Comparison of an Antimicrobial Adhesive Drape and Povidone-lodine Preoperative Skin Preparation in Dogs     

DEBORA J. OSUNA DVM  Diplomate ACVS    DAVID J. DEYOUNG DVM  Diplomate ACVS  RICHARD L. WALKER DVM  PhD  MPVM 《Veterinary surgery : VS》1992,21(6):458-462

The antimicrobial efficacy of an adhesive drape applied after a 1-minute alcohol scrub was compared to a povidone-iodine (PI) skin preparation technique in dogs. Each technique was applied to both sides of 15 adult anesthetized dogs on premeasured, clipped areas of skin. Skin bacteria were quantified before, immediately after, and 1 hour after skin preparation. Predominant skin bacteria were isolated by swabbing the skin. The percentages of bacterial reduction immediately after and 1 hour after skin preparation, percentages of negative culture results, cultures with more than five colony-forming units, and the frequency of skin reactions were calculated and analyzed statistically. Drape adhesion was assessed subjectively. The percentage reduction in skin bacteria was significant for both techniques and comparable to that reported in humans. The adhesive drape was significantly less effective in both the immediate and 1-hour periods. Lift occurred in 66% of drape applications but was not associated with high bacterial counts. Acute contact dermatitis was more frequent after skin preparation with PI. There was no difference between the techniques in recovery of potential skin pathogens. The authors conclude that application of this antimicrobial adhesive drape after a 1-minute alcohol scrub is not as effective in the reduction of skin bacteria in dogs as is PI preparation of the skin.  相似文献   

Dual-Energy X-Ray Absorptiometry and Force-Plate Analysis of Gait in Dogs With Healed Femora After Leg-Lengthening Plate Fixation     

PETER MUIR BVSc  MVetClinStud  PhD  MACVSC  MRCVS    MARK D. MARKEL DVM  PhD  Diplomate ACVS    JOHN J. BOGDANSKE BS  KENNETH A. JOHNSON MVSC  PHD  FACVSc  Diplomate ACVS 《Veterinary surgery : VS》1995,24(1):15-24

Dual-energy x-ray absorptiometry was used to measure bone mineral density of four regions in healed femora of nine dogs after fracture fixation with a leg-lengthening plate. Six to 85 months (mean, 46 months) after surgery, the bone mineral density of healed femora was not significantly different from the contralateral uninjured femora ( P >.05; power = 0.8 at Δ= 15%). Radio-lucencies around the proximal screws, apparently associated with screw loosening, were seen on radiographic views of the healed femora of three dogs. In one of these dogs, one screw in the proximal metaphysis had broken. Force-plate analysis of gait was also performed on dogs at the time of bone mineral density measurement. Peak vertical force was decreased in the pelvic limb with the healed fracture compared with the contralateral unoperated limb ( P < 0.05). Clinically apparent lameness in three dogs did not appear to be associated with altered bone mineral density and may have been caused by hip osteoarthritis, a nondisplaced hairline diaphyseal fracture, and screw loosening in conjunction with extensive post-traumatic soft tissue injury.  相似文献   

Evaluation of Tissue Adhesive to Contain Axonal Regeneration in Horses   总被引：1，自引：1，他引：0  

A. S. TURNER BVSc  MS  Diplomate ACVS    G. W. TROTTER DVM  MS  Diplomate ACVS  B. E. POWERS DVM  PhD 《Veterinary surgery : VS》1995,24(4):308-314

Bilateral palmar and plantar digital neurectomies were completed in 10 horses (a total of 80 neurectomies) using one of three methods: (1) simple transection (guillotine method); (2) epineural capping; (3) n-butyl cyanoacrylate injected into the epineural sheath to act as a nerve sealant. Horses were regularly evaluated clinically for tenderness in and around the surgical site, as well as skin sensation at the coronary band in the heel region, during the 12-week course of the study. None of the surgical sites exhibited any signs of drainage or infection. Horses were then euthanatized, the nerve stumps were dissected from surrounding tissues, and the length and width of the tissue mass that had formed on the end of the nerve was recorded. Longitudinal and transverse sections of the nerve endings were examined histologically for numbers of proliferating axon sprouts (neuroma formation); whether the axons had penetrated the epineurium; degree of Schwann cell proliferation; degree of chronic inflammation; extent of foreign body reaction; extent of retrograde degeneration of the nerve bundles; and amount of fibro vascular proliferation. The proportion of legs exhibiting tenderness or heel sensation did not differ significantly between the three different treatments at any of the six different times they were examined. There was no difference between the three treatments in the length or width of the fibrous tissue scar on the ends of the nerves or in the number of sprouting axons from the ends of the nerves. Of 80 nerves examined, only two nerves were not confined to the epineurium. Both these nerves had been treated by simple transection. Statistically there was more chronic inflammation and foreign body reaction in the acrylic treated nerves, but no difference in Schwann cell proliferation or retrograde degeneration between the three treatments. There was slightly less fibrovascular proliferation in the transected nerves than in those subjected to epineural capping or acrylic, but the difference was not statistically significant. The use of the tissue adhesive n-butyl cyanoacrylate to prevent the continuous growth of axons after digital neurectomy seems to offer little advantage over more traditional methods of neurectomy.  相似文献   

