Surgical complications associated with hemilaminectomy and intervertebral disc fenestration: Prospective study of 64 dogs / Complicações associadas à hemilaminectomia toracolombar e fenestração de disco intervertebral: estudo prospectivo em 64 cães

ABSTRACT: Hemilaminectomy and intervertebral disc fenestration are commonly used to treat intervertebral disc extrusion (IVDE); however, they are associated with surgical complications. Sixty-four dogs were assessed during the intraoperative, immediate postoperative, and late postoperative periods to evaluate complications resulting from these surgical procedures. During this study, 15.62% (n=10) of the dogs presented with complications during at least one of the evaluations. Iatrogenic rhizotomy, access to the spinal canal contralateral to the lesion, and cardiorespiratory arrest were observed intraoperatively. Abdominal wall flaccidity, neurological worsening, hematoma, dehiscence, and superficial wound infections were observed during the immediate postoperative period. Adverse reactions to the surgical thread, scar adhesion, and superficial wound infection were the most frequent complications during the late postoperative period. Dogs that undergo hemilaminectomy and intervertebral disc fenestration because of IVDE may experience complications during the intraoperative, immediate postoperative, and late postoperative periods. However, these complications are often transitory and rarely cause death.

RESUMO: A hemilaminectomia e a fenestração do disco intervertebral são os procedimentos cirúrgicos geralmente empregados no tratamento da extrusão do disco intervertebral (EDIV), os quais podem desencadear complicações cirúrgicas. Foram avaliadas complicações em 64 cães nos períodos intra e pós-operatório imediato e tardio. Dos pacientes incluídos no estudo, 15,62% (n=10) apresentaram alguma ocorrência em pelo menos uma das etapas avaliadas. Das complicações, no período intraoperatório foram observadas rizotomia iatrogênica, abertura do canal vertebral contralateral e parada cardio-respiratória. No pós-operatório imediato foram verificadas a flacidez da parede abdominal lateral, piora neurológica, hematoma, deiscência de ferida cirúrgica e infecção superficial da ferida de pele. No pós-operatório tardio foram verificadas reação ao fio cirúrgico, aderência cicatricial e flacidez da parede abdominal lateral como problemas mais frequentes. Conclui-se que cães submetidos à hemilaminectomia e fenestração do disco intervertebral envolvido em decorrência da EDIV podem apresentar complicações nos períodos intraoperatório, pós-operatório imediato e tardio, sendo transitórias e com mínimas chances de ocasionar óbito.

Surgical complications associated with hemilaminectomy and intervertebral disc fenestration: prospective study of 64 dogs / Complicações associadas à hemilaminectomia toracolombar e fenestração de disco intervertebral: estudo prospectivo em 64 cães

Hemilaminectomy and intervertebral disc fenestration are commonly used to treat intervertebral disc extrusion (IVDE); however, they are associated with surgical complications. Sixty-four dogs were assessed during the intraoperative, immediate postoperative, and late postoperative periods to evaluate complications resulting from these surgical procedures. During this study, 15.62% (n=10) of the dogs presented with complications during at least one of the evaluations. Iatrogenic rhizotomy, access to the spinal canal contralateral to the lesion, and cardiorespiratory arrest were observed intraoperatively. Abdominal wall flaccidity, neurological worsening, hematoma, dehiscence, and superficial wound infections were observed during the immediate postoperative period. Adverse reactions to the surgical thread, scar adhesion, and superficial wound infection were the most frequent complications during the late postoperative period. Dogs that undergo hemilaminectomy and intervertebral disc fenestration because of IVDE may experience complications during the intraoperative, immediate postoperative, and late postoperative periods. However, these complications are often transitory and rarely cause death.

A hemilaminectomia e a fenestração do disco intervertebral são os procedimentos cirúrgicos geralmente empregados no tratamento da extrusão do disco intervertebral (EDIV), os quais podem desencadear complicações cirúrgicas. Foram avaliadas complicações em 64 cães nos períodos intra e pós-operatório imediato e tardio. Dos pacientes incluídos no estudo, 15,62% (n=10) apresentaram alguma ocorrência em pelo menos uma das etapas avaliadas. Das complicações, no período intraoperatório foram observadas rizotomia iatrogênica, abertura do canal vertebral contralateral e parada cardio-respiratória. No pós-operatório imediato foram verificadas a flacidez da parede abdominal lateral, piora neurológica, hematoma, deiscência de ferida cirúrgica e infecção superficial da ferida de pele. No pós-operatório tardio foram verificadas reação ao fio cirúrgico, aderência cicatricial e flacidez da parede abdominal lateral como problemas mais frequentes. Conclui-se que cães submetidos à hemilaminectomia e fenestração do disco intervertebral envolvido em decorrência da EDIV podem apresentar complicações nos períodos intraoperatório, pós-operatório imediato e tardio, sendo transitórias e com mínimas chances de ocasionar óbito.

Accidental monensin poisoning in buffaloes in Bahia, Brazil / Intoxicação acidental por monensina em búfalos na Bahia, Brasil

Monensin is an ionophore antibiotic (IA) widely used for growth promotion and weight gain in the production of ruminants. However, it has caused intoxication in several species, including buffaloes, mainly because of the ignorance or disrespect of the recommendations for use in each animal species. The objective of this study was to describe, for the first time, clinical-epidemiological and anatomopathological data of an outbreak of accidental poisoning by monensin in buffalos and rediscuss the recommendation of the use of IA in the production of this species. The outbreak affected 21 adult buffaloes after consumption of remains from a feed formulated on the farm and whose constituents were mixed by hand. Clinical and first death signs were observed 24 hours after ingestion of this food. In general, the clinical picture was characterized by muscle weakness, tremors, difficulty in locomotion, and decubitus. Fifteen buffaloes presented clinical signs of poisoning (71.5% morbidity), followed by death (100% lethality), after acute to subacute evolution (<24h to 96h). Laboratory tests indicated elevated serum activity of creatine phosphokinase and aspartate aminotransferase enzymes. Three buffaloes underwent necropsy, and samples from several organs were collected for histopathological examination. The main injuries found were hyaline degeneration and multifocal segmental necrosis in the skeletal and cardiac striated muscles (myopathy and degenerative-necrotic multifocal multifocal-necrotic cardiopathy). The diagnosis was confirmed by the toxicological evaluation of suspected ration remains, which detected 461.67mg/kg of monensin. The death of 71.5% buffaloes in this lot occurred due to a succession of errors, which included faults in the formulation of the ration and, above all, due to the use of monensin in a highly sensitive species. Despite the possible beneficial effects of IA use as a dietary supplement for buffaloes, we are of the opinion that IAs should never be used in bubalinoculture since any increment in production does not compensate for the imminent risk of death due to a small safety margin for this species and the absence of antidotes.

