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1. |
Clinical Determination of Preoperative and Postoperative Intra‐abdominal Pressures in Dogs |
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Veterinary Surgery,
Volume 24,
Issue 3,
1995,
Page 195-201
M.G. CONZEMIUS,
J.L. SAMMARCO,
D.E. HOLT,
G.K. SMITH,
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摘要:
Intra‐abdominal pressure (IAP) was indirectly measured, using a transurethral catheterization technique, in 20 client‐owned dogs before and after elective ovariohysterectomy. Mean preoperative IAP was 4.50 ± 0.44 cm H2O. Elective abdominal surgery caused significant elevations in mean postoperative IAP (mean 7.50 ± 0.45 cm H2O, range 0 to 15 cm H2O) that persisted for at least 24 hours. However, the increase in IAP caused no clinically evident complications; thus, after elective abdominal surgery an elevation in IAP up to 15 cm H2O is to be expected. Intra‐abdominal pressure was also measured in 20 consecutive clinical cases with gross abdominal distension, before or after laparotomy, or both. Included in this group were dogs with gastric dilation and volvulus, closed pyometra, hemoperitoneum, acute ascites, and diaphragmatic hernias. All dogs with gross abdominal distension had an elevated IAP (>16 cm H2O) either before or after surgery. Severe elevations of IAP were associated with anuria in two dogs, necessitating surgical decompression; one with hemoperitoneum (47 cm H2O) and one after repair of a chronic diaphragmatic hernia (30
ISSN:0161-3499
DOI:10.1111/j.1532-950X.1995.tb01318.x
出版商:Blackwell Publishing Ltd
年代:1995
数据来源: WILEY
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2. |
Reverse Saphenous Conduit Flap in Cats: An Anatomic Study |
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Veterinary Surgery,
Volume 24,
Issue 3,
1995,
Page 202-206
KAREN CORNELL,
KATHLEEN SALISBURY,
SAMUEL JAKOVLJEVIC,
MICHAEL BAUER,
DENISE PETRYK,
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摘要:
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.
ISSN:0161-3499
DOI:10.1111/j.1532-950X.1995.tb01319.x
出版商:Blackwell Publishing Ltd
年代:1995
数据来源: WILEY
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3. |
A Comparison of Two Surgical Approaches to the Scapulohumeral Joint in Dogs |
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Veterinary Surgery,
Volume 24,
Issue 3,
1995,
Page 207-214
RON MCLAUGHLIN JR,
JAMES K. ROUSH,
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摘要:
Two scapulohumeral arthrotomy techniques were evaluated and compared in 10 normal, young adult greyhounds. A caudolateral approach with craniodorsal retraction of the teres minor muscle (no‐tenotomy) and a craniolateral approach with tenotomy of the infraspinatus tendon were each performed unilaterally in 5 dogs. The dogs were evaluated using force plate gait analysis, lameness evaluation, radiography, and goniometry for 5 weeks and then euthanatized. Tenotomy sites and sections of the humeral articular cartilage were collected from shoulder joints that had been operated on and examined microscopically. The same surgical approach was then performed on the contralateral shoulder in the cadavers and exposure of the humeral articular cartilage was measured using planimetry. Peak vertical force applied to the operated limbs in the tenotomy group was significantly less than preoperative levels on day 3 and significantly less than the no‐tenotomy group on days 21 and 28. The peak vertical force applied to the operated limbs in the no‐tenotomy group was not significantly different from preoperative levels during the study. Scapulohumeral arthrotomy by tenotomy of the infraspinatus resulted in decreased range‐of‐motion and joint extension compared with joints operated on without tenotomies, but provided significantly greater exposure to the articular surface. Scapulohumeral arthrotomy with craniodorsal retraction of the teres minor muscle did not significantly alter goniometric measurements compared with unoperated joints. Both techniques resulted in similar subjective lameness scores and caused no gross microscopic or radiographic evidence of articular cartila
ISSN:0161-3499
DOI:10.1111/j.1532-950X.1995.tb01320.x
出版商:Blackwell Publishing Ltd
年代:1995
数据来源: WILEY
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4. |
Transplantation of the Canine Distal Ulna as a Free Vascularized Bone Graft |
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Veterinary Surgery,
Volume 24,
Issue 3,
1995,
Page 215-225
DAVID SZENTIMREY,
DAVID FOWLER,
GEOFFREY JOHNSTON,
ALEX WILKINSON,
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摘要:
An autogenous free vascular bone graft of the canine distal ulna was evaluated. The vascularity of the graft was based on a musculoperiosteal sheath supplied solely by the caudal interosseous artery and vein. Four autogenous heterotopic (ulna to tibia) vascular transfers were performed. Two avascular transfers were performed to provide baseline criteria from which the success of vascularized transfers could be assessed. Clinical lameness evaluation, serial radiographs, bone scintigraphy, and sequential fluorochrome bone labeling were performed after surgery in both vascular and avascular transfers. All dogs were free of lameness in the donor limb by the 26th postoperative day. Serial radiographs revealed rapid graft incorporation and hypertrophy in all vascularized grafts and severe bone resorption in nonvascularized grafts. Histology, microangiography, and evaluation of fluorochrome bone labels were performed 90 days after surgery to determine graft viability, incorporation and temporal remodeling patterns. Microangiography and fluorochrome assessment complemented the histological findings. Based on these findings the distal ulnar bone graft was determined to be both viable and structurally adequate for selected cases of long bone reconstruction.
