Slow occlusion of portosystemic shunts using a variety of methods is being evaluated world wide. Cellophane banding is a relatively simple procedure with comparable safety and efficacy to previously reported techniques.
Records of 146 dogs and 41 cats that underwent thoracic surgery at The University of Sydney Veterinary Teaching Hospital were reviewed for age, sex, breed, disease, operation date, periods of pre- and post-operative hospitalisation, use of surgical drains and outcome. Animals were assigned to 16 disease categories, the most common being patent ductus arteriosus, traumatic diaphragmatic hernia and oesophageal foreign body in dogs and traumatic diaphragmatic hernia in cats. Differences were observed between disease categories in all the criteria examined. There were almost equal numbers of male (72) and female (74) dogs, the median (range) age was 2.0 (0.2 to 14.0) years, the median pre-operative stay was 1 (0 to 14) days, the median post-operative stay was 4 (0 to 28) days and the overall survival to discharge rate was 78%. There were 24 male and 15 female cats (sex not recorded in 2 cats). The median (range) age was 3 (0.1 to 12) years, pre-operative stay 1 (0 to 6) days, post-operative stay 5 (0 to 15) days and the overall survival to discharge rate was 85%. Causes of post-operative deaths among animals in the most common categories are recorded and discussed.
The technique described in this report permits simple ligation of a range of different ductus morphologies in dogs of varying breeds, weights, and ages. In the event of serious hemorrhage, prompt ventricular outflow occlusion and ductus ligation followed by rapid whole blood transfusion is life saving in most cases.
Four cats with extensive pyogranulomatous panniculitis and dermatitis due to Mycobacterium smegmatis were evaluated over an eight‐month period. All were treated initially with doxycycline (50 mg per cat every eight to 12 hours) for several weeks, then subjected to radical surgical excision of infected tissues. Reconstructive surgery utilising advancement flaps was required to close wounds without undue tension. Postoperatively, the cats received parenteral gentamicin (2 mg/kg every eight hours) for three to five days, followed by orally administered ciprofloxacin (62.5 mg per cat every eight hours or 125 mg per cat every 12 hours) for three to six months. Infection was eradicated in all the cats, with no signs of recurrence 15 to 23 months after surgery.
Eleven dogs with prostatic disease were treated by total prostatectomy. Urinary incontinence persisted in three of nine dogs, two of which were also incontinent before surgery. The incidence of postoperative incontinence may be reduced by undermining the prostatic capsule to preserve as much prostatic urethra as possible. The risk of postoperative incontinence appeared greater if there was prostatic neoplasia or preoperative urinary incontinence.
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