Internal Veterinary Medicine, Department of Animal Medicine, Faculty of Veterinary Medicine, Assiut University, Assiut, 71526, Egypt.
Assistant Consultant of Surgery, Anesthesiology and Radiology, Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Assiut University, Assiut, 71526, Egypt.
Sci Rep. 2019 Oct 25;9(1):15377. doi: 10.1038/s41598-019-51924-0.
In dogs, splenectomy is mandatory as an emergency following splenic rupture with resultant hemoperitoneum and hypotensive shock. The present work aimed to evaluate the Doppler ultrasonographic parameters of brachial and femoral veins in splenectomized dogs and to investigate the effect of splenectomy on the coagulation and lipid profiles. A total number of 9 dogs underwent clinical, abdominal ultrasonographic and laboratory examinations prior to the surgical operation and kept for 60-day observation period post-splenectomy. Follow-up ultrasonography revealed no serious complications post-splenectomy. Both brachial and femoral veins were imaged medial to their corresponding arteries. Doppler ultrasonographic parameters of both veins showed no significant changes throughout the study period (P > 0.05). Haematological analysis revealed development of anemia, leukocytosis, and thrombocytosis in dogs post-splenectomy. Coagulation profile exhibited no significant variations in prothrombin and activated partial thromboplastin times (P > 0.05). In comparison with their baseline values, the mean concentrations of total cholesterol, low-density lipoprotein, and triglycerides were significantly increased 30-day post-splenectomy. In conclusion, it may seem that open splenectomy has no influence on the Doppler ultrasonographic indices of brachial and femoral veins with no evidence of deep vein thrombosis in dogs. However, persistent leukocytosis and thrombocytosis, as well as altered lipid profile may increase the risk of vascular complications with the long run. Therefore, a further long-term study may be required.
在狗中,脾破裂导致腹腔积血和低血压性休克时,必须进行紧急脾切除术。本研究旨在评估脾切除术后狗的肱静脉和股静脉的多普勒超声参数,并研究脾切除术对凝血和血脂谱的影响。共有 9 只狗在手术前进行了临床、腹部超声和实验室检查,并在脾切除术后保持 60 天的观察期。后续超声检查显示脾切除后无严重并发症。肱静脉和股静脉均在其相应动脉的内侧成像。整个研究期间,两条静脉的多普勒超声参数均无显著变化(P>0.05)。血液学分析显示狗脾切除后发生贫血、白细胞增多和血小板增多。凝血谱显示凝血酶原和激活部分凝血活酶时间无显著变化(P>0.05)。与基线值相比,总胆固醇、低密度脂蛋白和甘油三酯的平均浓度在脾切除后 30 天显著增加。总之,开放性脾切除术似乎对狗的肱静脉和股静脉的多普勒超声指数没有影响,没有深静脉血栓形成的证据。然而,持续的白细胞增多和血小板增多以及脂质谱的改变可能会增加长期血管并发症的风险。因此,可能需要进一步的长期研究。