34 results on '"DE OLIVEIRA, Marília Teresa"'
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2. Laparoscopic Diagnosis and Treatment of Gossypiboma Postconventional Ovariohysterectomy in a Bitch
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Brun, Maurício Veloso, Basso, Paula Cristina, de Oliveira, Marília Teresa, Dalmolin, Fabíola, Pinto-Filho, Saulo Tadeu Lemos, Hartmann, Helen Fialho, Abati, Stephanie Lanzarini, Machado-Silva, Marco Augusto, Müller, Daniel Curvello de Mendonça, and Sanchez-Margallo, Francisco Miguel
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Article Subject - Abstract
Introduction. Gossypiboma is a rare surgical complication in small animals. The authors reported the laparoscopic diagnosis and treatment of an abdominal gossypiboma and chronic draining fistula postopen ovariohysterectomy (OVH) unresponsive to medical treatment in a bitch. Case Presentation. The patient had undergone OVH and exploratory laparotomy in other veterinary practice 3 years previously. The animal, presenting a chronic fistula, was then referred to UFSM Veterinary Hospital. Ultrasonographic examination revealed a structure compatible with a granuloma. For the laparoscopic procedure, a 3-port (two at 11 mm; one at 6 mm) access was used. Adhesiolysis and mass removal were performed by blunt dissection and bipolar electrocoagulation. The fistula was treated by mobilising the omentum through it. There were no intra- or postoperative complications. The chronic wound showed first intention healing. The mass was composed of fibrous tissues surrounding one surgical gauze. Discussion and Conclusion. The removal of a retained surgical gauze in the abdomen by laparoscopy has already been described in medicine. However, a laparoscopic approach for treating a fistulous draining tract due to a gossypiboma has not been previously reported in dogs. Laparoscopic exploration of the fistula allowed the use of a pedicled omental flap through infected sites to control chronic infection. Laparoscopic surgery can be used to identify and treat abdominal gossypiboma in dogs, including those with chronic abdominal sinus.
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- 2021
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3. Management of Difficult Airway in a Cat with Tonsillitis
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Orlandin, Renata, primary, Mestieri, Maria Lígia De Arruda, additional, Beckmann, Diego Vilibaldo, additional, Pereira, Bibiana Welter, additional, and De Oliveira, Marília Teresa, additional
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- 2021
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4. Assistência Júnior em Anestesiologia Veterinária: Relato de experiência
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Pahim, Alyssa Brum de Souza, primary, Martins, Felipe Pratalli, additional, Orlandin, Renata, additional, Ribeiro, Dimas Dal Magro, additional, Valério, Giovanna Bauer, additional, and De Oliveira, Marília Teresa, additional
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- 2021
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5. Intraoperative fluid therapy for video-assisted ovariohysterectomy in dogs
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de Oliveira, Marília Teresa, primary, Scussel Feranti, João Pedro, additional, Pesamosca Coradini, Gabriela, additional, Oliveira Chaves, Rafael, additional, Dutra Corrêa, Luis Felipe, additional, Teixeira Linhares, Marcella, additional, Thiesen, Roberto, additional, Machado Silva, Marco Augusto, additional, and Veloso Brun, Maurício, additional
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- 2021
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6. Bulário informativo como ferramenta de ensino e aprendizagem na disciplina de farmacologia veterinária
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Ribeiro, Dimas Dal Magro, primary, Gomes, Etiele Maldonado, additional, Beckmann, Diego Vilibaldo, additional, and De Oliveira, Marília Teresa, additional
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- 2020
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7. Perineal Hernia in a Bitch
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De La Porta Machado, Ângela Valentina, primary, Lugoch, Gabriela, additional, Ibarra dos Santos, Ana Paula, additional, Pons Gonçalves, Maria Eduarda, additional, De Oliveira, Marília Teresa, additional, Pinto Viela, Jorge Abrão, additional, and Vilibaldo Beckmann, Beck, additional
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- 2020
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8. Thoracoscopic pericardiectomy associated with fully implantable catheter via thoracoscopy in the management of mesothelioma in a bitch
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HARTMANN, Hellen Fialho, primary, DE OLIVEIRA, Marília Teresa, additional, FERANTI, João Pedro Scussel, additional, CORADINI, Gabriela Pesamosca, additional, ABATI, Stephanie Lanzarini, additional, PIEREZAN, Bibiana Zoppas, additional, SARTURI, Vanessa Zanchi, additional, LINHARES, Marcella Teixeira, additional, SILVA, Álvaro José Chávez, additional, SÁNCHEZ-MARGALLO, Francisco Miguel, additional, DO AMARAL, Anne Santos, additional, and BRUN, Maurício Veloso, additional
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- 2019
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9. One-stage Laparoscopic Nephrectomy and Ovariohysterectomy for Concurrent Dioctophymosis and Pyometra in a Bitch
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Hartmann, Hellen Fialho, primary, De Oliveira, Marília Teresa, additional, Feranti, João Pedro Scussel, additional, Coradini, Gabriela Pesamosca, additional, Pierezan, Bibiana Zoppas, additional, Copat, Bruna, additional, Silva, Marco Augusto Machado, additional, and Brun, Maurício Veloso, additional
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- 2018
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10. Iliac Lymphadenectomy following Intrauterine Mapping in a Female Dog with Breast Neoplasm
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Feranti, João Pedro Scussel, primary, Coradini, Gabriela Pesamosca, additional, Linhares, Marcella Teixeira, additional, Hartmann, Hellen Fialho, additional, Campos, Rammy Vargas, additional, De oliveira, Marília Teresa, additional, Chaves, Rafael Oliveira, additional, Silva, Alvaro José Chávez, additional, and Brun, Maurício Veloso, additional
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- 2018
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11. Ovariectomia laparoscópica ou convencional em cadelas: análise hemodinâmica e álgica
