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2.
Vet Surg ; 42(8): 971-8, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24117979

RESUMO

OBJECTIVE: To examine if the tension at the site of a urethral anastomosis can be relieved by performing either a crural release technique or an ischial osteotomy technique. STUDY DESIGN: Cadaveric study and 2 case reports. ANIMALS: Adult male cat cadavers (n = 18). METHODS: Cats were divided into 2 groups; crural release (n = 9) and ischial osteotomy (n = 9). In each group, 20%, 25%, and 30% of the pelvic urethra was excised in 3 cats. The length of the urethral defect was measured after excision of the urethral segment, and after approximation, before and subsequent to the tension relieving technique performed. Two clinical cases are described. RESULTS: Both crural release and ischial osteotomy were effective in relieving the tension encountered at the urethral anastomosis after removal of 20% of the urethral length. In the ischial osteotomy group, apposition without tension after removing up to 30% of the intrapelvic urethral length was easily achieved. A similar technique was successfully used in 2 clinical cases. CONCLUSION: Crural release and ischial osteotomy techniques allow approximation and tension free anastomosis of large segmental defects of the pelvic urethra in cats.


Assuntos
Gatos/cirurgia , Ísquio/cirurgia , Uretra/lesões , Uretra/cirurgia , Procedimentos Cirúrgicos Urológicos Masculinos/veterinária , Anastomose Cirúrgica/métodos , Anastomose Cirúrgica/veterinária , Animais , Fenômenos Biomecânicos , Cadáver , Masculino , Osteotomia/veterinária , Ruptura/cirurgia , Ruptura/veterinária , Procedimentos Cirúrgicos Urológicos Masculinos/métodos
3.
J Feline Med Surg ; 15(4): 345-8, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23090331

RESUMO

A 2-month-old, intact, female domestic shorthair kitten presented with a history of acute-onset dyspnoea. Severe dyspnoea and tachypnoea were noted on physical examination. Serosanguinous fluid, consistent with a modified transudate, was aspirated from the pleural cavity immediately after the physical examination, with an immediate decrease in respiratory rate and effort. The thorax was radiographed and the entire left hemithorax appeared to be filled with a large soft tissue density mass. Thoracic ultrasound was performed and a cystic structure, measuring 3.0 cm × 1.5 cm, was seen in the left hemithorax. An explorative thoracotomy was performed and a mass obliterating the left hemithorax was found. The mass was removed by a combination of blunt and sharp dissection. A final diagnosis of thoracic pseudocyst was made on histological examination of the tissue. The mass was described as a sterile process characteristic of an organised seroma or haematoma. Recovery from surgery was uneventful and the kitten was discharged 48 h postoperatively. The kitten was still alive with no recurrence of clinical signs at the time of writing this report, 8 months postoperatively.


Assuntos
Doenças do Gato/diagnóstico por imagem , Doenças do Gato/cirurgia , Cistos/veterinária , Doenças Torácicas/veterinária , Tórax , Animais , Gatos , Cistos/diagnóstico por imagem , Cistos/cirurgia , Feminino , Cavidade Pleural , Doenças Torácicas/diagnóstico por imagem , Doenças Torácicas/cirurgia , Toracotomia/veterinária , Tomografia Computadorizada por Raios X/veterinária , Resultado do Tratamento , Ultrassonografia
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