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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.

DOI:10.3389/fvets.2024.1496603
PMID:39764365
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11701032/
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/11701032/877f3202cc21/fvets-11-1496603-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3b/11701032/902b1f896dc5/fvets-11-1496603-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3b/11701032/1ea71b9c63c7/fvets-11-1496603-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3b/11701032/726ae8d4c798/fvets-11-1496603-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3b/11701032/877f3202cc21/fvets-11-1496603-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3b/11701032/902b1f896dc5/fvets-11-1496603-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3b/11701032/1ea71b9c63c7/fvets-11-1496603-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3b/11701032/726ae8d4c798/fvets-11-1496603-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e3b/11701032/877f3202cc21/fvets-11-1496603-g004.jpg

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本文引用的文献

1
Application of preputial tube-flap urethroplasty to establish a neourethra in a male dog with complications after preputial urethrostomy.应用包皮管皮瓣尿道成形术为一只包皮尿道造口术后出现并发症的雄性犬建立新尿道。
J Small Anim Pract. 2024 Mar;65(3):214-217. doi: 10.1111/jsap.13691. Epub 2023 Dec 5.
2
Modified Tubeless Ureterocutaneostomy in High-Risk Patients After Radical Cystectomy and its Long-Term Clinical Outcomes.根治性膀胱切除术后高危患者改良无管化输尿管皮肤造口术及其长期临床结局。
Technol Cancer Res Treat. 2023 Jan-Dec;22:15330338231192906. doi: 10.1177/15330338231192906.
3
Clinical efficacy of transverse preputial island flap urethroplasty for single-stage correction of proximal hypospadias: a single-centre experience in Chinese patients.
经横向包皮岛状皮瓣尿道成形术一期修复近端尿道下裂的临床疗效:中国患者单中心经验。
BMC Urol. 2020 Aug 5;20(1):118. doi: 10.1186/s12894-020-00686-3.
4
Interventions and experience after complicated total cystectomy in a dog with transitional cell carcinoma.一只患有移行细胞癌的犬进行复杂全膀胱切除术后的干预措施与经验
Vet Surg. 2020 May;49(4):811-817. doi: 10.1111/vsu.13330. Epub 2019 Oct 10.
5
Preputial Graft Ureteroplasty for the Treatment of Complex Ureteral Stricture: A New Surgical Technique and Review of Literature.包皮移植输尿管成形术治疗复杂性输尿管狭窄:一种新的手术技术及文献综述
J Endourol Case Rep. 2018 Aug 1;4(1):136-139. doi: 10.1089/cren.2018.0055. eCollection 2018.
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A vascularized preputial free flap for labial reconstruction in a dog.一种用于犬唇重建的带血管蒂包皮游离皮瓣。
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