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Feranti, João Pedro Scussel, de Oliveira, Marília Teresa, de Souza, Fernando Wiecheteck, Hartmann, Hellen Fialho, Baumer, Sabrina, Soares, André Vasconcellos, Vaz, Marcos André Braz, Chaves, Rafael Oliveira, Libardoni, Renato do Nascimento, and Brun, Maurício Veloso
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elective spay ,Cirurgia ,esterilização eletiva ,laparoscopy ,ovariectomia aberta ,Surgery ,pain ,Medical Personnel ,conventional ovariectomy ,dor ,laparoscopia ,Informational Skills - Abstract
Feranti J.P.S., Oliveira M.T., Souza F.W., Hartmann H.F., Baumer S., Soares A.V., Vaz M.A.B., Chaves R.O., Libardoni R.N. & Brun M.V. [Laparoscopic or conventional ovariectomy in bitches: hemodynamic and pain assessment.] Ovariectomia laparoscópica ou convencional em cadelas: análise hemodinâmica e álgica. Revista Brasileira de Medicina Veterinária, 38(1):73-78, 2016. Departamento de Clínica de Pequenos Animais, Centro de Ciências Rurais, Universidade Federal de Santa Maria, Camobi, Santa Maria, RS 97105-900, Brazil. E-mail: mauriciovelosobrun@hotmail.com The purpose of this study was to compare hemodynamic and serum cortisol changes, as well as pain of two ovariectomy techniques (convencional versus laparoscopic) in bitches. In this trial, 17 young female mongrel dogs (12.58 ± 4.29 months-old, 10.16±0.69kg), were used. The animals were divided into two groups according to surgery. Median celiotomy approach for ovariectomy (OV) was carried out in eight animals of GC. Laparoscopic OV was performed in nine patients of the GV. To evaluate analgesia, hemodynamics parameters (HR, SAP, MAP, DAP, central venous pressure and cardiac output), serum cortisol and three pain scales (VAS, UMPS and Glasgow CMPS-SF). In both procedures (GV and GC) there were no complications during the surgery or in the postoperative period. Ovariectomy laparoscopic technique by two portals provided pain stimulus of lower magnitude and range, and rapid return to baseline cortisol values compared to the conventional approach, without affecting the hemodynamic parameters., O objetivo deste estudo foi comparar duas técnicas de ovariectomia (convencional vs laparoscópica) em cadelas, por meio da determinação de alterações hemodinâmicas, de cortisol sé- rico e dos estímulos dolorosos nos períodos trans e pós-operatório. Para o experimento foram utilizadas 17 cadelas, jovens (12,58 ± 4,29 meses), sem raça definida, com peso médio de 10,16±0,69kg. Os animais foram alocados em dois grupos, de acordo com a técnica operatória aplicada. No primeiro grupo (oito animais), a ovariectomia (OV) foi efetuada por celiotomia retro-umbilical (GC) e, no segundo grupo (nove animais), pela técnica de laparoscopia por dois portais (GV). Para a avaliação da analgesia foram aferidos parâmetros hemodinâmicos (FC, f, PAS, PAM, PAD, Pressão Venosa Central e débito cardíaco) no transoperatório, bem como utilizadas três escalas de dor no pós-operatório: a visual analógica (EVA), da universidade de Melbourne, e a escala composta de Glasgow. Em ambos procedimentos (GV e GC) não ocorreram complicações trans ou pós-operatórias. A técnica de ovariectomia laparoscópica por dois portais propiciou estímulo álgico de menores magnitude e intervalo, e rápido retorno aos valores basais de cortisol em relação à abordagem convencional, sem, contudo, afetar os parâmetros hemodinâmicos.
- Published
- 2016
12. Laparoscopic or conventional ovariectomy in bitches: hemodynamic and pain assessment
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Feranti, João Pedro Scussel, de Oliveira, Marília Teresa, de Souza, Fernando Wiecheteck, Hartmann, Hellen Fialho, Baumer, Sabrina, Soares, André Vasconcellos, Vaz, Marcos André Braz, Chaves, Rafael Oliveira, Libardoni, Renato do Nascimento, Brun, Maurício Veloso, Feranti, João Pedro Scussel, de Oliveira, Marília Teresa, de Souza, Fernando Wiecheteck, Hartmann, Hellen Fialho, Baumer, Sabrina, Soares, André Vasconcellos, Vaz, Marcos André Braz, Chaves, Rafael Oliveira, Libardoni, Renato do Nascimento, and Brun, Maurício Veloso
- Abstract
Feranti J.P.S., Oliveira M.T., Souza F.W., Hartmann H.F., Baumer S., Soares A.V., Vaz M.A.B., Chaves R.O., Libardoni R.N. & Brun M.V. [Laparoscopic or conventional ovariectomy in bitches: hemodynamic and pain assessment.] Ovariectomia laparoscópica ou convencional em cadelas: análise hemodinâmica e álgica. Revista Brasileira de Medicina Veterinária, 38(1):73-78, 2016. Departamento de Clínica de Pequenos Animais, Centro de Ciências Rurais, Universidade Federal de Santa Maria, Camobi, Santa Maria, RS 97105-900, Brazil. E-mail: mauriciovelosobrun@hotmail.com The purpose of this study was to compare hemodynamic and serum cortisol changes, as well as pain of two ovariectomy techniques (convencional versus laparoscopic) in bitches. In this trial, 17 young female mongrel dogs (12.58 ± 4.29 months-old, 10.16±0.69kg), were used. The animals were divided into two groups according to surgery. Median celiotomy approach for ovariectomy (OV) was carried out in eight animals of GC. Laparoscopic OV was performed in nine patients of the GV. To evaluate analgesia, hemodynamics parameters (HR, SAP, MAP, DAP, central venous pressure and cardiac output), serum cortisol and three pain scales (VAS, UMPS and Glasgow CMPS-SF). In both procedures (GV and GC) there were no complications during the surgery or in the postoperative period. Ovariectomy laparoscopic technique by two portals provided pain stimulus of lower magnitude and range, and rapid return to baseline cortisol values compared to the conventional approach, without affecting the hemodynamic parameters., O objetivo deste estudo foi comparar duas técnicas de ovariectomia (convencional vs laparoscópica) em cadelas, por meio da determinação de alterações hemodinâmicas, de cortisol sé- rico e dos estímulos dolorosos nos períodos trans e pós-operatório. Para o experimento foram utilizadas 17 cadelas, jovens (12,58 ± 4,29 meses), sem raça definida, com peso médio de 10,16±0,69kg. Os animais foram alocados em dois grupos, de acordo com a técnica operatória aplicada. No primeiro grupo (oito animais), a ovariectomia (OV) foi efetuada por celiotomia retro-umbilical (GC) e, no segundo grupo (nove animais), pela técnica de laparoscopia por dois portais (GV). Para a avaliação da analgesia foram aferidos parâmetros hemodinâmicos (FC, f, PAS, PAM, PAD, Pressão Venosa Central e débito cardíaco) no transoperatório, bem como utilizadas três escalas de dor no pós-operatório: a visual analógica (EVA), da universidade de Melbourne, e a escala composta de Glasgow. Em ambos procedimentos (GV e GC) não ocorreram complicações trans ou pós-operatórias. A técnica de ovariectomia laparoscópica por dois portais propiciou estímulo álgico de menores magnitude e intervalo, e rápido retorno aos valores basais de cortisol em relação à abordagem convencional, sem, contudo, afetar os parâmetros hemodinâmicos.
