tum to bum Flashcards

1
Q

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?

A

-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.

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2
Q

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?

A

-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.

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3
Q

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?

A

-8% dehiscence rate in cats

factors for dehiscence generally signs of malaise. multiple factors, non specific

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4
Q

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?

A

-10% dehiscence rate in dogs
-17% mortality

factors for mortality basically associated with sepsis

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5
Q

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?

A

-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%)

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6
Q

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?

A

-prior hernia repair

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7
Q

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?

A
  • 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
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8
Q

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

A

-74% good outcome
-16% poor outcome
-rectal prolapse

long-term, 2 had subtotal colectomy, 2 euthanised due to recurrence of signs, 1 recurred unilaterally.

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9
Q

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

A

-71% lymph node mets
-11% pulmonary mets

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10
Q

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?

A

equivalent recurrence rates, 9% obturator, 10% fascia lata

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11
Q

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?

A

-14% were normal
-20% had contralateral tumour.
-disruption of tumour capsule
-infection

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12
Q

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?
-what was associated with decreased PFI?

A
  • 204 days median PFI
    -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.

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13
Q

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

A

-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

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14
Q

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?

A

prominent venous plexus at the proximal duodenum

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15
Q

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?
A

-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

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16
Q

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?

A

-shorter hospitalisation, less fentanyl but MORE SSI (10.8% vs 2.9% without)

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17
Q

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?

A

-stricture at the surgery site resulting in intestinal obstruction

(2 cases out of 19 that had long term follow-up!)

18
Q

Thompson, Vet surg 2024
Effects of cyanoacrylate on leakage pressures of cooled canine cadaveric jejunal enterotomies

-which construct leaked at the highest pressure?

A

Handsewn and glue leaked at higher ILP (83) than HS (43) and glue (18)

19
Q

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?

A
  • 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
20
Q

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?

A
  • 15% (3/20) cases had margins altered.
    [near infrared demonstrated non-viable gastric fluorescence in 4]

-fundus, less fluorescence.

21
Q

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?

A

iatrogenic damage to spleen and jejunum

[useful technique if surgical delay required]

22
Q

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?

A

-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

23
Q

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

A

-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.

24
Q

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

A

-negative contrast radiography
-maine coon over represented

25
Q

Abrams, vet surg 2019
Perioperative complications and outcome after surgery for treatment of gastric carcinoma in dogs: A Veterinary Society of Surgical Oncology retrospective study of 40 cases (2004-2018)

-what was the MST?
-what was the rate of metastatic disease at time of surgery?
-what factor associated with improved survival?

A

-178 days
-45% mets (regional lymph nodes)
-chemotherapy

26
Q

Baron vet surg 2020
Paramedian incisional complications after prophylactic laparoscopy-assisted gastropexy in 411 dogs

-what % had incisional complications?
-SSI rate?
-factor associated with higher complication rate?

A

-19% (of which 96% resolved with conservative treatment)
-4% SSI
-SILS port

27
Q

Monnet, vet surg 2021
Laparoscopic correction of sliding hiatal hernia in eight dogs: Description of technique, complications, and short-term outcome

-describe port placement
-describe positioning
-what procedures
-what suture
-intraop complications?
-conversion rate?

A

-single port 2cm caudal to last rib on left side
-reverse trendelenberg
-unidirectional nonabsorbable barbed for hiatus closure (oesophageal plication) and oesophagopexy, and tube gastropexy
-pneumothorax in 3 dogs
-50% conversion to open (3 elective 1 emergency)

28
Q

Lhuillery. vet surg 2022
Outcomes of dogs undergoing surgery for gastric dilatation volvulus after rapid versus prolonged medical stabilization

  • emergency stabilisation in delayed group was decompression and then NG tube to maintain decompression.
    -survival rates did not differ
    -what factor was associated with mortality?
A

-hyperlactatemia after 24h associated with mortality

29
Q

Dobberstein, vet surg 2022
Primary repair of nonsteroidal anti-inflammatory drug-associated full thickness gastrointestinal ulcers in 11 dogs

-mortality rate?

