Modified Lateral Orbitotomy for Removal of Orbital Neoplasms in Two Dogs   总被引：1，自引：0，他引：1  

BRIAN C. GILGER dvm. MS.    R. DAVID WHITLEY DVM  MS.  SUSAN A. MCLAUGHLIN dvm  MS 《Veterinary surgery : VS》1994,23(1):53-58

A simplified lateral orbitotomy is described that decreases surgical time and lessens tissue dissection, yet maintains the exposure to the orbit provided by other orbitotomy techniques. The approach involves cutting the orbital ligament, incising the temporalis aponeurosis from the dorsal zygomatic arch, making parallel zygomatic arch osteotomies, and reflecting the zygomatic arch ventrally. Closure of the wound involves wiring the zygomatic arch back into place. This orbitotomy procedure provides excellent exposure for removal or biopsy of orbital masses. The use of this technique for surgical excision of orbital masses in two dogs, one with an adenoma of the third eyelid gland and one with an orbital fibrosarcoma, and their subsequent management is described.  相似文献   

Evaluation of an Omental Pedicle Extension Technique in the Dog   总被引：2，自引：0，他引：2  

WENDY E. ROSS dvm  ANTHONY D. PARDO ms  dvm  dipiomate  acvs   《Veterinary surgery : VS》1993,22(1):37-43

A two-step omental pedicle extension technique was performed on 10 dogs. Step 1 of the pedicle extension involved release of the dorsal leaf of the omentum from its pancreatic attachment, whereas step 2 consisted of an inverse L-shaped incision to double the length of the pedicle. The pedicle dimensions were measured and the distance reached when extended toward the hind limb, forelimb, and the muzzle recorded after each stage of the procedure. The vascular patency of the pedicle was determined by intravenous injection of flu-orescein dye after the second stage of omental extension. Mean pedicle lengths were 44.5 cm with the first stage of extension and 82.0 cm after full extension. The mean width at the caudal extent of the pedicles after dorsal and full extension was 30.4 cm and 17.2 cm, respectively. Eight of the 10 pedicles were patent after full extension. The fully extended omental pedicles reached and, in most cases, extended beyond the distal extremities and the muzzle. The findings in this study suggest that the canine omentum can be extended to any part of the body without being detached from its vascular supply.  相似文献   

A Retrospective Study of Inguinal Hernia in 35 Dogs   总被引：1，自引：0，他引：1  

DAVID J. WATERS dvm  phd  dipiomate acvs  ROBERT G. ROY dvm  ELIZABETH A. STONE dvm  dipiomate acvs 《Veterinary surgery : VS》1993,22(1):44-49

Inguinal hernia was associated with trauma in five dogs and was considered nontraumatic in 30 dogs. There were 11 males, 13 intact females, and six spayed females with nontraumatic inguinal hernia. Six dogs had bilateral hernias. Five dogs were younger than 4 months at the time of diagnosis. In 11 older dogs with nontraumatic inguinal hernia, the hernias were identified less than 7 days before surgical repair; in 14 older dogs, the hernias had been recognized for 1 to 60 months. Clinical signs in dogs without small intestinal incarceration were usually limited to a visible or palpable mass without pain or systemic illness. Hemiorrhaphy approaches included inguinal, midline with contralateral ring evaluation, and celiotomy with or without inguinal exposure. Fat and omentum were the most common hernial contents. Small intestine was within the hernias of 12 dogs. Six dogs had nonviable small intestine. Postoperative complications included two incisional infections, one incisional dehiscence, two cases of peritonitis and sepsis associated with bowel leakage after intestinal resection and anastomosis, and one hernia recurrence. The overall prevalence of postoperative complications was 17%, and the mortality rate was 3%. Vomiting for 2 to 6 days was predictive of nonviable small intestine. Dogs younger than 2 years were at 11 times greater risk for nonviable small intestine than dogs older than 2 years. Four of five dogs with nontraumatic inguinal hernia and nonviable small intestine were intact males, whereas none of 13 intact females were affected. Only one of 14 dogs with longstanding hernias had nonviable small intestine.  相似文献   

Arthroscopy of the Coxofemoral Joint of Foals     

CLIFFORD M. HONNAS dvm  Diplomate acvs    DAVID T. ZAMOS vmd  TROY S. FORD DVM  Diplomate ACVS 《Veterinary surgery : VS》1993,22(2):115-121