- Published
- 2016
13. Right Laparoscopic Adrenalectomy in a Bitch
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De Souza, Fernando Wiecheteck, primary, Gomes, Cristiano, additional, Kasper, Priscila Natasha, additional, De Oliveira, Marília Teresa, additional, ScusselFeranti, João Pedro, additional, TrichesDornbusch, Peterson, additional, Huppes, Rafael Ricardo, additional, Daniel, Lucas Lubasinski, additional, Brun, Maurício Veloso, additional, Sprada, Arícia Gomes, additional, and Pazzini, Josiane Morais, additional
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- 2016
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14. Melanoma of the Iris, Ciliary Body and Choroid in a Dog’s Poodle
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Corrêa, Luis Felipe Dutra, primary, Chaves, Rafael Oliveira, additional, De Oliveira, Marília Teresa, additional, Feranti, João Pedro Scusssel, additional, Copat, Bruna, additional, Neto, Dakir Nilton Polidoro, additional, and Pippi, Ney luis, additional
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- 2016
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15. Fibrocartilaginous Embolism Associated with the Extrusion of the Intervertebral Disc in a Dog
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Chaves, Rafael Oliveira, primary, Copat, Bruna, additional, Beckmann, Diego Vilibaldo, additional, Feranti, João Pedro Scusssel, additional, De Oliveira, Marília Teresa, additional, Corrêa, Luís Felipe Dutra, additional, Ripplinger, Angel, additional, and Mazzanti, Alexandre, additional
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- 2016
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16. Laparoscopic Nephrotomy to Removal of Staghorn Calculus in a Canine
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Feranti, João Pedro Scussel, primary, De Oliveira, Marília Teresa, additional, Pastore, Luciane Laux, additional, Hartmann, Hellen Fialho, additional, Linhares, Marcella Teixeira, additional, Chaves, Rafael Oliveira, additional, Corrêa, Luis Felipe Dutra, additional, and Brun, Maurício Veloso, additional
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- 2016
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17. Encephalic Meningioma in Dogs
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Chaves, Rafael Oliveira, primary, Beckmann, Diego Vilibaldo, additional, Copat, Bruna, additional, Feranti, João Pedro Scussel, additional, De Oliveira, Marília Teresa, additional, De Souza, Fernando Wiecheteck, additional, Schwab, Marcelo Luís, additional, and Mazzanti, Alexandre, additional
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- 2016
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18. Laparoscopic-assisted incisional colopexy by two portals access in a domestic cat with recurrent rectal prolapse
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Secchi, Priscila, primary, Filho, Hiran Castagnino Kunert, additional, Scussel Feranti, João Pedro, additional, de Oliveira, Marília Teresa, additional, Gottlieb, Juliana, additional, Guedes, Rogério Luizari, additional, Colomé, Lucas Marques, additional, and Brun, Maurício Veloso, additional
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- 2012
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19. Laparoendoscopic Single-Site Surgery na realização de criptorquidectomia laparoscópica em um gato.
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Scussel Feranti, João Pedro, de Oliveira, Marília Teresa, de Souza, Fernando Wiecheteck, Dutra Corrêa, Luís Felipe, Pinto Filho, Saulo Tadeu Lemos, Dalmolin, Fabíola, and Veloso Brun, Hellen Fialho HartmannI Maurício
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The most common congenital disease in domestic animals is cryptorchidism, which is characterized by the failure of one or both testicles to descend into the scrotum. The objective of this paper is to describe a video-assisted cryptorchidectomy through a single access (LESS), without specific portal multifunctional, in a two-year-old siamese cat weighing 3.9kg. To perform the cryptorchidectomy, it was inserted a single portal (5mm) in the ventral midline in the pre-pubic region. The cavity was insufflated with medicinal CO2 at a rate of 1l/minute in order to obtain a pneumoperitoneum (8mmHg). After the inspection of the abdominal cavity with an endoscope (5mm/25°) the ectopic testicle was identified. With a minilaparoscopy, forceps (3mm) was introduced in the side of the first portal (same access), the testicle was grasped and pulled outside to realize hemostasis, without need to extend surgical wound. After sectioning the testicular vessels, the testicle was fully released and the vascular stump was returned to the abdominal cavity. The present report demonstrates that laparoscopic surgery by a single access (LESS) may be successful in the diagnosis and treatment of cryptorchidism in cats, considering the potential benefits that this procedure brings in relation to conventional surgery. [ABSTRACT FROM AUTHOR]
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- 2015
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20. Esplenectomia videolaparoscópica com eletrocirurgia bipolar em cão com massa esplênica.