Monensina é um antibiótico ionóforo (AI) amplamente empregado na produção de ruminantes para promoção de crescimento e ganho de peso, mas que tem causado intoxicação em diversas espécies, incluindo os búfalos, principalmente, pelo desconhecimento ou desrespeito das recomendações de uso e às particularidades de cada espécie animal. Objetivou-se descrever, pela primeira vez na Bahia, dados clínico-epidemiológicos e anatomopatológicos de um surto de intoxicação acidental por monensina em búfalos e rediscutir a recomendação do uso de AI na produção de bubalinos. O surto acometeu um lote de 21 búfalos adultos após consumo de sobras de uma ração para bovinos formulada na fazenda e cujos constituintes eram misturados à mão. Os sinais clínicos e primeiros óbitos foram observados 24 horas após a ingestão dessa ração. O quadro clínico, em geral, se caracterizou por fraqueza muscular, tremores, dificuldade de locomoção e decúbito. Quinze búfalos apresentaram sinais clínicos de intoxicação (morbidade 71,5%), seguido de morte (letalidade 100%), após evolução aguda a subaguda (<24h até 96h). Exames laboratoriais indicaram acentuada elevação na atividade sérica das enzimas CPK e AST. Três búfalos foram necropsiados, sendo coletadas amostras de diversos órgãos para exame histopatológico. A principal lesão encontrada foi degeneração hialina e necrose segmentar multifocal nos músculos estriados esqueléticos e cardíacos (miopatia e cardiopatia degenerativo-necrótica tóxica multifocal polifásica). O diagnóstico foi confirmado pela avaliação toxicológica das sobras da ração suspeita, que detectou 461,67mg/kg de monensina. A morte de 71,5% dos búfalos deste lote ocorreu devido a uma sucessão de erros, que incluíram falhas na formulação da ração e, sobretudo, devido ao uso da monensina em uma espécie altamente sensível. Enfatizamos que, apesar dos possíveis efeitos benéficos do uso AIs como suplemento dietético para bubalinos, somos da opinião que os AIs nunca devem ser empregados na bubalinocultura, uma vez que os eventuais incrementos na produção não compensam o risco iminente de morte, devido a pequena margem de segurança para essa espécie e a inexistência de antídotos.

Accidental monensin poisoning in buffaloes in Bahia, Brazil / Intoxicação acidental por monensina em búfalos na Bahia, Brasil

Monensin is an ionophore antibiotic (IA) widely used for growth promotion and weight gain in the production of ruminants. However, it has caused intoxication in several species, including buffaloes, mainly because of the ignorance or disrespect of the recommendations for use in each animal species. The objective of this study was to describe, for the first time, clinical-epidemiological and anatomopathological data of an outbreak of accidental poisoning by monensin in buffalos and rediscuss the recommendation of the use of IA in the production of this species. The outbreak affected 21 adult buffaloes after consumption of remains from a feed formulated on the farm and whose constituents were mixed by hand. Clinical and first death signs were observed 24 hours after ingestion of this food. In general, the clinical picture was characterized by muscle weakness, tremors, difficulty in locomotion, and decubitus. Fifteen buffaloes presented clinical signs of poisoning (71.5% morbidity), followed by death (100% lethality), after acute to subacute evolution (<24h to 96h). Laboratory tests indicated elevated serum activity of creatine phosphokinase and aspartate aminotransferase enzymes. Three buffaloes underwent necropsy, and samples from several organs were collected for histopathological examination. The main injuries found were hyaline degeneration and multifocal segmental necrosis in the skeletal and cardiac striated muscles (myopathy and degenerative-necrotic multifocal multifocal-necrotic cardiopathy). The diagnosis was confirmed by the toxicological evaluation of suspected ration remains, which detected 461.67mg/kg of monensin. The death of 71.5% buffaloes in this lot occurred due to a succession of errors, which included faults in the formulation of the ration and, above all, due to the use of monensin in a highly sensitive species. Despite the possible beneficial effects of IA use as a dietary supplement for buffaloes, we are of the opinion that IAs should never be used in bubalinoculture since any increment in production does not compensate for the imminent risk of death due to a small safety margin for this species and the absence of antidotes.(AU)

Monensina é um antibiótico ionóforo (AI) amplamente empregado na produção de ruminantes para promoção de crescimento e ganho de peso, mas que tem causado intoxicação em diversas espécies, incluindo os búfalos, principalmente, pelo desconhecimento ou desrespeito das recomendações de uso e às particularidades de cada espécie animal. Objetivou-se descrever, pela primeira vez na Bahia, dados clínico-epidemiológicos e anatomopatológicos de um surto de intoxicação acidental por monensina em búfalos e rediscutir a recomendação do uso de AI na produção de bubalinos. O surto acometeu um lote de 21 búfalos adultos após consumo de sobras de uma ração para bovinos formulada na fazenda e cujos constituintes eram misturados à mão. Os sinais clínicos e primeiros óbitos foram observados 24 horas após a ingestão dessa ração. O quadro clínico, em geral, se caracterizou por fraqueza muscular, tremores, dificuldade de locomoção e decúbito. Quinze búfalos apresentaram sinais clínicos de intoxicação (morbidade 71,5%), seguido de morte (letalidade 100%), após evolução aguda a subaguda (<24h até 96h). Exames laboratoriais indicaram acentuada elevação na atividade sérica das enzimas CPK e AST. Três búfalos foram necropsiados, sendo coletadas amostras de diversos órgãos para exame histopatológico. A principal lesão encontrada foi degeneração hialina e necrose segmentar multifocal nos músculos estriados esqueléticos e cardíacos (miopatia e cardiopatia degenerativo-necrótica tóxica multifocal polifásica). O diagnóstico foi confirmado pela avaliação toxicológica das sobras da ração suspeita, que detectou 461,67mg/kg de monensina. A morte de 71,5% dos búfalos deste lote ocorreu devido a uma sucessão de erros, que incluíram falhas na formulação da ração e, sobretudo, devido ao uso da monensina em uma espécie altamente sensível. Enfatizamos que, apesar dos possíveis efeitos benéficos do uso AIs como suplemento dietético para bubalinos, somos da opinião que os AIs nunca devem ser empregados na bubalinocultura, uma vez que os eventuais incrementos na produção não compensam o risco iminente de morte, devido a pequena margem de segurança para essa espécie e a inexistência de antídotos.(AU)

Necrose tissular em equino associada ao uso de fenilbutazona / Tissue necrosis in equine associated with use of phenylbutazone