Hepatic Lobe Torsion as a Cause of Colic in a Horse   总被引：2，自引：0，他引：2  

TRACY A. TURNER DVM  MS  Diplomate ACVS    CYNTHIA A. BROWN dvm    JULIA H. WILSON DVM  Diplomate ACVIM    LOIS ROTH DVM  Diplomate ACVP    DIANA S. ROSENSTEIN DVM    CHRISTINE M. SCHWEIZER dvm  KRISTINE A. WOODAMAN dvm 《Veterinary surgery : VS》1993,22(4):301-304

A 14-year-old Arabian gelding was examined for colic. An exploratory celiotomy was subsequently performed and the left lobe of the liver was found to be twisted. The lobe was resected using a TA-90 surgical stapling instrument. Histologic examination of the resected liver indicated portal vein and sinusoid dilation and congestion with blood. There were focal areas of necrosis and bacterial cocci and rods throughout the section. The histologic findings were consistent with hepatic lobe torsion. After surgery, the horse was treated with broad spectrum antibiotics, anti-inflammatory drugs, heparin, and intravenous fluids. The horse recovered without complications, although serum liver enzymes remained elevated for more than 1 week after surgery. Seven months after surgery the horse showed no adverse affects from the disease.  相似文献   

Long-term Outcome of Tooth Repulsion in Horses A Retrospective Study of 61 Cases     

MICHAEL A. PRICHARD DVM    RICHARD P. HACKETT DVM  MS  Diplomate ACVS  HOLLIS N. ERB DVM  PhD 《Veterinary surgery : VS》1992,21(2):145-149

The records of 61 horses undergoing tooth repulsion for treatment of alveolar periostitis were reviewed. Seventeen of 36 horses (47%) in which maxillary teeth were removed had serious postoperative complications, such as infection of a second tooth, bone sequestration, chronic sinusitis, draining tracts, retained dental packing, feed impaction of the alveolus or sinus, suture-line dehiscence, or skin-flap sloughs. Eight horses required at least one additional surgical procedure. Eight of 25 horses (32%) in which mandibular teeth were removed had serious postoperative complications, and four horses required an additional surgical procedure. Hospitalization lasted 2 to 61 days (median, 22 days) for maxillary teeth and 3 to 35 days (median, 8 days) for mandibular teeth. Long-term follow-up (at least 5 months) was possible in 47 horses. Twenty-four of 30 horses (80%) with maxillary tooth repulsion healed without further problems; six horses had persistent nasal discharge. Fourteen of 17 horses (82%) with mandibular tooth repulsion healed with no further problems or with only minor complications; three horses had a chronic draining tract.  相似文献   

Abdominal Wall Reconstruction with a Vascular External Abdominal Oblique Myofascial Flap     

LISA G. ALEXANDER DVM    MICHAEL M. PAVLETIC DVM  Dipiomate ACVS  STEPHEN J. ENGLER VMD 《Veterinary surgery : VS》1991,20(6):379-384

A myofascial island flap for abdominal wall reconstruction was based on the lumbar component of the external abdominal oblique muscle and supplied by a major neurovascular pedicle consisting of branches of the cranial abdominal artery, cranial hypogastric nerve, and a satellite vein. The flap was elevated and sutured into a 10 cm x 10 cm body wall defect in five dogs. The dogs were observed for 26 to 28 days. Abdominal wall contour and function were preserved. All dogs developed seromas, two of which became infected. One dog developed a hernia at the dorsal margin of the flap, which was repaired. At necropsy, there was no evidence of dehiscence in any of the dogs. Loose adhesions of omentum to the inner surface of the flap occurred in four dogs. Results of histologic examination confirmed the clinical impression of flap viability. The myofascial island flap has a wide range of mobility over the ventral and caudal areas of the abdomen and lateral thoracic wall. It has potential clinical use for reconstruction of defects within its arc of rotation.  相似文献   

