Rawlings Clarence A, Howerth Elizabeth W, Mahaffey Mary B, Foutz Tim L, Bement Shannon, Canalis Chanda
Department of Small Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens 30602-7390, USA.
Am J Vet Res. 2002 Sep;63(9):1226-31. doi: 10.2460/ajvr.2002.63.1226.
To develop a laparoscopic-assisted technique for cystopexy in dogs.
8 healthy male dogs, 7 healthy female dogs, and 3 client-owned dogs with retroflexion of the urinary bladder secondary to perineal herniation.
Dogs were anesthetized, and positive pressure ventilation was provided. In the healthy male dogs, the serosal surface of the bladder was sutured to the abdominal wall. In the healthy female dogs, the serosa and muscular layer of the bladder were incised and sutured to the aponeurosis of the external and internal abdominal oblique muscles. Dogs were monitored daily for 30 days after surgery.
All dogs recovered rapidly after surgery and voided normally. In the female dogs, results of urodynamic (leak point pressure and urethral pressure profilometry) and contrast radiographic studies performed 30 days after surgery were similar to results obtained before surgery. Cystopexy was successful in all 3 client-owned dogs, but 1 of these dogs was subsequently euthanatized because of leakage from a colopexy performed at the same time as the cystopexy.
The laparoscopic-assisted cystopexy technique was quick, easy to perform, and not associated with urinary tract infection or abnormalities of urination.
开发一种用于犬膀胱固定术的腹腔镜辅助技术。
8只健康雄性犬、7只健康雌性犬以及3只因会阴疝继发膀胱后屈的客户拥有的犬。
对犬进行麻醉，并给予正压通气。在健康雄性犬中，将膀胱浆膜面缝合至腹壁。在健康雌性犬中，切开膀胱浆膜和肌层并缝合至腹外斜肌和腹内斜肌腱膜。术后对犬进行30天的每日监测。
所有犬术后恢复迅速且排尿正常。在雌性犬中，术后30天进行的尿动力学（漏点压力和尿道压力测定）及造影影像学检查结果与术前相似。所有3只客户拥有的犬的膀胱固定术均成功，但其中1只犬随后因与膀胱固定术同时进行的结肠固定术出现渗漏而被安乐死。
腹腔镜辅助膀胱固定术技术操作快速、简便，且与尿路感染或排尿异常无关。
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