Clitoridectomy and urethrostomy in a pseudohermaphrodite dog

Background: Hermaphroditism is a rare congenital disease that causes ambiguous sexual features. True hermaphroditeshave testicular and ovarian tissue, whereas pseudohermaphrodites have only one type of gonadal tissue and genitalia, butsecondary characteristics of the opposite sex. Pseudohermaphrodites are classified as male or female according to theirgonads. Treatment of pseudohermaphroditism consists of surgical removal of the gonads including reconstruction of abnormal genitalia, especially if the urethra is involved. Therefore, the objective of this report is to describe a case of a malepseudohermaphrodite in a dog treated with clitoridectomy with urethrostomy.Case: A 7-month-old, mixed-breed dog was referred due to the presence of a flaccid structure similar to a small penis,containing an os clitoris, bulbourethral glands, and urethra protruding from the vulva. Physical examination, completeblood count and serum biochemistry were within normal ranges. Hormonal levels of estradiol, testosterone, and progesterone were 56.39 pg/mL, 127.9 ng/mL, and 0.892 ng/mL, respectively. The abdominal ultrasound and posteriorly theexploratory celiotomy found a normal size prostate and two round organs resembling testicles connected to a uterus-liketubular structure. The patient underwent surgical abdominal exploration that confirmed the ultrasonographic findings andled to gonadohysterectomy. Also, clitoridectomy and urethrostomy were performed to excise the protruded structure andmaintain normal urethral patency. The histopathological examination of the clitoris and penis confirmed it was a malegenital organ, however, the abdominal structures were compatible with the testicles, epididymis, uterus, and even a broadligament. These organs are normally found in cases of male pseudohermaphroditism. The...(AU)

Clitoridectomy and urethrostomy in a pseudohermaphrodite dog

Background: Hermaphroditism is a rare congenital disease that causes ambiguous sexual features. True hermaphroditeshave testicular and ovarian tissue, whereas pseudohermaphrodites have only one type of gonadal tissue and genitalia, butsecondary characteristics of the opposite sex. Pseudohermaphrodites are classified as male or female according to theirgonads. Treatment of pseudohermaphroditism consists of surgical removal of the gonads including reconstruction of abnormal genitalia, especially if the urethra is involved. Therefore, the objective of this report is to describe a case of a malepseudohermaphrodite in a dog treated with clitoridectomy with urethrostomy.Case: A 7-month-old, mixed-breed dog was referred due to the presence of a flaccid structure similar to a small penis,containing an os clitoris, bulbourethral glands, and urethra protruding from the vulva. Physical examination, completeblood count and serum biochemistry were within normal ranges. Hormonal levels of estradiol, testosterone, and progesterone were 56.39 pg/mL, 127.9 ng/mL, and 0.892 ng/mL, respectively. The abdominal ultrasound and posteriorly theexploratory celiotomy found a normal size prostate and two round organs resembling testicles connected to a uterus-liketubular structure. The patient underwent surgical abdominal exploration that confirmed the ultrasonographic findings andled to gonadohysterectomy. Also, clitoridectomy and urethrostomy were performed to excise the protruded structure andmaintain normal urethral patency. The histopathological examination of the clitoris and penis confirmed it was a malegenital organ, however, the abdominal structures were compatible with the testicles, epididymis, uterus, and even a broadligament. These organs are normally found in cases of male pseudohermaphroditism. The...

Comportamento da membrana biossintética de celulose como implante peritendíneo em potros / Behavior of cellulose biosynthetic membrane as a peritendinous implant in foals

Background: Tendon injuries are common in horses and are commonly associated with lameness and athletic career disruption.Adhesions formed between the tendons and the surrounding tissues compromise the sliding and movement of the structures,compromising their functionality. Therefore, the control of adhesion formation is critical to restore the structural integrity of thetendon, as well as its biomechanical function. The aim of this study was to evaluate the behavior of the biosynthetic cellulosemembrane implanted in foals with surgically induced tendinitis of the superficial digital flexor.Materials, Methods & Results: Six healthy foals were used, which underwent tendinitis induction in the superficial digital flexorof the right and left forelimbs. The lesions was induced by local ischemia by crushing the tendon with hemostatic forceps. Thebiosynthetic cellulose membrane was implanted only in the right forelimb, involving the superficial digital flexor tendon in theregion of the ischemia and the left forelimb was used as control. After surgery, both forelimb were immobilized with syntheticplaster cast for 15 days. Ultrasonography was performed in six foals immediately before (M0), at 15° (M1) at and 30° (M2) day,and three were evaluate at 45° (M3) and 60° (M4) day after surgery. Incisional biopsies were performed in three animals on the30° day and in three animals on the 60° day after surgery. Histopathological examination involved the analysis of tissue disorganization, presence and type of inflammatory infiltrate and neovascularization, according to the score of 0 to 3. Ultrasonographyallowed visualization of the membrane, which was characterized as a continuous hyperechoic line at the edges of the tendon at15 days (M1). In addition, at 30 and 45 days after surgery, interruption of the hyperechoic line and reduction of echogenicitywere observed, and no echogenic lines were observed at 60 days after surgery...

