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使用双极切割和血管封闭装置对八匹站立位马的鼻翼皱襞进行完全切除。

Complete resection of the alar folds in eight standing horses with a bipolar dividing and vessel-sealing device.

作者信息

Kallmyr Airina, Giving Ellen M, Moen Lars O, Øverlie Marianne, Holm Therese, David Florent

机构信息

Bjerke Dyrehospital-En Rikstotoklinikk, Oslo, Norway.

Romerike Hesteklinikk AS, Kjeller, Norway.

出版信息

Vet Surg. 2020 Apr;49(3):521-528. doi: 10.1111/vsu.13383. Epub 2020 Feb 6.

DOI:10.1111/vsu.13383
PMID:32027042
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7155021/
Abstract

OBJECTIVE

To describe a resection technique of the alar folds in the standing horse.

STUDY DESIGN

Retrospective case study.

ANIMALS

Eight Standardbred racing trotters.

METHODS

Horses in which alar fold collapse had been diagnosed between 2017 and 2018 were included in this study. All horses underwent alar fold resection under standing sedation and regional anesthesia with a bipolar electrosurgical open sealer/divider device (LigaSure). Intraoperative and postoperative complications were recorded. A Wilcoxon signed-rank test was used to compare differences in median prize money earning pre-surgery and post-surgery (P < .05).

RESULTS

The surgical procedure was short (20-30 min), with minimal (1/8) to no (7/8) bleeding and was well tolerated in all cases. Complete resection of the alar folds along with 3 to 5 cm of the ventral conchal cartilage was achieved. No complications were observed post-surgery with satisfactory second intention healing, allowing return to training/racing within 3 to 6 weeks post-surgery in all cases. Median earnings post-surgery increased (P = .03) compared with pre-surgery.

CONCLUSION

Alar fold resection with bipolar electrosurgical energy offered a good alternative to the traditional surgical approaches performed under general anesthesia. The surgery significantly improved race earnings and performance while avoiding the risk associated with general anesthesia and offered a short and complication-free rehabilitation period.

CLINICAL IMPACT

This study describes a surgical technique offering a novel approach to resection of the alar folds in the standing horse.

摘要

目的

描述站立位马匹鼻翼皱襞的切除技术。

研究设计

回顾性病例研究。

动物

8匹标准赛马快步马。

方法

本研究纳入2017年至2018年间被诊断为鼻翼皱襞塌陷的马匹。所有马匹在站立镇静和区域麻醉下，使用双极电外科开放密封/切割装置（LigaSure）进行鼻翼皱襞切除术。记录术中及术后并发症。采用Wilcoxon符号秩和检验比较术前和术后奖金收入中位数的差异（P < 0.05）。

结果

手术过程短（20 - 30分钟），出血极少（1/8）至无出血（7/8），所有病例耐受性良好。实现了鼻翼皱襞连同3至5厘米的腹侧鼻甲软骨的完整切除。术后未观察到并发症，二期愈合良好，所有病例均在术后3至6周内恢复训练/比赛。术后奖金收入中位数较术前增加（P = 0.03）。

结论

双极电外科能量切除鼻翼皱襞为传统全身麻醉下的手术方法提供了一个很好的替代方案。该手术显著提高了比赛收入和成绩，同时避免了全身麻醉相关风险，并提供了一个短期且无并发症的康复期。

临床意义

本研究描述了一种手术技术，为站立位马匹鼻翼皱襞的切除提供了一种新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883e/7155021/b8db5582bb5e/VSU-49-521-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883e/7155021/3dd4381a701f/VSU-49-521-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883e/7155021/d597b4ea233e/VSU-49-521-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883e/7155021/69b319bdecc6/VSU-49-521-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883e/7155021/86ebf3d670ce/VSU-49-521-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883e/7155021/b8db5582bb5e/VSU-49-521-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883e/7155021/3dd4381a701f/VSU-49-521-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883e/7155021/d597b4ea233e/VSU-49-521-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883e/7155021/69b319bdecc6/VSU-49-521-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883e/7155021/86ebf3d670ce/VSU-49-521-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/883e/7155021/b8db5582bb5e/VSU-49-521-g005.jpg

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