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de Oliveira, Marília Teresa, de Souza, Fernando Wiecheteck, Dalmolin, Fabiola, Lemos Pintofilho, Saulo Tadeu, Oliveira Chaves, Rafael, Ramos da Silva, Sérgio Santalucia, Scussel Feranti, João Pedro, and Veloso Brun, Maurício
- Abstract
Background: The main indications to splenectomy in dogs are splenic neoplasms and torsions as well as serious injuries and hemolytic diseases refractory to medical therapy. Animal laparoscopic splenectomy is basically described in experimental studies, while in humans the technique has been established as a standard surgical treatment of splenic disorders. Due to the shortage of reports showing the applicability of this technique in veterinary routine, this study aimed to report a case of laparoscopic splenectomy using bipolar hemostasis and transparietal sutures in a dog that presented splenic mass. Case: A 12-years-old dachshund male was referred for splenectomy due to suspected of splenic neoplasm, after observation of splenic nodules during an ultrasound examination. The splenectomy was performed by videosurgery, with three portal accesses after clinical and laboratory evaluation. The first portal was positioned laterally to the fourth right mammary gland, and the second one in the umbilicus scar; the third one was introduced by paramedian access, laterally to the penis (on the left position). After establishment of CO2 pneumoperitoneum was visualized the splenic mass and performed the first temporary transparietal suture using nylon 0; the spleen was elevated in order to exposure the branches of the splenic vessels. It was realized bipolar cauterization and splenic ablation, near to the organ surface. The lifting spleen procedure (transparietal suture) was performed additionally more two times, allowing complete hemostasis of the splenic branches and their subsequent section. After splenic excision, it was allocated in retrieval bag for removal tissues by the second portal. The suture of the orifices in the abdominal wall was done with cruciate mattress suture (polyglactin 910 2-0); the same material and standard were used to reduce the subcutaneous space. Skin suture was performed with nylon 4-0 and simple interrupted points. The excised organ was analyzed by histopathological exam and it revealed a splenic nodular hyperplasia. Discussion: The pathological changes in the spleen could be neoplastic or not neoplastic, and it usually appears as a generalized splenomegaly or nodular organ. In this case, it was opted to perform total splenectomy considering that the neoplasms have significantly higher occurrence than other pathologic processes, the incidence of splenic changes is greater in seniors, the most part of spleen neoplasms are malignant, and the histopathological analysis is essential to distinguish the abnormalities. Additionally, the option is supported by the indication of other authors, who suggest the analysis of the entire surgical specimen. Despite the conventional splenectomy is commonly performed in dogs, the procedure was performed laparoscopically in order to minimize postoperative complications and discomfort, reduce the time of hospitalization and rehabilitation and to obtain a better cosmetic effect, considering the small size of the mass. Bipolar cauterization was performed near to the hilum, and in order tofacilitate hemostasis, maneuvers as a spleen elevation with transparietals sutures were important to the procedure success. Comparing to the conventional procedure, when a large abdominal incision in the ventral midline is necessary for proper exposure of the spleen, minimally invasive techniques become a less traumatic option; especially in the spleen, an abdominal organ easily accessed by laparoscopy. It is possible diagnosis and treatment of splenic diseases in a unique section. We concluded that laparoscopic splenectomy is feasible and safe in dogs, making it a suitable choice of surgical treatment for selected splenic masses. [ABSTRACT FROM AUTHOR]
- Published
- 2015
21. Hidrocefalia congênita em cães.
- Author
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Chaves, Rafael Oliveira, Copat, Bruna, Fabretti, Andrei Kelliton, Scussel Feranti, João Pedro, de Oliveira, Marília Teresa, Elias, Bruno Cesar, Gomes, Lucas Alécio, and Mazzanti, Alexandre
- Abstract
Background: Hydrocephalus is a condition characterized by increased cerebrospinal fluid volume, with progressive dilatation of the ventricular system, with subsequent destruction and atrophy of the brain parenchyma. The congenital form is the most observed in the first months of life and occurs more frequently in small breed dogs. Because of the importance of this disease in the differential diagnosis in young dogs with signs cortical thalamus and the lack of national literature on the subject, the objective of this report was to present ten cases of congenital hydrocephalus in dogs and information about the race, sex, age, neurological signs, the findings of complementary tests and response to therapy. Cases: Ten dogs were referred to the Veterinary Medical Teaching Hospital of the UFSM, being three mixed breed dogs, two Lhasa apso, two Dachshunds, one Poodle, one English Bulldog and one Yorkshire terrier, aged between one month and one year and six months, seven females and three males. In all cases, the owners reported during anamnesis, altered level of consciousness (drowsiness or hallucination) and behavior and learning difficulties. For anatomical location of the lesion was performed complete neurological examination. As complementary tests were requested hemogram and serum biochemistry. In some individuals was performed analysis of cerebrospinal fluid by puncturing the lower back. transcranial ultrasound examination was performed only in five dogs. Opposite the historical, clinical, neurological and laboratory test findings, the diagnosis was congenital hydrocephalus. After the diagnosis, seven dogs were subjected to treatment with corticosteroids and three dogs were euthanized at the option of the owner. Of the seven treated dogs, none had a satisfactory clinical improvement during long time. Five dogs died during clinical treatment and were not subject to the necropsy by the lack of notification by the owners. Discussion: Congenital hydrocephalus is diagnosed more frequently than acquired in routine clinical small animal. In addition, young animals are the most affected by the primary hydrocephalus. The mean age of the dogs of this report was four months. Only one dog was over one year old, but the history, the onset of clinical signs was at six months of age. As for breed all were predisposed breeds and crossbred dogs were small, as described in the literature. Due to accumulation of cerebrospinal fluid in the ventricular system, clinical signs occur by compression of adjacent brain parenchyma. The clinical signs in dogs found in this study were changes in behavior and level of consciousness, characterized by drowsiness and/or hallucinations (100%), skull increased volume (80%), bilateral lateral ventral strabismus (60%), seizures (30%), non ambulatory tetraparesis (20%), walking in circles (20%) and head turn (10%). As the evolution of clinical signs, although some patients may remain stable for some time, clinical signs are generally progressive. In nine dogs of this study the signs were progressive. Medical therapy includes general supportive care and medication to reduce the production of cerebrospinal fluid and hence reduce intracranial pressure. Various medications are used for this purpose, such as corticosteroids, diuretics and blockers carbonic anhydrase. In this study, the protocol was instituted therapy with prednisolone at the dose of 0.5 mg kg (body weight) oral, every 24 h for 14 days. Three dogs had mild clinical improvement in the first week of therapy, however, subsequently had worsening of neurological signs. The study has as clinical relevance, the importance of congenital hydrocephalus in the differential diagnosis of young dogs with neurological signs of cortical thalamus, and the effective ultrasound examination to conclude the diagnosis. The prognosis is poor in patients undergoing medical treatment with corticosteroids. [ABSTRACT FROM AUTHOR]