A Comparison of Surgical Training with Live Anesthetized Dogs and Cadavers     

LARRY G. CARPENTER DVM    DONALD L. PIERMATTEI DVM  PhD  Dipiomate ACVS    MOWAFAK D. SALMAN BVMS  PhD  Dipiomate ACVPM    E. CHRISTOPHER ORTON DVM  PhD  Dipiomate ACVS    A. WENDELL NELSON DVM  PhD  Dipiomate ACVS    DANIEL D. SMEAK DVM  Dipiomate ACVS    PAUL B. JENNINGS Jr.  VMD  MS  Dipiomate ACVS ROBERT A. TAYLOR DVM  MS  Dipiomate ACVS 《Veterinary surgery : VS》1991,20(6):373-378

Cadavers were compared with live anesthetized dogs for their effectiveness as models for surgical training of veterinary medical students. One group of students was trained using cadavers, and a peer group was trained using live anesthetized dogs. Both groups then performed an intestinal anastomosis using a live subject. The time to completion of the procedure was recorded. The anastomoses and celiotomy closures were evaluated. Each anastomosis was isolated and pressure tested. Reviewers blindly scored each surgical team's performance based on actual inspection of the surgical site and on viewing videotapes of the procedure. The participants' attitudes toward the use of live animals in teaching and research were documented before and after training. No statistically significant differences could be detected between the two groups. The results suggest that some substitution of cadavers for live dogs in surgical training might be feasible.  相似文献   

Temporary Bile Diversion in Cats with Experimental Extrahepatic Bile Duct Obstruction     

DARIEN LAWRENCE BSc  BVSC    JAMIE R. BELLAH DVM  Dipiomate ACVS    D. J. MEYER DVM  Dipiomate ACVIM  Dipiomate ACVP  L. ROTH DVM  PhD  Dipiomate ACVP 《Veterinary surgery : VS》1992,21(6):446-451

The use of a cholecystostomy catheter for temporary bile diversion was investigated in four cats with experimentally induced extrahepatic bile duct obstruction. Eighteen days after ligation of the common bile duct, a 6.5 F accordion catheter was placed in the gallbladder with a 22 g Hawkins needle-guide system through a paracostal incision. Biochemical parameters and fasting serum bile acids were monitored for 16 days. There were significant decreases in mean total bilirubin, aspartate aminotransferase, and fasting serum bile acids within 72 hours of bile diversion, and in mean alanine aminotransferase within 96 hours. Attitude and appetite improved, and the catheter was tolerated well. Positive bile cultures developed in three cats. Histologic changes in the gallbladder included mucosal ulcerations, a mixed inflammatory cellular infiltration, and fibrosis of the submucosa.  相似文献   

Open Intestinal Anastomosis with Surgical Stapling Equipment in 24 Dogs and Cats     

SHARON L. ULLMAN DVM  MS    MICHAEL M. PAVLETIC DVM  Dipiomate ACVS  GEOFFREY N. CLARK DVM 《Veterinary surgery : VS》1991,20(6):385-391

Surgical stapling equipment was used to perform open antiperistaltic side-to-side ("functional end-to-end") entero-anastomoses in 20 dogs and 4 cats. Twenty-one anastomoses healed uneventfully. Seven animals with severe bacterial peritonitis required open peritoneal drainage and delayed abdominal closure. There was postoperative leakage at the anastomotic site in two dogs and a localized abscess at the staple line in one cat. No long-term complications occurred in follow-up periods of 3 to 29 months.  相似文献   

Evaluating the measuring software package Metron-PX for morphometric description of equine hoof radiographs     

Jairo Vargas Rocha DVM  Christophorus J. Lischer DVM Habil  ECVS  Martin Kummer DVM  Michael Hssig DVM Habil  MPH  FVH  ECBHM  Jrg Andreas Auer DVM Prof  ACVS  ECVS 《Journal of Equine Veterinary Science》2004,24(8):347-354

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