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1.
Vet Dermatol ; 28(4): 413-e100, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28345791

ABSTRACT

BACKGROUND: Pelodera strongyloides infestation has rarely been reported in dogs. It is a saprophytic free-living nematode, found in moist decaying organic matter, whose L3 larval stages occasionally can invade the skin of dogs and humans. Larvae penetrate the follicular infundibula causing an erythematous and pruritic dermatitis. The disease is usually diagnosed by deep skin scraping or histopathology, with large numbers of parasites readily identified in hair follicles. CASE REPORT: Pelodera strongyloides dermatitis was diagnosed in a six-year-old mixed breed dog presenting with alopecia, erythema and severe pruritus on the ventrum and limbs. The infestation was diagnosed by microscopic examination of plucked hair shafts and confirmed on microscopic examination of skin biopsies collected for histopathology. Only two of 10 deep skin scrapings gave positive findings. The nematode infestation was eradicated following two applications, 2 weeks apart, of a moxidectin/imidacloprid spot-on product. CONCLUSION AND CLINICAL IMPORTANCE: Skin scrapings are considered the diagnostic test of choice for P. strongyloides infestations. In this case, parasites were identified by hair trichograms more readily than by skin scrapings.


Subject(s)
Dog Diseases/parasitology , Nematode Infections/veterinary , Skin Diseases, Parasitic/veterinary , Animals , Biopsy/veterinary , Dog Diseases/diagnosis , Dog Diseases/pathology , Dogs , Female , Microscopy/veterinary , Nematoda , Nematode Infections/diagnosis , Nematode Infections/pathology , Skin/parasitology , Skin/pathology , Skin Diseases, Parasitic/diagnosis , Skin Diseases, Parasitic/pathology
2.
Chirurgia (Bucur) ; 107(3): 325-31, 2012.
Article in Romanian | MEDLINE | ID: mdl-22844830

ABSTRACT

UNLABELLED: The evolution of mechanical suture technology experienced a continuous improvement but the implementation of these devices in current practice of Romanian surgery encountered difficulties related mostly to increased costs. PURPOSE: Review of casuistic related to the use of mechanical suture devices. METHODS: We studied the casuistic between 2008 and July 2011. More parameters were analyzed compared to cases in which manual suture was used. RESULTS: 74 patients benefited from using mechanical suture. Circular staplers EAEC type were used in 53 cases, TA staplers in 48 cases and Endo GIA in 19 cases. Operations performed were: 44 colo-rectal anastomoses (2 laparoscopic), 9 eso-jejunal anastomoses, 17 gastric resections, 2 duodenal stump closures and 2 rectal stump closures. One (2.56%) colorectal anastomotic fistula was found which led to death. There was a single anastomotic imperfection where we performed ileostomy with favorable evolution. Duration of Dixon's operation was shortened by 36 minutes average. The anastomosis could be lowered to 3 cm from the anal verge. There were 3 late local rectal cancer recurrences, 1 recto-vaginal fistula and 1 rectovesical fistula. There were no anastomotic stenoses. CONCLUSIONS: There were two main advantages of using mechanical anastomosis: (1) the opportunity of palette broadening of laparoscopic operations, (2) the possibility of making safe anastomosis in difficult to access areas (rectum, esophagus). The use of mechanical staplers offers advantages especially in patients with rectal tumors, especially in obese male patients with narrow basin, where we can save many cases from rectal amputation. Staplers bring more comfort to the surgeon offering physical and psychological feeling of a perfect anastomosis. Although staplers cost is high, in selected cases, this disadvantage is offset by reducing the duration of operations, hospitalization and subsequent cost of stomas maintenance.


Subject(s)
Colectomy/instrumentation , Surgical Staplers , Surgical Stapling/instrumentation , Adult , Aged , Aged, 80 and over , Anastomosis, Surgical/instrumentation , Colectomy/adverse effects , Colorectal Neoplasms/surgery , Digestive System Surgical Procedures/instrumentation , Equipment Design , Female , Gastrectomy/instrumentation , Humans , Male , Middle Aged , Retrospective Studies , Romania , Stomach Neoplasms/surgery , Surgical Staplers/economics , Surgical Stapling/adverse effects , Surgical Stapling/economics , Time Factors , Treatment Outcome , Wound Healing
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