Chylothorax Treated Via Thoracic Duct Ligation and Omentalization

Stewart, Kayla; Padgett, Sheldon

doi:10.5326/0460312

Cited by 27 publications

(27 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The omentum has a number of unique physiological properties including promoting angiogenesis, enhancement of inflammatory functions, macrophage margination, immune function and fibroplasia that have been exploited in small animal surgery (Hosgood 1990, White 2000, Hoelzler and others 2001, Johnson and Mann 2006, McAlinden and others 2009, Stewart and Paggett 2010, DaSilva and others 2011, Bussadori and others 2011, Franklin and others 2011). In particular, its ability to contain, resolve and wall off sites of abscessation has proved useful in the management of abscesses in the mediastinum (Franklin and others 2011), pancreas (Johnson and Mann 2006) and prostate gland (White 2000).…”

Section: Discussionmentioning

confidence: 99%

Omentalisation in the treatment of sublumbar abscessation: long‐term outcome in 10 dogs

Woodbridge

Martinoli²,

Cherubini

et al. 2014

Veterinary Record

View full text Add to dashboard Cite

The objectives of this study were to report the technique of omentalisation for the management of sublumbar abscessation associated with suspected migrating plant material, the intraoperative and postoperative complications that occurred and the long-term outcome of the cases. A retrospective case series of dogs (n=10) with sublumbar abscessation managed by exploration and drainage combined with omentalisation of the abscess cavity is reported in this study. The sublumbar area was approached through a ventral midline coeliotomy, the abscess was explored, drained, debrided and subsequently packed with omentum. One dog sustained an aortic rupture during exploration of the abscess, the aorta was repaired; there were no postoperative complications. There was long-term (>12 months) resolution of clinical signs in all dogs. Drainage and omentalisation of sublumbar abscesses resulted in complete resolution of signs in all dogs and was associated with a low incidence of complications. Omentalisation is an effective treatment for dogs presenting with sublumbar abscesses associated with suspected migrating plant material.

show abstract

Section: Discussionmentioning

confidence: 99%

Omentalisation in the treatment of sublumbar abscessation: long‐term outcome in 10 dogs

Woodbridge

Martinoli²,

Cherubini

et al. 2014

Veterinary Record

View full text Add to dashboard Cite

show abstract

“…Postoperative pleural infection associated with early mortality in animals managed surgically for chylothorax has also been reported in the veterinary literature in at least one study. Stewart and Padgett () reported death in one of five dogs treated surgically for chylothorax, and postmortem examination confirmed acute fibrinopurulent pleuritis. It is interesting to note this study also used a combined median sternotomy and midline coeliotomy to approach the thorax and allow thoracic omentalization.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, outcome and risk factors for postoperative pyothorax in 232 dogs undergoing thoracic surgery

Meakin

Salonen

Brockman

et al. 2013

J of Small Animal Practice

View full text Add to dashboard Cite

ObjectiveTo determine the prevalence, outcome and risk factors for postoperative pyothorax in dogs undergoing thoracic surgery.MethodsCase records were reviewed retrospectively to identify dogs with post thoracic surgery pyothorax, defined as septic neutrophilic inflammation within the pleural space based on cytology and/or a positive bacterial culture of pleural fluid. Those identified were reviewed for potential risk factors for postoperative pyothorax based on biological plausibility and previously published data. These potential risk factors were explored by multivariable logistic regression.ResultsOf 232 dogs undergoing thoracic surgery, 15 (6·5%) dogs developed pyothorax. Bacteria cultured included methicillin-resistant Staphylococcus aureus and multi-resistant Escherichia coli. Of these dogs, six died, four were euthanased and five were treated successfully. A diagnosis of idiopathic chylothorax [Odds Ratio (OR)=12·5, 95% Confidence Interval (CI)=2·7-58·5, P=0·001], preoperative intrathoracic biopsy (OR=14·3, 95% CI=1·7-118·7, P=0·014) and preoperative thoracocentesis (OR=11·2, 95% CI=1·6-78·2, P=0·015) were identified as independent risk factors for development of postoperative pyothorax.Clinical SignificanceIdiopathic chylothorax, intrathoracic biopsy and prior thoracocentesis are independent risk factors for postoperative pyothorax, which was associated with a 67% mortality rate.

show abstract

“…[39][40][41][42][43] Most recommendations for treatment include a combination of the following potential surgical options: thoracic duct ligation, pericardectomy, omentalization of the thoracic cavity, and cisterna chyli ablation. Arrhythmias that require treatment are occasionally encountered.…”

Section: Monitoringmentioning

confidence: 99%