Background: Wounds that occur with tissue necrosis and that result from the application of medications through the most diverse accesses are described as drug skin medical embolism or Nicholas syndrome in human medicine, with wide description. In veterinary medicine, this subject has not yet been described extensively and specifically in veterinary medicine, especially regarding to wounds that occurred after the application of non-intravenous medications in horses, even though these lesions are recurrent in the clinical routine. This report aims to describe a case of skin necrosis in a horse, due to phenylbutazone infection. Case: A 7 year-old Mangalarga Marchador horse, weighing 400 kg, was admitted to the Veterinary Hospital for Large Animals of the Universiade Federal Rural do Rio de Janeiro (UFRRJ), with a history of phenylbutazone injection to the left side of the neck. The animal had an extensive wound on the neck and face on the left side and was characterized by the presence of cold and devitalized skin, with a hardened and parched appearance and that easily detached. During the anamnesis, a single administration of 10 mL of a non-steroidal anti-inflammatory drug based on phenylbutazone was reported intramuscularly for about 10 days to control the pain resulting from the claudication present for 14 days. The medication was administered in the region of the lateral border of the neck, on the left side. After drug administration, the animal presented an increase in volume at the application site. After 24 h, the lesion spread from the inoculation region, extending to the head and chest of the animal. During debridement, it was found that the lesion did not reach the underlying muscle tissue. In addition to the wound, the animal had upper eyelid palsy, lower lip, and auricular ptosis. Treatment with surgical debridement of devitalized tissue, topical application of ozonated sunflower oil, ketanserin, and a free skin graft was instituted. During hospitalization, the animal had a corneal ulcer in the left eye with an unfavorable prognosis due to paralysis of the upper eyelid, with enucleation of the affected eyeball. The animal was under veterinary care for 180 days and was discharged when his wound was already in an advanced stage of healing. Discussion: The history of the application of phenylbutazone intramuscularly and the location and characteristics of the lesion presented by the patient in the present report suggest that this animal presented aseptic tissue necrosis resulting from the administration of non-steroidal anti-inflammatory drugs, phenylbutazone. Although aseptic tissue necrosis, better known as Nicolau's syndrome or drug embolism cutis, is widely characterized and described in this species, there are studies in the literature that reproduce the syndrome in pigs and rabbits. Phenylbutazone was able to cause arterial damage, mainly in the tunica intima of the artery in which the medication was administered, with perivascular inflammatory infiltrate and subsequent skin necrosis at the site of administration. In addition to the skin lesion, the animal started to show signs compatible with the left facial nerve lesion, evidenced by the immobility of the upper eyelid and labial and ear ptosis. This resulted in corneal ulceration and subsequent enucleation. The animal also developed chewing difficulty in the first months of hospitalization. This dysfunction may be due to a lesion of the mandibular nerve, responsible for innervating the masticatory muscles and the oral mucosa. However, the animal showed improvement in this aspect, no longer showing this condition after 90 days of hospitalization. The treatment used was successful in healing the wound.

Aspectos da hemoplasmose em búfalos: revisão bibliográfica / Aspects of hemoplasmosis in buffaloes: literature review / Aspectos de la hemoplasmosis en búfalos: revisión de la literatura

Búfalos são animais rústicos que podem ser explorados para a produção de carne ou leite. Estes animais são susceptíveis a enfermidades que também acometem outras espécies de ruminantes, principalmente os bovinos. Entretanto, acredita-se que os bubalinos sejam mais resistentes a algumas doenças, mas ainda há poucos estudos epidemiológicos abrangendo doenças infecciosas como a hemoplasmose em búfalos. A hemoplasmose é causada por micoplasmas hemotrópicos ou hemoplasmas, que são bactérias gram-negativas causadoras de anemia hemolítica em hospedeiros imunocomprometidos. Mycoplasma wenyonii e 'Candidatus Mycoplasma haemobos' são as principais espécies de hemoplasmas que podem infectar búfalos. A transmissão da doença ocorre principalmente por meio de vetores artrópodes hematófagos ou por via iatrogênica. O diagnóstico de animais infectados é realizado por meio da Reação em Cadeia da Polimerase (PCR). Medidas de prevenção e controle são essenciais para o controle desta enfermidade nos rebanhos bubalinos.

Buffalo are rustic animals that can be exploited for meat or milk production. These animals are susceptible to diseases that also affect other species of ruminants, especially cattle. However, it is believed that buffalo are more resistant to some diseases, but there are still few epidemiological studies covering infectious diseases such as hemoplasmosis in buffaloes. Hemoplasmosis is caused by hemotropic mycoplasmas or hemoplasmas, which are gram-negative bacteria that cause hemolytic anemia in immunocompromised hosts. Mycoplasma wenyonii and 'Candidatus Mycoplasma haemobos' are the main hemoplasma species that can infect buffaloes. Transmission of the disease occurs mainly via hematophagous arthropod vectors or iatrogenically. The diagnosis of infected animals is made by Polymerase Chain Reaction (PCR). Prevention and control measures are essential for the control of this disease in buffalo herds.

Los búfalos son animales rústicos que pueden ser explotados para la producción de carne o leche. Estos animales son susceptibles de contraer enfermedades que también afectan a otras especies de rumiantes, especialmente al ganado vacuno. Sin embargo, se cree que los búfalos son más resistentes a algunas enfermedades, pero todavía hay pocos estudios epidemiológicos sobre enfermedades infecciosas como la hemoplasmosis en búfalos. La hemoplasmosis está causada por micoplasmas hemotrópicos o hemoplasmas, que son bacterias gram negativas que causan anemia hemolítica en huéspedes inmunodeprimidos. Mycoplasma wenyonii y 'Candidatus Mycoplasma haemobos' son las principales especies de hemoplasma que pueden infectar a los búfalos. La transmisión de la enfermedad se produce principalmente a través de vectores artrópodos hematófagos o de forma iatrogénica. El diagnóstico de los animales infectados se realiza mediante la reacción en cadena de la polimerasa (PCR). Las medidas de prevención y control son esenciales para controlar esta enfermedad en los rebaños de búfalos.

Biliary peritonitis in a dog after perforation of the gallbladder during laparoscopic cholecystectomy