Comportamento da membrana biossintética de celulose como implante peritendíneo em potros / Behavior of cellulose biosynthetic membrane as a peritendinous implant in foals

Background: Tendon injuries are common in horses and are commonly associated with lameness and athletic career disruption.Adhesions formed between the tendons and the surrounding tissues compromise the sliding and movement of the structures,compromising their functionality. Therefore, the control of adhesion formation is critical to restore the structural integrity of thetendon, as well as its biomechanical function. The aim of this study was to evaluate the behavior of the biosynthetic cellulosemembrane implanted in foals with surgically induced tendinitis of the superficial digital flexor.Materials, Methods & Results: Six healthy foals were used, which underwent tendinitis induction in the superficial digital flexorof the right and left forelimbs. The lesions was induced by local ischemia by crushing the tendon with hemostatic forceps. Thebiosynthetic cellulose membrane was implanted only in the right forelimb, involving the superficial digital flexor tendon in theregion of the ischemia and the left forelimb was used as control. After surgery, both forelimb were immobilized with syntheticplaster cast for 15 days. Ultrasonography was performed in six foals immediately before (M0), at 15° (M1) at and 30° (M2) day,and three were evaluate at 45° (M3) and 60° (M4) day after surgery. Incisional biopsies were performed in three animals on the30° day and in three animals on the 60° day after surgery. Histopathological examination involved the analysis of tissue disorganization, presence and type of inflammatory infiltrate and neovascularization, according to the score of 0 to 3. Ultrasonographyallowed visualization of the membrane, which was characterized as a continuous hyperechoic line at the edges of the tendon at15 days (M1). In addition, at 30 and 45 days after surgery, interruption of the hyperechoic line and reduction of echogenicitywere observed, and no echogenic lines were observed at 60 days after surgery...(AU)

Placas ósseas confeccionadas a partir de diáfise cortical equina na osteossíntese femoral em coelhos / Bone plates produced from equine cortical bone in rabbits femoral osteosynthesis

A evolução tecnológica tem possibilitado o desenvolvimento e o aperfeiçoamento de novos materiais para implantes. Apesar dos fundamentais benefícios providos pelos dispositivos ortopédicos, complicações decorrentes de corrosão, degradação, infecção, além de outras podem ocorrer. O entendimento das características dos biomateriais é fundamental para a previsibilidade do seu comportamento in vivo, fornecendo subsídios para que o composto mais adequado seja escolhido na reconstrução do defeito ósseo. As placas de origem metálica são as mais utilizadas para o reparo de fraturas de ossos longos, sendo mecanicamente resistentes e biocompatíveis. No entanto, a necessidade de remoção e o enfraquecimento do osso são suas principais desvantagens. Neste trabalho, placas produzidas a partir de osso cortical equino foram empregadas experimentalmente em fêmur osteotomizado de coelhos (Grupo osso-GO), num estudo comparativo com placas de metal (Grupo metal-GM). A avaliação radiográfica foi realizada a cada 30 dias, durante 120 dias, momento em que foi então realizada análise histológica do material em estudo. Não houve diferença estatisticamente significante entre os dois grupos com relação à morfometria do calo ósseo e consolidação óssea em todos os momentos avaliados, sendo que ambas as placas permitiram a consolidação em todos os animais. Entretanto, observou-se que o calo ósseo foi menor no GO, em relação ao GM, em todos os momentos do estudo. Por outro lado, a maior parte dos animais do GO apresentou consolidação completa da fratura aos 90 dias, enquanto que no GM isto ocorreu aos 60 dias. Não foram evidenciadas células do tipo corpo estranho na histopatologia dos animais do GO, mas maior quantidade de tecido fibroso foi identificada, envolvendo este biomaterial. A placa confeccionada com osso equino representa uma alternativa de baixo custo e muito viável, uma vez que permitiu estabilização adequada para consolidação óssea de fratura de fêmur em ...

