Comparative study of the effectiveness and residual effect of preoperative antisepsis with 4% chlorhexidine gluconate associated with 70% ethyl alcohol and 0.5% alcoholic chlorhexidine gluconate in dogs / Estudo comparativo da eficácia e do efeito residual da antissepsia pré-operatória com gluconato de clorexidina 4% associado a álcool etílico 70% e gluconato de clorexidina alcoólico 0.5% em cães

The effectiveness of antisepsis of surgical sites in 20 animals (canine species) was compared and subdivided into two groups, using 4% chlorhexidine gluconate associated with alcohol (group 1) and 0.5% chlorhexidine gluconate (group 2). The samples were collected through skin swab after trichotomy (T1), after definitive antisepsis (T2) and one hour after the use of antiseptic (T3), and then submitted to the count of colony forming units (CFU). In both groups, bacterial growth occurred in T1; in T2, the reduction of CFUs was significant for both groups (G1 and G2); however, if we consider absolute values, we can see in T1 a greater amount of CFUs in G2, and when evaluating the results of T2, we can see values which are very similar between G1 and G2, which may suggest greater efficiency of G2 in initial times after antisepsis. In T3, the reduction of CFUs was more effective for G1, suggesting a greater residual effect when compared to G2. Both antiseptic protocols were effective as they significantly reduced the number of skin bacteria, both in T2 and T3.

A eficácia da antissepsia dos sítios cirúrgicos em 20 animais (espécie canina) foi comparada e subdividida em dois grupos, utilizando gluconato de clorexidina 4% associado ao álcool (grupo 1) e gluconato de clorexidina 0,5% (grupo 2). As amostras foram coletadas por meio de swab cutâneo após tricotomia (T1), após antissepsia definitiva (T2) e uma hora após o uso de antisséptico (T3), sendo então submetidas à contagem das unidades formadoras de colônias (UFC). Em ambos os grupos, o crescimento bacteriano ocorreu em T1; em T2, a redução das UFCs foi significativa para ambos os grupos (G1 e G2); porém, se considerarmos os valores absolutos, podemos observar em T1 uma maior quantidade de UFCs no G2, e ao avaliar os resultados de T2, podemos observar valores que são muito semelhantes entre G1 e G2, o que pode sugerir maior efi-ciência de G2 em tempos iniciais após a antissepsia. No T3, a redução das UFCs foi mais efetiva para o G1, sugerindo maior efeito residual quando comparado ao G2. Ambos os protocolos antissépticos foram eficazes, pois reduziram significativamente o número de bactérias cutâneas, tanto em T2 quanto em T3.

Comparative study of the effectiveness and residual effect of preoperative antisepsis with 4% chlorhexidine gluconate associated with 70% ethyl alcohol and 0.5% alcoholic chlorhexidine gluconate in dogs / Estudo comparativo da eficácia e do efeito residual da antissepsia pré-operatória com gluconato de clorexidina 4% associado a álcool etílico 70% e gluconato de clorexidina alcoólico 0.5% em cães

The effectiveness of antisepsis of surgical sites in 20 animals (canine species) was compared and subdivided into two groups, using 4% chlorhexidine gluconate associated with alcohol (group 1) and 0.5% chlorhexidine gluconate (group 2). The samples were collected through skin swab after trichotomy (T1), after definitive antisepsis (T2) and one hour after the use of antiseptic (T3), and then submitted to the count of colony forming units (CFU). In both groups, bacterial growth occurred in T1; in T2, the reduction of CFUs was significant for both groups (G1 and G2); however, if we consider absolute values, we can see in T1 a greater amount of CFUs in G2, and when evaluating the results of T2, we can see values which are very similar between G1 and G2, which may suggest greater efficiency of G2 in initial times after antisepsis. In T3, the reduction of CFUs was more effective for G1, suggesting a greater residual effect when compared to G2. Both antiseptic protocols were effective as they significantly reduced the number of skin bacteria, both in T2 and T3.(AU)

A eficácia da antissepsia dos sítios cirúrgicos em 20 animais (espécie canina) foi comparada e subdividida em dois grupos, utilizando gluconato de clorexidina 4% associado ao álcool (grupo 1) e gluconato de clorexidina 0,5% (grupo 2). As amostras foram coletadas por meio de swab cutâneo após tricotomia (T1), após antissepsia definitiva (T2) e uma hora após o uso de antisséptico (T3), sendo então submetidas à contagem das unidades formadoras de colônias (UFC). Em ambos os grupos, o crescimento bacteriano ocorreu em T1; em T2, a redução das UFCs foi significativa para ambos os grupos (G1 e G2); porém, se considerarmos os valores absolutos, podemos observar em T1 uma maior quantidade de UFCs no G2, e ao avaliar os resultados de T2, podemos observar valores que são muito semelhantes entre G1 e G2, o que pode sugerir maior efi-ciência de G2 em tempos iniciais após a antissepsia. No T3, a redução das UFCs foi mais efetiva para o G1, sugerindo maior efeito residual quando comparado ao G2. Ambos os protocolos antissépticos foram eficazes, pois reduziram significativamente o número de bactérias cutâneas, tanto em T2 quanto em T3.(AU)