Background: Iatrogenic gallbladder perforation during laparoscopic cholecystectomy (LC) is a common complication and occurs in at least one third of human patients undergoing LC. This is attributed to the fragility of the gallbladder wall associated with mucocele and cholecystitis, in addition to the need for repetitive gripping and traction of the gallbladder during its manipulation with laparoscopic instruments. As complications from this event are rare in human patients, conversion to laparotomy is not routinely indicated and the adverse consequences of bile spillage are minimized by abundant irrigation of the peritoneal cavity and adequate antimicrobial therapy. On the other hand, there is little information regarding the outcome of laparoscopic management of this complication in laparoscopic cholecystectomies in dogs, particularly since most surgeons indicate conversion in these cases. Thus, we describe a case of biliary peritonitis that developed in a dog after laparoscopic management of iatrogenic perforation of the gallbladder during a laparoscopic cholecystectomy, in a case of gallbladder mucocele. To the best of our knowledge, there are no reports of biliary peritonitis following laparoscopic management of iatrogenic gallbladder perforation during LC in dogs. Case: A 14-year-old Poodle was referred for clinical evaluation with selective appetite, recurrent episodes of hyporexia, and abdominal discomfort. Ultrasound findings characterized chronic liver disease and gallbladder mucocele. The patient was referred for laparoscopic cholecystectomy, during which the gallbladder was iatrogenically perforated, with extravasation of a large volume of bile content. This complication was managed by copious abdominal irrigation via laparoscopic access and antimicrobial therapy. On the second postoperative day, the patient started to present apathy, hyporexia, emesis, and jaundice. The patient remained hospitalized in the intensive care unit for stabilization and monitoring through hematological examinations and serial abdominal ultrasound. Due to progressive worsening of the clinical picture, an exploratory laparotomy was performed ten days after the initial surgical procedure. This examination showed multiple adhesions and the presence of bile residues adhered to numerous points on the peritoneal surface and pancreas. Despite the intensive treatment instituted, death occurred 10 h after the second surgical procedure. Discussion: The high risk of gallbladder perforation during laparoscopic cholecystectomies correlates with the dissection step or repetitive grasping and traction of the gallbladder with laparoscopic instruments. Conversion is not routinely indicated and laparoscopic management is considered effective in humans. However, in this case, the presence of a large volume of extravasated semisolid bile content and its adherence to the mesothelial surface made it impossible to remove it in its entirety despite the abundant irrigation of the abdominal cavity, resulting in a picture of biliary peritonitis in the postoperative period. In view of the reported negative outcome, the authors encourage the adoption of measures that minimize the risk of gallbladder perforation when performing LC in dogs. These include the use of atraumatic instruments or aspiration of bile content before surgical manipulation. Cases in which such a complication is recorded should be carefully monitored to enable early diagnosis and treatment of biliary peritonitis. Furthermore, conversion should be considered when there is extravasation of large volumes of bile, particularly in the presence of gallbladder mucocele, until future studies establish the safety and effectiveness of laparoscopic management of this complication.

Accidental monensin poisoning in buffaloes in Bahia, Brazil

ABSTRACT: Monensin is an ionophore antibiotic (IA) widely used for growth promotion and weight gain in the production of ruminants. However, it has caused intoxication in several species, including buffaloes, mainly because of the ignorance or disrespect of the recommendations for use in each animal species. The objective of this study was to describe, for the first time, clinical-epidemiological and anatomopathological data of an outbreak of accidental poisoning by monensin in buffalos and rediscuss the recommendation of the use of IA in the production of this species. The outbreak affected 21 adult buffaloes after consumption of remains from a feed formulated on the farm and whose constituents were mixed by hand. Clinical and first death signs were observed 24 hours after ingestion of this food. In general, the clinical picture was characterized by muscle weakness, tremors, difficulty in locomotion, and decubitus. Fifteen buffaloes presented clinical signs of poisoning (71.5% morbidity), followed by death (100% lethality), after acute to subacute evolution ( 24h to 96h). Laboratory tests indicated elevated serum activity of creatine phosphokinase and aspartate aminotransferase enzymes. Three buffaloes underwent necropsy, and samples from several organs were collected for histopathological examination. The main injuries found were hyaline degeneration and multifocal segmental necrosis in the skeletal and cardiac striated muscles (myopathy and degenerative-necrotic multifocal multifocal-necrotic cardiopathy). The diagnosis was confirmed by the toxicological evaluation of suspected ration remains, which detected 461.67mg/kg of monensin. The death of 71.5% buffaloes in this lot occurred due to a succession of errors, which included faults in the formulation of the ration and, above all, due to the use of monensin in a highly sensitive species. Despite the possible beneficial effects of IA use as a dietary supplement for buffaloes, we are of the opinion that IAs should never be used in bubalinoculture since any increment in production does not compensate for the imminent risk of death due to a small safety margin for this species and the absence of antidotes.

RESUMO: Monensina é um antibiótico ionóforo (AI) amplamente empregado na produção de ruminantes para promoção de crescimento e ganho de peso, mas que tem causado intoxicação em diversas espécies, incluindo os búfalos, principalmente, pelo desconhecimento ou desrespeito das recomendações de uso e às particularidades de cada espécie animal. Objetivou-se descrever, pela primeira vez na Bahia, dados clínico-epidemiológicos e anatomopatológicos de um surto de intoxicação acidental por monensina em búfalos e rediscutir a recomendação do uso de AI na produção de bubalinos. O surto acometeu um lote de 21 búfalos adultos após consumo de sobras de uma ração para bovinos formulada na fazenda e cujos constituintes eram misturados à mão. Os sinais clínicos e primeiros óbitos foram observados 24 horas após a ingestão dessa ração. O quadro clínico, em geral, se caracterizou por fraqueza muscular, tremores, dificuldade de locomoção e decúbito. Quinze búfalos apresentaram sinais clínicos de intoxicação (morbidade 71,5%), seguido de morte (letalidade 100%), após evolução aguda a subaguda ( 24h até 96h). Exames laboratoriais indicaram acentuada elevação na atividade sérica das enzimas CPK e AST. Três búfalos foram necropsiados, sendo coletadas amostras de diversos órgãos para exame histopatológico. A principal lesão encontrada foi degeneração hialina e necrose segmentar multifocal nos músculos estriados esqueléticos e cardíacos (miopatia e cardiopatia degenerativo-necrótica tóxica multifocal polifásica). O diagnóstico foi confirmado pela avaliação toxicológica das sobras da ração suspeita, que detectou 461,67mg/kg de monensina. A morte de 71,5% dos búfalos deste lote ocorreu devido a uma sucessão de erros, que incluíram falhas na formulação da ração e, sobretudo, devido ao uso da monensina em uma espécie altamente sensível. Enfatizamos que, apesar dos possíveis efeitos benéficos do uso AIs como suplemento dietético para bubalinos, somos da opinião que os AIs nunca devem ser empregados na bubalinocultura, uma vez que os eventuais incrementos na produção não compensam o risco iminente de morte, devido a pequena margem de segurança para essa espécie e a inexistência de antídotos.

