tum to bum Flashcards
(41 cards)
Sapora, Vet surg 2021
Ex vivo comparison of hand-sutured versus circular stapled anastomosis in canine large intestine
-what was difference between sutured and stapled?
-which testing set up had the lowest leak pressure?
-sutured had higher ILP than stapled.
-3.5mm circular staple. 2/6 set ups leaked immediately - concluded that this was not safe for EEA. 4.8mm was viable but sutured preferable.
Grossman, JAVMA 2021
Evaluation of outcomes following subtotal colectomy for the treatment of idiopathic megacolon in cats
-What % cats died from megacolon or treatment associated complications?
-% post-op complications?
-% constipation recurrence?
-what factor was associated with long term liquid faeces and fair/poor outcome assessment by owners?
-14% -deaths
-10% post op complications
-32% constipation recurrence at 344d. not associated with ICCJ kept or not.
-removing ICCJ associated with longer term liquid faeces.
Lux, JAVMA 2021
Evaluation of short-term risk factors associated with dehiscence and death following full-thickness incisions of the large intestine in cats: 84 cases (1993–2015)
-what was the dehiscence rate?
-8% dehiscence rate in cats
factors for dehiscence generally signs of malaise. multiple factors, non specific
Latimer, JAVMA 2019
Evaluation of short-term outcomes and potential risk factors for death and intestinal dehiscence following full-thickness large intestinal incisions in dogs
-what was dehiscence rate?
-what was mortality rate?
-10% dehiscence rate in dogs
-17% mortality
factors for mortality basically associated with sepsis
Cantatore, vet surg 2022
Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study
-what percentage had recurrence?
-what factors increased likelihood of recurrence?
-what was the complication rate?
-21% recurrence
-complications, incomplete margins
-29% complications. No dogs died as a result of complications
The 1-,2-, 5-year survival rates for carcinomas were 95%, 89%, and 73% respectively.
rectal adenoma (44; 47.3%), rectal CiS(23; 24.7%), and rectal carcinoma (21; 22.6%)
Tobias, vet surg 2022
Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome
-what factor was linked to recurrence?
-prior hernia repair
Cinti, Vet surg 2021
A novel technique to incorporate the sacrotuberous ligament in perineal herniorrhaphy in 47 dogs
-describe the difference in technique
- Which factors were associated with increasing risk of complications
- what was the most common complication?
- passing of the suture without using the needle, bluntly dissected around the ST lig with right angle forceps.
- increasing age and surgical treatment of a recurrent PH
-swelling
Hubers JSAP 2022
Outcome of surgical treatment of perineal hernia in cats: 36 cases (2013-2019)
-what % had a good outcome
-what % had a poor outcome
-what was the one major postoperative complication
-74% good outcome
-16% poor outcome
-rectal prolapse
long-term, 2 had subtotal colectomy, 2 euthanised due to recurrence of signs, 1 recurred unilaterally.
Sutton, JSAP 2022
Computed tomographic staging of dogs with anal sac adenocarcinomaComputed tomographic staging of dogs with anal sac adenocarcinoma
-what was the prevalence of metastatic lymph nodes?
-percentage pulmonary mets?
there was no association between anal sac mass size and metastases
-71% lymph node mets
-11% pulmonary mets
Ahlberg JAVMA 2024
Treatment of canine perineal hernia with a fascia lata graft is noninferior to the elevation of the internal obturator muscle: a prospective randomized trial of 66 dogs
-what were the recurrence rates of obturator flap and fascia lata graft? was there any difference between treatments?
equivalent recurrence rates, 9% obturator, 10% fascia lata
Franca, JSAP 2024
Histopathological diagnosis and surgical complications following bilateral anal sacculectomy for the treatment of unilateral canine apocrine gland anal sac adenocarcinoma: 35 cases (2019-2023)
in cases of apparently unilateral AGASACA….
-what percentage of cases had histologically normal contralateral anal sac?
-what percentage had contralateral tumour?
-most common intraoperative complication?
-most common postoperative complication?
-14% were normal
-20% had contralateral tumour.
-disruption of tumour capsule
-infection
Griffin, JAVMA 2023
Short- and long-term outcomes associated with anal sacculectomy in dogs with massive apocrine gland anal sac adenocarcinoma
-what was the median progression free interval?
-median survival?
-what was associated with decreased PFI?
- 204 days median PFI
- 671 days median survival
-nodal metastasis associated with decreased PFI, but not overall survival.
2/3 dogs had adjuvant treatment (chemo or radiation). Adjuvant treatment was not associated with outcome.