ISSN:0161-3499
DOI:10.1111/j.1532-950X.1995.tb01321.x
出版商:Blackwell Publishing Ltd
年代:1995
数据来源: WILEY
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5. |
Primary Closure of Equine Laryngotomy Incisions: A Review of 42 Cases |
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Veterinary Surgery,
Volume 24,
Issue 3,
1995,
Page 226-230
ELIZABETH P. BOULTON,
HOWARD J. SEEHERMAN,
CARL A. KIRKER‐HEAD,
ROBERT R. STECKEL,
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摘要:
Laryngotomy incisions for either staphylectomy, ventriculectomy, cordectomy, resection of the palatopharyngeal arch, or subepiglottal cyst removal, were closed primarily in 42 horses. Incisional complications were subcutaneous emphysema (11 horses, 26%), incisional discharge (4 horses, 10%), postoperative fever (4 horses, 10%), incisional abscessation (3 horses, 7%), incisional seroma (2 horses, 5%), and subcutaneous edema (2 horses, 5%). Incisional complications were identified in 22 horses, but only 8 horses (19%) required intervention for incisional healing to occur. Factors such as preoperative and postoperative administration of antibiotics or nonsteroid anti‐inflammatory drugs, use of antibiotic lavage or drains, type of suture material and suture pattern, were not significantly associated with incisional complications. Horses with incisional complications had significantly shorter mean surgical time (P=.011) than horses without incisional complications. Surgical experience was associated with fewer complications (P=.018), but had no significant effect on the frequency of complications requiring intervention. Results of this study indicate that equine laryngotomy incisions can be closed primarily and that most will heal without need for further surgical interventio
ISSN:0161-3499
DOI:10.1111/j.1532-950X.1995.tb01322.x
出版商:Blackwell Publishing Ltd
年代:1995
数据来源: WILEY
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6. |
Permanent Tracheostomy in Standing Horses: Technique and Results |
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Veterinary Surgery,
Volume 24,
Issue 3,
1995,
Page 231-234
S.R. McCLURE,
C.M. HONNAS,
J. SCHUMACHER,
A.G. HOFFMAN,
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摘要:
Permanent tracheal stomas were created in seven sedated, standing horses with severe upper airway obstruction. After local anesthesia, a 3‐cm by 6‐cm rectangle of skin was removed from the ventral surface of the neck, 3 cm distal to the cricoid cartilage. The sternothyrohyoideus muscles were clamped proximally and distally, then transected to expose the tracheal rings. The ventral third of four tracheal rings was dissected from the tracheal mucosa that was then incised in a double “Y.” Two layers of suture were used to achieve mucocutaneous closure. Stomas healed without serious complications; two mares subsequently foaled, and three horses were used for
ISSN:0161-3499
DOI:10.1111/j.1532-950X.1995.tb01323.x
出版商:Blackwell Publishing Ltd
年代:1995
数据来源: WILEY
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7. |
In Vitro Biomechanical Comparison of Solid and Tubular Interlocking Nails in Neonatal Bovine Femurs |
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Veterinary Surgery,
Volume 24,
Issue 3,
1995,
Page 235-243
STEVEN S. TROSTLE,
DAVID G. WILSON,
R. TASS DUELAND,
MARK D. MARKEL,
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摘要:
This study biomechanically evaluates solid and tubular interlocking nails in bovine neonatal femurs. Paired femurs from 40 neonatal dairy calves were obtained for mechanical testing. Intact femurs and four combinations of experimentally manipulated femurs (intact or ostectomized femurs with either a solid or tubular interlocking nail) were tested in craniocaudal and lateromedial bending, eccentric axial compression, and external torsion to evaluate composite rigidity, local/gap stiffness, and load to failure (compression and torsion only). In torsional composite rigidity, femurs with tubular interlocking nails were more compliant than intact femurs or intact femurs with solid interlocking nails (P<.001). Ostectomized femurs with solid interlocking nails were similar to intact femurs with tubular interlocking nails. Within femurs with tubular interlocking nails, ostectomized femurs were more compliant than intact femurs (P<.0001). In craniocaudal and lateromedial bending rigidity, ostectomized femurs were more compliant than intact femurs, regardless of interlocking nail type (P<.001). Within ostectomized femurs, tubular interlocking nails were more compliant than solid interlocking nails in craniocaudal bending (P<.05) and there was a similar trend in lateromedial bending (P=.06). In eccentric axial compression, local/ gap stiffness was significantly greater in intact femurs compared with intact femurs with solid (48% of intact bone) or tubular (45% of intact bone) interlocking nails and ostectomized femurs with solid (18% of intact bone) or tubular (11 % of intact bone) interlocking nails (P<.0001). In torsional testing, local/gap stiffness was not significantly different between intact femurs and intact femurs with interlocking nails, but was significantly lower in ostectomized femurs with solid (2% of intact bone) and tubular (0.2% of intact bone) interlocking nails (P<.0001). In torsional and compressive failure testing, plastic deformation of the tubular interlocking nail occurred at the unoccupied screw hole at the ostectomy site before bone failure. Interlocking nails should be considered as an optional repair method for neonatal bovine femoral fractures. Until the actual physiological loading characteristics of neonatal calf femurs are measured, it is uncertain whether solid or tubular interlocking nails tested in this study will provide sufficient strength and stiffness to stabilize neonatal bovine femoral fractures and facilitate healing.
