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一项对35只犬腹股沟疝的回顾性研究。

A retrospective study of inguinal hernia in 35 dogs.

作者信息

Waters D J, Roy R G, Stone E A

机构信息

Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907.

出版信息

Vet Surg. 1993 Jan-Feb;22(1):44-9. doi: 10.1111/j.1532-950x.1993.tb00367.x.

Abstract

Inguinal hernia was associated with trauma in five dogs and was considered nontraumatic in 30 dogs. There were 11 males, 13 intact females, and six spayed females with nontraumatic inguinal hernia. Six dogs had bilateral hernias. Five dogs were younger than 4 months at the time of diagnosis. In 11 older dogs with nontraumatic inguinal hernia, the hernias were identified less than 7 days before surgical repair; in 14 older dogs, the hernias had been recognized for 1 to 60 months. Clinical signs in dogs without small intestinal incarceration were usually limited to a visible or palpable mass without pain or systemic illness. Herniorrhaphy approaches included inguinal, midline with contralateral ring evaluation, and celiotomy with or without inguinal exposure. Fat and omentum were the most common hernial contents. Small intestine was within the hernias of 12 dogs. Six dogs had nonviable small intestine. Postoperative complications included two incisional infections, one incisional dehiscence, two cases of peritonitis and sepsis associated with bowel leakage after intestinal resection and anastomosis, and one hernia recurrence. The overall prevalence of postoperative complications was 17%, and the mortality rate was 3%. Vomiting for 2 to 6 days was predictive of nonviable small intestine. Dogs younger than 2 years were at 11 times greater risk for nonviable small intestine than dogs older than 2 years. Four of five dogs with nontraumatic inguinal hernia and nonviable small intestine were intact males, whereas none of 13 intact females were affected. Only one of 14 dogs with longstanding hernias had nonviable small intestine.

摘要

5只犬的腹股沟疝与创伤有关,30只犬被认为是非创伤性腹股沟疝。有11只雄性犬、13只未绝育雌性犬和6只已绝育雌性犬患有非创伤性腹股沟疝。6只犬为双侧疝。5只犬在诊断时年龄小于4个月。在11只患有非创伤性腹股沟疝的成年犬中,疝在手术修复前不到7天被发现;在14只成年犬中,疝已被发现1至60个月。没有小肠嵌顿的犬的临床症状通常仅限于可见或可触及的肿块,无疼痛或全身疾病。疝修补术方法包括腹股沟入路、对侧环评估的中线入路以及有或无腹股沟暴露的剖腹术。脂肪和网膜是最常见的疝内容物。12只犬的疝内有小肠。6只犬的小肠已无活力。术后并发症包括2例切口感染、1例切口裂开、2例与肠切除吻合术后肠漏相关的腹膜炎和败血症以及1例疝复发。术后并发症的总体发生率为17%,死亡率为3%。呕吐2至6天预示小肠已无活力。2岁以下的犬发生无活力小肠的风险比2岁以上的犬高11倍。5只患有非创伤性腹股沟疝且小肠无活力的犬中有4只为未绝育雄性犬,而13只未绝育雌性犬均未受影响。14只患有长期疝的犬中只有1只小肠无活力。

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