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Adair KV, Lux CN, Sun X. Retrospective comparison of modified percutaneous cystolithotomy (PCCLm) and traditional open cystotomy (OC) in dogs: 218 cases (2010-2019). Vet Surg 2023; 52:897-908. [PMID: 37592745 DOI: 10.1111/vsu.13869] [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: 11/27/2021] [Revised: 06/23/2022] [Accepted: 07/08/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To compare short- and long-term clinical variables between dogs undergoing a modified percutaneous cystolithotomy (PCCLm) and open cystotomy (OC) and evaluate for risk factors associated with complications and outcomes within the groups. STUDY DESIGN Retrospective study. ANIMALS A total of 218 dogs. METHODS Records were reviewed for dogs that underwent PCCLm or OC between January 2010 and December 2019. Signalment; history and diagnostic findings; procedural, anesthetic, and hospitalized care data; complications; urolith recurrence; and follow-up were recorded. Logistic regression analysis was used to evaluate effects of clinical variables on outcomes within PCCLm and OC groups and to identify significant categorical variables between PCCLm and OC groups. Two sample t-tests were used to identify significant numerical variables between PCCLm and OC groups. RESULTS A total of 60.1% (131/218) of dogs underwent the PCCLm procedure and 39.9% (87/218) of dogs underwent the OC procedure. Anesthesia time (p < .001) was significantly longer in the OC group. No significant difference in incomplete urolith removal was noted between groups. Although surgical site infection and inflammation rates were not significantly different between OC and PCCLm groups, incisional infections were significantly associated with complications occurring during PCCLm (p = .027). Significantly reduced postoperative lower urinary tract signs (p = .022) were noted in the PCCLm group. CONCLUSION The PCCLm may result in reduced lower urinary tract signs postoperatively compared to OC, but other clear advantages of the PCCLm were not identified in this study. CLINICAL SIGNIFICANCE PCCLm procedures are an effective alternative to OC for urolith removal in dogs.
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Affiliation(s)
- Katherine V Adair
- University of Tennessee College of Veterinary Medicine, Knoxville, Tennessee, USA
| | - Cassie N Lux
- University of Tennessee College of Veterinary Medicine, Knoxville, Tennessee, USA
| | - Xiaocun Sun
- University of Tennessee Office of Information and Technology, Knoxville, Tennessee, USA
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Branquart M, Langlois I, Vachon C, Dunn M. Removal of lower urinary tract stones by percutaneous cystolithotomy in domestic male ferrets (Mustela putorius): 4 cases (2017-2020). J Exot Pet Med 2023. [DOI: 10.1053/j.jepm.2023.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023]
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Buote NJ, Hayes G, Bisignano J, Rosselli D. Retrospective comparison of open vs minimally invasive cystotomy in 28 cats using a composite outcome score. J Feline Med Surg 2022; 24:1032-1038. [PMID: 34904482 PMCID: PMC10812324 DOI: 10.1177/1098612x211066477] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
OBJECTIVES The aim of this study was to compare the outcomes of cats undergoing open cystotomy with those undergoing minimally invasive surgery (MIS) for removal of cystic calculi by use of a composite outcome score. METHODS Twenty-eight cats were retrospectively enrolled and divided into two groups: open cystotomy (n = 14) and MIS (n = 14). The primary outcome measure was a composite outcome score, including three variables: pain scores ⩾2 at either 6 or 12 h postoperatively; failure to remove all stones as determined by postoperative radiographs; and postoperative complications requiring a visit to the hospital separate from the planned suture removal appointment. Other data collected included signalment, history, other procedures performed during anesthesia, willingness to eat the day after surgery and the financial cost of the procedures. RESULTS There was no significant difference in age, weight, sex or breed between the two groups. The risk of experiencing the composite outcome was 3/14 (21.4%) in the MIS group and 10/14 (71%) in the open procedure group (P = 0.02). The cats in the open surgery group had 8.3 times greater odds of developing the composite outcome than cats in the MIS group (odds ratio 8.3, 95% confidence interval 1.3-74.4; P = 0.02). In the MIS group, 10/14 cats were eating the day after surgery vs 3/14 in the open procedure group (P = 0.02). The procedural cost was higher in the MIS group, with a median cost of US$945 (interquartile range [IQR] US$872-1021) vs US$623 (IQR US$595-679) in the open group (P <0.01). CONCLUSIONS AND RELEVANCE In this study the composite outcome score provided evidence to support the use of MIS techniques in cats with cystic calculi. The composite outcome score should be considered in future veterinary studies as a promising method of assessing clinically relevant outcomes.
