双极血管闭合装置在27例犬肢体截肢手术中的应用。
Use of a bipolar vessel-sealing device in 27 canine limb amputations.
作者信息
Arrufat Kelsey, Chisnell Hope
机构信息
Surgery, Sugar Land Veterinary Specialists, 1515 Lake Pointe Parkway, Sugar Land, Texas 77478, USA (Arrufat); 808 Woodrow Street, Houston, Texas 77006, USA (Arrufat); Pittsburgh Veterinary Specialty and Emergency Center, BluePearl Veterinary Partners - Surgery, 807 Camp Horne Road, Pittsburgh, Pennsylvania 15237, USA (Chisnell).
出版信息
Can Vet J. 2024 Dec;65(12):1260-1267.
BACKGROUND
Bipolar vessel-sealing devices (BVSD) have been used for muscle transection in canine limb amputations; however, a retrospective study of their use, and particularly the short-term complications, has not yet been reported.
OBJECTIVES
To describe the use of a BVSD as the main method for muscle transection in canine limb amputations and to report the incidence of short-term incisional complications following these surgeries.
ANIMALS AND PROCEDURE
Medical records of dogs undergoing limb amputations using a BVSD from January 2017 to December 2018 were reviewed for demographics, preoperative findings, intraoperative complications, and short-term outcomes. Exclusion criteria included surgery and anesthesia time not recorded, or short-term postoperative follow-up data not available for review. Complications noted in the medical record up to the time of suture removal were included in the review.
RESULTS
A total of 27 cases met selection criteria, including amputations of 17 forelimbs and 10 pelvic limbs. There were no intraoperative complications noted. Median duration between surgery and suture removal was 13 d (range: 4 to 23 d). Seroma formation occurred in 1 case (3.7%), whereas convalescent surgical-site infections were identified in 3 cases (11%). All complications were documented in dogs weighing > 27 kg.
CONCLUSION
Use of a BVSD as the main method of muscle transection in canine limb amputations is a safe and feasible alternative to more traditional methods of limb amputation. Surgical-site infection and seroma formation were the only documented complications in the present study. The complication rate was similar to rates described previously; therefore, using a BVSD for muscle transection seems a viable alternative to traditional methods of limb amputation.
CLINICAL RELEVANCE
Given similar incisional complication rates when compared to more traditional methods of muscle transection, a BVSD may be considered for an alternative method of muscle transection in canine limb amputations.
背景
双极血管闭合装置（BVSD）已用于犬类肢体截肢术中的肌肉横断；然而，关于其使用情况，尤其是短期并发症的回顾性研究尚未见报道。
目的
描述BVSD作为犬类肢体截肢术中肌肉横断的主要方法的使用情况，并报告这些手术后短期切口并发症的发生率。
动物与方法
回顾2017年1月至2018年12月使用BVSD进行肢体截肢的犬只的病历，以获取人口统计学信息、术前检查结果、术中并发症和短期预后。排除标准包括未记录手术和麻醉时间，或无法获取术后短期随访数据以供审查。病历中记录的直至拆线时的并发症纳入审查。
结果
共有27例符合选择标准，包括17例前肢截肢和10例后肢截肢。未发现术中并发症。手术至拆线的中位时间为13天（范围：4至23天）。1例（3.7%）发生血清肿形成，3例（11%）发现愈合期手术部位感染。所有并发症均记录于体重>27 kg的犬只。
结论
在犬类肢体截肢术中，使用BVSD作为肌肉横断的主要方法是一种安全可行的替代更传统截肢方法的选择。手术部位感染和血清肿形成是本研究中仅记录的并发症。并发症发生率与先前描述的发生率相似；因此，使用BVSD进行肌肉横断似乎是传统截肢方法的可行替代方案。
临床意义
与更传统的肌肉横断方法相比，切口并发症发生率相似，BVSD可被视为犬类肢体截肢术中肌肉横断的替代方法。
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