BluePearl Veterinary Partners Levittown, 301 Veterans Highway, Levittown, Pennsylvania 19056, USA.
Can Vet J. 2021 Nov;62(11):1219-1224.
The surgical approach for excision of caudal thigh intermuscular lipomas (IML) in dogs is described with relevant anatomy and short-term outcomes reported. Medical records were reviewed to identify dogs that underwent IML excision between 2015 to 2019. Signalment, location of the lipoma, pre-operative diagnostic tests, histopathology results, use of a closed-suction drain, and follow-up information including drain and suture removal were recorded. Mean age of patients in this study was 8.7 years. Multiple breeds were affected and there was no predilection for either left or right hind limb. Pre-operative diagnostic tests included fine-needle aspirate, radiography, peripheral ultrasonography, and/or computed tomography scan. In 45% (5/11) of the cases, a closed suction drain was placed. All masses removed were deemed grossly consistent with a lipoma by the attending clinician and 5 were confirmed by histopathology. No complications were noted in any case. Removal of caudal thigh IML requires careful identification of and dissection around the sciatic nerve, which is easily achieved with appropriate knowledge of the relevant anatomy and surgical approach.
描述了用于切除犬尾部大腿间肌肉脂肪瘤（IML）的手术方法，并报告了相关解剖结构和短期结果。回顾了病历，以确定 2015 年至 2019 年间接受 IML 切除术的犬。记录了一般信息、脂肪瘤的位置、术前诊断测试、组织病理学结果、使用封闭式吸引引流管以及包括引流管和缝线移除的随访信息。本研究中患者的平均年龄为 8.7 岁。受多种品种影响，左侧或右侧后肢无偏好。术前诊断测试包括细针抽吸、放射学检查、外周超声检查和/或计算机断层扫描。在 45%（5/11）的病例中，放置了封闭式引流管。主治医生认为切除的所有肿块与脂肪瘤大体一致，其中 5 例通过组织病理学证实。在任何情况下都没有注意到并发症。切除尾部大腿 IML 需要仔细识别和解剖坐骨神经周围的组织，而通过适当了解相关解剖结构和手术方法可以轻松实现这一目标。
