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1.
Vet Surg ; 53(1): 167-174, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37935116

ABSTRACT

OBJECTIVE: To determine the influence of preclosure antiseptic versus saline lavage on surgical site infections (SSI) in dogs following tibial plateau leveling osteotomy (TPLO). STUDY DESIGN: A multicenter retrospective study. SAMPLE POPULATION: Dogs treated with TPLO (n = 1422) between December 2019 and October 2021. METHODS: The medical records of dogs treated with TPLO were reviewed for preclosure antiseptic lavage or saline irrigation. Additional collected data included signalment, unilateral or bilateral TPLO, postoperative administration of antimicrobial medications, antibiotic agent, surgeon, and development of SSI within 90 postoperative days. Eleven factors were analyzed for association with SSI using univariate and multivariate analysis. RESULTS: Data were collected from the records of 519 dogs treated with antiseptic lavage and 903 dogs treated with saline lavage during TPLO. Surgical site infections were diagnosed more frequently in dogs that received preclosure antiseptic lavage (77/519, 14.84%) than those with saline irrigation (80/903, 8.86%) (p = .001). Single session bilateral TPLO increased the odds of SSI by 2.5x (p = .004). The odds of SSI increased by 11% (p = .001) for every 5 kg increase in bodyweight. Postoperative administration of antimicrobials decreased the risk of SSI (p = .008). CONCLUSION: The preclosure antiseptic lavage tested here did not decrease the incidence of SSI after TPLO. CLINICAL SIGNIFICANCE: The results of this study do not provide evidence to support preclosure antiseptic lavage during TPLOs.


Subject(s)
Anterior Cruciate Ligament Injuries , Anti-Infective Agents, Local , Anti-Infective Agents , Dog Diseases , Osteotomy , Dogs , Animals , Surgical Wound Infection/epidemiology , Surgical Wound Infection/prevention & control , Surgical Wound Infection/veterinary , Anti-Infective Agents, Local/therapeutic use , Retrospective Studies , Therapeutic Irrigation/veterinary , Dog Diseases/surgery , Dog Diseases/etiology , Tibia/surgery , Osteotomy/methods , Osteotomy/veterinary , Anterior Cruciate Ligament Injuries/veterinary , Stifle/surgery
2.
Vet Ophthalmol ; 26(2): 108-120, 2023 Mar.
Article in English | MEDLINE | ID: mdl-36239227

ABSTRACT

OBJECTIVE: The aim of this study was to describe the placement of subpalpebral lavage (SPL) systems in 12 dogs (15 eyes) intolerant of topical ocular medications to assess the suitability, complications encountered and owner perception of use. ANIMALS STUDIED: Retrospective review of dogs that underwent SPL placement for treatment of ocular disease at the Ophthalmology Department, University of Bristol Small Animal Hospital between 2017 and 2021. PROCEDURE(S): Data recorded included signalment, history, diagnosis, treatment, reason for SPL placement, uni- or bilateral placement, duration of placement, complications, and outcome. Owner perception was assessed using an online questionnaire. Statistical analysis included McNemar and Wilcoxon signed-ranks tests. RESULTS: Twelve dogs (15 eyes) underwent SPL placement. Eleven owners completed the online questionnaire. Corneal ulceration was the most common disease requiring SPL placement (n = 13/15 eyes, 86.7%). Most cases received multimodal topical therapy (n = 9/15 eyes, 60.0%) via SPL. Owners administered medication 6.63 times daily via SPL (range 1-16 applications/day). All dogs requiring ongoing topical medication (n = 8/12, 66.7%) were trained to accept direct administration during SPL treatment. Statistically significant improvements in medication compliance, ease of application, and reduced perceived risk of iatrogenic ocular injury were reported by owners (p-value = .001, .004, and .031 respectively). Minor complications were infrequently reported but an excellent outcome was achieved for all eyes. CONCLUSION: Subpalpebral lavage placement provides a practical and safe solution for the provision of frequent multimodal ocular medication when treating patients with a challenging temperament.


Subject(s)
Dog Diseases , Therapeutic Irrigation , Dogs , Animals , Retrospective Studies , Treatment Outcome , Therapeutic Irrigation/veterinary , Administration, Topical , Perception , Dog Diseases/drug therapy
3.
Vet Surg ; 52(1): 33-41, 2023 Jan.
Article in English | MEDLINE | ID: mdl-36411945