- Published
- 2015
22. Ovariohisterectomia Videolaparoscópica em Cadela com Ovários Remanescentes e Piometra de Cornos Uterinos.
- Author
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Copat, Bruna, Chaves, Rafael Oliveira, Scussel Feranti, João Pedro, Coradini, Gabriela, Hartmann, Hellen Fialho, Dutra Corrêa, Luis Felipe, De Oliveira, Marília Teresa, and Brun, Maurício Veloso
- Abstract
Background: The ovariosalpingohisterectomy (OSH) is the treatment of choice for the remaining ovary syndrome and canine pyometra, which can be performed by conventional or laparoscopic approach. In recent years, have developed new techniques for laparoscopic treatment of uterine and ovarian diseases in dogs. However, there are few reports of laparoscopic OSH for treatment of ovarian remnant syndrome and stump pyometra. Thus, the present report aims to describe the use of laparoscopy for the treatment of pyometra uterine horns and ovaries in a bitch remaining. Case: A bitch, mixed breed, with two years of age, was answered with a history of heat after being submitted to OSH was five months. Against clinical and ultrasonographic findings, the diagnosis was the remaining ovary syndrome pyometra and uterine horns, the animal being referred for laparoscopic surgery to remove the remaining uterine and ovarian tissue. After placing two laparoscopic portals, the animal was placed in right lateral recumbency. After the seizure of the ovarian ligament itself with the Kelly forceps, was held dual temporary transparietal suture for better exposure of the left arteriovenous ovarian complex. Was continued with bipolar cautery and Metzenbaum scissors with section. The animal was repositioned in the left lateral decubitus position, and the procedure was repeated on the right ovarian arterial-venous complex. The animal was positioned in dorsal recumbency again. Was held to apply temporary transparietal suture involving the urinary bladder for inspection of the uterine stump, without this change. There was exposure of the ovaries and uterine segments from the removal of the cannula and aspiration of uterine contents with the aid of a catheter 18. Verifying the absence of hemorrhage, the cavity was deflated, and the wounds sutured into muscle level access quilter cross pattern with 2-0 polyglactin 910. Subcutaneous suture was performed with the same wire a simple continuous pattern. The skin was occluded with a 3-0 monofilament nylon in standard default horizontal quilter stopped. Discussion: Patient in this report, when it was found the remaining ovaries and uterine horns increased in volume, remained the proposal OSH by laparoscopy, once the laparoscopic surgery is associated with better and faster postoperative recovery, as well as lower production of painful stimuli, magnification of images, the possibility of wide-ranging exploration of the peritoneal cavity, decreases the length of hospitalization and intensive care at that stage. Despite the success of previous reports of therapeutic video-assisted OSH in dogs and cats, the use of laparoscopic OSH with two portals for the treatment of ovarian remnant syndrome is still scarce in the small animal clinic. The minimally invasive procedure has disadvantages as a steep learning curve, with consequent initial prolonged surgical time and high operating costs. On the other hand, laparoscopy has less adhesion formation and better preservation of lung function. This may have contributed to the rapid postoperative recovery this dog. It is concluded therefore that laparoscopic OSH with two portals proved effective and beneficial in the treatment of ovarian remnant stump pyometra and uterine horn can be used in dogs as an alternative to conventional surgery. [ABSTRACT FROM AUTHOR]
- Published
- 2015
23. Two-Portal Laparoscopic-Assisted Approach for the Treatment of an Unusual Case of Ovarian Remnant Syndrome and Uterine Horn Stump Piometra in a Bitch.
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Linck, Camila Marques, Scussel Feranti, João Pedro, De Faria Valle, Stella, Da Motta, Adriana Costa, Dalbello, Thaís, Corrêa, Rose Karina, De Oliveira, Marília Teresa, Machado Silva, Marco Augusto, and Veloso Brun, Maurício
- Subjects
OVARY abnormalities ,LAPAROSCOPY ,OVARIECTOMY ,DOG diseases ,OVARIAN surgery - Abstract
Background: The ovarian remnant syndrome (ORS) is the persistence of ovarian activity in spayed bitches or queens, which results from failure in complete gonadal removal or due to the presence of accessory ovaries on the uterine broad ligament. In most of cases, surgical approach may be required in order to both diagnose and treat the syndrome. The current case report describes the usefulness of video-assisted surgery as an alternative to diagnosis and treatment of an unusual case of ORS and stump piometra in a bitch. Case: The purpose of the current study was to report the case of a 4-year-old Dachshund bitch, bearing paraplegia due to intervertebral disk disease (IVDD), showing estrus and pseudo pregnancy regularly for two years. This report describes the use of alternative exploratory video-assisted laparoscopy followed by ovariectomy as a safe and effective method for both diagnosing and treating the ORS and stump pyometra uterine horn held in HV-UPF. Following complementary exams, the patient was submitted to ultrasonography, which revealed the presence of masses resembling ovaries caudally to the respective renal caudal pole. A two-portal laparoscopic-assisted approach was chosen for the surgical treatment. The intact ovary and a remnant uterine horn stump were present on the right side. On the left side, there was the intact ovary. The overall surgical time was 115 min and the postoperative was uneventful. The patient was discharged following 10 days of the surgery, right after removal of the skin sutures. The excised specimen was referred to the Laboratory of Animal Pathology of the UPF for both macroscopic and histological assessment. The macroscopic exam revealed the presence of both complete ovaries and the remnant uterine horn stump presented remnants of purulent content. The histologic assessment revealed several follicles and corpus luteum, besides mild perifollicular multifocal hemorrhage. On the second ovary, there were ovarian follicles and the remnant uterine horn presented discrete multifocal cystic endometrial hyperplasia. Discussion: The treatment of choice to ORS is surgical removal of the remnant tissue, especially due to the risk of development of neoplastic disease. The occurrence of ORS, as observed in the current case report, can be attributed to improper surgical technique during elective OVH. In our case, there was incomplete removal of both ovaries and incomplete resection of the right uterine horn. In face of the advantages associated to the laparoscopic access, we opted for a two-portal approach. In this special case, regarding a patient bearing paraplegia and consequent fecal and urinary incontinence, we chose the endosurgical approach due to the reduced incision length, which could have resulted in decreased risk of wound fecal and urine contamination or infection. During laparoscopy, it was seen that the right ovary was intact, without rupture of the suspensory ligament and the presence of a segment of the right uterine horn. In these cases, the remnant tissue is most frequently found on the right side, fairly probably due its deep and cranial anatomical topography. Such condition could lead to poor exposition/viewing of the right pedicle and ovary. In cases of both impaired access and visualization of the mesovarium in patients positioned in dorsal decumbency, it is recommended to slightly rotate the patient in the lateromedial direction to the opposite side. In conclusion, the two-port laparoscopic approach is effective for the surgical management of ovarian remnants associated to stump piometra in the bitch. [ABSTRACT FROM AUTHOR]
- Published
- 2015
24. Dilatação esofágica endoscópica associada ao uso de triancinolona intramural em cadela com estenose de esôfago após ovariohisterectomia eletiva.