Hipertireoidismo secundário à carcinoma de tireoide em um cão: relato de caso / Hyperthyroidism secondary to thyroid carcinoma in a dog: case report

Hipertireoidismo é uma doença causada pela disfunção do eixo hipotálamo-hipófise-tireoide, na qual há um aumento na produção e secreção de T3 (triiodotironina) e T4 (tiroxina). É comum em gatos de meia idade a idosos, mas raro em cães, nos quais normalmente são causados por iatrogenia ou neoplasias da tireoide. O presente trabalho relata um caso de hipertireoidismo em um cão da raça golden retriever, secundário a um carcinoma folicular-compacto de tireoide. A enfermidade causa alterações em diversos sistemas, portanto é importante que o diagnóstico precoce seja firmado para o sucesso do tratamento e a avaliação do tamanho, da invasividade tumoral, da presença de metástases, bem como, das condições clínicas do paciente que são essenciais para a escolha da terapêutica.(AU)

Hyperthyroidism is a disease caused by the hypothalamic-pituitary-thyroid axis dysfunction, in which there is an increased production and secretion of T3 (triiodothyronine) and T4 (thyroxine). It is common in middle aged to old cats but is rare in dogs, in which are usually a result of iatrogenic cause or thyroid neoplasia. The present paper reports a case of hyperthyroidism in a golden retriever dog secondary to a thyroid follicular-compact carcinoma. The disease causes changes in several systems, so to achieve the treatment's success it must be performed an early diagnoses. The analyzis of the tumor size and invasion, presence of metastasis and the patient's clinical conditions are essential to the settlement of the therapeutic choice.(AU)

Monocephalus dipygus dibrachius em cadela Shih Tzu / Monocephalus dipygus dibrachius in a Shih Tzu bitch

Background: Congenital anomalies are structural, functional, or metabolic defects caused by a combination of environmental, genetic, or even iatrogenic factors. Genetic defects, which can be inherited, are more common in purebred dogs. Teratogenic factors such as radiation, toxins, chemical agents, infectious diseases, mechanical influences, drugs given to the mother, and nutrition can affect the litter during gestational development. The incomplete division of a fertilized egg results in monozygotic, conjoined or Siamese twins, which are animals with complete or incomplete duplications. This paper reports on an adult bitch with monocephalus dipygus dibrachius and the surgical procedures. Case: A 2-year-old female Shih Tzu weighing 5 kg was admitted to a veterinary clinic, presenting with swelling and myiasis near the anus and several development disorders, characterized by 2 pelvises, 2 anuses, 2 vulvas, 2 forelimbs and 6 hindlimbs. Her physiological parameters were otherwise normal. Only the dog's myiasis was treated at this time due to the owner's financial straits. After 5 months, the owner brought the bitch back to the veterinary clinic because the animal presented with fecaloma in 1 of the anuses. Radiography revealed numerous alterations: seven lumbar vertebrae with marked vertebral axis deviation, reduced disc space, as well as ankylosis and fused ventral spondylosis at L6 and L7. Two pelvises fused medially by the wings of the ileum, with slight deviation and thinning of pelvic bones. Four hip joints and medial joints with pelvic avulsion and bone remnants of the pelvic limbs. Acetabular tearing slightly flattened femoral head and thickened femoral neck. Caudal vertebrae and vertebral axis located in left pelvis. Left lateral patella inserted in the trochlear groove and lateral dislocation of right patella. Right patellofemoral joint with smooth surface, preserved intra-articular density and cranial displacement of the tibia relative to the femoral condyles (cranial cruciate ligament rupture). An ultrasound analysis revealed 2 bladders. Two months later surgery was performed due to recurrent complications. During laparotomy 2 uteruses, 2 bladders and bifurcation of the intestine were observed. Ovariosalpingohysterectomy was performed in both uterus and enterectomy of the problematic intestinal portion. After 2 days of the surgery, blood transfusion was performed. After 2 days of the transfusion, there was extravasation of yellow fluid from the surgical cut and abdominal palpation was indicative of bladder rupture, so the patient was sent to emergency surgery. Unilateral nephrectomy and ureterectomy, and ruptured bladder cystectomy were performed. The dog remained hospitalized for 24 days after surgery, before it was released. Discussion: The classification of conjoined twins is based on the location of the junction and the number of limbs. Monocephalus dipygus dibrachius was diagnosed based on the fact that the dog had 1 skull, 2 thoracic limbs and 4 pelvic limbs, as well as the corresponding genitourinary and gastrointestinal tract alterations. Imaging scans are extremely important for a proper diagnosis to ensure appropriate surgery planning. The bitch was the result of inbreeding between a male dog and its offspring, which probably contributed to this malformation. There are very few reports of surviving adult conjoined animals, and even fewer descriptions of successful surgical treatments. To the best of knowledge of the authors, there are no previous reports of a surviving adult dog suffering from this malformation.

Paralisia de laringe em cão Dogue Alemão - tratamento com unilateralização da cartilagem aritenoide / Laryngeal paralysis in a Great Dane dog - treatment by unilateralization of the arytenoid cartilage

Background: Laryngeal paralysis is a disorder that affects the movement of the arytenoid cartilages, creating an obstacle to the passage of air during inspiration. The disease is progressive and clinical signs are associated with upper airway obstruction. Diagnosis occurs through observation of laryngeal movements, and it is important to rule out concomitant diseases. In severely affected animals, surgery is recommended to alleviate clinical signs and improve quality of life. The aim of this report is to report a case of idiopathic laryngeal paralysis in a dog submitted to arytenoid unilateralization to clear the upper airways and evaluate the effectiveness of the technique. Case: A 5-year-old male Great Dane dog was referred to the Hospital de Clínicas Veterinárias (HCV) of the Federal University of Rio Grande do Sul (UFRGS) with severe respiratory distress and respiratory stridor. The animal was taken directly to the emergency room, where it was promptly submitted to oxygen therapy with the aid of a mask, was medicated with nalbuphine hydrochloride 0.3 mg/kg intramuscularly and venous access was performed. After stabilization, complete blood count, biochemical profile, blood gas analysis and chest X-ray were requested. In the anamnesis, the tutor reported that the dog showed signs of fatigue with exercise intolerance, coughing similar to choking, breathing difficulties and noisy breathing, especially on hotter days and in situations of exertion, stress or euphoria. He mentioned that the signs were progressive, having started 2 months ago and that they were more frequent and lasting. The patient was diagnosed with laryngeal paralysis through transoral laryngoscopy and referred to surgery. The improvement in the breathing pattern and the absence of post-surgical complications resulted in the patient being discharged 6 days after hospitalization. Discussion: When the origin of laryngeal paralysis (LP) is undefined, the acquired form may be a consequence of generalized polyneuropathy, polymyopathy, neoplasia, endocrinopathy, iatrogenic or idiopathic injury. The patient under study did not present clinical signs or history of disease, therefore, the case was classified as idiopathic in origin. Laryngeal paralysis of unknown cause is the most common and affects mainly middle-aged to elderly males, large or giant breeds. The disease is often described in Labrador Retriever dogs, but it can affect other breeds such as Great Dane. This information corroborates the profile of the patient in this study. Although oral laryngoscopy is the recommended method for confirming the diagnosis in dogs with characteristic signs of LP, the diagnosis can also be obtained by transnasal laryngoscopy or echolaryngography, however, previous studies have shown that the sensitivity and specificity of diagnosis through echoaryngography is inferior to transnasal laryngoscopy, suggesting that direct visualization of the larynx is better to indirect visualization. Dogs with signs of moderate to severe respiratory distress or whose quality of life is affected as a result of LP are candidates for surgical treatment, as in this case, in which the patient had exercise intolerance and severe respiratory distress. The arytenoid unilateralization procedure proved to be effective in improving the quality of life of the patient under study, achieving excellent postoperative results and approval by the tutor. In this case, transoral laryngoscopy was essential to determine the diagnosis and establish the treatment. Although the goal of improving quality of life has been achieved without major complications, the animal must receive long-term follow-up due to a possible correlation with generalized polyneuropathy and long-term complications.