ABSTRACT

OBJECTIVE: To report the outcomes and cost-benefit analysis of preclosure povidone-iodine lavage (PrePIL) used to reduce the risk of infection following total hip replacement (THR) surgery. STUDY DESIGN: Retrospective study. ANIMALS: One thousand six hundred ninety-nine dogs, 17 cats. METHODS: The medical records of 2213 consecutive THR cases were reviewed to determine the incidence of infection. The last 102 were treated with PrePIL using a commercially sourced 0.035% povidone-iodine solution. Postoperative infection rates were compared. A cost-benefit analysis was used to calculate if a PrePIL protocol is economically feasible. RESULTS: Twenty-one THRs out of 2111 (0.99%) that did not have PrePIL developed infection. Infection occurred in none of the 102 PrePIL cases. Cost analysis revealed a PrePIL break-even cost at $49.74 and a break-even infection rate of 0.949%. No complications were identified related to the use of PrePIL. CONCLUSION: Preclosure povidone-iodine lavage appeared to be efficacious in lowering THR infection rates, and it appeared to be safe for this use based on our 102 consecutive cases. The cost of the PrePIL was minimal compared to the overall cost to resolve THR infection and the potential effect on hip function prognosis. The math formulas developed can be used by surgeons to calculate cost effectiveness and break-even cost based on their THR infection rate, and to compare to the cost of a THR revision and infection resolution. CLINICAL SIGNIFICANCE: At current costs, PrePIL can be used in 2415 THR cases at a similar cost of a single revision surgery and resolution of a periprosthetic infection.


Subject(s)
Arthroplasty, Replacement, Hip , Povidone-Iodine , Animals , Dogs , Povidone-Iodine/therapeutic use , Arthroplasty, Replacement, Hip/adverse effects , Arthroplasty, Replacement, Hip/veterinary , Retrospective Studies , Cost-Benefit Analysis , Therapeutic Irrigation/veterinary
4.
BMC Vet Res ; 18(1): 42, 2022 Jan 18.
Article in English | MEDLINE | ID: mdl-35042518

ABSTRACT

BACKGROUND: Extracellular vesicles (EVs) are a promising biomarker and play a vital role in cell-cell communication. This study aimed (I) to identify and characterize EVs from low volume uterine lavage (LVL) and serum in mares with endometritis, compared to healthy controls and (II) to measure serum levels of interleukin 6 (IL-6), and prostaglandins (PGF2α and PGE2). Mares were divided into 30 sub-fertile (endometritis) and 20 fertile (controls). Serum and LVL was collected for EV isolation, and determination of serum levels of inflammatory mediators. Characterization and visualization of EVs were done by electron microscopy, dynamic light scattering and flow cytometry. RESULTS: Serial ultracentrifugation of LVL and use of a commercial kit for serum were strategies for EVs isolation. Mares with endometritis released higher amounts of larger size EVs. The EVs from mares with endometritis differentially expressed CD9 and CD63, compared to controls. Mares suffering from endometritis evoked higher levels of inflammatory mediators. CONCLUSIONS: Thus, EVs could be used for a better understanding the regulatory mechanisms associated with developing endometritis in mares.


Subject(s)
Endometritis , Extracellular Vesicles , Horse Diseases , Animals , Biomarkers , Dinoprostone , Endometritis/diagnosis , Endometritis/veterinary , Female , Horse Diseases/diagnosis , Horses , Therapeutic Irrigation/veterinary
5.
BMC Vet Res ; 17(1): 189, 2021 May 12.
Article in English | MEDLINE | ID: mdl-33980227

ABSTRACT

BACKGROUND: Lameness is a debilitating condition in equine athletes that leads to more performance limitation and loss of use than any other medical condition. There are a limited number of non-terminal experimental models that can be used to study early inflammatory and synovial fluid biophysical changes that occur in the equine joint. Here, we compare the well-established carpal IL-1ß-induced synovitis model to a tarsal intra-articular lavage model, focusing on serial changes in synovial fluid inflammatory cytokines/chemokines and the synovial fluid lubricating molecules lubricin/proteoglycan 4 and hyaluronic acid. The objectives of this study were to evaluate clinical signs; synovial membrane and synovial fluid inflammation; and synovial fluid lubricants and biophysical properties in response to carpal IL-1ß synovitis and tarsal intra-articular lavage. RESULTS: Hyaluronic acid (HA) concentrations, especially high molecular weight HA, and synovial fluid viscosity decreased after both synovitis and lavage interventions. Synovial fluid lubricin concentrations increased 17-20-fold for both synovitis and lavage models, with similar changes in both affected and contralateral joints, suggesting that repeated arthrocentesis alone resulted in elevated synovial fluid lubricin concentrations. Synovitis resulted in a more severe inflammatory response based on clinical signs (temperature, heart rate, respiratory rate, lameness and joint effusion) and clinicopathological and biochemical parameters (white blood cell count, total protein, prostaglandin E2, sulfated glycosaminoglycans, tumor necrosis factor-α and CC chemokine ligands - 2, - 3, - 5 and - 11) as compared to lavage. CONCLUSIONS: Synovial fluid lubricin increased in response to IL-1ß synovitis and joint lavage but also as a result of repeated arthrocentesis. Frequent repeated arthrocentesis is associated with inflammatory changes, including increased sulfated glycosaminoglycan concentrations and decreased hyaluronic acid concentrations. Synovitis results in more significant inflammatory changes than joint lavage. Our data suggests that synovial fluid lubricin, TNF-α, CCL2, CCL3, CCL5, CCL11 and sGAG may be useful biomarkers for synovitis and post-lavage joint inflammation. Caution should be exercised when performing repeated arthrocentesis clinically or in experimental studies due to the inflammatory response and loss of HA and synovial fluid viscosity.