- Author
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de Oliveira, Marília Teresa, Bonilla Trindade, Anelise, Wiecheteck de Souza, Fernando, Dalmolin, Fabiola, Tadeu Lemos Pinto Filho, Saulo, Schmitt, Bernardo, Basso, Paula Cristina, Scussel Feranti, João Pedro, and Veloso Brun, Maurício
- Subjects
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TRIAMCINOLONE , *STENOSIS , *CANIDAE , *WEIGHT loss , *ANIMAL feeding - Abstract
The acquired esophageal stenosis usually occurs due to a severe esophagitis, resulting in the healing process with proliferation off ibrous tissue. Is gastroesophageal refluxin anesthetized animals among the reasons of this disease. This paper reports a case of esophageal luminal endoscopic dilations associated with intralesional triamcinolone in a bitch with esophageal strictures. A mongrel canines hows regurgitation and progressive weight loss. These signs appeared after elective laparoscopic OVH performed, where the patient had part of regurgitation during surgery. Based on clinical and endoscopic findings it was possible to diagnostic stenosis in the final third of the cervical esophagus. The treatment was done with esophageal dilations and intraluminnal triamcinolone administration. This procedure was repeated once a week for four weeks. The 15th dilatation occurred 14 days after the 14th. The patient was discharged after seven days of the final dilatation with no more regurgitation, even when feeding dry kibble within o incline. We concluded that the esophageal dilation associated with in tralesional triamcinolone were effective esophageal strictures treatment in this case. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
25. Rigid Endoscopy to Aid the Treatment of Cervical Mucocele in a Dog.
- Author
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Scussel Feranti, João Pedro, Bonilla Trindade, Anelise, de Oliveira, Marília Teresa, de Souza, Fernando Wiecheteck, Dutra Corrêa, Luis Felipe, Dalmolin, Fabíola, Gomes Sprada, Arícia, and Veloso Brun, Maurício
- Subjects
SALIVA ,GRANULATION tissue ,ENDOSCOPY ,DROOLING ,DOG diseases - Abstract
Background: Sialocele or salivary mucocele is the accumulation of saliva in the glandular connective tissue due to a leakage from damaged salivary duct, which is surrounded by granulation tissue. The mucocele can be classified according to its location (cervical, pharyngeal or sublingual, the latter being known as ranula). The treatment consists of salivary gland and duct excision. However, in some cases, the definition of which side is affected is a challenge for surgeons. Keeping this in view, the aim of the present study was to describe the use of rigid endoscopy to determine the affected gland in a dog with cervical mucocele. Case: A five-year-old Dachshund, weighting 8.2 kg, was presenting progressive swelling in the ventral cervical area. The animal presented apathy, appetite loss and saliva drooling. A fluctuant, non-painful, fluid filled mass was noted on physical examination. Sialocele was diagnosed and surgery was undertaken to excise the involved gland and mass. The patient was positioned in dorsal recumbence. A skin incision was performed in the cranial-ventral aspect of the mass as it was not possible to precise the affected side. Following drainage of the content, the inner aspect of the sialocele capsule was digitally palpated using the surgeon's index finger. However, it was still not possible to determinate the affected side. A purse-string suture was performed around the incision and a 10mm cannula was inserted into the sialocele lumen. The cavity was insufflated with CO
2 , then using a 0° 10 mm endoscope, the whole extension of the capsule was inspected. On the right side, the wall was round shaped, suggesting the presence of the right gland compressing the wall of the affected gland to the left. On the left side, there were some recesses and irregular surfaces, and an orifice was identified, suggesting the presence of the ducts opening. Therefore, the left sublingual and mandibular glands were excised conventionally. The procedure lasted 150 min and it was performed uneventfully. The patient was followed-up for seven days and skin sutures were removed after complete primary intention healing. Thirty days postoperative the patient presented no signs of recurrence. Discussion: Although several maneuvers were performed in order to diagnose the affected side in the current report, some doubt remained. Thus, endoscopic diagnosis was tested, which has not been reported for that purpose in the author's knowledge. Although not completely conclusive, such examination provided strong basis that the left side was affected. A month after the treatment, recurrence did not occur, which is usually one of the most common complications. Therefore, the exam purposed in this report fulfilled its expectancies, suggesting that rigid endoscopy may be used as a new tool for identification of which side and gland are involved in complicated extensive salivary mucoceles cases. Another important aspect of the procedure was the insufflation of the mucocele cavity that allowed the inner capsule inspection and did not result in subcutaneous emphysema. It was applied a pressure of 15 mmHg, higher than routinely used for laparoscopy in dogs, since it is a limited region, and presents reduced risk of subcutaneous absorption or alteration by compression. In conclusion, endoscopic view of the sialocele inner capsule is feasible in dogs as an adjunct for diagnosing the affected side in complicated cases. [ABSTRACT FROM AUTHOR]- Published
- 2015
26. Medial iliac lymph node as a target for metastasis in bitches with malignant mammary neoplasms.
- Author
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Scussel Feranti, João Pedro, Pesamosca Coradini, Gabriela, Teixeira Linhares, Marcella, Campos, Rammy Vargas, Gavioli, Felipe Baldissarella, Nascimento Antunes, Bernardo, de Oliveira, Marília Teresa, and Veloso Brun, Maurício
- Subjects
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METHYLENE blue , *LYMPHATIC metastasis , *FEMALE dogs , *MAMMARY glands , *LYMPH nodes , *TUMORS , *MEDICAL screening - Abstract
The regional lymphatic connections of the mammary glands in canines are poorly investigated, both in healthy animals and in those with mammary neoplasms. The objective was to establish the occurrence of metastases in the medial iliac lymph nodes (MILN) in bitches with mammary neoplasm, in addition to evaluating the effectiveness of the technique of lymphatic labeling of the MILN, administering methylene blue (MB) dye intrauterinely or intradermally. Thirty-two bitches with tumors in different mammary glands were included in the study. In 13 bitches (GU group), the MILNs were stained with intrauterine MB, followed by unilateral lymphadenectomy, ovariohysterectomy (OVH) and unilateral mastectomy. Nineteen bitches (GI group) underwent OVH, followed by MILN staining with intradermal MB, lymphadenectomy, and unilateral mastectomy. In GU, 11 bitches (84.62%) exhibited MB-stained MILNs, but staining was not observed in two (15.38%). Metastasis to MILNs was observed in three bitches (9.38%) from the GI and two (6.25%) from the GU. Intrauterine and intradermal staining of MILNs in bitches with mammary tumors was efficient, but intradermal administration of MB produced better results. Given metastatic spread to MILNs in approximately 15.63% of patients, we recommend that screening for MILNs should be considered as part of the staging of animals with malignant mammary neoplasms. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
