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病例报告:采用包皮管状皮瓣输尿管成形术为一只输尿管结肠吻合术后出现并发症的雄性犬创建新输尿管。

Case report: Preputial tube-flap ureteroplasty for neoureter creation in a male dog with post ureterocolonic anastomosis complications.

作者信息

Yala Wongsuda, Chumkam Anitha, Prommarit Ana, Sungthong Chanakarn, Danpanang Nut, Yippaditr Wanchart

机构信息

Kasetsart University Veterinary Teaching Hospital Hua Hin, Faculty of Veterinary Medicine, Kasetsart University, Prachuap Khiri Khan, Thailand.

出版信息

Front Vet Sci. 2024 Dec 23;11:1496603. doi: 10.3389/fvets.2024.1496603. eCollection 2024.

Abstract

A 16.50 kg, 5-year-old male mixed breed dog presented due to complications following a ureterocolonic anastomosis performed to manage of ureteral and urinary bladder injuries. The first revision surgery involved reimplantation of the ureters into the cranial aspect of the prepuce. Dehiscence of the anastomosed ends of the right ureter was observed postoperatively. A second revision surgery was then performed, involving a preputial tube-flap ureteroplasty via preputiotomy. A longitudinal flap was raised from the prepuce and anastomosed to the end of the right ureter to create a neoureter and reduce tension at the anastomosis site. Postoperative follow-up evaluations at 10 days and 6 months revealed no unexpected complications. Six months follow-up, the owner reported that the dog exhibited a satisfactory quality of life.

摘要

一只16.50千克的5岁雄性混种犬,因输尿管结肠吻合术后出现并发症前来就诊,该手术用于处理输尿管和膀胱损伤。首次翻修手术包括将输尿管重新植入包皮的头侧。术后观察到右输尿管吻合端裂开。随后进行了第二次翻修手术,即通过包皮环切术进行包皮管状皮瓣输尿管成形术。从包皮上掀起一个纵向皮瓣并与右输尿管末端吻合,以形成一条新输尿管并减轻吻合部位的张力。术后10天和6个月的随访评估未发现意外并发症。随访6个月时,主人报告称该犬生活质量令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3b/11701032/902b1f896dc5/fvets-11-1496603-g001.jpg

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