Subject(s)
Horse Diseases , Interleukin-1beta/administration & dosage , Synovial Fluid/metabolism , Synovitis/pathology , Animals , Arthrocentesis/adverse effects , Arthrocentesis/veterinary , Cytokines/metabolism , Female , Glycoproteins/metabolism , Horses , Hyaluronic Acid/metabolism , Inflammation , Injections, Intra-Articular/veterinary , Interleukin-1beta/adverse effects , Male , Synovitis/chemically induced , Synovitis/metabolism , Therapeutic Irrigation/veterinary
6.
Int J Mol Sci ; 22(2)2021 Jan 19.
Article in English | MEDLINE | ID: mdl-33478136

ABSTRACT

Extracellular vesicles (EVs) have been identified in the uterine fluid in different species and have been pointed as key players in the embryo-maternal dialogue, maternal recognition of pregnancy and establishment of pregnancy. However, little is known about the uterine EVs in the mare. Therefore, the present study aimed at characterizing EVs from uterine lavage of cyclic mares by comparing five EVs isolation methods and the combination of them: (1) ultracentrifugation (UC); (2) concentration of lavage volume by Centricon ultrafiltration (CE); (3) the use of CE with different washing steps (phosphate-buffered saline with or without trehalose); (4) size-exclusion chromatography with iZON-qEV columns, and (5) a combination of the methods with best results based on EVs yield, purity, and protein cargo profiles. Transmission electron microscopy and Western blotting confirmed the isolation of EVs by all methods but with quantitative and qualitative differences. Mass spectrometry provided differences in protein profiles between methods, number of identified proteins, and protein classes. Our results indicate that the combination of CE/trehalose/iZON/UC is an optimal method to isolate equine uterine EVs with good yield and purity that can be applied in future studies to determine the role of equine uterine EVs in embryo-maternal interactions.


Subject(s)
Extracellular Fluid/cytology , Extracellular Vesicles/physiology , Therapeutic Irrigation/methods , Uterus , Animals , Drainage/methods , Drainage/veterinary , Extracellular Vesicles/ultrastructure , Female , Gene Expression Profiling , Horses/genetics , Horses/metabolism , Microscopy, Electron, Transmission , Ovulation/physiology , Proteome/analysis , Proteome/isolation & purification , Proteome/metabolism , RNA/analysis , RNA/isolation & purification , RNA/metabolism , Therapeutic Irrigation/veterinary , Transcriptome , Uterus/cytology
7.
Vet Anaesth Analg ; 47(5): 672-675, 2020 Sep.
Article in English | MEDLINE | ID: mdl-32792268

ABSTRACT

OBJECTIVE: To determine whether suction, lavage and instillation of sodium bicarbonate, following a gastro-oesophageal regurgitation event under general anaesthesia, would alter oesophageal pH to a greater degree than when lavage was not used. STUDY DESIGN: Prospective, randomised, clinical study. ANIMALS: A group of 22 client-owned dogs. METHODS: Dogs presenting with gastro-oesophageal regurgitation (GOReg) under general anaesthesia were randomised into groups: no lavage (G1) or lavage (G2). All dogs underwent oesophageal suctioning until no further regurgitant material was retrieved. Dogs in G2 had oesophageal lavage with tap water until the suctioned water was clear. All dogs then had 4.2% sodium bicarbonate (0.6 mL kg-1) instilled into the oesophagus. An oesophageal pH probe was placed to record pH immediately after: GOReg (T1), suctioning (T2), lavage of the oesophagus (T3; G2 only) and sodium bicarbonate instillation (T4). Categorical data were analysed using Fisher's exact test, and continuous data were analysed using either the two-sample t-test or the Wilcoxon rank-sum test. Parametric data are reported as mean ± standard deviation and non-parametric data as median (interquartile range). A p value < 0.05 was considered significant. RESULTS: Oesophageal pH was low in both groups immediately after GOReg [G1: 2.95 (2.20-4.18), G2: 3.29 (1.41-4.03)] but oesophageal pH was not significantly different between groups at T1, T2 and T4. Oesophageal lavage significantly increased pH but the overall change in pH following bicarbonate administration (T2-T4) was not significantly different between groups [G1: 3.16 ± 1.52, G2: 3.52 ± 1.47]. No adverse events following GOReg were recorded. CONCLUSIONS AND CLINICAL RELEVANCE: Both groups had similar and clinically important increases in oesophageal pH. Although oesophageal lavage increased pH, this did not affect the final oesophageal pH when sodium bicarbonate was instilled and therefore may be an unnecessary step.


