1. Evaluation of minimally invasive small intestinal exploration and targeted abdominal organ biopsy with use of a wound retraction device in dogs: 27 cases (2010-2017).
- Author
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Shamir, Shelly K., Singh, Ameet, Mayhew, Philipp D., Runge, Jeffrey J., Case, J. Brad, Steffey, Michele A., Balsameu, Ingrid M., Culp, William T. N., Giuffrida, Michelle A., Kilkenny, Jessica J., and zur Linden, Alex
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SMALL intestine , *DERMATOPHAGOIDES , *DOGS , *BIOPSY , *VETERINARY hospitals , *SURGICAL indications , *OPERATIVE surgery - Abstract
OBJECTIVE To describe surgical technique, biopsy sample quality, and short-term outcome o f minimally invasive small intestinal exploration and targeted abdominal organ biopsy (MISIETB) with use of a wound retraction device (WRD) in dogs. ANIMALS 27 client-owned dogs that underwent MISIETB with a WRD at I of 4 academic veterinary hospitals between January I, 2010, and May I, 2017. PROCEDURES Medical records w ere retrospectively reviewed, and data collected included signalment; medical history; findings from physical, ultrasonographic, laparoscopic, cytologic, and histologic evaluations; surgical indications, procedures, duration, and com plications; and short-term (14-day) outcomes. The Shapiro-Wilk test was used to evaluate the normality o f continuous variables, and descriptive statistics were calculated for numeric variables. RESULTS Laparoscopic exploration was performed through a multicannulated single port (n = 18), m ultiple ports (5), or a single 6-mm cannula (4). Median length of the incision for WRD placement was 4 cm (interqu artile [25th to 75th percentile] range, 3 to 6 cm). All biopsy samples obtained had sufficient diagnostic quality. The 2 most common histologic diagnoses were lymphoplasm acytic enteritis (n = 14) and intestinal lymphoma (5). Twentyfive o f 27 (93%) dogs survived to hospital discharge, and 3 (12%) dogs had postsurgical abnorm alities unrelated to surgical technique. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that MISIETB with WRD was an effective method for obtaining diagnostic biopsy samples o f the stomach, small intestine, pancreas, liver, and mesenteric lymph nodes in dogs. Prospective com parison betw een MISIETB w ith WRD and traditional laparotomy for abdominal organ biopsy in dogs is warranted. [ABSTRACT FROM AUTHOR]
- Published
- 2019