Thoraxbros Flashcards
Scott, vet surg 2023
Complications and outcomes of thoracoscopic-assisted lung lobectomy in dogs
Conversion?
20%
Pilot, vet surg 2022
Comparison of median sternotomy closure-related complication rates using orthopedic wire or suture in dogs: A multi-institutional observational treatment effect analysis
-what factor was associated with increased risk complications?
-dog size (>20kg)
(unaffected by method of closure)
Shriwise, vet surg 2021
Lymphaticovenous anastomosis of the caudal thoracic duct to an intercostal vein: A canine cadaver study
-which vessel was anastamosed?
-how was the vessel anastamosed?
-what % were successful?
-caudal thoracic duct anastamosed to 11th/12th intercostal vein
-1.5 or 2mm microvascular anastamotic coupler
-100%
Frykfors, vet surg 2020
Thoracic dog bite wounds in dogs: A retrospective study of 123 cases (2003-2016)
-what factors were associated with mortality?
-what factor correlated with duration of hospitalisation?
-mortality rate?
-positive bacterial culture, pleural effusion both associated with mortality.
-level of wound management required was correlated with hospitalisation.
-15% mortality
Kanai, vet surg 2020
Efficacy of en bloc thoracic duct ligation in combination with pericardiectomy by video-assisted thoracoscopic surgery for canine idiopathic chylothorax
-what was long term remission rate with VAT en bloc thoracic duct ligation and pericardiectomy? and with VAT clipped TDL and pericardiectomy?
-The rates of thoracic ducts visualization by postoperative CTLG were 100% (5/5) with C-TDL and 42.9% (3/7) with EB-TDL.
- Long term remission rate for
-en bloc ligation: 85%.
-clipping 20%
(significantly better for en bloc ligation)
-The rates of thoracic ducts visualization by postoperative CT lymphangiography were
-100% (5/5) with Clip-TDL
-42.9% (3/7) with EnBloc-TDL.
Kim, vet surg 2020
Computed tomographic lymphangiography of the thoracic duct by subcutaneous iohexol injection into the metatarsal region
-what dose of iohexol was required to visualise the TD in all cases?
0.75ml/kg
Garcia-Perreira, JSAP 2022
Surgical management of intrathoracic wooden skewers migrating from the stomach and duodenum in dogs: 11 cases (2014-2020)
-Most common presenting sign?
-Most common surgical approach?
-anorexia/vomiting
-coeliotomy/ transdiaphragmatic thoracotomy most common approach
91% survival to discharge
Eiras-Diaz, JSAP 2021
CT findings, management and short-term outcome of dogs with pyothorax: 101 cases (2010 - 2019)
-most common CT abnormality?
-survival rate of sx?
-survival rate of medical?
-overall mortality?
-pleural thickening most common
- 90% survival with surgery
-72% survival with medical
-overall 15% mortality, mostly within 48h of admit.
Kramer, JSAP 2021
Short and long-term outcome in cats diagnosed with pyothorax: 47 cases (2009-2018)
-short term survival rate?
-long term recurrence rate?
-72% short term survival - 28% mortality prior to discharge.
-6% recurrence rate
[85% of cats underwent medical management]
Klainbart, JFMS 2022
Dog bite wounds in cats: a retrospective study of 72 cases
-What blood parameters were different in non-survivors when compared to survivors?
-What other factors resulted in a reduced likelihood of survival?
Total protein and albumin were significantly lower
ALT significantly higher
in non-survivors compared with survivors
Cats with more severe, more areas injured and cats undergoing more aggressive treatments were significantly less likely to survive (P = 0.029).
Frykfors, JFMS 2020
Thoracic dog bite wounds in cats: a retrospective study of 22 cases (2005–2015)
-what factor was associated with presence of a penetrating wound and likelihood of having surgery
-⩾3 radiographic lesions was associated with the presence of a penetrating wound (P = 0.025) and with having thoracic exploration (P = 0.025)
Overall mortality rate was 27%.
Mayhew, JAVMA 2022
Resolution, recurrence, and chyle redistribution after thoracic duct ligation with or without pericardiectomy in dogs with naturally occurring idiopathic chylothorax
-what were the resolution rates for TDL alone and TDL/pericardiectomy?
resolution rates for TDL was 94% and 88% for TDL/pericardiectomy
abstract conclusion:
In dogs without evidence of CPP, TDL alone was associated with a very good prognosis for treatment of IC. In the absence of Constrictive Pericardial Physiology, the additional benefit of pericardiectomy in the treatment of IC is questionable.
Dickson, JAVMA 2021
Surgical management and outcome of dogs with primary spontaneous pneumothorax: 110 cases (2009–2019)
-which lung lobe were bullous lesions most commonly seen in?
-what % had recurrence of pneumothorax?
-what was median time to recurrence
Left cranial lung lobe
13% had recurrence
median time to recurrence was 9 days
Price, vet surg 2024
Evaluation of thoracic duct ligation and unilateral subphrenic pericardiectomy via a left fourth intercostal approach in normal canine cadavers
what was the supposed benefit to the 4th intercostal space?
Imaging: lymphangiograms revealed a single TD in 10/13 clinical cases at the fourth intercostal space. Three cases had additional branches.
Sx: Thoracic duct ligation via a left fourth intercostal thoracotomy was successful in nine out of 10 cadavers. A single branch was noted intraoperatively in six out of 10, and two branches were noted in four out of 10 cadavers. All branches were observed on the left side of the esophagus.
Dickinson, vet surg 2024
Outcome of video-assisted thoracoscopic treatment of idiopathic chylothorax in 15 cats
-most common post op complication?
-overall mortality attributable to chylothorax?
-recurrent pleural effusion (33%)
-47% mortality overall
Rivenburg, vet surg 2023
Biomechanical comparison of canine median sternotomy closure using suture tape and orthopedic wire cerclage
-For which biomechanical parameter was orthopaedic wire superior to suture tape?
a) displacement
b) stiffness
c) yield load
d) maximum load
stiffness - wire stiffner than suture tape, rest no difference.
Mansbridge JFMS 2024
Physical examination and CT to assess thoracic injury in 137 cats presented to UK referral hospitals after trauma
-what were the most common CT findings?
-what factor was associated with increased number abnormal CT findings?
Atelectasis, pulm contusions and pneumothorax most common thorax CT findings
Thoracocentesis most common intervention.
33% cats had no PE findings but CT changes.
Increasing number of PE findings led to increasing no. CT changes.
Johnson, JAVMA 2024
Surgical approach and presence of preoperative pleural effusion impact thoracostomy tube usage in dogs and cats following thoracic surgery for suspected neoplasia
-what factor was associated with increased air evacuation?
-rib resection