Subject(s)
Anesthesia, General/veterinary , Dog Diseases/therapy , Gastroesophageal Reflux/veterinary , Sodium Bicarbonate/therapeutic use , Suction/veterinary , Therapeutic Irrigation/veterinary , Animals , Dogs , Female , Gastroesophageal Reflux/therapy , Male
8.
Vet Dermatol ; 30(1): 42-e12, 2019 Feb.
Article in English | MEDLINE | ID: mdl-30637895

ABSTRACT

BACKGROUND: Aural cholesteatomas, also called tympanokeratomas, are destructive and expansile growths of keratinizing epithelium that develop in the middle ear. They have been reported sporadically in dogs, and surgery is usually the recommended treatment. OBJECTIVES: To describe the common clinical, radiological and histological findings of cholesteatoma; to report on the outcome of conservative management. ANIMALS: Eleven dogs (13 ears) with cholesteatomas. METHODS AND MATERIALS: Medical records were reviewed for dogs diagnosed with cholesteatoma between 2012 and 2018. All dogs had computed tomography (CT) and/or magnetic resonance imaging (MRI) followed by trans-canal endoscopic procedure (TEP) for removal and biopsy of middle ear lesions. Dogs were then treated with in-clinic flushing initially weekly tapered to monthly, as well as at-home ear cleaning and application of topical otic steroid medication, initially daily then tapered to once or twice weekly. RESULTS: Nine dogs had a history of chronic otitis externa; head tilt or facial paralysis was present in seven and four cases, respectively. Otic examination identified a protruding nodule in seven ears. CT demonstrated soft tissue-like material in 12 bullae and expansion in seven bullae. MRI revealed minimally contrast-enhancing bulla contents in 12 ears. Post-TEP and with maintenance medical treatment, nine ears had no further signs of middle ear disease during a mean follow-up of 27.9 months. CONCLUSIONS AND CLINICAL IMPORTANCE: The results suggest that otitis externa may not necessarily precede cholesteatoma in all dogs. MRI appears to be more sensitive than CT for identifying cholesteatomas. Conservative treatment of cholesteatomas could be useful before or as an alternative to surgery.


Subject(s)
Cholesteatoma, Middle Ear/veterinary , Dog Diseases/therapy , Animals , Cholesteatoma, Middle Ear/diagnostic imaging , Cholesteatoma, Middle Ear/pathology , Cholesteatoma, Middle Ear/therapy , Dog Diseases/diagnostic imaging , Dog Diseases/pathology , Dogs , Ear, Middle/pathology , Endoscopy/veterinary , Female , Magnetic Resonance Imaging/veterinary , Male , Otitis Externa/etiology , Otitis Externa/veterinary , Retrospective Studies , Therapeutic Irrigation/veterinary , Tomography, X-Ray Computed/veterinary
9.
Can Vet J ; 60(7): 744-748, 2019 Jul.
Article in English | MEDLINE | ID: mdl-31281192

ABSTRACT

The standard placement of a subpalpebral lavage system may not be feasible in some horses with eyelid disease. We describe placement of a commercially available, indwelling nasolacrimal lavage system that circumvents eyelid perforation. This novel approach provided for effective delivery of drugs to 1 horse with periocular and corneal disease.


Placement nasolacrymal normograde d'un système de lavage oculaire pour le traitement des maladies de l'oeil des équidés. Le placement standard d'un système de lavage subpalpébral peut ne pas être réalisable chez certains chevaux atteints de maladies oculaires. Nous décrivons le placement d'un système de lavage nasolacrymal à demeure qui évite la perforation de la paupière. Cette approche innovatrice a permis d'administrer des médicaments à un cheval atteint de maladie périoculaire et cornéenne.(Traduit par Isabelle Vallières).