Deep anterior lamellar keratoplasty (DALK) as a treatment of a deep stromal ulcer in a dog: case report / Ceratoplastia lamelar anterior profunda(DALK) como tratamento de úlcera estromal profunda em cão: relato de caso

Characterized by the rupture of the corneal epithelium, corneal ulcers threaten ocular integrity, with multifactorial development, such as decreased protection and excessive abrasion applied to the corneal surface. Keratoplasty restores the corneal anatomy, removing the inflamed or infected tissues, in order to promote visual acuity. The technique of deep anterior lamellar keratoplasty (DALK) selectively removes the diseased layers of the cornea, keeping the Descemet membrane and endothelium healthy, reducing the risk of rejection, aimed at tissue recovery. In the present report, a canine, from the Shih Tzu breed, a female, that has not been castrated, 2 years and 6 months old, was treated, she had a history of ocular discomfort and mucous secretion in both eyes. In the ophthalmic examination, keratoconjunctivitis sicca was found in the left eye and ectopic cilia was found in both eyes. With the aid of a fluorescein test, the presence of a deep stromal ulcer affecting the right eye was confirmed. The patient underwent ectopic cilia removal using the wedge resection technique and an allogeneic corneal transplantation using DALK, with only the diseased epithelium and stroma being replaced, reducing the risk of rejection and failures related to surgery. 90 days after the procedure, there was no reaction to the graft, there was complete epithelial repair and maintenance of

Caracterizada pela ruptura do epitélio corneano, as úlceras de córnea ameaçam a integridade ocular, tendo desenvolvimento multifatorial, como a diminuição da proteção e o excesso de abrasão aplicado na superfície da córnea. A ceratoplastia restaura a anatomia corneana, removendo tecidos inflamados ou infectados, com objetivo de promover acuidade visual. A técnica de ceratoplastia lamelar anterior profunda (DALK -deep anterior lamelar keratoplasty) remove seletivamente as camadas doentes da córnea, mantendoa membrana de Descemet e endotélio saudáveis, reduzindo o risco de rejeição, visando recuperação tecidual. No presente relato, um canino, raça Shih Tzu, fêmea não castrada, 2 anos e 6 meses de idade, foi atendido com histórico de desconforto ocular e secreção mucosa em ambos os olhos. No exame oftálmico constatou-se ceratoconjuntivite seca no olho esquerdo e cílios ectópicos em ambos os olhos. Com auxílio do teste de fluoresceína, confirmou-se a presença de úlcera estromal profunda acometendo o olho direito. O paciente foi submetido a remoção dos cílios ectópicos pela técnica de secção em cunha e ao transplante de córnea alógena utilizando a DALK, sendo substituído apenas o epitélio e estroma doentes, reduzindo o risco de rejeição e falhas relacionadas a cirurgia. Após 90 dias do procedimento, constatou-se ausência de reação ao enxerto, completa reparação epitelial e manutenção da função visual com discreta opacidade corneana.

Deep anterior lamellar keratoplasty (DALK) as a treatment of a deep stromal ulcer in a dog: case report / Ceratoplastia lamelar anterior profunda(DALK) como tratamento de úlcera estromal profunda em cão: relato de caso

Characterized by the rupture of the corneal epithelium, corneal ulcers threaten ocular integrity, with multifactorial development, such as decreased protection and excessive abrasion applied to the corneal surface. Keratoplasty restores the corneal anatomy, removing the inflamed or infected tissues, in order to promote visual acuity. The technique of deep anterior lamellar keratoplasty (DALK) selectively removes the diseased layers of the cornea, keeping the Descemet membrane and endothelium healthy, reducing the risk of rejection, aimed at tissue recovery. In the present report, a canine, from the Shih Tzu breed, a female, that has not been castrated, 2 years and 6 months old, was treated, she had a history of ocular discomfort and mucous secretion in both eyes. In the ophthalmic examination, keratoconjunctivitis sicca was found in the left eye and ectopic cilia was found in both eyes. With the aid of a fluorescein test, the presence of a deep stromal ulcer affecting the right eye was confirmed. The patient underwent ectopic cilia removal using the wedge resection technique and an allogeneic corneal transplantation using DALK, with only the diseased epithelium and stroma being replaced, reducing the risk of rejection and failures related to surgery. 90 days after the procedure, there was no reaction to the graft, there was complete epithelial repair and maintenance of(AU)