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Affiliation(s)
- Nicole J Buote
- VCA West Los Angeles, Los Angeles, CA, USA
- Department of Clinical Sciences, Cornell University College of Veterinary Medicine, Ithaca, NY, USA
| | - Galina Hayes
- Department of Clinical Sciences, Cornell University College of Veterinary Medicine, Ithaca, NY, USA
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Lew LJ, Berent AC, Kirsch MS, Weisse CW. Bladder wall adhesion causing a vesicular septum in a dog following surgical cystotomy. J Am Vet Med Assoc 2022; 260:1-8. [PMID: 35175927 DOI: 10.2460/javma.21.01.0021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
CASE DESCRIPTION An 8-year-old spayed female Yorkshire Terrier-Poodle dog was evaluated for persistent pollakiuria and stranguria following routine cystotomy for calcium oxalate cystoliths. CLINICAL FINDINGS The dog presented for a cystotomy with intermittent hematuria. Postoperative radiographs revealed no remaining cystoliths. Urine, cystolith, and bladder mucosal aerobic cultures were negative. Pollakiuria, stranguria, and hematuria developed immediately after surgery and persisted despite antibiotics. Ultrasound revealed suspected fibrous adhesions within the urinary bladder lumen connecting the dorsal and ventral bladder wall creating a septum. This was confirmed cystoscopically 4 weeks after surgery. TREATMENT AND OUTCOME Cystoscopic-guided laser ablation was performed to incise abnormal tissue connecting the ventral and dorsal bladder wall using a holmium:yttrium-aluminum-garnet laser. Three weeks later, ultrasound revealed adhesion resolution though mild pollakiuria and stranguria persisted. Oxybutynin was prescribed and clinical signs resolved. At 27 months after ablation, hematuria occurred with recurrent cystoliths. These cystoliths were removed by percutaneous cystolithotomy, documenting a cystoscopically normal bladder wall. The patient had normal urination for 55.5 months after ablation, with normal bladder wall thickness on ultrasound repeated at 27 and 36 months after ablation. CLINICAL RELEVANCE To the authors' knowledge, an adhesion creating a septum between the dorsal and ventral bladder wall has not been previously reported as a complication after cystotomy in any species and should be considered as a cause of persistent lower urinary signs after surgery. Ultrasound identified the lesion in this dog. Because bladder abnormalities can develop quickly after surgery, ultrasound might be considered if urine testing is not supportive of infection. Cystoscopic-guided laser ablation was a successful minimally invasive treatment in this case.
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Job C, Lecavalier J, Dunn M, Gatineau M, Planté J, Benamou J, Coutellier M, Javard R. Comparison of percutaneous cystolithotomy and open cystotomy for removal of urethral and bladder uroliths in dogs: Retrospective study of 81 cases (2014-2018). J Vet Intern Med 2022; 36:2063-2070. [PMID: 36315023 PMCID: PMC9708453 DOI: 10.1111/jvim.16577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Accepted: 10/13/2022] [Indexed: 12/05/2022] Open
Abstract
OBJECTIVE Compare percutaneous cystolithotomy (PCCL) and open cystotomy (OC) for removal of bladder and urethral uroliths. DESIGN Retrospective study. ANIMALS Client-owned dogs and cats that underwent PCCL (n = 41) or OC (n = 40) between January 1, 2014 and February 28, 2018 at a referral center. METHODS Medical records of dogs and cats that underwent a PCCL or an OC were reviewed. History, signalment, physical examination, diagnostic tests, length of the procedure and anesthesia, complications, and duration of hospitalization were recorded. RESULTS A total 17 cats (PCCL = 10; OC = 7) and 64 dogs (PCCL = 31; OC = 33) were included. There was no significant difference, regardless of species, in the mean surgical time (45 min [24-160 min] and 48.5 min [15-122 min] with P = .54 in dogs, P = .65 in cats) nor mean duration of anesthesia (90 min [50-120 min] and 98 min [54-223 min] with P = .87 in dogs, P = .08 in cats) in the PCCL and OC groups respectively. Number of uroliths did not affect duration of surgery in either group. Complete urolith removal was achieved in 98% of dogs and cats in both groups. The median hospitalization time was significantly shorter in the PCCL group for dogs (11.3 hours [range 4 to 51.3] in the PCCL vs 56.6 hours [range 7.3 to 96] in the OC group; P < .001) but did not differ for cats (24.5 hours [range 8.3 to 30] in the PCCL vs 56.6 hours [range 10.1 to 193.2] in the OC group; P = .08). CONCLUSION AND CLINICAL RELEVANCE Bladder urolith removal by PCCL procedure is no longer than OC. Further studies are needed to compare the pain related to procedure between PCCL and OC.
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Affiliation(s)
- Chloé Job
- Surgical DepartmentCentre Vétérinaire DMVLachineQuebecCanada
| | - Julie Lecavalier
- Internal Medicine DepartmentCentre Vétérinaire DMVLachineQuebecCanada
| | - Marilyn Dunn
- Département de sciences cliniques, Faculté de médecine vétérinaireUniversité de MontréalSt‐HyacintheQuebecCanada
| | | | - Jérôme Planté
- Surgical DepartmentCentre Vétérinaire DMVLachineQuebecCanada
| | - Jérôme Benamou
- Surgical DepartmentHopital Vétérinaire Centre‐Ville MontréalMontréalQuebecCanada
| | - Martin Coutellier
- Département de sciences cliniques, Faculté de médecine vétérinaireUniversité de MontréalSt‐HyacintheQuebecCanada
| | - Romain Javard
- Internal Medicine DepartmentCentre Vétérinaire DMVLachineQuebecCanada
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Buote NJ, Carney P, Sumner J. Pet-owner perceptions of laparoscopy in an urban hybrid veterinary practice. Vet Surg 2021; 51 Suppl 1:O80-O91. [PMID: 34595765 DOI: 10.1111/vsu.13730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 08/07/2021] [Accepted: 08/25/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To investigate owner perceptions of laparoscopic surgery, including attitudes towards paying more for minimally invasive surgery (MIS). STUDY DESIGN Randomized cross-sectional prospective survey. SAMPLE POPULATION One hundred owners presenting at a combined general and specialty practice. METHODS Participants were interviewed using a survey tool to assess prior knowledge of laparoscopic procedures, attitude for or against these procedures, reasons for this attitude, and whether they would pay more for these procedures. Demographic data were collected. RESULTS Fifty-five percent of owners had previous knowledge of laparoscopy. Ninety-two percent of owners would choose laparoscopy over an open procedure for their pet. Reasons given for preferring laparoscopy: less postoperative pain (66.3%), shorter length of hospitalization (26.1%), better cosmesis (20.1%), perception of lower cost (15.2%), faster return to function (14.1%), length of anesthesia (5.4%), and other reasons (26.1%). Ninety-one percent of owners were willing to pay more for MIS. Among owners who indicated they would be willing to pay more, owners presenting with dogs were 2.5 times more likely to be willing to pay at least $1000 more than owners presenting with cats. CONCLUSION The majority of owners surveyed at a large hybrid hospital in an urban setting choose laparoscopic over open procedures and are willing to pay more for them. CLINICAL SIGNIFICANCE The results highlight the importance of client and veterinarian education regarding the options of MIS for pets, as owners who are informed may prefer referral for these procedures. The financial investment to build a MIS practice may be justified.
