The objectives of this study were to evaluate blood and abdominal fluid lactate and glucose, fluid cytology, culture, and volume 24 and 48 hr following intestinal resection and anastomosis in dogs with and without closed-suction drains and to correlate findings with survival. Thirty-five client-owned dogs that underwent intestinal resection and anastomosis were prospectively enrolled in the study. Abdominal fluid was submitted for culture at surgery and again 24 hr postoperatively. Twenty-four and 48 hr postoperatively, blood and abdominal fluid glucose and lactate were measured and fluid was submitted for cytology. Abdominal fluid was collected either from a closed-suction drain or by abdominocentesis. Patients were followed either for 14 days or until death. Comparisons were made based on development of dehiscence and presence or absence of a drain. Patients with dehiscence were more likely to have positive cultures at 24 hr and to have had more bowel resected. Surviving patients without drains had significantly smaller differences in blood and fluid glucose and lactate both 24 and 48 hr postoperatively than surviving patients with drains. The significant differences identified between patients with and without drains suggests a need for further research into the effect of drains on abdominal fluid values.
A 17-year-old castrated male domestic shorthair cat was diagnosed with bilateral perinephric pseudocysts (PNPs). Bilateral subtotal resection of the PNPs was performed via a laparoscopic approach. There was no regrowth or reformation of the PNPs after the procedure and the cat's serum concentration of creatinine remained stable for 6 months after surgery. Laparoscopic bilateral subtotal resection of PNPs appears to have been an effective treatment option in this cat with the advantages of being minimally invasive and requiring only a brief hospital stay.
HistoryA 2-year-old castrated male German Shepherd Dog was evaluated at an emergency clinic because of a 1-day history of wheezing and anorexia. The dog had a 1-month history of intermittent coughing with mildly decreased appetite; no exercise intolerance, vomiting, or regurgitation had been noticed. On physical examination, the dog was panting and had a heart rate within reference range and a high rectal temperature (38.6°C [104.1°F]). Lung sounds were slightly harsh on auscultation. A CBC revealed eosinopenia (0.04 X 10 3 eosinophils/µL; reference range, 0.10 X 10 3 to 1.49 X 10 3 eosinophils/µL), but other values were within reference range. Three-view thoracic radiography was performed while the dog was awake and not sedated (Figure 1; 2 views shown).
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