Long-term prognosis was guarded after biliary surgery in dogs. However, dogs that survived the early postoperative period had good long-term prognosis. Dogs with pancreatitis had poor prognosis. Overall, the prognosis was worse for dogs that underwent a biliary diversion, compared with dogs that did not.
Complications associated with implantation of polypropylene mesh in dogs and cats were evaluated retrospectively. Immediate postoperative complications were common (in 10 of 20 cases) but predominantly involved seroma formation which resolved with treatment. The only long-term (i.e., six months or more) complication identified was mass recurrence at the site of tumor resection (in seven of 14 cases). Recurrence was affected by resection size. The average number of ribs resected in cases of thoracic wall neoplasia (with and without mass recurrence) was 1.8 and 3.5, respectively. In this study, implantation of polypropylene mesh facilitated the reconstruction of large tissue defects and was not associated with any serious complications.
Colopexy was evaluated as a treatment for recurrent rectal prolapse in eight dogs and six cats. Cases included in the study were from two institutions; the University of Pennsylvania School of Veterinary Medicine and the University of Tennessee College of Veterinary Medicine. Two different colopexy techniques were used: A simple suture technique was used in two cats and four dogs (University of Pennsylvania), and an incisional technique was used in four cats and four dogs (University of Tennessee). Rectal prolapse had not recurred in any of the 14 animals at the time of follow-up. Incisional dehiscence occurred in two animals and in one instance may have been related to the colopexy procedure. Infection at the colopexy site, secondary to suture penetration of the colonic lumen, is a potential complication of this procedure. Colopexy, using either surgical technique described here, was effective in preventing recurrent rectal prolapse.
The BAR device can be used for colocolic anastomosis in cats with idiopathic megacolon. Serosal tearing during BAR insertion was a common intraoperative complication. Regardless of anastomotic technique, survival outcome after colonic resection is excellent for cats with FIM.
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