Frem Daniel L, Hottinger Heidi A, Hunter Suzanne L, Trout Nicholas J
J Am Vet Med Assoc. 2017 Oct 15;251(8):935-940. doi: 10.2460/javma.251.8.935.
OBJECTIVE To determine frequency of postoperative complications in cats undergoing perineal urethrostomy (PU) in which poliglecaprone 25 was used for closure and identify possible predisposing factors for development of complications. DESIGN Retrospective case series. ANIMALS 61 cats that underwent PU. PROCEDURES Medical records for cats that underwent PU at Gulf Coast Veterinary Specialists between 2007 and 2012 were reviewed. Information regarding signalment, perioperative conditions, surgical procedures, treatments, and postoperative complications were obtained from medical records and by telephone follow-up. RESULTS 11 of 61 (18%) cats developed minor short-term (ie, ≤ 2 months after surgery) complications, 1 of 61 (1.6%) cats developed a major short-term complication requiring surgical revision, and 16 of 38 (42%) cats developed minor long-term complications. No major long-term complications were identified. Preoperative urinary tract infection was significantly associated with development of minor short-term complications, but use of an indwelling urinary catheter after surgery was not significantly associated with development of postoperative complications. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that poliglecaprone 25 may be an acceptable suture for apposition of mucosa to skin in cats undergoing PU. Short- and long-term complication rates and percentage of cats requiring revision surgery were comparable to values reported in previous studies in which slowly absorbable or nonabsorbable sutures were used.
目的 确定使用聚乙交酯丙交酯25进行会阴尿道造口术(PU)的猫术后并发症的发生率,并确定并发症发生的可能诱发因素。 设计 回顾性病例系列研究。 动物 61只接受PU手术的猫。 方法 回顾了2007年至2012年在墨西哥湾沿岸兽医专科医院接受PU手术的猫的病历。从病历和电话随访中获取有关特征、围手术期情况、手术过程、治疗方法和术后并发症的信息。 结果 61只猫中有11只(18%)出现轻微短期(即术后≤2个月)并发症,61只猫中有1只(1.6%)出现需要手术翻修的严重短期并发症,38只猫中有16只(42%)出现轻微长期并发症。未发现严重长期并发症。术前尿路感染与轻微短期并发症的发生显著相关,但术后使用留置导尿管与术后并发症的发生无显著相关性。 结论及临床意义 结果表明,聚乙交酯丙交酯25可能是接受PU手术的猫黏膜与皮肤对合的一种可接受的缝线。短期和长期并发症发生率以及需要翻修手术的猫的百分比与先前使用缓慢吸收或不可吸收缝线的研究报告的值相当。