Actually, technological advances have contributed to the development and improvement of new materials for implants. Despite the fundamental benefits provided by orthopedic materials, complications resulting from corrosion, degradation, infection, and others may occur. The knowledge of characteristics of the biomaterials is important to predict their behavior in vivo, supporting that the most suitable compound is chosen to reconstruct the bone defect. Metallic plates are the most common material used for repair of long bone fractures, and they are mechanically stable and biocompatible. However, the need of removal and bone weakening are their disadvantages. In this paper, plates made from equine cortical bone were used experimentally in osteotomized rabbit femur (bone-GO Group), in a comparative study with metal plates (metal GM Group). Radiographic evaluation was performed every 30 days during 120 days, at which time was then performed femur histological analysis. During all evaluated moments of the study, there was no statistically significant difference between the two groups in callus morphometry, and complete consolidation was observed in all animals. However, it was observed that the callus was lower in GO compared to GM, all times during the study. Moreover, most of the GO animals showed complete consolidation fracture at 90 days only, whereas this occurred in GM at 60 days. There were no foreign-body cells in the histopathology exam of the GO animals, but larger amount of fibrous tissue was identified, involving this biomaterial. The plate made from horse bone represents a low cost alternative and it is very feasible, it allowed adequate stabilization of femur fracture in rabbits. In this study, the lower periosteal callus associated with a longer time for consolidation in GO suggest greater fracture stability when the bone plate was used.

Placas ósseas confeccionadas a partir de diáfise cortical equina na osteossíntese femoral em coelhos / Bone plates produced from equine cortical bone in rabbits femoral osteosynthesis

A evolução tecnológica tem possibilitado o desenvolvimento e o aperfeiçoamento de novos materiais para implantes. Apesar dos fundamentais benefícios providos pelos dispositivos ortopédicos, complicações decorrentes de corrosão, degradação, infecção, além de outras podem ocorrer. O entendimento das características dos biomateriais é fundamental para a previsibilidade do seu comportamento in vivo, fornecendo subsídios para que o composto mais adequado seja escolhido na reconstrução do defeito ósseo. As placas de origem metálica são as mais utilizadas para o reparo de fraturas de ossos longos, sendo mecanicamente resistentes e biocompatíveis. No entanto, a necessidade de remoção e o enfraquecimento do osso são suas principais desvantagens. Neste trabalho, placas produzidas a partir de osso cortical equino foram empregadas experimentalmente em fêmur osteotomizado de coelhos (Grupo osso-GO), num estudo comparativo com placas de metal (Grupo metal-GM). A avaliação radiográfica foi realizada a cada 30 dias, durante 120 dias, momento em que foi então realizada análise histológica do material em estudo. Não houve diferença estatisticamente significante entre os dois grupos com relação à morfometria do calo ósseo e consolidação óssea em todos os momentos avaliados, sendo que ambas as placas permitiram a consolidação em todos os animais. Entretanto, observou-se que o calo ósseo foi menor no GO, em relação ao GM, em todos os momentos do estudo. Por outro lado, a maior parte dos animais do GO apresentou consolidação completa da fratura aos 90 dias, enquanto que no GM isto ocorreu aos 60 dias. Não foram evidenciadas células do tipo corpo estranho na histopatologia dos animais do GO, mas maior quantidade de tecido fibroso foi identificada, envolvendo este biomaterial. A placa confeccionada com osso equino representa uma alternativa de baixo custo e muito viável, uma vez que permitiu estabilização adequada para consolidação óssea de fratura de fêmur em coelhos. Neste estudo, a menor formação de calo periosteal, associada a um tempo superior para consolidação em GO sugerem maior estabilidade da fratura onde a placa de osso foi utilizada. (AU)

Actually, technological advances have contributed to the development and improvement of new materials for implants. Despite the fundamental benefits provided by orthopedic materials, complications resulting from corrosion, degradation, infection, and others may occur. The knowledge of characteristics of the biomaterials is important to predict their behavior in vivo, supporting that the most suitable compound is chosen to reconstruct the bone defect. Metallic plates are the most common material used for repair of long bone fractures, and they are mechanically stable and biocompatible. However, the need of removal and bone weakening are their disadvantages. In this paper, plates made from equine cortical bone were used experimentally in osteotomized rabbit femur (bone-GO Group), in a comparative study with metal plates (metal GM Group). Radiographic evaluation was performed every 30 days during 120 days, at which time was then performed femur histological analysis. During all evaluated moments of the study, there was no statistically significant difference between the two groups in callus morphometry, and complete consolidation was observed in all animals. However, it was observed that the callus was lower in GO compared to GM, all times during the study. Moreover, most of the GO animals showed complete consolidation fracture at 90 days only, whereas this occurred in GM at 60 days. There were no foreign-body cells in the histopathology exam of the GO animals, but larger amount of fibrous tissue was identified, involving this biomaterial. The plate made from horse bone represents a low cost alternative and it is very feasible, it allowed adequate stabilization of femur fracture in rabbits. In this study, the lower periosteal callus associated with a longer time for consolidation in GO suggest greater fracture stability when the bone plate was used. (AU)