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Affiliation(s)
- Nicole J Buote
- VCA West Los Angeles, Los Angeles, California, USA.,Department of Clinical Sciences, Cornell University, Ithaca, New York, USA
| | - Patrick Carney
- Department of Clinical Sciences, Cornell University, Ithaca, New York, USA
| | - Julia Sumner
- Department of Clinical Sciences, Cornell University, Ithaca, New York, USA
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7
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Scharf VF, Milovancev M, Townsend KL, Luff JA. Use of a bipolar sealing device to seal partial cystectomy with and without augmentation with a single-layer simple continuous suture pattern in an ex vivo canine model. Vet Surg 2020; 49:1043-1051. [PMID: 32386271 PMCID: PMC7321922 DOI: 10.1111/vsu.13443] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 03/03/2020] [Accepted: 03/28/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To evaluate the ability of a bipolar sealing device (BSD) to seal canine bladder tissue and to determine the influence of suture augmentation on resistance to leakage of sealed partial cystectomies. STUDY DESIGN Ex vivo, simple randomized study. SAMPLE POPULATION Urinary bladders harvested from canine cadavers (n = 23). METHODS Partial cystectomy of the cranial third of each bladder was performed with a BSD. This seal was augmented with a simple continuous pattern of 4-0 polydioxanone in half of the specimens. A pressure transducer inserted through the ureter measured intraluminal pressure at initial leakage and catastrophic failure as dyed saline was infused via a catheter inserted through the urethra. Initial leakage pressure and pressure at catastrophic failure were compared between sutured and nonsutured sealed partial cystectomies. RESULTS Sutured sealed cystectomies showed initial leakage at lower pressures compared to non-sutured cystectomies (8.6 vs. 17.7 mm Hg; P = .0365) but were able to sustain greater pressures at catastrophic failure (34.3 vs. 21.8 mm Hg; P = .007). Catastrophic failure occurred along the seam of all nonsutured sealed cystectomies and at the suture holes in 10 of the 12 sutured bladders. CONCLUSION Partial cystectomies were effectively sealed with a BSD in this canine cadaveric bladder model. Augmentation with a simple continuous suture pattern increased the pressure at which catastrophic leakage occurred but lowered initial leak pressure. CLINICAL SIGNIFICANCE This study provides evidence supporting the evaluation of BSD use for partial cystectomy in live animals.
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Affiliation(s)
- Valery F Scharf
- Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA
| | - Milan Milovancev
- Department of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Oregon, USA
| | - Katy L Townsend
- Department of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Oregon, USA
| | - Jennifer A Luff
- Department of Population Health and Pathobiology, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA
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8
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Cruciani B, Vachon C, Dunn M. Removal of lower urinary tract stones by percutaneous cystolithotomy: 68 cases (2012-2017). Vet Surg 2020; 49 Suppl 1:O138-O147. [PMID: 32128849 DOI: 10.1111/vsu.13398] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Revised: 01/05/2020] [Accepted: 01/14/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To describe the use and outcome of percutaneous cystolithotomy (PCCL) for removal of urethral and bladder stones in dogs and cats. STUDY DESIGN Retrospective case series. ANIMALS Sixty-eight client-owned dogs and cats. METHODS Records were reviewed and analyzed for dogs and cats that underwent PCCL between January 2012 and December 2017. Signalment, clinical presentation, laboratory and imaging data, procedure time, use of lithotripsy, biopsy, perioperative and immediate postoperative complications, hospitalization times, stone composition, and urine culture results were recorded. Owners were contacted by phone or email 3 weeks after the procedure. Follow-up communications with the owner and referring veterinarian were also recorded. RESULTS Seventy percutaneous cystolithotomies were performed in 59 dogs and nine cats. The median duration of the procedure was 95 minutes (45-420), and lithotripsy was required in 3% (2/70) of PCCL. Complications during the procedure were reported in one case. In eighty-three percent of procedures (58/70), animals were discharged within 24 hours postoperative. Twenty-four percent (16/68) of animals had minor complications (lower urinary tract signs), and one dog had a major complication (surgical wound dehiscence) during the 3 weeks after the operation. Long-term follow-up revealed stone recurrence in 21% of cases followed more than a year after the procedure (7/33). CONCLUSION Percutaneous cystolithotomy allowed removal of bladder and urethral stones with rapid postoperative recovery and few major perioperative or short-term postoperative complications. CLINICAL SIGNIFICANCE Percutaneous cystolithotomy provides an attractive minimally invasive surgical alternative for removal of lower urinary tract stones in small animals.