27. Laparoscopic ureterocalicostomy in pigs - experimental study.
- Author
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de Oliveira Caldas, Paulo Fernando, de Almeida Rocha, Luiz Carlos, de Oliveira, Marília Teresa, de Ataíde, Michelli Westphal, Spagnolo, Julio David, Scussel Feranti, João Pedro, de Souza, Fernando Wiecheteck, Machado Silva, Marco Augusto, and Brun, Maurício Veloso
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LAPAROSCOPY , *SWINE , *IATROGENIC diseases , *KIDNEY radiography , *SURGICAL anastomosis , *PORCINE reproductive & respiratory syndrome - Abstract
This study aimed to evaluated laparoscopic ureterocalicostomy as treatment of experimental ureteropelvic junction (UPJ) obstruction in pigs. Ten male Large White pigs weighting approximately 28.4 (±1.43) kg were used in the current study. The UPJ obstruction was created laparoscopically by double-clipping of the left ureter. After 14 days the animals underwent laparoscopic ureterocalicostomy f The animals were sacrificed for subsequent retrograde pyelography in order to assess the anastomotic patency on the 28th day. The laparoscopic procedure for experimental obstruction of UPJ was successfully performed in all animals, as well as the laparoscopic ureterocalicostomy. There was intestinal iatrogenic injury in one animal. Satisfactory UPJ patency was noted in 75% of the animals. There was no stenosis of the proximal anastomosis between the ureter and the lower pole of the kidney in 37.5%, mild stenosis in 37.5% and severe stenosis in 25% of the animals. The laparoscopic approach for reestablishment he urinary flow by ureterocalicostomy was feasible in the porcine model. The ascending pyelography revealed satisfactory results of the laparoscopic ureterocalicostomy. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
28. Associated laparoscopic-assisted gastropexy and ovariohisterectomy in a Great Dane bitch.
- Author
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Pinto Filho, Saulo Tadeu Lemos, Dalmolin, Fabíola, de Oliveira, Marília Teresa, Wiecheteck de Souza, Fernando, Gomes Sprada, Arícia, da Rosa, Matheus Pippi, Scussel Feranti, João Pedro, and Veloso Brun, Mauricio
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GREAT Dane , *MASTIFF breeds , *LAPAROSCOPY complications , *SURGICAL complications , *DENTAL prophylaxis - Abstract
Gastropexy techniques are performed aiming to adhere permanently the stomach to the abdomen, being this one of the most common indications for prevention and treatment of gastric dilatation-volvulus (GDV). The only accepted method for the prevention of GDV is the prophylactic gastropexy, and the laparoscopic-assisted procedure is quick and easy to perform. It is aimed to report the association of laparoscopic-assisted prophylactic gastropexyand elective ovariohysterectomy (OVH) in a two years old Great dane bitch using the two-portals access, when it was observed rapid and complete recovery. It is concluded that the two portals laparoscopic-assisted prophylactic gastropexy is feasible and safe in dogs, when combined with elective OVH. It makes the technique a suitable option for prevention of GDV in predisposed breeds. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
29. Colecistectomia videolaparoscópica em felino com colelitíase.
- Author
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Luizari Guedes, Rogério, Scussel Feranti, João Pedro, de Oliveira, Marília Teresa, Gomes Sprada, Arícia, de Castro Beck, Carlos Afonso, and Veloso Brun, Maurício
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LAPAROSCOPIC surgery , *GALLSTONES , *CAT diseases , *APPETITE loss , *FEVER , *VOMITING - Abstract
Cholelithiasis, or gallstones, is rare in cats. This report describes the case of a six years-old mongrel cat male that had anorexia, abdominal pain, vomiting and hyperthermia. The abdominal ultrasound revealed a gallbladder with irregular shape and hyperechogenic structures, in the gallbladder's neck and in the output of the cystic duct, suggesting gallstones. The patient was undergone to a laparoscopic cholecystectomy. The animal was hospitalized for a week and after sixty days the owner no longer report clinical signs previously presented. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
30. Ovariohisterectomia por videocirurgia (via NOTES vaginal híbrida), celiotomia ou miniceliotomia em cadelas.
- Author
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de SouzaI, Fernando Wiecheteck, Brun, Maurício Veloso, de Oliveira, Marília Teresa, Feranti, João Pedro Scussel, Corrêa, Rose Karina Reis, Idalêncio, Renam, Duda, Naila Cristina Blatt, Quadros, Aparício Mendes, and Huppes, Rafael Ricardo
- Subjects
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DOG physiology , *LAPAROSCOPY , *CASTRATION , *SURGICAL complications , *CENTRAL venous pressure - Abstract
The elective ovariohysterectomy (OH) is the most frequent procedures performed in dogs. In this study was used three groups of seven animals each (GI, GII, and GIII) that was undergone to three elective OH techniques: (i) mini-celiotomy (*Snook-hook technique*), (ii) hybrid Natural Orifice Translumenal Endoscopic Surgery (NOTES), and (iii) celiotomy (*conventional surgery*). The surgical techniques were compared considering the surgery time, trans and postoperative complications, technical difficulties, postoperative pain, surgical bleedind and some vital parameters as: heart rate (FC), respiratory rate (f), rectal temperature, invasive blood pressure (PVI) and central venous pressure (PVC). The OH by hybrid vaginal NOTES was the technique with the lowest post-surgical discomfort score and the lowest surgical bleeding, although its surgical time was higher compared to the conventional and the hook (mini-celiotomy) modalities. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