An arthroscopic procedure for examination of the coxofemoral joint was developed in nine foals (four cadavers, five anesthetized) to determine if access was sufficient for evaluation and surgical treatment of intra-articular lesions. The joint was distended and the arthroscope inserted through the notch (incisura trochanterica) between the cranial and caudal parts of the greater trochanter. This portal allowed examination of the cranial, lateral, and caudal aspects of the joint. Mechanical distraction of the joint through an instrument portal located 2 to 4 cm cranial and 1 to 2 cm ventral to the arthroscope portal allowed examination of the ligament of the head of the femur, the femoral head, and articular and nonarticular surfaces of the acetabulum. Adduction and rotation of the limb improved visualization of the craniomedial and caudomedial portions of the femoral head. Traction applied to the distal limb allowed visualization of the same structures that were observed when mechanical distraction was used. Traction also created space for placement of surgical instruments into the joint through the instrument portal. Access to most regions of the joint was adequate, but access to the caudal and medial aspects of the joint was limited. Three foals were killed while they were anesthetized, and their coxofemoral joints were dissected. Two foals were allowed to recover from anesthesia and were observed for 30 days after surgery. One foal was mildly lame for 2 days after surgery. The other foal was not lame after surgery. The incisions healed, and the coxofemoral joints were radiographically normal by postoperative day 30.  相似文献   

Cardiorespiratory Effects of Combined Midazolam and Butorphanol in Isoflurane-anesthetized Cats     

M. E. GROSS dvm    JULIE A. SMITH dvm  W. J. TRANQUILLI dvm  Dipiomate acva 《Veterinary surgery : VS》1993,22(2):159-162

The cardiorespiratory effects of midazolam (0.1 mg/kg) and butorphanol (0.4 mg/kg) were evaluated in seven cats. Cats were induced in a chamber, removed and intubated, and maintained with isoflurane in 100% oxygen. Cardiorespiratory data were recorded before and 3, 10,20,30,40,50, and 60 minutes after intravenous injection of midazolam-butorphanol. Heart rate, mean arterial pressure, and respiration rate were significantly (p < .05) decreased below baseline at various times throughout the study. Tidal volume and minute ventilation were unchanged. End-tidal carbon dioxide was significantly (p < .05) increased above baseline for 30 minutes. Midazolam-butorphanol administered intravenously induced significant alterations in several cardiorespiratory parameters in isoflurane-anesthetized cats.  相似文献   

Instrumentation of Exercising Thoroughbreds to Determine Blood Gas Tensions and Acid-base Status     

L. P. TATE Jr.  VMD  Diplomate ACVS  W. T. CORBETT VMD  PhD    J. H. FOREMAN dvm  MS    B. J. BISHOP vmd  C. L. SWEENEY dvm 《Veterinary surgery : VS》1993,22(3):171-176

A device was constructed of easily obtained medical supplies, and hardware and could be used to obtain multiple arterial samples when manually triggered. The right carotid arteries in five normal horses were surgically elevated, thereby permitting percutaneous cannulation. Each horse was galloped on a 1.6-km test track at approximately 500 m/min, and the rider triggered the mechanism at each 0.4-km mark. Each horse underwent 10 test gallops, and a mean and standard error was determined for each sampling mark including preexercise and postexercise samples. The results indicated that horses ridden under the aforementioned conditions became acidemic and hypoxic.  相似文献   

In Vitro Loss of Tensile Strength and Elasticity of Five Absorbable Suture Materials in Sterile and Infected Canine Urine     

T. D. SCHILLER dvm    E. A. STONE dvm  Diplomate acvs  B. S. GUPTA PhD 《Veterinary surgery : VS》1993,22(3):208-212

The loss of breaking strength and elasticity of five absorbable suture materials (polydioxanone [PDS-II], polyglycolic acid [PGA], polyglactin 910 [PG-910], polyglyconate [GTMC], and chromic gut) after in vitro incubation in sterile, Escherichia coli- and Proteus mirab/tfs-inoculated canine urine was studied. Biomechanical testing, in a controlled environment, was performed during the 28-day study period. Polydioxanone and chromic gut retained greater than 90% of their original strengths after 28 days of incubation in sterile urine and 87% of original strengths in E. co//-inoculated urine. Polyglyconate retained 24% and 18% of original strength, respectively, after incubation in sterile and E. co/i-inoculated urine for 28 days. Polyglycolic acid and PG-910 retained less than 30% of original strength in sterile urine and only 7% in E. co/i-inoculated urine after 21 days of incubation. In P. m/rabi/is-inoculated urine, loss of tensile strength and elongation was significant for all suture materials. Polyglycolic acid and PG-910 lost all strength after 24 hours of incubation. Polydioxanone lost all strength after 7 days of incubation, whereas GTMC retained 19% at day 7. Chromic gut retained 78% at day 7 and 16% after 21 days of incubation, however, the absence of normal phagocytic destruction of chromic gut in this in vitro study may have artificially elevated these values. In sterile urine with chemically modified pH, loss of strength and elongation was greater in alkaline urine than in neutral or acidic urine for all types of suture materials.  相似文献   

Evaluation of Thoracic Duct Healing After Experimental Laceration and Transection     

CARLOS C. HODGES dvm  ms    THERESA W. FOSSUM dvm  ms  PhD  Dipiomate acvs  WINSTON EVERING dvm  PhD 《Veterinary surgery : VS》1993,22(6):431-435