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Affiliation(s)
- Benoît Cruciani
- Department of Surgery, Centre Vétérinaire DMV, Lachine, Québec, Canada
| | - Catherine Vachon
- Department of Interventional Medicine, Faculté de Médecine Vétérinaire, University of Montreal, Saint-Hyacinthe, Québec, Canada
| | - Marilyn Dunn
- Department of Interventional Medicine, Faculté de Médecine Vétérinaire, University of Montreal, Saint-Hyacinthe, Québec, Canada
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Floriano D, Sahagian MJ, Chiavaccini L. Impact of epidural bupivacaine on perioperative opioid requirements, recovery characteristics, and duration of hospitalization in dogs undergoing cystotomy: A retrospective study of 56 cases. Vet Surg 2019; 48:1330-1337. [PMID: 31328291 DOI: 10.1111/vsu.13290] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 06/03/2019] [Accepted: 06/22/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To compare perioperative opioid consumption and duration of hospitalization (DOH) in anesthetized dogs receiving opioid-based analgesia (OBA) vs those receiving bupivacaine epidural-based analgesia (EPID) during cystotomy. STUDY DESIGN Retrospective cross-sectional study. ANIMALS Fifty-six client-owned dogs undergoing cystotomy. METHODS Clinical records of dogs undergoing cystotomy between January 2015 and December 2017 were reviewed. Demographic data, duration of anesthesia and surgery, anesthetic management, perioperative opioid consumption expressed in morphine equivalents (ME), perioperative use of adjuvant analgesics, time to first micturition, time to eat, time to ambulate, and DOH were recorded. Opioid consumption and DOH were compared with a Wilcoxon rank-sum test, followed by linear regression analysis as appropriate. Time to first micturition, time to eat, and time to walk unassisted were modeled with Cox-proportional hazard models. RESULTS Dogs treated with EPID during surgery required 1.5 mg/kg ME less compared with those treated with OBA (P = .04) during surgery. Three of 19 dogs treated with EPID vs 15 of 37 dogs receiving OBA required intraoperative adjuvant analgesics (P = .06). Dogs treated with EPID regained motor function slower than dogs treated with OBA (P = .01); however, there was no difference in time to urinate, time to eat, or DOH between treatments. CONCLUSION Perioperative lumbosacral epidural with bupivacaine reduced intraoperative opioid consumption in dogs anesthetized for cystotomy. CLINICAL SIGNIFICANCE The use of epidural bupivacaine in dogs undergoing cystotomy may reduce intraoperative opioid requirements without affecting return of bladder function or DOH.
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Affiliation(s)
- Dario Floriano
- Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Michael J Sahagian
- Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Ludovica Chiavaccini
- Department of Molecular and Biomedical Sciences, North Carolina State University, Raleigh, North Carolina
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Kanai H, Hagiwara K, Nukaya A, Kondo M, Aso T. Short-term outcome of laparoscopic cholecystectomy for benign gall bladder diseases in 76 dogs. J Vet Med Sci 2018; 80:1747-1753. [PMID: 30232303 PMCID: PMC6261809 DOI: 10.1292/jvms.18-0266] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Laparoscopic cholecystectomy (LC) is widely accepted as the standard treatment for benign gall bladder diseases in humans because it has proven to be less invasive and safer than are
traditional methods. However, the efficacy of LC in dogs remains unclear. The present study aimed to examine the short-term outcome of LC for benign gall bladder diseases in dogs. We
enrolled 76 consecutive dogs that underwent LC for benign gall bladder diseases at our hospital between April 2008 and October 2016. Dogs with jaundice, gall bladder ruptures, abdominal
effusion, or extrahepatic biliary obstruction were not excluded from the indication. Factors including age, body weight, sex, clinical sign, disease, operative time, conversion to open
surgery, perioperative complications, and postoperative hospital stay were investigated. The median age of the dogs was 11 years, and the median body weight was 5.4 kg. Fifty percent of the
dogs exhibited no symptoms at the initial visit. Preoperative elevation of total bilirubin levels was observed in 16 dogs (21%). LC was successfully completed in 71 dogs (93%); the median
operative time was 124 min. Although gall bladder ruptures were observed in 2 (2.6%) dogs, the operations were completed successfully. Three dogs (4.1%) had to be converted to open
cholecystectomy and 2 (2.6%) underwent reoperation. Two dogs (2.6%) died intraoperatively and 2 (2.6%) died postoperatively. LC was a feasible, safe, and appropriate procedure considering
the current operative indications for benign gall bladder diseases in dogs.