Caracterizada pela ruptura do epitélio corneano, as úlceras de córnea ameaçam a integridade ocular, tendo desenvolvimento multifatorial, como a diminuição da proteção e o excesso de abrasão aplicado na superfície da córnea. A ceratoplastia restaura a anatomia corneana, removendo tecidos inflamados ou infectados, com objetivo de promover acuidade visual. A técnica de ceratoplastia lamelar anterior profunda (DALK -deep anterior lamelar keratoplasty) remove seletivamente as camadas doentes da córnea, mantendoa membrana de Descemet e endotélio saudáveis, reduzindo o risco de rejeição, visando recuperação tecidual. No presente relato, um canino, raça Shih Tzu, fêmea não castrada, 2 anos e 6 meses de idade, foi atendido com histórico de desconforto ocular e secreção mucosa em ambos os olhos. No exame oftálmico constatou-se ceratoconjuntivite seca no olho esquerdo e cílios ectópicos em ambos os olhos. Com auxílio do teste de fluoresceína, confirmou-se a presença de úlcera estromal profunda acometendo o olho direito. O paciente foi submetido a remoção dos cílios ectópicos pela técnica de secção em cunha e ao transplante de córnea alógena utilizando a DALK, sendo substituído apenas o epitélio e estroma doentes, reduzindo o risco de rejeição e falhas relacionadas a cirurgia. Após 90 dias do procedimento, constatou-se ausência de reação ao enxerto, completa reparação epitelial e manutenção da função visual com discreta opacidade corneana.(AU)

Steinmann pins and polymethylmethacrylate repair of fourth lumbar vertebral fracture and dorsocranial luxation in puppy

Background: Acute spinal traumas can lead to irreversible damage associated with vascular and inflammatory changes in neural tissue. Since spine and spinal cord traumas have an unfavorable prognosis in small animals, and reports of the use of Steinmann pins and polymethylmethacrylate repair of lumbar vertebra fracture-luxation in puppies are rare in the literature, the present paper aimed to report the surgical treatment of transversal fracture through the body of the fourth lumbar vertebra, with dorsocranial displacement of the caudal fragment by using Steinmann pins and polymethylmethacrylate in a 7-month-old Labrador Retriever male dog. Case: A 7-month-old intact male Labrador Retriever dog, weighing 24.0 kg was attended at School Veterinary Hospital with a history of hit by car and paraplegia of the hind limbs. On neurological examination was observed no proprioception and no deep pain sensitivity on the both pelvic limbs. The lumbar spinal palpation showed intense pain, and the motor function and patellar reflexes were reduced. The values of haematological and biochemical analysis remained within the reference values for the species. Radiographs revealed a transversal fracture through the body of the fourth lumbar vertebra, with dorsocranial displacement of the caudal fragment, and was decided to perform a surgical treatment by open reduction and internal fixation of the fracture. The dog was positioned in ventral recumbency for surgery, and a dorsal midline incision was made from the second lumbar vertebra to the sixth lumbar vertebra. Two crossed 1.5 mm Kirschner wires were placed through the caudal articular facets of the fourth lumbar vertebra to provide initial stability...

Steinmann pins and polymethylmethacrylate repair of fourth lumbar vertebral fracture and dorsocranial luxation in puppy

Background: Acute spinal traumas can lead to irreversible damage associated with vascular and inflammatory changes in neural tissue. Since spine and spinal cord traumas have an unfavorable prognosis in small animals, and reports of the use of Steinmann pins and polymethylmethacrylate repair of lumbar vertebra fracture-luxation in puppies are rare in the literature, the present paper aimed to report the surgical treatment of transversal fracture through the body of the fourth lumbar vertebra, with dorsocranial displacement of the caudal fragment by using Steinmann pins and polymethylmethacrylate in a 7-month-old Labrador Retriever male dog. Case: A 7-month-old intact male Labrador Retriever dog, weighing 24.0 kg was attended at School Veterinary Hospital with a history of hit by car and paraplegia of the hind limbs. On neurological examination was observed no proprioception and no deep pain sensitivity on the both pelvic limbs. The lumbar spinal palpation showed intense pain, and the motor function and patellar reflexes were reduced. The values of haematological and biochemical analysis remained within the reference values for the species. Radiographs revealed a transversal fracture through the body of the fourth lumbar vertebra, with dorsocranial displacement of the caudal fragment, and was decided to perform a surgical treatment by open reduction and internal fixation of the fracture. The dog was positioned in ventral recumbency for surgery, and a dorsal midline incision was made from the second lumbar vertebra to the sixth lumbar vertebra. Two crossed 1.5 mm Kirschner wires were placed through the caudal articular facets of the fourth lumbar vertebra to provide initial stability...(AU)