 DM. The risk, that a congenital umbilical hernia is not closing within an age of 15 months, depends on the width of the hernial opening in the newborn calf. An opening of 4 cm and more has only a healing chance of 50% and less. However, negative effects on fattening and carcass traits could be not found. The genetic influence on congenital umbilical hernia was obvious. The analyses indicated that the incidence of congenital umbilical hernia observed could not be explained by one autosomal recessive gene locus, but it seemed much more likely that more than one gene locus is involved or a mixed multifactorial monogenic mode of inheritance may be the underlying genetic mechanism. Breeders should be aware of the implications of congenital hernias and thus, congenital hernia should get more attention in the selection process of young sires. 相似文献