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51.
GERALDINE B. HUNT BVSc PhD FACVSc K. RUTH YOUMANS BVSc MACVSc SUSAN SOMMERLAD BVSc MACVSc GRAHAM SWINNEY BVSc MACVSc ANTHONY NICHOLSON BVSc PhD Diplomate ACVA LISA MELVILLE BVSc Diplomate ACVR KAREN L. HOFFMAN BVSc MVSc GRAEME S. ALLAN BVSc MVSc Dipiomate ACVR 《Veterinary surgery : VS》1998,27(3):262-267
Objective —To present details of an unusual type of portosystemic shunt and its surgical management in two dogs.
Animals —Two young dogs that had a tentative diagnosis of a portosystemic shunt on the basis of clinical signs and serum biochemical abnormalities. Abdominal ultrasonography and contrast portography demonstrated multiple intrahepatic shunts. In both cases, the multiple shunts arose from a single branch of the portal vein.
Outcome—It was possible to locate and attenuate flow through the shunts via a transportal venotomy under conditions of hepatic vascular occlusion. Clinical and biochemical abnormalities resolved after surgery in both dogs. Postoperative sonography revealed complete obliteration of the shunt plexus in one of the dogs. 相似文献
Animals —Two young dogs that had a tentative diagnosis of a portosystemic shunt on the basis of clinical signs and serum biochemical abnormalities. Abdominal ultrasonography and contrast portography demonstrated multiple intrahepatic shunts. In both cases, the multiple shunts arose from a single branch of the portal vein.
Outcome—It was possible to locate and attenuate flow through the shunts via a transportal venotomy under conditions of hepatic vascular occlusion. Clinical and biochemical abnormalities resolved after surgery in both dogs. Postoperative sonography revealed complete obliteration of the shunt plexus in one of the dogs. 相似文献
52.
MICHAEL D. MAJOR DVM MS BARRIE D. GRANT DVM MS Dipiomate ACVS KARL K. WHITE DVM Dipiomate ACVS MARC H. RATZLAFF DVM PhD ANTHONY M. GALLINA DVM PhD GREGORY R. CRAWLEY DVM MS Dipiomate ACVS 《Veterinary surgery : VS》1992,21(2):121-125
Mechanical properties of equine suspensory apparatus preparations and three braided synthetic prostheses were evaluated in vitro. Force versus displacement plots and failure modes were recorded from single load-to-failure testing in 18 cadaver limbs before and after replacement of each suspensory apparatus with a prosthesis. Mean load at failure, energy to failure, and stiffness values of polytetrafluoroethylene (PTFE) prostheses were lower than those of the suspensory apparatus and aramid prosthesis. The PTFE prosthesis failed by elongation or rupture of the prosthesis. Mechanical properties of the aramid prosthesis with collar augmentation were not significantly different from the suspensory apparatus. The main site of failure in both aramid prostheses was at the screw fixation to bone. 相似文献
53.
KAREN CORNELL DVM KATHLEEN SALISBURY DVM MS Dipiomate ACVS SAMUEL JAKOVLJEVIC DVM MS DVR MICHAEL BAUER DVM Dipiomate ACVS DENISE PETRYK DVM 《Veterinary surgery : VS》1995,24(3):202-206
The vascular anatomy of the reverse saphenous conduit flap in cats was denned by contrast radiography of both hindlimbs of 18 feline cadaver specimens. In all 36 flaps, flow of contrast medium from the femoral artery to the distal end of the flap was documented. Direct anastomosis of the superficial branch of the cranial tibial artery with the cranial branch of the saphenous artery and communication of the caudal branch of the saphenous artery with the perforating metatarsal artery, via the medial and lateral plantar arteries, was documented. The cranial branch of the medial saphenous vein was shown to anastomose with the cranial branch of the lateral saphenous vein. The presence of these anastomoses support the feasibility of the reverse saphenous conduit flap as an option for reconstruction of wounds of the metatarsus in cats. 相似文献
54.
JOSEPH HARARI MS dvm dipiomate acvs THOMAS E. BESSER dvm phd diplomate acvm SCOTT B. GUSTAFSON dvm ms dipiomate acvs KATRINA MEINKOTH dvm 《Veterinary surgery : VS》1993,22(1):27-30
Bacteria in blood cultures in 30 dogs undergoing high-speed dental scaling and tooth extraction were examined. One or more positive blood cultures were identified in 9 of 30 (30%) dogs. Pasteurella spp. were most frequently (5 dogs) isolated and were sensitive to ampicillin, penicillin, cephalothin, chloramphenicol, tetracycline, amoxicillin with clavulanic acid, and sul-famethoxazole with trimethoprim. Twg groups of 15 dogs each, anesthetized or sedated but not undergoing dental procedures, served as non-dentistry controls. There were no significant (p < .05) differences between the number of positive cultures in dentistry and non-dentistry groups. In healthy dogs undergoing high-speed dental scaling and tooth extraction, the occurrence of bacteria in blood cultures was much lower than previously reported. The clinical significance of positive blood cultures was uncertain. 相似文献
55.
ANN E. KRAUS-HANSEN DVM HENRY W. JANN DVM MS Dipiomate ACVS DAVID V. KERR DVM GUSTAVE E. FACKELMAN DVM DMedVet Dipiomate ACVS 《Veterinary surgery : VS》1992,21(2):139-144
The intra-articular anatomy of 103 equine tarsi was studied by contrast radiography with image intensification and computerized tomography. There was communication between the tarsometatarsal and distal intertarsal joints in 21 of 55 (38%) interpretable tarsometatarsal arthrograms, and in 11 of 48 (23%) interpretable distal intertarsal arthrograms. The difference was not significant. The volume of contrast agent and the pressure of injection did not correlate with communication. Forced injection caused subcutaneous leakage of contrast medium but not communication. Communication occurred via the tarsal canal and the space between the third and the combined first and second tarsal bones. Injection of the distal intertarsal joint from the dorsomedial aspect of the limb, distal to the palpable distal border of the medial branch of the tendon of the tibialis cranialis muscle and between the central, third, and combined first and second tarsal bones, provided reliable access except in the presence of severe periosteal proliferations. 相似文献
56.