ISSN:0161-3499
DOI:10.1111/j.1532-950X.1995.tb01324.x
出版商:Blackwell Publishing Ltd
年代:1995
数据来源: WILEY
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8. |
Laparoscopic Anatomy of the Llama Abdomen |
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Veterinary Surgery,
Volume 24,
Issue 3,
1995,
Page 244-249
T. B. YARBROUGH,
J. R. SNYDER,
F. A. HARMON,
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摘要:
Paralumbar laparoscopy was performed, caudal to the last rib, in seven llamas. All animals were anesthetized, instrumented, and placed in sternal recumbency. Systematic exploration was performed in six donated llamas dividing the abdomen into right and left, cranial and caudal quadrants. The main structures of diagnostic significance that could be observed from the right side were the parietal and visceral surface of the liver, diaphragm, first compartment of the stomach (CI), caudal aspect of the third compartment of the stomach (C3), pancreas, kidney duodenum, jejunum, and ascending colon. From the left side CI, varying lengths of jejunum, ileum, ascending colon, and spiral colon were identified. From both approaches the bladder, and in females the uterus and ovaries could be observed. All animals were necropsied immediately following the procedure. Gross examination of the abdominal viscera in the did not yield any abnormalities that had been missed by laparoscopic evaluation. Using a left paralumbar approach, one clinical case presenting with signs of acute abdominal discomfort was evaluated. A diagnosis was made of diffuse enteritis that was confirmed at necropsy. Because of the distensible nature of the South American camelid (SAC) abdominal wall, the small size of the abdominal viscera, and the freely mobile nature of most portions of the gastrointestinal tract a thorough examination was possible in all animals.
ISSN:0161-3499
DOI:10.1111/j.1532-950X.1995.tb01325.x
出版商:Blackwell Publishing Ltd
年代:1995
数据来源: WILEY
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9. |
Urethral Defects in Geldings With Hematuria and Stallions With Hemospermia |
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Veterinary Surgery,
Volume 24,
Issue 3,
1995,
Page 250-254
JIM SCHUMACHER,
DICKSON D. VARNER,
DAVID G. SCHMITZ,
TERRY L. BLANCHARD,
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摘要:
A urethral defect, presumed to communicate with the corpus spongiosum penis, caused hematuria in seven geldings and hemospermia in three stallions. Hematuria in geldings occurred at the end of urination. Hematuria was not observed in stallions with hemospermia. A linear urethral defect was identified, by endoscopic examination, on the convex surface the urethra at the level of the ischial arch of each horse. Cause of the defect was not determined. Two stallions were successfully treated for hemospermia, one by temporary subischial urethrostomy combined with sexual rest for 10 weeks, and the other by sexual rest alone for 6 months. The third stallion had hemospermia 6 weeks after urethrostomy. The geldings were successfully treated for hematuria, six by temporary subischial urethrostomy, and one by a subischial incision that extended into the corpus spongiosum penis but did not enter the lumen of the urethra. Efficacy of subischial urethrostomy for treatment of hemospermia was difficult to assess because of the small number of surgically treated stallions. In geldings, surgery eliminated hematuria, presumably by reducing vascular pressure in the corpus spongiosum penis during urination, thus allowing the urethral defect to heal.
ISSN:0161-3499
DOI:10.1111/j.1532-950X.1995.tb01326.x
出版商:Blackwell Publishing Ltd
年代:1995
数据来源: WILEY
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10. |
Markers of Osteoarthritis: A Review of the Literature |
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Veterinary Surgery,
Volume 24,
Issue 3,
1995,
Page 255-262
ARNE MAGNUS RORVIK,
ANN MARGARET GRONDAHL,
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摘要:
There may be a great potential in the use of diagnostic “markers” of osteoarthritis in synovial fluid to diagnose the disease in an earlier stage and perhaps assess the severity of the disease and monitor the effect of a treatment. In the present study, potential markers are characterized, discussed, and grouped according to the latest knowledge on the etiology, pathogenesis, and pathology of osteoarthritis. They are grouped according to their origin as either cartilage degradation products, or related to the mechanisms of cartilage degradation, or related to chron‐drocytic anabolic activity during disease, or related to genetic disorders. Also potential markers that have not yet been studied clinically or experimentally are discussed. Examples of the progress that has been made in human medicine approaching reliable diagnostic markers that should also be tried in veterinary medicine are desc
ISSN:0161-3499
DOI:10.1111/j.1532-950X.1995.tb01327.x
出版商:Blackwell Publishing Ltd
年代:1995
数据来源: WILEY
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