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Scharf VF. Laparoscopic Treatment of Peritoneal-Pericardial Diaphragmatic Hernia. Vet Clin North Am Small Anim Pract 2024; 54:661-670. [PMID: 38519368 DOI: 10.1016/j.cvsm.2024.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/24/2024]
Abstract
Laparoscopic herniorrhaphy provides a feasible minimally invasive treatment option for dogs with peritoneal-pericardial hernias with careful case selection. This article describes the techniques, instrumentation, and challenges associated with laparoscopic peritoneal-pericardial diaphragmatic hernia repair.
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Affiliation(s)
- Valery F Scharf
- Department of Clinical Sciences, NC State University, 1052 William Moore Drive, Raleigh, NC 27607, USA.
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Milech V, Antunes BN, Caye P, Hartmann HF, Linhares MT, Cadiñanos VDS, da Cunha TR, Diniz HC, Brun MV. Gasless laparoscopic renal biopsy in canine cadavers: a preclinical study. BRAZILIAN JOURNAL OF VETERINARY MEDICINE 2023; 45:e000523. [PMID: 38149033 PMCID: PMC10750501 DOI: 10.29374/2527-2179.bjvm000523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 12/12/2023] [Indexed: 12/28/2023] Open
Abstract
In this study we aimed to analyze the feasibility of the gasless renal biopsy technique in canine cadavers. The cadavers were randomly divided into two groups: laparoscopic GCG, in which gasless laparoscopy was performed and GCP, laparoscopy with pneumoperitoneum was performed. The procedures were randomly performed on the right and left kidneys. The total surgical time, procedural steps, and intraoperative complications were recorded. The degree of difficulty of the surgical approaches was evaluated by the surgeon, assistant, and external evaluators. Renal samples were evaluated for quality, number of glomeruli, and proportion of renal cortex. The total operative time was higher in the GCG group than in the GCP group (p < 0.01). Additionally, positioning of the second portal and platform positioning took longer than the other steps. The surgical groups differed from each other in the Likert scale values for almost all the parameters regarding the difficulty of the surgical approaches (p < 0.05), with higher scores in the GCG group than in the GCP group. Based on the video recordings, the GCP group had higher scores than the GCG group for degrees of difficulty of the approach (p < 0.05). Renal histological parameters were similar between the surgical groups and surgical sides. Our study findings indicate that the proposed gasless renal biopsy technique is feasible. The longer operative time and technical difficulties in the gasless approach did not affect the quality of the renal specimens.
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Affiliation(s)
- Vanessa Milech
- Veterinarian, DSc. Programa de Pós-Graduação em Medicina Veterinária (PPGMV), Laboratório de Cirurgia Experimental, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | | | - Pâmela Caye
- Veterinarian, MSc. PPGMV, Laboratório de Cirurgia Experimental, UFSM, Santa Maria, RS, Brazil.
| | - Hellen Fialho Hartmann
- Veterinarian, DSc. Programa de Pós-Graduação em Medicina Veterinária (PPGMV), Laboratório de Cirurgia Experimental, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | - Marcella Teixeira Linhares
- Veterinarian, DSc. Programa de Pós-Graduação em Medicina Veterinária (PPGMV), Laboratório de Cirurgia Experimental, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | | | | | - Helena Castro Diniz
- Veterinarian, Departamento de Clínica de Pequenos Animais, UFSM, Santa Maria, RS, Brazil.
| | - Maurício Veloso Brun
- Veterinarian, DSc. Departamento de Clínica de Pequenos Animais, Laboratório de Cirurgia Experimental, UFSM, Santa Maria, RS, Brazil.
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Cinti F, Rubio DG. Laparoscopic extra-abdominal transfascial suturing technique for diaphragmatic rupture repair in a cat. Vet Surg 2023; 52:864-869. [PMID: 37043694 DOI: 10.1111/vsu.13960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 02/01/2023] [Accepted: 03/20/2023] [Indexed: 04/14/2023]
Abstract
OBJECTIVE To describe the technique, complications, and outcome of the laparoscopic extra-abdominal transfascial suturing method for diaphragmatic rupture repair in a cat. STUDY DESIGN Case report. ANIMALS A 10 year old, female domestic shorthair cat. METHODS An acute traumatic diaphragmatic rupture was diagnosed in a cat. Following initial stabilization, 3-port laparoscopic surgery was performed. After the laparoscopic reduction of herniating organs, a circumferential diaphragmatic tear was diagnosed, which was repaired using a multiple extra-abdominal transfascial suture technique. The total surgical time was 50 min with no intraoperative complications encountered. RESULTS The successful procedure was confirmed by normalization of chest radiography, clinical signs, and blood gas analysis in the perioperative and postoperative periods. Mild skin irritation occurred 3 weeks after surgery but was resolved following the removal of sutures. The cat recovered well without major complications; the final reexamination was performed 3 months postoperatively. CONCLUSION The laparoscopic extra-abdominal transfascial suturing technique appears to be a feasible, and effective technique for feline diaphragmatic circumferential rupture repair. This technique may be an alternative option to intracorporeal suturing for diaphragmatic rupture treatment in the cat.
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Affiliation(s)
- Filippo Cinti
- San Marco Veterinary Clinic and Laboratory - Surgery Department, Veggiano, Italy
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