Singh, JAVMA 2023
Laparoscopic surgical treatment for sliding hiatal hernia is associated with an owner-perceived improvement in clinical outcome in dogs
-what was the most common intra-operative complication?
-describe the ports used
-pneumothorax (assumed through suture bite holes) - seen in 5/9 (55%) and resulted in conversion to open in 2/9 (22%).
-2-3 port technique - camera sub-umbilicus. 1 or 2 instrument ports 2-3cm caudal to costal arch and 3-5cm lateral to midline
Sabetti, JSAP 2024
Endoscopic and surgical treatment of non-neoplastic proximal duodenal ulceration in dogs, and anatomical study of proximal duodenal vascularisation
-what was the reason put forward for duodenal ulcers bleeding significantly?
prominent venous plexus at the proximal duodenum
Pawenski, JFMS 2023
Histopathologic diagnosis and patient characteristics in cats with small intestinal obstructions secondary to trichobezoars (hairball)
- what were biopisies in the region of trichobezoar most likely to show on histo?
- what were biopsies from elsewhere within the intestine most likely to show?
-what diagnosis was most likely in cats over 10 years?
-neutrophilic and mucosal erosion
- lymphocytic plasmacytic and eosinophilic populations were most common. followed by small cell lymphoma.
-small cell lymphoma
-study supports taking multiple biopsies as one at the site of obstruction is likely inflammatory
Rahn vet surg 2023
Postoperative injectable opioid use and incidence of surgical site complications after use of liposomal bupivacaine in canine gastrointestinal foreign body surgery
-what was the impact of liposomal bupivacaine?
-shorter hospitalisation, less fentanyl but MORE SSI (10.8% vs 2.9% without)
Williams, vet surg 2023
Clinical outcomes of the use of unidirectional barbed sutures in gastrointestinal surgery for dogs and cats: A retrospective study
-what long-term complication was encountered in two dogs?
-stricture at the surgery site resulting in intestinal obstruction
(2 cases out of 19 that had long term follow-up!)
Thompson, Vet surg 2024
Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies
-which construct leaked at the highest pressure?
Handsewn and glue leaked at higher ILP (83) than HS (43) and glue (18)
Sanders, vet surg 2024
Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats
-which anastamosis technique had highest ILP?
-which was the fastest to perform?
- no significant difference in ILP or MIP between groups (hand sewn simple interrupted highest but not significant and all leaked supraphysiological)
-non oversewn FEESA fastest to perform
Mullen, Vet surg 2024
Use of real-time near-infrared fluorescence to assess gastric viability in dogs with gastric dilatation volvulus: A case-control study
-in what percentage of cases were the surgeon’s margins altered for gastric resection following the use of indocyanine green?
-in cases with non viable gastric tissue, which region was affected and how did it look?
- 15% (3/20) cases had margins altered.
[near infrared demonstrated non-viable gastric fluorescence in 4]
-fundus, less fluorescence.
Fox-Alvarez JAVMA 2019
Evaluation of a novel technique involving ultrasound-guided, temporary, percutaneous gastropexy and gastrostomy catheter placement for providing sustained gastric decompression in dogs with gastric dilatation-volvulus
-what complications occurred as a result of temporary percutaneous gastrostomy catheter and gastropexy?
iatrogenic damage to spleen and jejunum
[useful technique if surgical delay required]
Grimes, JAVMA 2020
Characteristics and long-term outcomes of dogs with gastroesophageal intussusception
-which breed was most commonly affected?
-survival to discharge?
-what factors were associated with longer-term regurgitation?
-GSD
-90% survival to discharge
-Dogs with acute (≤ 7 days) clinical signs or a previous diagnosis of megaesophagus were more likely to have persistent regurgitation than were dogs without these factor
White, JAVMA 2021
Evaluation of a staged technique of immediate decompressive and delayed surgical treatment for gastric dilatation-volvulus in dogs
-what was the initial treatment?
-what was the mortality rate for delayed patients?
-what factor was associated with non survival
-orogastric intubation and gastric lavage
-9% mortality rate for delay
-gastric necrosis associated non survival
Time from presentation to surgery was not associated with surgeon subjective assessment of gastric health status or mortality rate.
Intraoperative identification of gastric necrosis was associated with nonsurvival. Single plasma lactate concentrations and percentage change in serial lactate concentrations were associated with intraoperative gastric health status and mortality rate.
Bahlman JFMS 2022
Gastric diverticula in six cats: a case series (2011–2020)
-what imaging modality was used to achieve a diagnosis
-which breed was over represented
-negative contrast radiography
-maine coon over represented