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Affiliation(s)
- Hiroo Kanai
- Kanai Veterinary Surgery, 569-1 Nozato, Himeji-shi, Hyogo 670-0811, Japan.,Study Group of Small Animal Minimal Invasive Treatment (SAMIT), 569-1 Nozato, Himeji-shi, Hyogo 670-0811, Japan
| | - Ken Hagiwara
- Department of Digestive Surgery, Nihon University School of Medicine, 1-6 Kandasurugadai, Chiyoda-ku, Tokyo 101-8309, Japan.,Study Group of Small Animal Minimal Invasive Treatment (SAMIT), 569-1 Nozato, Himeji-shi, Hyogo 670-0811, Japan
| | - Aya Nukaya
- Aya Animal Hospital, 4-1-17 Fujinokidai, Nara-shi, Nara 631-0044, Japan.,Study Group of Small Animal Minimal Invasive Treatment (SAMIT), 569-1 Nozato, Himeji-shi, Hyogo 670-0811, Japan
| | - Motoki Kondo
- Apple Tree Animal Hospital, 52-2 Hiruta, Takatanacho, Anjo-shi, Aichi 446-0053, Japan.,Study Group of Small Animal Minimal Invasive Treatment (SAMIT), 569-1 Nozato, Himeji-shi, Hyogo 670-0811, Japan
| | - Toshihide Aso
- Animal Medical Center ALOHA, 5-12-5 Hikino, Fukuyama-shi, Hiroshima 721-0942, Japan.,Study Group of Small Animal Minimal Invasive Treatment (SAMIT), 569-1 Nozato, Himeji-shi, Hyogo 670-0811, Japan
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11
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Duffy DJ, Duddy HR, Keating S, Gutierrez-Nibeyro SD. Influence of barbed suture on leak pressures after double-layer inverting closure of cystotomy sites in sheep. Vet Surg 2018; 47:902-907. [PMID: 30178885 DOI: 10.1111/vsu.12935] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Revised: 05/21/2018] [Accepted: 06/08/2018] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To determine the influence of barbed suture on double-layer inverting closure of cystotomy sites in sheep. STUDY DESIGN Ex vivo study. SAMPLE POPULATION Urinary bladders harvested from ovine (n = 26) cadaveric specimens. METHODS After collection and specimen preparation, a 3-cm-long incision was created on the ventral aspect of the urinary bladder. The cystotomy was repaired with barbed (n = 13) or nonbarbed analogous monofilament absorbable suture (n = 13) in a double-layer inverting suture pattern. Time required for closure in seconds was recorded for each test. Each bladder was connected to a pressure transducer to monitor intraluminal pressure during infusion with dyed Hartmann's solution until leakage occurred. Intraluminal pressure at time of initial leakage and leakage site were also recorded. Two-sample t tests were used to compare initial leakage pressure and closure time between the 2 types of suture (P = .05). RESULTS The mean ( ± SD) leakage pressure of ovine urinary bladder incisions did not differ between closures with barbed sutures (42.3 ± 21.7 mmHg) and nonbarbed closures (32.5 ± 14.4 mmHg, P = .187). Cystorrhaphies were performed faster with barbed suture (307 ± 50 seconds) than with nonbarbed suture (390 ± 62 seconds, P = .001). CONCLUSION The use of barbed suture did not affect mean leakage pressure of ovine urinary bladder incisions but decreased the time required to complete cystorrhaphies in this model. CLINICAL SIGNIFICANCE This study provides evidence to support the use of knotless barbed suture for open ovine cystorrhaphies. Use of such suture for laparoscopic and laparoscopic-assisted procedures in sheep warrants caution until cyclic and in vivo testing is performed with appropriate laparoscopic instrumentation.
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Affiliation(s)
- Daniel J Duffy
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, Illinois
| | - Hugh R Duddy
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, Illinois
| | - Stephanie Keating
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, Illinois
| | - Santiago D Gutierrez-Nibeyro
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, Illinois
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12
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Scharf VF, Dent B, Jacob ME, Moore B. Efficacy of vaporized hydrogen peroxide for repeated sterilization of a single-use single-incision laparoscopic surgery port. Vet Surg 2018; 48:O59-O65. [PMID: 29774550 DOI: 10.1111/vsu.12905] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2017] [Revised: 02/13/2018] [Accepted: 04/07/2018] [Indexed: 12/29/2022]
Abstract
OBJECTIVE To determine the ability of vaporized hydrogen peroxide (VHP) to sterilize a single-use single-incision laparoscopic surgery port and its associated components after repeated simulated uses. STUDY DESIGN Prospective in vitro experimental study. SAMPLE POPULATION Six single-use single-incision laparoscopic surgery ports with associated cannulas and insufflation tubing. METHODS Ports, cannulas, and tubing were subjected to 10 cycles of simulated use, bacterial inoculation with Staphylococcus pseudintermedius and Escherichia coli, decontamination and sterilization, and testing via culture based on their treatment group designation. Bacteriological scores were compared among the negative control, positive control, and 4 treated ports and components. RESULTS There was no difference in bacteriological scores between treated ports, cannulas, and insufflation tubing and the negative control port and components. Bacteriological scores of ports and components undergoing 6-10 cycles were not significantly different from scores of ports and components undergoing 5 or fewer sterilization cycles. No difference was found in detection of bacteria from treated ports by biopsy of the foam versus sampling via wash. CONCLUSION This study suggests that a single-use single-incision laparoscopic port and its associated components can be effectively sterilized after multiple simulated uses by using VHP. CLINICAL SIGNIFICANCE Reuse of a single-use single-incision laparoscopic port is a safe and effective method of cost reduction in veterinary patients.
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Affiliation(s)
- Valery F Scharf
- College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina
| | - Brian Dent
- College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina
| | - Megan E Jacob
- College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina
| | - Brandon Moore
- College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina
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Hsueh C, Giuffrida M, Mayhew PD, Case JB, Singh A, Monnet E, Holt DE, Cray M, Curcillo C, Runge JJ. Evaluation of pet owner preferences for operative sterilization techniques in female dogs within the veterinary community. Vet Surg 2018; 47:O15-O25. [PMID: 29400403 DOI: 10.1111/vsu.12766] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2016] [Revised: 10/28/2017] [Accepted: 11/28/2017] [Indexed: 12/20/2022]
Abstract
OBJECTIVE To describe pet owner preferences within the veterinary community when choosing operative techniques for canine spay. STUDY DESIGN Prospective survey. SAMPLE POPULATION 1234 respondents from 5 veterinary university teaching hospitals in North America. METHODS An electronic survey was distributed to faculty, students, and staff that currently are or previously were dog owners. Responses were analyzed to determine what spay technique respondents would choose for their own dogs. Surgical options offered included open celiotomy, 2-port (TP) laparoscopy, single-port (SP) laparoscopy, and natural orifice transluminal endoscopic surgery (NOTES). RESULTS TP laparoscopic ovariectomy (OVE) was the most popular choice, followed by SP laparoscopic OVE; NOTES was the least popular technique when all surgical options were available. If only minimally invasive surgeries were offered, 0.3% of respondents would refuse surgery. Nearly half (48%) of respondents were willing to spend between $100 and $200 more for a minimally invasive OVE than for an open celiotomy. CONCLUSION Minimally invasive OVE is an acceptable operative approach to those in the veterinary community. Additional study is required to correlate these findings with the general veterinary client population.