Iatrogenic alkalosis in goats with the use of intravenous electrolyte solution containing 84 mEq/L of lactate / Alcalose iatrogênica em cabras após infusão intravenosa de solução eletrolítica contendo 84 mEq/L de lactato

This study investigated the alkalinizing potential of an intravenous polyionic solution containing 84 mEq/L of lactate on hydroelectrolyte and acid-base balances in healthy goats.Four solutions, containing 28 and 84 mEq/L of lactate (L28 and L84) or bicarbonate (B28 and B84), were formulated. Six healthy Saanen goats were used. All four solutions were infused intravenously in each animal, one at a time, with an interval of 4–5 days between the infusions, at a speed of 33.3 mL/kg/h and totaling a volume equivalent to 10% of their body weight, in 3 h of continuous administration. Samples of venous blood and urine were collected at 0h (start of the infusion), 1.5h (middle of the infusion), 3h (end of the infusion), and 4.5h, 6h, and 24 h from the start of the infusion. The laboratory tests included determination of blood pH, pCO2, HCO3-, base excess (BE), Na+, K+, Cl-, total plasmatic protein, L-lactate, and creatinine. In urine samples, pH, Na+, K+, Cl-, L-lactate, and creatinine were measured. The L28 solution, equivalent to lactated Ringer's solution, caused a slight increase in the alkaline reserve and did not change the electrolyte balance. The L84 solution resulted in a greater increase in the alkaline reserve, equivalent to the B84 solution, with return to baseline values within 24 h from the start of the infusion.The L84 solution proved to be safe and produced iatrogenic alkalization when infused into healthy goats, without causing side effects.

O objetivo deste trabalho foi investigar o potencial alcalinizante de uma solução poli-iônica intravenosa contendo 84mEq/L de lactato no equilíbrio hidroeletrolítico e ácido base de cabras saudáveis. Quatro soluções contendo 28 e 84 mEq/L de lactato (L28 e L84) ou bicarbonato (B28 e B84) foram formuladas. Seis cabras, adultas, da raça Saanen, saudáveis receberam as quatro soluções por via intravenosa, uma de cada vez, com intervalo de quatro a cinco dias entre as infusões, a velocidade de 33,3 ml/kg/h, totalizando um volume equivalente a 10% do seu peso corporal, em três horas de administração contínua. Foram coletadas amostras de sangue venoso e urina antes do início da infusão (0h), na metade (1,5h), no fim (3h) e às 4,5h, 6h e 24h após o início da infusão. Os exames laboratoriais consistiram na determinação do pH sanguíneo, pCO2, HCO3-, BE, Na+, K+, Cl-, proteína plasmática total, lactato L e creatinina. Nas amostras de urina foram medidos o pH, Na+, K+, Cl-, lactato L e creatinina. A solução L28, equivalente à solução de Ringer com lactato, causou um aumento leve na reserva alcalina e não alterou o equilíbrio eletrolítico. A solução L84 resultou em maior aumento da reserva alcalina, equivalente à solução B84, com retorno dos parâmetros avaliados aos valores basais em até 24 horas após o início da infusão. A solução L84 provou-se segura e produziu alcalose iatrogência em cabras sadias, sem causar qualquer efeito colateral.

Iatrogenic alkalosis in goats with the use of intravenous electrolyte solution containing 84 mEq/L of lactate / Alcalose iatrogênica em cabras após infusão intravenosa de solução eletrolítica contendo 84 mEq/L de lactato

This study investigated the alkalinizing potential of an intravenous polyionic solution containing 84 mEq/L of lactate on hydroelectrolyte and acid-base balances in healthy goats.Four solutions, containing 28 and 84 mEq/L of lactate (L28 and L84) or bicarbonate (B28 and B84), were formulated. Six healthy Saanen goats were used. All four solutions were infused intravenously in each animal, one at a time, with an interval of 4–5 days between the infusions, at a speed of 33.3 mL/kg/h and totaling a volume equivalent to 10% of their body weight, in 3 h of continuous administration. Samples of venous blood and urine were collected at 0h (start of the infusion), 1.5h (middle of the infusion), 3h (end of the infusion), and 4.5h, 6h, and 24 h from the start of the infusion. The laboratory tests included determination of blood pH, pCO2, HCO3-, base excess (BE), Na+, K+, Cl-, total plasmatic protein, L-lactate, and creatinine. In urine samples, pH, Na+, K+, Cl-, L-lactate, and creatinine were measured. The L28 solution, equivalent to lactated Ringer's solution, caused a slight increase in the alkaline reserve and did not change the electrolyte balance. The L84 solution resulted in a greater increase in the alkaline reserve, equivalent to the B84 solution, with return to baseline values within 24 h from the start of the infusion.The L84 solution proved to be safe and produced iatrogenic alkalization when infused into healthy goats, without causing side effects.(AU)

O objetivo deste trabalho foi investigar o potencial alcalinizante de uma solução poli-iônica intravenosa contendo 84mEq/L de lactato no equilíbrio hidroeletrolítico e ácido base de cabras saudáveis. Quatro soluções contendo 28 e 84 mEq/L de lactato (L28 e L84) ou bicarbonato (B28 e B84) foram formuladas. Seis cabras, adultas, da raça Saanen, saudáveis receberam as quatro soluções por via intravenosa, uma de cada vez, com intervalo de quatro a cinco dias entre as infusões, a velocidade de 33,3 ml/kg/h, totalizando um volume equivalente a 10% do seu peso corporal, em três horas de administração contínua. Foram coletadas amostras de sangue venoso e urina antes do início da infusão (0h), na metade (1,5h), no fim (3h) e às 4,5h, 6h e 24h após o início da infusão. Os exames laboratoriais consistiram na determinação do pH sanguíneo, pCO2, HCO3-, BE, Na+, K+, Cl-, proteína plasmática total, lactato L e creatinina. Nas amostras de urina foram medidos o pH, Na+, K+, Cl-, lactato L e creatinina. A solução L28, equivalente à solução de Ringer com lactato, causou um aumento leve na reserva alcalina e não alterou o equilíbrio eletrolítico. A solução L84 resultou em maior aumento da reserva alcalina, equivalente à solução B84, com retorno dos parâmetros avaliados aos valores basais em até 24 horas após o início da infusão. A solução L84 provou-se segura e produziu alcalose iatrogência em cabras sadias, sem causar qualquer efeito colateral.(AU)