31. Laparoscopic inguinoiliac lymphadenectomy following staining using different lymphatic markers in healthy dogs.
- Author
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de Souza, Fernando Wiecheteck, Brun, Maurício Veloso, Scussel Feranti, João Pedro, de Oliveira, Marília Teresa, Copat, Bruna, Baumer, Sabrina, Kasper, Priscila Natasha, Schimitt, Bernardo, Chaves, Rafael Oliveira, and Brum, Juliana Speroto
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LAPAROSCOPIC surgery , *LYMPHADENECTOMY , *GENETIC markers , *DOG genetics , *LYMPHATICS , *INDOCYANINE green , *CANCER treatment , *METASTASIS - Abstract
The lymphatic mammary system in healthy and neoplastic animals has been poorly studied. There is sparse information regarding the communication pattern along the mammary lymphatic chain and abdominal and pelvic lymph nodes in healthy animals or in those bearing mammary neoplasms. Thus, the purpose of this study was to evaluate the occurrence of such intra-abdominal lymphatic communications, as well as the feasibility of laparoscopic assessment of the inguinoiliac lymphatic chain. Animals were randomly divided into three groups: dogs that underwent lymphatic staining with sterile methylene blue solution (G1); lymphatic staining with indocyanine green dye (G2); placebo subjects were submitted to the same injection technique, but using sterile normal saline (G3). In all groups, intradermal administration of dye or saline around the right inguinal mammary gland was performed 12 hours or 30 minutes before skin incision. Afterwards, two areas containing adipose tissue were sampled laparoscopically, lateral to the external and internal iliac arteries, and the number of lymph nodes retrieved was assessed. Animals were submitted to ovariohysterectomy using the same laparoscopic approach, following adipose tissue/lymph node excision. Other assessments included operative time, intra and postoperative complications and technical difficulties. The proposed technique for intra-abdominal iliac lymphadenectomy was not successful in recovering lymph nodes. The lymphatic staining technique using either methylene blue or indocyanine green provided no intraoperative staining. Regarding the complications and technical difficulties, all animals presented mild hypersensitivity reactions regardless of the dye used. Laparoscopy for inguinoiliac lymph node exploration presented no other technical difficulties or postoperative complications. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
32. Cervical and transdiaphragmatic paraxiphoid thoracoscopy in dogs: evaluation of respiratory response and blood pressure.
- Author
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Guedes, Rogério Luizari, Scussel Feranti, João Pedro, dos Santos, Fabiane Reginatto, Brambatti, Gustavo, Tomazzoni, Fernando Variani, de Oliveira, Marília Teresa, Brun, Maurício Veloso, and de Souza, Fernando Wiecheteck
- Subjects
- *
CANIDAE , *CHEST tubes , *PNEUMOTHORAX , *THORACOSCOPY , *CARDIOPULMONARY system physiology , *LABORATORY dogs , *THERAPEUTICS - Abstract
This study evaluated the cervical and transdiaphragmatic thoracoscopic approaches regarding their implementation, intrathoracic evaluation and application of a chest tube, using the treatment of pneumothorax as an experimental model. After injection of 20ml kg-1 of air per hemithorax, thoracoscopy was made by transdiaphragmatic paraxiphoid or cervical positions. After cavity examination, a thoracic drain was inserted using the surgical site to drain the pneumothorax. The cardiorespiratory function and arterial blood gas were measured during time of evaluation. The cavity examination allowed visualizing the aspect and function of intrathoracic structures. There were no significant differences between the two approaches when comparing the measurements made in each period evaluated. Both enabled intracavitary exploration and application of thoracic drain. Cervical access shows viability, but resulted in the death of two patients, and it not recommended as a substitute for the latter in the insertion of thoracic drains in dogs. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
33. Linfadenectomia laparoscópica em cadela com neoplasia mamária.
- Author
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de Souza, Fernando Wiecheteck, Brun, Maurício Veloso, de Nardi, Andrigo Barboza, Huppes, Rafael Ricardo, Quarterone, Carolina, Raposo, Talita Mariana Morata, Kasper, Priscila Natasha, de Oliveira, Marília Teresa, and Guedes, Rogério Luizari
- Subjects
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FEMALE dogs , *LAPAROSCOPY , *VETERINARY medicine , *TUMORS in animals , *MASTECTOMY - Abstract
The laparoscopic lymphadenectomy is routinely performed in medicine, but not in veterinary medicine. This report describes a case of female canine with tumors in the left mammary chain (M4 and M5), which was subjected to intra-dermal application of sterile methylene blue, around the largest tumor (M5) which tried to demarcate the lymphatic vessels and regional lymph nodes. After 15 minutes, laparoscopic lymphadenectomy involving the abdominal in the left pelvic region started, followed by laparoscopic ovariohysterctomy (OVH) using three portals access. It was also performed an unilateral left total mastectomy. For histology, two abdominal lymph nodes were free of tumor cells. The patient had no recurrence in 60 days. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
34. Biopsia hepática endoscópica transvaginal em cadelas.
- Author
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Souza, Leonardo Alves Coutinho, Brun, Maurício Veloso, Basso, Paula Cristina, Müller, Daniel Curvello de Mendonça, Feranti, João Pedro Scussel, dos Santos, Fabiane Reginatto, de Oliveira, Marília Teresa, Colomé, Lucas Marques, and Dutra, Luciana Hermes
- Subjects
- *
LIVER biopsy , *LAPAROSCOPIC surgery , *ENDOSCOPES , *SURGICAL complications , *TRANSVAGINAL ultrasonography - Abstract
A technique of hepatic biopsy by transvaginal approach (NOTES - Natural Orifice Transluminal Endoscopic Surgery) is proposed. Seven dogs were used, and the experiment was divided into two stages including the liver biopsy and the evaluation of laparoscopic abdominal conditions after biopsy (53 days after). The animals were submitted to vaginal incision after exposition through the vulva. Through the vaginal incision was introduced a flexible endoscope of 11mm with two working channels, was introduced through the vaginal incision and used to obtain liver samples. The variables analyzed to verify the feasibility of the proposed biopsy were: operative time, surgical complications, technical difficulties, the quality of sample collected, the formation of vaginal adhesions and their characteristics and the biochemical condition of the liver. In conclusion, the liver biopsy by endoscopic transvaginal access is feasible in dogs. It permits to take appropriated hepatic samples for histological studies without changinghepatic parameters and intraperitoneal adhesions. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
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