Subject(s)
Corneal Diseases/veterinary , Eye Diseases/veterinary , Eyelid Diseases/veterinary , Horse Diseases , Animals , Horses , Therapeutic Irrigation/veterinary
10.
Vet Surg ; 46(4): 530-538, 2017 May.
Article in English | MEDLINE | ID: mdl-28198553

ABSTRACT

OBJECTIVE: To describe the clinical signs, surgical treatment, and outcome of septic arthritis of the coxofemoral joint in foals. STUDY DESIGN: Retrospective clinical study. SAMPLE POPULATION: Foals (n = 12) with confirmed sepsis of the coxofemoral joint. METHODS: Lameness was localized to the coxofemoral joint based on physical examination. Sepsis was confirmed by cytological analysis of synovial fluid obtained under ultrasonographic guidance, during general anesthesia or standing sedation. Intra-articular analgesia was used as an adjunct diagnostic modality in 2 foals. Surgical lavage of the affected joint was performed via arthroscopy or needle lavage, with repeated lavage performed in 7 foals. RESULTS: Synovial fluid contained 4.4 to 173 × 109 /L white blood cells (WBCs), and 38-63 g/L total protein. Cultures were positive in 10/12 foals. Isolated organisms included Salmonella spp., Streptococcus spp., Rhodococcus spp., Enterococcus spp., Escherichia spp., Staphylococcus spp., Acinetobacter spp., Methicillin-resistant Staphylococcus aureus and Bacillus spp. Ten foals were discharged from hospital (83%). One of these was euthanized 15 days later due to chronic intestinal salmonellosis and renal failure, and 9 foals survived with no residual lameness detected 1 year after discharge from hospital. CONCLUSIONS: Sepsis of the coxofermoral joint can be effectively treated with a combination of arthroscopic lavage and the use of systemic and local antimicrobials.


Subject(s)
Arthritis, Infectious/veterinary , Arthroscopy/veterinary , Horse Diseases/surgery , Animals , Anti-Bacterial Agents/therapeutic use , Arthritis, Infectious/drug therapy , Arthritis, Infectious/surgery , Female , Hip Joint/pathology , Horse Diseases/drug therapy , Horses , Retrospective Studies , Synovial Fluid/cytology , Therapeutic Irrigation/veterinary
11.
Vet Surg ; 46(7): 1008-1016, 2017 Oct.
Article in English | MEDLINE | ID: mdl-28771839

ABSTRACT

OBJECTIVE: To evaluate the effect of arthroscopic lavage and repeated intra-articular administration of antibiotic in adult horses and foals with septic arthritis. STUDY DESIGN: Retrospective clinical study. ANIMALS: Adult horses and foals with septic arthritis (n = 62). METHODS: Age, sex, cause of septic synovitis, joint involved, hospitalization time, and outcome were recorded. Arthroscopic lavage was performed at day 0 (D 0). Synovial fluid was collected every 48 hours prior to intra-articular administration of antibiotic, and until hospital discharge. Synovial nucleated cell count, total protein, and percentage of neutrophils were compared across time and between subjects with a favorable or unfavorable outcome. RESULTS: Synovial nucleated cell counts decreased progressively and were lower at all times compared to D 0. Percentages of neutrophils were lower than baseline at D 8 and 10, only. Total protein contents decreased progressively and were lower than baseline at D 2, 4, 6, 8, 10, and 14. When adult horses and foals with a favorable outcome were compared to those with an unfavorable outcome, the nucleated cell count was lower at D 10, 12, and 14 and the percentage of neutrophils was lower at D 4 only, but total protein content did not differ between groups at any time. CONCLUSION: Synovial nucleated cell counts and total protein concentrations decreased after arthroscopic lavage and repeated intra-articular administration of antibiotic in horses and foals with septic arthritis. Synovial nucleated cell count is limited as a monitoring tool during treatment of septic arthritis.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Arthritis, Infectious/veterinary , Horse Diseases/surgery , Therapeutic Irrigation/veterinary , Aging , Animals , Anti-Bacterial Agents/administration & dosage , Arthritis, Infectious/drug therapy , Arthritis, Infectious/surgery , Female , Horse Diseases/drug therapy , Horses , Injections, Intra-Articular , Male , Retrospective Studies , Synovial Fluid/metabolism , Synovitis/veterinary
12.
Vet Surg ; 45(2): 223-30, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26767549