Incisional hernia in a dog

Background: The rupture of the suture in the abdominal wall, but with integrity of the cutaneous suture, results in a condition known as incisional hernia. It is characterized by the protrusion of the abdominal viscera through orifices or areas ofthe abdominal wall. In most of the cases these defects in the abdominal wall are iatrogenic. The incisional hernia occursin an intact wall that is weakened by surgical incisions. The available literature on the incidence of incisional herniasin animals is scarce. With the aim to contribute to the information about incisional hernia in animals, it was decided todescribe the case of incisional hernia in a female dog after performing ovariohysterectomy (OH).Case: An adult mongrel shelter bitch, of unknown age, weighing 9.5 kg was admitted for OH in a practical class of theveterinary surgical technical discipline. Once the anesthetic condition was established, a retro-umbilical cutaneous incisionwas made. After opening the abdominal cavity, the bitch was castrated routinely. The abdominal wall was sutured including peritoneum, muscle fascia, and rectus abdominis muscle with nylon thread and U-stitches. The subcutaneous tissuewas then sutured with the same thread using Cushing suture. Ten days after the surgery, when the stitches were removed,the bitch revealed an increase in volume at the region of the surgical scar. Incisional hernia was diagnosed after carefulpalpation. For correction of the hernia, the bitch was submitted to surgical procedure. After the skin opening, an intenseinflammatory reaction was observed in the subcutaneous tissue. The inflamed skin and subcutaneous tissue were removed.The abdominal cavity was closed with nylon thread by means of U-stitches. The subcutaneous and skin...

Incisional hernia in a dog

Background: The rupture of the suture in the abdominal wall, but with integrity of the cutaneous suture, results in a condition known as incisional hernia. It is characterized by the protrusion of the abdominal viscera through orifices or areas ofthe abdominal wall. In most of the cases these defects in the abdominal wall are iatrogenic. The incisional hernia occursin an intact wall that is weakened by surgical incisions. The available literature on the incidence of incisional herniasin animals is scarce. With the aim to contribute to the information about incisional hernia in animals, it was decided todescribe the case of incisional hernia in a female dog after performing ovariohysterectomy (OH).Case: An adult mongrel shelter bitch, of unknown age, weighing 9.5 kg was admitted for OH in a practical class of theveterinary surgical technical discipline. Once the anesthetic condition was established, a retro-umbilical cutaneous incisionwas made. After opening the abdominal cavity, the bitch was castrated routinely. The abdominal wall was sutured including peritoneum, muscle fascia, and rectus abdominis muscle with nylon thread and U-stitches. The subcutaneous tissuewas then sutured with the same thread using Cushing suture. Ten days after the surgery, when the stitches were removed,the bitch revealed an increase in volume at the region of the surgical scar. Incisional hernia was diagnosed after carefulpalpation. For correction of the hernia, the bitch was submitted to surgical procedure. After the skin opening, an intenseinflammatory reaction was observed in the subcutaneous tissue. The inflamed skin and subcutaneous tissue were removed.The abdominal cavity was closed with nylon thread by means of U-stitches. The subcutaneous and skin...(AU)

Comparison of intraoperative nociception and postoperative acute pain after traditional or minimally invasive ovariohysterectomy in dogs

Many variations of ovariohysterectomy techniques have been described, including the traditional one and minimally invasive procedures. Non-laparoscopic Snook hook technique is an alternative for performing minimally invasive ovariohysterectomy. Few studies have been carried out in order to assess pain in animals submitted to minimally invasive surgeries, especially involving one of the most performed surgical procedures in veterinary practice. The aim of this study was to evaluate surgical duration, intraoperative nociception and acute postoperative pain after traditional ovariohysterectomy or minimally invasive non-laparoscopic technique in dogs using Snook hook. The hypothesis is that non-laparoscopic minimally invasive ovariohysterectomy would be faster and less painful than the conventional technique. Thirty dogs were divided into Traditional Group (TG = 15) and Minimally Invasive Group (MIG = 15). Heart rate, respiratory rate, systolic blood pressure, body temperature, oxyhemoglobin saturation, end-tidal carbon dioxide concentration (ETCO2) and end-tidal isoflurane concentration were evaluated before the surgery begins (M0), during incision (M1), clamping of the first ovarian pedicle (M2), second ovarian pedicle (M3), uterine cervix (M4), abdominal suture (M5) and at the end of surgery (M6). The modified Glasgow Pain Scale was used for acute postoperative pain assessment and Visual Analogue Scale (VAS) was used to assess the sensitivity of surgical wound. The level of significance established for all statistical analysis was 5%. Statistical differences were not observed between groups considering total surgical time and postoperative acute pain intensity (P > 0.05), in spite of MIG having shorter duration of surgery. There was no statistical difference between groups considering all intraoperative parameters except respiratory rate (TG < MIG; P < 0.05) and ETCO2 (MIG < TG; P < 0.05) at the moment of traction of the first ovarian pedicle (M2). Pain assessment by VAS showed statistical difference 24h after the end of surgery (TG < MIG) (P < 0.05). Both procedures were similar regarding intraoperative nociception and acute postoperative pain. It is possible that the sensation of pain in both procedures was blocked by the effectiveness of analgesics, once they might cause an inhibition of painful behaviors limiting a possible difference in pain identification. Higher respiratory stress observed in MIG at M2 and higher pain score by VAS noted in MIG 24 h after the end of surgery can be justified by greater traction of ovarian pedicle, due to limited surgical access of minimally invasive technique. Minimally invasive ovariohysterectomy non-laparoscopic seems to be potentially faster, probably due to the smaller size of the abdominal incision, which takes less time to be closed. In the present study, both techniques were performed by an experienced surgeon, providing safe procedures, nevertheless it is important to emphasize that iatrogenic injury can be caused by surgeons non-proficient in the Snook hook technique, considering the limited visualization of anatomical abdominal structures. Data obtained indicate that traditional ovariohysterectomy and non-laparoscopic Snook hook technique promote similar intraoperative nociception and acute postoperative pain, however minimally invasive procedure is potentially faster with less surgical trauma.(AU)

Acquired skin fragility syndrome in a juvenile cat following a routine ovariohysterectomy

Background: Acquired skin fragility syndrome (ASFS) is a rare condition, which is characterized by spontaneous fragility of the skin and an absence of hyperextensibility. Even though the real pathogenesis of ASFS remains unknown that isreported generally with some iatrogenic causes and severe diseases. Thus, based on the clinical findings this is the firstreport of describes the case and treatment of feline acquired skin fragility syndrome following a routine ovariohysterectomy.Case: An 8-month-old domestic shorthair female cat was brought to the Siirt University Animal Health Application andResearch Center for ovariohysterectomy operation. Before the operation physical examination of the animal revealed bodytemperature, heart rate, respiratory rate, the color of mucosas, and lymph nodes were determined normally. Besides, thereis no hematological and biochemical problem detected. The cat had no previous history of several infections or systemicdisease. A routine ovariohysterectomy procedure was applied under general anesthesia and the cat was discharged onthe same day. Three days after that a spontaneously developed cutaneous laceration below the left scapular region wasdetermined by the cat owner. During the clinical examination, it was determined that the cat was sensitive to touch againstthe left scapular area. Multiple spontaneous skin tear was revealed over the left scapular region while shaving for betterinspection but did not obtain any problem with incision line. To identify the underlying cause of skin tearing, hematological and biochemical tests were done but the animal’s results were found within the normal references. Also, rapid bloodtests were performed for feline leukemia virus and immunodeficiency virus, and none of them were positive. Additionally,the skin was not hyperextensible. Although the clinicopathological abnormalities were...