Healing of the thoracic duct (TD) was evaluated clinically and histologically in six healthy dogs. A 2.5 cm longitudinal laceration of the caudal TD was created in three dogs and the caudal TD was completely transected in three other dogs. The site of the defect was identified by placing one 4-0 stainless steel suture in the tissue adjacent to the TD defect. All dogs developed a chylous effusion confirmed by biochemical analysis. By five days after surgery in dogs with TD lacerations, and by 10 days after surgery in dogs with TD transections, thoracic effusion had ceased. Lymphangiography, performed seven days after resolution of thoracic effusion, showed TD patency only in the dogs with TD lacerations. The TD did not appear to be patent in dogs with TD transections. Histologically, in dogs with TD lacerations, one moderately dilated lymphatic vessel was seen at the surgical site in one animal and the thoracic duct and other lymphatics in the two other dogs appeared normal. Minimal perivascular accumulations of neutrophils, macrophages, and lymphocytes were present adjacent to two lymphatics in one animal. A mild increase in fibrous connective tissue and neovascularization was present in the adjacent subpleura. In dogs with complete transections, three to six dilated lymphatics were present at the transection site. Mild thickening of the tunica media was present in one thoracic duct, associated with a "J"-shaped area of condensed collagen, presumed to be a collapsed thoracic duct in one animal. Mild to moderate accumulations of macrophages, lymphocytes, and moderate neovascularization was present in the surrounding tissue, separating it from the underlying connective tissue. Healed TDs could not be differentiated histologically from normal TDs.  相似文献   

Controlled Tissue Expansion in the Distal Extremities of Dogs     

GARY J. SPODNICK DVM  Diplomate ACVS    MICHAEL M. PAVLETIC DVM  Diplomate ACVS    GEOFFREY N. CLARK DVM  Diplomate ACVS    SCOTT H. SCHELLING DVM  Diplomate ACVP  KARL H. KRAUS dvm  ms  Diplomate acvs 《Veterinary surgery : VS》1993,22(6):436-443

Controlled tissue expansion using a 100 cc rectangular silicone elastomer expander was performed in the mid-antebrachium and mid-crus of eight adult mixed-breed dogs. Two expander inflation schedules were followed. Group 1 dogs (n = 4) underwent expander inflation using 10 cc sterile saline every other day, and group 2 dogs (n = 4) underwent expander inflation using 15 cc sterile saline every other day until the nominal volume (100 cc) was attained. Significant mean postexpansion increases in skin surface area of 94.1 cm² (35.9%) and 108.9 cm² (37.3%) were measured in the antebrachium and crus, respectively (p < .05). In a second procedure, the expanders were removed and skin flaps were developed from the redundant tissue generated during the expansion process. Single pedicle advancement flaps and transposition flaps were used to cover surgically created defects measuring 5 times 10 cm in the antebrachium and cms. Single pedicle advancement flaps consistently measured 10 × 10 cm and could be advanced to cover defects involving one third of the mid-antebrachial or mid-crural circumference. Transposition flaps were rotated up to 170 and the donor site defects were easily closed under minimal or no tension. Complications included an abscess in one dog and seroma formation in four dogs. Differences in success or complication rates between group 1 dogs and group 2 dogs were not observed; an accelerated inflation schedule using 15 cc sterile saline every other day was recommended.  相似文献   

Progression of Femoropatellar Osteochondrosis in Nine Young Horses Clinical, Radiographic and Arthroscopic Findings     

ROBIN M. DABAREINER dvm  MS    KENNETH E. SULLINS dvm  MS Diplomate ACVS  NATHANIEL A. WHITE II  dvm  MS  Diplomate ACVS 《Veterinary surgery : VS》1993,22(6):515-523

The clinical and radiographic progression, and arthroscopic findings for nine young horses (<1 year of age) with femoropatellar osteochondrosis (OCD) are presented. Horses had a 2 to 12 week history of bilateral (8 horses) or unilateral (1 horse) hindlimb lameness. The most consistent clinical signs included femoropatellar joint distention and bilateral hindlimb lameness. At the onset of clinical signs, radiographic lesions were not present (4 horses) or subtle (5 horses), but were easily identified on radiographs taken 4 to 24 weeks later. Arthroscopic surgery was delayed until radiographic changes became obvious. Surgical findings in 20 femoropatellar joints were most commonly osteochondral "flaps" located on the proximal lateral trochlear ridge of the femur and were larger than had been indicated by the radiographs. Eight horses were being used for their intended purpose, which was racing (3 horses were racing and 3 were in race training), dressage (1 horse) or pleasure riding (1 horse). One horse required a second surgery when similar lesions developed in the opposite stifle, and was euthanatized 2 months later because of persistent lameness. Once clinical signs are observed, osteochondrosis lesions of the distal femur can progress in foals younger than 9 months of age and the full extent of the radiographic lesion may take several weeks to develop.  相似文献