ABSTRACT

OBJECTIVE: To evaluate the effect of arthroscopic lavage on systemic serum amyloid A (SAA) and SAA, total protein, nucleated cell count, and percentage of neutrophils in synovial fluid in healthy horses. STUDY DESIGN: Prospective experimental study. ANIMALS: Healthy adult horses (n = 6). METHODS: Middle carpal joints were randomly assigned to 1 of 2 treatments: arthrocentesis (controls) or arthroscopic lavage, with 30 day washout period between treatments. Synovial fluid and blood samples were collected at 0, 24, 48, 72, 96, and 120 hours. Measurements included systemic and synovial fluid SAA, as well as total protein, nucleated cell count, and percentages of neutrophils in synovial fluid. Data were analyzed by median quantile regression and Wilcoxon signed-rank test and significance level set at P < .05. RESULTS: Systemic and synovial fluid SAA did not increase from baseline (except systemic SAA at 24 hours for both treatments) and were not significantly different between treatments. Total protein values were significantly increased after arthroscopic lavage (except at 96 hours) but not in controls at all time points. With both treatments, nucleated cell counts significantly increased from baseline values at all time points. Percentages of neutrophils were significantly increased after arthroscopic lavage at all time points, but only at 24 hours in controls. CONCLUSION: Total protein, nucleated cell count, and percentage of neutrophils in synovial fluid were significantly increased after arthroscopic lavage; however, synovial fluid SAA was not affected by this procedure. Further research is warranted to validate synovial fluid SAA as a monitoring tool during treatment of septic arthritis.


Subject(s)
Horse Diseases/therapy , Joint Diseases/veterinary , Serum Amyloid A Protein/metabolism , Synovial Fluid/metabolism , Therapeutic Irrigation/veterinary , Animals , Female , Horse Diseases/surgery , Horses , Injections, Intra-Articular/veterinary , Male , Prospective Studies , Synovial Fluid/cytology
13.
Vet Surg ; 45(2): 240-5, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26773461

ABSTRACT

OBJECTIVE: To quantify recovery of colored microspheres from normal cadaver tarsocrural joints using arthroscopic or needle lavage with 1-5 L of fluid. STUDY DESIGN: Ex vivo experimental study. ANIMALS: Adult Quarter Horse cadavers (n = 8). METHODS: After euthanasia, 1.5 × 10(6) colored microspheres were injected into each tarsocrural joint. Each joint was randomly assigned to receive lavage (5 L 0.9% NaCl) with an arthroscope (dorsomedial arthroscope and dorsolateral egress cannula) or three 14 g needles (dorsomedial ingress, dorsolateral, and plantarolateral egress). Egress fluid from each liter was collected separately over time and the number of microspheres present in each recovered liter determined by spectrophotometry. RESULTS: A significant interaction was present between treatment group and liter of fluid (P < .01). The number of microspheres recovered in the first liter of lavage fluid was significantly higher in the needle lavage group than in the arthroscopic lavage group (P < .01). For both groups, the number of microspheres recovered in the first liter of lavage fluid represented a majority of the total microspheres collected and was significantly different from each subsequent liter collected (P < .01). The number of microspheres recovered did not differ between liters 2, 3, 4, and 5 within or between treatment groups. CONCLUSION: In this model, tarsocrural lavage with three 14 g needles was more effective at removing colored microspheres from the joint than arthroscopic lavage, suggesting that the number or placement of portals present may be more important than portal size and flow rate. No difference in microsphere recovery was seen with lavage volumes >1 L.


Subject(s)
Horses/injuries , Tarsal Joints/injuries , Therapeutic Irrigation/veterinary , Animals , Arthroscopy/instrumentation , Arthroscopy/veterinary , Cadaver , Contrast Media/administration & dosage , Female , Horses/surgery , Injections, Intra-Articular/instrumentation , Injections, Intra-Articular/veterinary , Male , Microspheres , Tarsal Joints/surgery , Therapeutic Irrigation/instrumentation
14.
Vet Surg ; 45(2): 231-9, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26767727

ABSTRACT

OBJECTIVE: To assess the effects of a crosslinked, modified hyaluronic acid (xCMHA-S) gel on equine tendon healing using an in vivo surgical model. STUDY DESIGN: In vivo experimental study. ANIMALS: Adult horses (n = 5). METHODS: Full thickness bilateral forelimb window tenectomies were surgically created in both forelimb superficial digital flexor tendons and xCMHA-S gel was implanted intraoperatively into the right forelimb lesion of each horse whereas the left forelimb served as the untreated control. Healing was monitored by serial ultrasound examinations every 14 days over the course of the 84 day study. In addition, gross pathology, scanning electron microscopy for fiber diameter, and histological scoring were completed on tendon samples harvested after euthanasia at 84 days. RESULTS: Ultrasound assessment demonstrated a significant decrease in mean lesion size of treated (0%) compared to control (30%) tendons at 84 days. Mean (±SD) cumulative histologic tendon scores for control tendons (17.7 ± 2.7) were significantly higher than treated tendons (13.6 ± 1.9), indicating less advanced healing in the control group. Tendon cell density was increased and neovascularization, intensity of inflammation, and uniformity of fiber diameter were increased in control compared to treated tendons. There were no differences in fibroblast shape, levels of intralesional hemorrhage, linearity of collagen fibers, or collagen fiber diameter or distribution between treated and control tendons. CONCLUSION: Tendons treated with xCMHA-S gel at the time of model induction had superior histologic healing scores and sonographically smaller lesions compared to controls, suggesting that xCMHA-S gel may aid the natural healing process.