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Affiliation(s)
- Christine Hsueh
- Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Michelle Giuffrida
- Department of Surgical and Radiological Sciences, University of California-Davis, Davis, California
| | - Philipp D Mayhew
- Department of Surgical and Radiological Sciences, University of California-Davis, Davis, California
| | - J Brad Case
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
| | - Ameet Singh
- Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada
| | - Eric Monnet
- Clinical Sciences Department, Veterinary Medical Center, Colorado State University, Fort Collins, Colorado
| | - David E Holt
- Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Megan Cray
- Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Chiara Curcillo
- Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Jeffrey J Runge
- Department of Clinical Studies, Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania, Philadelphia, Pennsylvania
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14
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Barry KS, Case JB, Winter MD, Garcia-Pereira FL, Buckley G, Johnson MD. Diagnostic usefulness of laparoscopy versus exploratory laparotomy for dogs with suspected gastrointestinal obstruction. J Am Vet Med Assoc 2017; 251:307-314. [DOI: 10.2460/javma.251.3.307] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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15
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Montel JS, Duffy DJ, Weng HY, Freeman LJ. Single layer cystotomy closure of excised porcine bladders with barbed versus smooth suture material. Vet Surg 2017; 46:580-586. [PMID: 28463428 DOI: 10.1111/vsu.12644] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2016] [Accepted: 11/23/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Joshua S. Montel
- Department of Veterinary Clinical Sciences and Comparative Pathobiology; Purdue University Veterinary Teaching Hospital; West Lafayette Indiana
| | - Daniel J. Duffy
- Department of Veterinary Clinical Sciences and Comparative Pathobiology; Purdue University Veterinary Teaching Hospital; West Lafayette Indiana
| | - Hsin-Yi Weng
- Department of Veterinary Clinical Sciences and Comparative Pathobiology; Purdue University Veterinary Teaching Hospital; West Lafayette Indiana
| | - Lynetta J. Freeman
- Department of Veterinary Clinical Sciences and Comparative Pathobiology; Purdue University Veterinary Teaching Hospital; West Lafayette Indiana
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16
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Jones K, Case JB, Evans B, Monnet E. Evaluation of the economic and clinical feasibility of introducing rigid endoscopy and laparoscopy to a small animal general practice. J Am Vet Med Assoc 2017; 250:795-800. [PMID: 28306484 DOI: 10.2460/javma.250.7.795] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
OBJECTIVE To evaluate the economic and clinical feasibility of introducing rigid endoscopy and laparoscopy to a small animal general practice. DESIGN Prospective study. SAMPLE A single 2-veterinarian small animal practice in southern California. PROCEDURES In early 2012, endoscopic equipment was purchased, and both veterinarians in the practice undertook training in rigid endoscopic and laparoscopic procedures. Subsequently, information for client-owned animals that underwent endoscopic and laparoscopic procedures during a 12-month period (2012 to 2013) was collected. Cost of equipment and training, revenue generated, specific procedures performed, surgery time, complications, and client satisfaction were evaluated. RESULTS 78 endoscopic procedures were performed in 73 patients, including 71 dogs, 1 cat, and 1 rabbit. Cost of endoscopic and laparoscopic equipment and training in the first year was $14,809.71; most equipment was financed through a 5-year lease at a total cost of $57,507.70 ($ 10,675.20/y). Total revenue generated in the first year was $50,423.63. The most common procedures performed were ovariectomy (OVE; n = 49), prophylactic gastropexy (6), and video otoscopy (12). Mean ± SD surgery times for OVE (n = 44) and for OVE with gastropexy (5) were 63.7 ± 19.7 minutes and 73.0 ± 33.5 minutes; respectively. Twelve of 54 patients undergoing laparoscopic procedures experienced minor intraoperative complications. Conversion to laparotomy was not required in any patient. There were no major complications. All 49 clients available for follow-up were satisfied. CONCLUSIONS AND CLINICAL RELEVANCE With appropriate training and equipment, incorporation of basic rigid endoscopy and laparoscopy may be feasible in small animal general practice. However, results of the present study are not applicable to all veterinarians and practice settings, and patient safety considerations should always be paramount.