R. J. HUNT dvm ms D. ALLEN dvm ms Diplomate acvs G. M. BAXTER dvm ms Diplomate acvs B. R. JACKMAN dvm A. H. PARKS MA VET MB MRCVS Diplomate ACVS 《Veterinary surgery : VS》1991,20(1):15-20
Deep digital flexor tendon transection at the mid-metacarpus was performed in 20 horses with severe acute or chronic laminitis that was not responsive to conventional treatment. Sixteen horses improved within 72 hours, one horse worsened, and two horses were unaffected by the surgery. Eleven horses survived less than 1 month after surgery and six horses survived longer than 6 months. Three horses surviving longer than 6 months have remained lame and no horse has returned to athletic performance. Transection of the deep digital flexor tendon at the mid-metacarpus may decrease the pain associated with the acute refractory stage of laminitis and may be useful as an immediate salvage procedure; however, despite the early clinical improvement observed after tenotomy, the survival rate of affected horses may not be altered. 相似文献
57.
Incorporation of Fresh and Cryopreserved Bone in Osteochondral Autografts in the Horse 总被引:11,自引:0,他引:11
MARC R. DESJARDINS DMV DVSC MARK B. HURTIG DVM MVSC Dipiomate ACVS NIGEL C. PALMER DVM PhD 《Veterinary surgery : VS》1991,20(6):446-452
The structural integrity of subchondral bone in fresh and frozen osteochondral autografts was investigated at month 3 in 10 horses. Two osteochondral autografts were harvested from the lateral aspect of the lateral trochlear ridge of the left talus in each of 10 anesthetized horses. Grafts were frozen in 7.5% DMSO. After 14 days, the thawed grafts were press-fitted into drill holes in the trochlear ridges of the right stifles. A fresh graft from the right hock was implanted in each left stifle. To control for the effects of surgery, a fresh graft was transferred from the right stifle to the left stifle. The end result was two grafts in each femoropatellar joint. Fresh and frozen bone grafts maintained a structurally intact support for the cartilage surface. Graft stability and surface congruency were determining factors in the outcome of the grafts. Incorporation of both types of graft was complete at month 3, but remodeling of the fresh grafts was more active. 相似文献
58.
R. P. HACKETT dvm ms Diplomate acvs N. G. DUCHARME dmv msc Diplomate acvs S. L. FUBINI dvm Diplomate acvs H. N. ERB dvm PhD 《Veterinary surgery : VS》1991,20(3):174-179
Videorecordings of the laryngeal activity of 108 unsedated horses were obtained at rest by passing a flexible videoendoscope into the nasopharynx through the right ventral meatus. All videotaped images were reviewed once, and 72 were reviewed twice, by three veterinarians. Laryngeal cartilage movement was assessed subjectively with a five-tier grading system. The mean intraobserver agreement was 83.3% (range, 75.0%-90.2%) with a kappa statistic of .65 to .98. The mean interobserver agreement was 79.0% (range, 70.4%-80.6%) with a kappa statistic of .51 to .90. A computer program was developed to measure the left:right ratio of the rima glottidis. The mean left:right ratio for horses assigned a median laryngeal grade of I was 0.84 (range, 0.55-1.03); for grade II, 0.82 (0.50-1.12); for grade III, 0.59 (0.39-0.91); and for grade IV, 0.24 (0.07-0.35). 相似文献
59.
Six fractures of the midshaft or distal third of the humerus were repaired through a modified craniolateral approach in which the brachialis muscle was transected rather than retracted to improve exposure of the bone. The approach simplified fracture reduction and fixation. Normal fracture healing and excellent limb function resulted in each case. 相似文献
60.
ALAN J. RUGGLES DVM MICHAEL W. ROSS DVM Dipiomate ACVS DAVID E. FREEMAN MVB PhD Dipiomate ACVS 《Veterinary surgery : VS》1991,20(6):418-423
The frontal, caudal maxillary, and rostral maxillary sinuses of 10 equine cadavers were examined endoscopically, and the findings were confirmed by sinusotomy. Similar endoscopic examinations were performed in five conscious, adult horses by using sedation and local anesthesia. Useful portals of entry for the arthroscope in adult horses were: for the frontal sinus, 60% of the distance in a lateral direction from midline to the medial canthus and 0.5 cm caudal to the medial canthus; for the caudal maxillary sinus, 2 cm rostral and 2 cm ventral to the medial canthus; and for the rostral maxillary sinus, 50% of the distance from the rostral end of the facial crest to the level of the medial canthus and 1 cm ventral to a line joining the infraorbital foramen and the medial canthus. The frontal sinus portal was most useful for examination of the frontal and caudal maxillary sinuses. The caudal maxillary sinus portal was most useful for examining the sphenopalatine sinus. Structures in the frontal and caudal maxillary sinuses could be approached surgically by viewing them through the frontal sinus portal and guiding an instrument to them through the caudal maxillary sinus portal. Tooth root identification was reliable for the second and third upper molars in animals older than 5 years, but was more difficult for the rostral teeth and in younger animals. Endoscopy was not difficult to perform and was well tolerated in standing, sedated horses. The only complication of this procedure was mild, local subcutaneous emphysema that resolved spontaneously within 14 days. 相似文献