Subject(s)
Forelimb/injuries , Horses/injuries , Hyaluronic Acid/pharmacology , Tendon Injuries/veterinary , Tendons/drug effects , Wound Healing/drug effects , Animals , Cadaver , Female , Forelimb/surgery , Gels , Horses/surgery , Hyaluronic Acid/administration & dosage , Male , Orthopedic Procedures/veterinary , Therapeutic Irrigation/veterinary
15.
Acta Vet Hung ; 64(2): 179-88, 2016 Jun.
Article in English | MEDLINE | ID: mdl-27342089

ABSTRACT

Thirty-eight guttural pouch lavages from 19 clinically healthy horses were collected transendoscopically. Cytological examination and bacteriological culture of the samples were carried out. All 38 lavages assessed for cytology contained less than five per cent neutrophils and could be termed as cytologically 'normal'. In none of the lavages did the neutrophil count vary between five and 25 per cent or exceed 25 per cent, which are the borderlines for being termed 'reactive' or 'pathological', respectively. Epithelial cells were the most commonly represented cell type in all lavages. Bacteriological culture was positive in 16 out of 38 lavages, but specific pathogenic bacteria were not cultivated in any of them, and only transient microflora was present. Although the relationship between the presence of specific bacteria, neutrophil count and total cell count could not be statistically evaluated due to the absence of 'reactive' and 'pathological' lavages, transendoscopic lavage appears to be a reliable method for obtaining a sample for bacteriological culture.


Subject(s)
Animal Structures/cytology , Bacteria/isolation & purification , Endoscopy/veterinary , Horses/microbiology , Animal Structures/microbiology , Animals , Female , Male , Therapeutic Irrigation/veterinary
16.
J Zoo Wildl Med ; 46(2): 427-30, 2015 Jun.
Article in English | MEDLINE | ID: mdl-26056911

ABSTRACT

A 10-yr-old female okapi (Okapia johnstoni) at the San Diego Zoo Safari Park was evaluated for intermittent malaise, inappetence, occasional cough, abdominal splinting, and licking at both flanks. Physical examination revealed tachypnea, tachycardia, and fluid sounds on thoracic auscultation. Transthoracic ultrasound showed multiple uniform, anechoic filled structures in the right and left pleural space. Surgical exploration of the thoracic cavity revealed bilateral, mature, fibrous, compartmentalizing adhesions between the visceral and parietal pleura, confirming a diagnosis of chronic, infectious, fibrinous pleuritis. The suspected etiology was occult aspiration pneumonia secondary to historical episodes of regurgitation associated with general anesthesia. Culture of the pleural fluid and fibrous adhesions grew Trueperella (Arcanobacterium) pyogenes, Arcanobacterium haemolyticum, and few Fusobacterium species. Treatment consisted of chest-tube placement to establish drainage, thoracic lavage, unilateral surgical debridement, and long-term antibiotics. The animal made a complete clinical recovery over 7 mo.


Subject(s)
Actinomycetales Infections/veterinary , Actinomycetales/isolation & purification , Antelopes , Anti-Bacterial Agents/therapeutic use , Pleurisy/veterinary , Actinomycetales Infections/drug therapy , Actinomycetales Infections/therapy , Amikacin/therapeutic use , Animals , Cephalosporins/therapeutic use , Chronic Disease , Female , Penicillin G/therapeutic use , Pleurisy/microbiology , Pleurisy/pathology , Pleurisy/therapy , Therapeutic Irrigation/veterinary
17.
Reprod Fertil Dev ; 26(7): 1007-16, 2014 Aug.
Article in English | MEDLINE | ID: mdl-23924575

ABSTRACT

Leukotrienes (LTs) are lipid mediators that play a significant role in the inflammatory process. Their production in inflamed uteri is not fully understood. The present experiment aimed to determine LTB4 and LTC4 amounts, 5-lipooxygenase (5-LO), LTA4 hydrolase (LTAH) and LTC4 synthase (LTCS) mRNA levels and protein expression in inflamed porcine uteri. On Day 3 of the oestrous cycle (Day 0 of the study), either Escherichia coli suspension or saline were infused into uterine horns. Collection of uterine tissues and washings took place eight or sixteen days later. In gilts suffering from endometritis increased LTB4 and LTC4 levels in the endometrium and washings and 5-LO mRNA levels in the myometrium on Days 8 and 16, 5-LO protein levels in the endometrium and myometrium on Day 8, LTAH mRNA and protein levels in the endometrium and myometrium on Days 8 and 16, respectively. Although LTCS mRNA and protein expression in the myometrium and LTCS protein expression in the endometrium were enhanced on Day 16 after Escherichia coli inoculation, LTCS mRNA levels decreased on Day 8 in both tissues. Our study shows the upregulation of LT production in inflamed porcine uteri, which suggests the importance of these factors to the process of uterine inflammation.