Acquired skin fragility syndrome in a juvenile cat following a routine ovariohysterectomy

Background: Acquired skin fragility syndrome (ASFS) is a rare condition, which is characterized by spontaneous fragility of the skin and an absence of hyperextensibility. Even though the real pathogenesis of ASFS remains unknown that isreported generally with some iatrogenic causes and severe diseases. Thus, based on the clinical findings this is the firstreport of describes the case and treatment of feline acquired skin fragility syndrome following a routine ovariohysterectomy.Case: An 8-month-old domestic shorthair female cat was brought to the Siirt University Animal Health Application andResearch Center for ovariohysterectomy operation. Before the operation physical examination of the animal revealed bodytemperature, heart rate, respiratory rate, the color of mucosas, and lymph nodes were determined normally. Besides, thereis no hematological and biochemical problem detected. The cat had no previous history of several infections or systemicdisease. A routine ovariohysterectomy procedure was applied under general anesthesia and the cat was discharged onthe same day. Three days after that a spontaneously developed cutaneous laceration below the left scapular region wasdetermined by the cat owner. During the clinical examination, it was determined that the cat was sensitive to touch againstthe left scapular area. Multiple spontaneous skin tear was revealed over the left scapular region while shaving for betterinspection but did not obtain any problem with incision line. To identify the underlying cause of skin tearing, hematological and biochemical tests were done but the animals results were found within the normal references. Also, rapid bloodtests were performed for feline leukemia virus and immunodeficiency virus, and none of them were positive. Additionally,the skin was not hyperextensible. Although the clinicopathological abnormalities were...(AU)

Cistostomia com sonda de Foley para desvio temporário do fluxo urinário em felino acometido por ruptura uretral iatrogênica / Cystostomy with Foley tube for temporary deviation of urinary flow in feline affected by iatrogenic urethral rupture / Cistostomía con tubo de Foley para la desviación temporal del flujo urinario en felino afectado por ruptura uretral iatrogénica

A ruptura uretral iatrogênica geralmente é uma intercorrência secundária à passagem forçada de sondas rígidas durante a tentativa de desobstrução uretral; procedimento este realizado como forma de eliminação imediata da urina em casos de retenção aguda. Pacientes obstruídos podem manifestar sinais de injúria renal aguda, sendo necessário o pronto restabelecimento do fluxo urinário. O presente estudo tem como objetivo demonstrar o uso de uma técnica de cistostomia temporária em felino com ruptura de uretra, feito a partir da inserção de uma sonda tipo Foley na região ventral da bexiga e fixação desta à parede abdominal para que a urina pudesse ser conduzida ao meio externo.

The iatrogenic urethral rupture is usually an intercurrence secondary to the forced passage of rigid tubes during the urethral clearance attempt; procedure that is performed as a means of immediate elimination of urine in cases of acute retention. Obstructed patients may show signs of acute kidney injury, requiring prompt restoration of urinary flow. The present study aims to demonstrate the use of a temporary cystostomy technique in feline with rupture of the urethra, made from the insertion of a Foley type probe in the ventral region of the bladder and fixation of it to the abdominal wall so that the urine could be conducted to the external environment.

La ruptura uretral iatrogénica suele ser una intercurrencia secundaria al paso forzado de tubos rígidos durante el intento de aclaramiento uretral; procedimiento que se realizó como un medio de eliminación inmediata de orina en casos de retención aguda. Los pacientes obstruidos pueden mostrar signos de lesión renal aguda, lo que requiere una pronta restauración del flujo urinario. El presente estudio tiene como objetivo demostrar el uso de una técnica de cistostomía temporal en felinos con ruptura de la uretra, realizada mediante la inserción de una sonda tipo Foley en la región ventral de la vejiga y su fijación a la pared abdominal para que la orina pueda ser conducida al ambiente externo.

Cistostomia com sonda de Foley para desvio temporário do fluxo urinário em felino acometido por ruptura uretral iatrogênica / Cystostomy with Foley tube for temporary deviation of urinary flow in feline affected by iatrogenic urethral rupture / Cistostomía con tubo de Foley para la desviación temporal del flujo urinario en felino afectado por ruptura uretral iatrogénica

A ruptura uretral iatrogênica geralmente é uma intercorrência secundária à passagem forçada de sondas rígidas durante a tentativa de desobstrução uretral; procedimento este realizado como forma de eliminação imediata da urina em casos de retenção aguda. Pacientes obstruídos podem manifestar sinais de injúria renal aguda, sendo necessário o pronto restabelecimento do fluxo urinário. O presente estudo tem como objetivo demonstrar o uso de uma técnica de cistostomia temporária em felino com ruptura de uretra, feito a partir da inserção de uma sonda tipo Foley na região ventral da bexiga e fixação desta à parede abdominal para que a urina pudesse ser conduzida ao meio externo.(AU)

The iatrogenic urethral rupture is usually an intercurrence secondary to the forced passage of rigid tubes during the urethral clearance attempt; procedure that is performed as a means of immediate elimination of urine in cases of acute retention. Obstructed patients may show signs of acute kidney injury, requiring prompt restoration of urinary flow. The present study aims to demonstrate the use of a temporary cystostomy technique in feline with rupture of the urethra, made from the insertion of a Foley type probe in the ventral region of the bladder and fixation of it to the abdominal wall so that the urine could be conducted to the external environment.(AU)

La ruptura uretral iatrogénica suele ser una intercurrencia secundaria al paso forzado de tubos rígidos durante el intento de aclaramiento uretral; procedimiento que se realizó como un medio de eliminación inmediata de orina en casos de retención aguda. Los pacientes obstruidos pueden mostrar signos de lesión renal aguda, lo que requiere una pronta restauración del flujo urinario. El presente estudio tiene como objetivo demostrar el uso de una técnica de cistostomía temporal en felinos con ruptura de la uretra, realizada mediante la inserción de una sonda tipo Foley en la región ventral de la vejiga y su fijación a la pared abdominal para que la orina pueda ser conducida al ambiente externo.(AU)