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17
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Kieves NR, Krebs AI. Comparison of leak pressures for single-layer simple continuous suture pattern for cystotomy closure using barbed and monofilament suture material in an ex vivo canine model*. Vet Surg 2017; 46:412-416. [DOI: 10.1111/vsu.12632] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2016] [Accepted: 07/22/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Nina R. Kieves
- Department of Veterinary Clinical Sciences; Iowa State University; Ames Iowa
| | - Alexander I. Krebs
- Department of Veterinary Clinical Sciences; Iowa State University; Ames Iowa
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18
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Singh A, Hoddinott K, Morrison S, Oblak ML, Brisson BA, Ogilvie AT, Monteith G, Denstedt JD. Perioperative characteristics of dogs undergoing open versus laparoscopic-assisted cystotomy for treatment of cystic calculi: 89 cases (2011–2015). J Am Vet Med Assoc 2016; 249:1401-1407. [DOI: 10.2460/javma.249.12.1401] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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19
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Lulich JP, Berent AC, Adams LG, Westropp JL, Bartges JW, Osborne CA. ACVIM Small Animal Consensus Recommendations on the Treatment and Prevention of Uroliths in Dogs and Cats. J Vet Intern Med 2016; 30:1564-1574. [PMID: 27611724 PMCID: PMC5032870 DOI: 10.1111/jvim.14559] [Citation(s) in RCA: 89] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Revised: 07/08/2016] [Accepted: 07/11/2016] [Indexed: 11/28/2022] Open
Abstract
In an age of advancing endoscopic and lithotripsy technologies, the management of urolithiasis poses a unique opportunity to advance compassionate veterinary care, not only for patients with urolithiasis but for those with other urinary diseases as well. The following are consensus-derived, research and experience-supported, patient-centered recommendations for the treatment and prevention of uroliths in dogs and cats utilizing contemporary strategies. Ultimately, we hope that these recommendations will serve as a foundation for ongoing and future clinical research and inspiration for innovative problem solving.
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Affiliation(s)
- J P Lulich
- Department of Veterinary Clinical Sciences, University of Minnesota, Saint Paul, MN.
| | | | - L G Adams
- Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, IN
| | - J L Westropp
- Department of Veterinary Medicine and Epidemiology, University of California, Davis, CA
| | - J W Bartges
- Department of Small Animal Medicine and Surgery, University of Georgia, Athens, GA
| | - C A Osborne
- Department of Veterinary Clinical Sciences, University of Minnesota, Saint Paul, MN
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Scott J, Singh A, Mayhew PD, Brad Case J, Runge JJ, Gatineau M, Kilkenny J. Perioperative Complications and Outcome of Laparoscopic Cholecystectomy in 20 Dogs. Vet Surg 2016; 45:O49-O59. [DOI: 10.1111/vsu.12534] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Accepted: 05/26/2016] [Indexed: 12/13/2022]
Affiliation(s)
- Jacqueline Scott
- Department of Clinical Studies; Ontario Veterinary College, University of Guelph; Guelph Ontario Canada
| | - Ameet Singh
- Department of Clinical Studies; Ontario Veterinary College, University of Guelph; Guelph Ontario Canada
| | - Philipp D. Mayhew
- Department of Surgical and Radiological Sciences; University of California-Davis; Davis California
| | - J. Brad Case
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine; University of Florida; Gainesville Florida
| | - Jeffrey J. Runge
- Department of Clinical Studies; Matthew J. Ryan Veterinary Hospital at the University of Pennsylvania; Philadelphia Pennsylvania
| | | | - Jessica Kilkenny
- Department of Clinical Studies; Ontario Veterinary College, University of Guelph; Guelph Ontario Canada
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21
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Wright T, Singh A, Mayhew PD, Runge JJ, Brisson BA, Oblak ML, Case JB. Laparoscopic-assisted splenectomy in dogs: 18 cases (2012–2014). J Am Vet Med Assoc 2016; 248:916-22. [DOI: 10.2460/javma.248.8.916] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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22
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Abstract
Cystoscopy has become an important and widely available component of the diagnostic evaluation of diseases of the lower urinary tract in dogs and cats. In addition, a large number of cystoscopic guided procedures have been described that can be used to treat disease processes that were previously treatable only with invasive surgical procedures. This article reviews the indications and contraindications for cystoscopy, cystoscopy equipment and techniques for male and female dogs and cats, potential complications associated with cystoscopy, and management options for these complications.
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Affiliation(s)
- Megan Morgan
- Internal Medicine Department, Cornell University Veterinary Specialists, 880 Canal Street, Stamford, CT 06902, USA
| | - Marnin Forman
- Internal Medicine Department, Cornell University Veterinary Specialists, 880 Canal Street, Stamford, CT 06902, USA.
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Abstract
Anesthesia for endoscopic surgery can be challenging depending on surgical manipulations and patient comorbidity. Anesthetists must understand the possible systemic changes and complications that are associated with endoscopic surgery. Pneumoperitoneum induces vasoconstriction, reduces cardiac output, and decreases functional residual capacity in the cardiopulmonary system. Both hypoventilation caused by the thoracoscopic procedure and CO2 insufflation increase Paco2. To prevent the problems associated with high Paco2, monitoring of end-tidal CO2 (ETco2) and capability of positive pressure ventilation are crucial. Sudden changes of ETco2 should be monitored closely. Endoscopic surgery should be a less invasive procedure; however, appropriate analgesia remains necessary.
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Affiliation(s)
- Makoto Asakawa
- Department of Clinical Sciences, Cornell University College of Veterinary Medicine, VMC Box 35, Ithaca, NY 14853-6401, USA.
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Abstract
Laparoscopic-assisted procedures allow a balance between the improved patient recoveries often associated with smaller incisions and the need for appropriate visualization of visceral organs/identification of lesions. The organ systems of small animal veterinary patients that are highly amenable to laparoscopic-assisted procedures include the urinary bladder, the gastrointestinal tract, and the reproductive tracts. Laparoscopic-assisted procedures are especially beneficial in the approach to luminal organs, allowing the organ incision to be exteriorized through the body wall, protecting the peritoneal cavity from contamination from luminal contents. Procedure-specific morbidities and patient selection should be considered when choosing between assisted laparoscopic and open approaches.
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Affiliation(s)
- Michele A Steffey
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California Davis, 1 Shields Avenue, Davis, CA 95616, USA.