Subject(s)
Endometritis/veterinary , Escherichia coli Infections/veterinary , Leukotrienes/biosynthesis , Swine Diseases/metabolism , Swine/metabolism , Animals , Arachidonate 5-Lipoxygenase/analysis , Arachidonate 5-Lipoxygenase/genetics , Endometritis/metabolism , Endometritis/microbiology , Endometrium/chemistry , Epoxide Hydrolases/analysis , Epoxide Hydrolases/genetics , Escherichia coli Infections/metabolism , Female , Glutathione Transferase/analysis , Glutathione Transferase/genetics , Leukotriene B4/analysis , Leukotriene C4/analysis , Myometrium/chemistry , RNA, Messenger/analysis , Sus scrofa , Swine/microbiology , Therapeutic Irrigation/veterinary , Time Factors , Up-Regulation
18.
Anim Reprod Sci ; 263: 107454, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38518685

ABSTRACT

This study aimed to compare the effectiveness of the ovarian lavage / artificial insemination method with the traditional hormonal administration and fertilization methods over the artificial reproduction of the northern pike (Esox lucius). For this purpose, groups of five females were treated as follows: intraperitoneal injection of saline (C1); ovarian lavage with saline (C2); intraperitoneal injection of carp pituitary extract (CPE, T1); ovarian lavage with CPE (T2); intraperitoneal injection of CPE and ovarian lavage with semen after 72 h (T3); ovarian lavage with CPE and ovarian lavage with semen after 72 h (T4). According to the results, no fish ovulated in the control groups (C1 and C2). There were no significant differences (n.s.) among experimental treatments (P > 0.05, n.s.) in the reproductive parameters, such as latency time, ovulation rate, stripped egg amount, and pseudo-gonadosomatic index. The lowest fertilization rate (54.8%) was observed in the T4 treatment and significantly differed from the T1 and T2 treatments (P < 0.05). Moreover, the highest survival at swim-up stage was measured in the T4 treatment with a significant difference compared to the T1 group (P < 0.05). The survival at the eyed-egg stage, hatching rate, and malformations were similar (P > 0.05, n.s.) in all applied strategies. The results demonstrated that the ovarian lavage / artificial insemination method could be applied to control northern pike reproduction, like the traditional fertilization method. Consequently, this novel technique can be suggested as an alternative strategy to facilitate the hatchery operations in the controlled reproduction of this species.


Subject(s)
Esocidae , Therapeutic Irrigation , Female , Animals , Therapeutic Irrigation/veterinary , Reproduction , Insemination, Artificial/veterinary , Fishes
20.
Theriogenology ; 198: 203-209, 2023 Mar 01.
Article in English | MEDLINE | ID: mdl-36592519

ABSTRACT

Ovarian lavage is a term used to describe the injection of fish with a catheter through the oviduct into the ovary. In this study, the efficacy of this technique was evaluated as a route for hormone administration and sperm preservation in the African catfish Clarias gariepinus. Firstly, the effects of hormone injection routes (namely, intramuscular, intraperitoneal, and ovarian lavage) were evaluated on breeding and haematological parameters. In the second study, the fish's spermatozoa were stored in the ovaries for 1, 2, 3, and 4 days before stripping, sperm activation with freshwater, and fertilization. The breeding performance was then compared with eggs fertilized using spermatozoa refrigerated for the same duration. The study showed that the administration of synthetic hormone (ovaprim®) through the ovaries was comparable to the intramuscular route, while those injected intraperitoneally had the least values (P < 0.05) for breeding performance. The trend of the haematological parameters also suggests the intraperitoneal administration procedure elicited more stress compared to intramuscular or ovarian lavage routes (P < 0.05). In the second experiment, the use of sperm stored in the ovaries or refrigerated for 24hr didn't affect (P > 0.05) the fertilization (92-93%) and hatching (81-83%) of the eggs when compared to the control (91% and 82%). Beyond this 24hr threshold, breeding performances were significantly reduced in the ovarian lavage treatments compared to those fertilized with refrigerated sperm (P < 0.05). The loss of fertilizing capacity observed herein was justified by the reduction in sperm quality over time (P < 0.05). It was concluded that ovarian lavage is a viable route for hormonal administration and 24hr sperm storage in C. gariepinus.


Subject(s)
Catfishes , Ovary , Female , Male , Animals , Therapeutic Irrigation/veterinary , Semen , Catfishes/physiology , Spermatozoa/physiology , Hormones
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