Nelissen Pieter, White Richard A S
Dick White Referrals, Six Mile Bottom, UK.
Vet Surg. 2012 May;41(4):495-500. doi: 10.1111/j.1532-950X.2011.00948.x. Epub 2012 Jan 31.
To report (1) a surgical technique for subtotal vaginectomy using a combined abdominal and vestibular approach; (2) intra- and postoperative complications; and (3) long-term outcome.
Retrospective case series.
Female dogs (n = 11) with extensive intramural vaginal disease.
Through a ventral median celiotomy, the cranial aspect of the vagina was freed and ovariohysterectomy (OVH) was performed in intact females. After episiotomy, the vaginal wall was incised at the vestibulovaginal junction cranial to the urethral orifice, and the vagina freed from any remaining pelvic attachments. Dogs were reexamined at 4 weeks and 6 months. Long-term outcome was evaluated by contacting the primary veterinarian by phone.
Five dogs had benign vaginal disease and 6 had malignant vaginal neoplasia. A combined abdominal and vestibular approach permitted subtotal vaginectomy in all dogs; 6 dogs also had OVH. No major complications occurred and clinical signs had resolved by 4 weeks. One dog with malignant neoplasia was euthanatized 3 months later for metastatic disease and 1 dog developed postoperative urinary incontinence. Local recurrence or metastases were not identified in the other dogs.
Combined abdominal and vestibular approach for subtotal vaginectomy allowed complete resection of extensive vaginal lesions, was not associated with major complications, and outcome was favorable.
报告（1）一种采用腹部和前庭联合入路的次全阴道切除术的手术技术；（2）术中和术后并发症；（3）长期疗效。
回顾性病例系列研究。
患有广泛阴道壁内疾病的雌性犬（n = 11）。
通过腹正中剖腹术，游离阴道的头侧部分，对未绝育的雌性犬进行卵巢子宫切除术（OVH）。在会阴切开术后，于尿道外口上方的前庭阴道交界处切开阴道壁，游离阴道与任何剩余的盆腔附着物。在4周和6个月时对犬进行复查。通过电话联系主治兽医评估长期疗效。
5只犬患有良性阴道疾病，6只犬患有恶性阴道肿瘤。腹部和前庭联合入路使所有犬均能进行次全阴道切除术；6只犬还进行了卵巢子宫切除术。未发生重大并发症，4周时临床症状已消失。1只患有恶性肿瘤的犬3个月后因转移性疾病实施安乐死，1只犬术后出现尿失禁。其他犬未发现局部复发或转移。
腹部和前庭联合入路进行次全阴道切除术能够完全切除广泛的阴道病变，不伴有重大并发症，且疗效良好。