A

-27% didn’t survive to discharge
[no association between ulcer size or location

30
Q

Gill, JAVMA 2019
Factors associated with dehiscence and mortality rates following gastrointestinal surgery in dogs

-what factor was associated with increased risk dehiscence?
-what factors were linked to mortality?

A
  • ASA >3
  • ASA >3, high lactate concentration
31
Q

Shamir, JAVMA 2019
Evaluation of minimally invasive small intestinal exploration and targeted abdominal organ biopsy with use of a wound retracting device in dogs: 27 cases (2010-2017)

  • what organs were able to be biopsied?
A

stomach, SI, pancreas, liver & abdominal LNs.

32
Q

Hiebert, JFMS 2022
Intestinal dehiscence and mortality in cats undergoing gastrointestinal surgery

-dehiscence rate?
-what percentage of cats died within 10 days?
-what factors increased odds of mortality?

A

-<1% dehiscence
-18% died
- pre-op septic peritonitis, hypothermia 25-72h post-op

33
Q

Gollnick, JFMS 2023
Retrospective evaluation of surgical treatment of linear and discrete gastrointestinal foreign bodies in cats: 2009–2021

-what complication was more likely in cats with linear foreign bodies?

A
  • surgical site infection
34
Q

Tidd, Vet surg 2019
Outcomes in 40 cats with discrete intermediate- or large-cell gastrointestinal lymphoma masses treated with surgical mass resection (2005-2015)

-what was the MST?
-which cats had longest MST?
-what factor was positively associated with survival?

A

-185 days
-large intestine lymphoma (MST 675 days vs 64 for SI and 96 for gastric)
-complete resection associated with survival.

35
Q

Sumner vet surg 2019
Evaluation of suture reinforcement for stapled intestinal anastomoses: 77 dogs (2008-2018)

-what factor was associated with reduced rate of dehiscence
-location of dehiscence?

A

-lower dehiscence rate in oversewn FEESA (0% compared to 15% in non-oversewn group). that group also had higher pre-op albumin.

-transverse staple line

36
Q

Brand, vet surg 2021
Effects of needle gauge and syringe size on small intestinal leakage at injection sites

-what factors decreased the frequency of leakage?

A

-22G needle reduced frequency of leakage
-20ml in 5cm section of porcine intestine increased frequency of leakage.

37
Q

Larose, vet surg 2020
Clinical findings and outcomes of 153 dogs surgically treated for intestinal intussusceptions
-what was the most common location of intussusception?
-complication rate?
-risk of severe complications?
-recurrence rate?

A

-ileocolic
-35% complications. diarrhoea, regurgiation and septic peritonitis most common complications.
-14% life threatening complications
-3% recurrence

38
Q

Duffy, vet surg 2020
Influence of oversewing the transverse staple line during functional end-to-end stapled intestinal anastomoses in dogs

-what suture pattern resulted in the greatest increase in ILP when oversewing the transverse staple line?

A

-cushing pattern

39
Q

Chu, vet surg 2020
Ex vivo comparison of leakage pressures and leakage location with a novel technique for creation of functional side-to-side canine small intestinal anastomoses

-which technique resulted in the highest ILP?
-which technique had highest maximal intraluminal pressure?

A
  • vessel sealant device with suture augmentation side to side anastamosis had highest ILP
  • stapled side to side anastamosis had highest maximal intraluminal pressure
40
Q

Maxwell, vet surg 2021
Outcomes of dogs undergoing immediate or delayed surgical treatment for gastrointestinal foreign body obstruction: A retrospective study by the Society of Veterinary Soft Tissue Surgery

-what variables were affected by delayed surgery?
- what were risk factors for intestinal necrosis/ perforation?

A

Enterectomies, duration of surgery & anaesthesia increased with delayed surgery.

Risk factors for necrosis & perforations: duration of clinical signs, increased lactate, linear FB, sx timing.

[ultimately no difference in outcome between groups].

41
Q

Chang, vet surg 2021
Influence of preconstructed effector loop location using a barbed unidirectional suture on leakage pressures following canine enterotomy closure

-ILP was lowest for effector loop at what distance from the enterotomy:
0mm
5mm
10mm
15mm
20mm

A

0mm

leaked from suture line in this group, and from suture holes in the others.