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25
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Wallace ML, Case JB, Singh A, Ellison GW, Monnet E. Single Incision, Laparoscopic-Assisted Ovariohysterectomy for Mucometra and Pyometra in Dogs. Vet Surg 2015; 44 Suppl 1:66-70. [DOI: 10.1111/vsu.12344] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- Mandy L. Wallace
- Department of Small Animal Clinical Sciences; College of Veterinary Medicine; University of Florida; Gainesville Florida
| | - J. Brad Case
- Department of Small Animal Clinical Sciences; College of Veterinary Medicine; University of Florida; Gainesville Florida
| | - Ameet Singh
- Department of Clinical Studies; Ontario Veterinary College; University of Guelph; Guelph Canada
| | - Gary W. Ellison
- Department of Small Animal Clinical Sciences; College of Veterinary Medicine; University of Florida; Gainesville Florida
| | - Eric Monnet
- Department of Clinical Sciences; College of Veterinary Medicine and Biomedical Sciences; Colorado State University; Fort Collins Colorado
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26
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Killilea DW, Westropp JL, Shiraki R, Mellema M, Larsen J, Kahn AJ, Kapahi P, Chi T, Stoller ML. Elemental Content of Calcium Oxalate Stones from a Canine Model of Urinary Stone Disease. PLoS One 2015; 10:e0128374. [PMID: 26066810 PMCID: PMC4466234 DOI: 10.1371/journal.pone.0128374] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Accepted: 04/26/2015] [Indexed: 11/26/2022] Open
Abstract
One of the most common types of urinary stones formed in humans and some other mammals is composed of calcium oxalate in ordered hydrated crystals. Many studies have reported a range of metals other than calcium in human stones, but few have looked at stones from animal models such as the dog. Therefore, we determined the elemental profile of canine calcium oxalate urinary stones and compared it to reported values from human stones. The content of 19 elements spanning 7-orders of magnitude was quantified in calcium oxalate stones from 53 dogs. The elemental profile of the canine stones was highly overlapping with human stones, indicating similar inorganic composition. Correlation and cluster analysis was then performed on the elemental profile from canine stones to evaluate associations between the elements and test for potential subgrouping based on elemental content. No correlations were observed with the most abundant metal calcium. However, magnesium and sulfur content correlated with the mineral hydration form, while phosphorous and zinc content correlated with the neuter status of the dog. Inter-elemental correlation analysis indicated strong associations between barium, phosphorous, and zinc content. Additionally, cluster analysis revealed subgroups within the stones that were also based primarily on barium, phosphorous, and zinc. These data support the use of the dog as a model to study the effects of trace metal homeostasis in urinary stone disease.
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Affiliation(s)
- David W. Killilea
- Nutrition & Metabolism Center, Children’s Hospital Oakland Research Institute, Oakland, California, United States of America
- Department of Urology, University of California San Francisco, San Francisco, California, United States of America
| | - Jodi L. Westropp
- Medicine and Epidemiology, UC Davis School of Veterinary Medicine, Davis, California, United States of America
| | - Ryoji Shiraki
- Medicine and Epidemiology, UC Davis School of Veterinary Medicine, Davis, California, United States of America
| | - Matthew Mellema
- Surgical & Radiological Sciences, UC Davis School of Veterinary Medicine, Davis, California, United States of America
| | - Jennifer Larsen
- Molecular Biosciences, UC Davis School of Veterinary Medicine, Davis, California, United States of America
| | - Arnold J. Kahn
- Buck Institute for Research in Aging, Novato, California, United States of America
| | - Pankaj Kapahi
- Buck Institute for Research in Aging, Novato, California, United States of America
- Department of Urology, University of California San Francisco, San Francisco, California, United States of America
| | - Thomas Chi
- Department of Urology, University of California San Francisco, San Francisco, California, United States of America
| | - Marshall L. Stoller
- Department of Urology, University of California San Francisco, San Francisco, California, United States of America
- * E-mail:
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27
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Milovancev M, Townsend KL. Current concepts in minimally invasive surgery of the abdomen. Vet Clin North Am Small Anim Pract 2015; 45:507-22. [PMID: 25758850 DOI: 10.1016/j.cvsm.2015.01.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Minimally invasive surgery of the abdomen constitutes an increasingly common and developed set of surgical options in small animal veterinary patients. In addition to established procedures, such as laparoscopic gonadectomy and biopsies, more advanced procedures, such as adrenalectomy, cholecystectomy, cisterna chyli ablation, and lymph node extirpation, are described. Some laparoscopic procedures have been reported using different techniques or approaches, reflecting the field's progression beyond its infancy. Advances in equipment and experience among an ever-growing group of veterinary surgeons are expected to result in progressively more widespread adoption of minimally invasive procedures.
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Affiliation(s)
- Milan Milovancev
- Department of Clinical Sciences, College of Veterinary Medicine, Oregon State University, 700 SW 30th Street, Corvallis, OR 97330, USA; Small Animal Surgery, College of Veterinary Medicine, Oregon State University, 267 Magruder Hall, Corvallis, OR 97331, USA.
| | - Katy L Townsend
- Department of Clinical Sciences, College of Veterinary Medicine, Oregon State University, 700 SW 30th Street, Corvallis, OR 97330, USA
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Runge JJ, Mayhew PD, Case JB, Singh A, Mayhew KN, Culp WTN. Single-port laparoscopic cryptorchidectomy in dogs and cats: 25 cases (2009–2014). J Am Vet Med Assoc 2014; 245:1258-65. [DOI: 10.2460/javma.245.11.1258] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Affiliation(s)
- P. D. Mayhew
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine; University of California-Davis; Davis CA 95616 USA
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