Retrospective analysis of 736 cases of canine gastric dilatation volvulus.

OBJECTIVE: To identify factors influencing the survival of confirmed gastric dilatation volvulus (GDV) cases presented to a specialist referral and emergency hospital. METHODS: Clinical records of confirmed GDV cases admitted to two specialist referral and emergency centres in Sydney (Animal Referral Hospital (ARH) Homebush and ARH Baulkham Hills) between July 1999 and July 2019 were searched. RESULTS: A total of 736 GDV cases were reviewed, of which 460 dogs were surgically treated and 276 dogs were humanely killed. The survival rates of patients operated on by general surgeons and specialists were 81.7% and 88.7%, respectively. Both incisional gastropexy and belt-loop gastropexy were clinically effective in treating GDV, with no significant difference in survival rates. Intraoperative mortality rates for general surgeons and specialists were 7.0% and 2.9%, respectively. The odds of mortality in dogs operated on by general surgeons were 2.03 times those operated on by specialist surgeons. The odds of mortality in dogs presented between 3:00 and 9:00 am were 3.57 times those of dogs presented between 9:00 am and 9:00 pm. The odds of mortality in dogs where the duration from presentation to completion of surgery was more than 3 h were 2.53 times those of dogs where time lapsed was equal or less than 3 h. CONCLUSION: The results suggested that admission time was statistically significantly related to the survival rate. Dogs operated on by specialist surgeons had a significantly higher survival rate compared to those operated on by general surgeons. Clinicians should aim to stabilise and complete surgical correction of GDV as soon as possible to decrease the mortality.

Tibial tuberosity advancement in 92 canine stifles: initial results, clinical outcome and owner evaluation.

OBJECTIVE: To investigate the clinical outcomes, complications and owners' evaluation of the tibial tuberosity advancement (TTA) procedure in canine stifles. METHODS: A retrospective study of hospital records was performed to identify dogs diagnosed with partial or complete cranial cruciate ligament (CCL) rupture that had undergone TTA repair. Information obtained included signalment, period of lameness, surgical report, evidence of meniscal injury, postoperative recovery and peri-operative complications. Owners were asked to assess the long-term outcome. RESULTS: In a total of 72 dogs (median age, 6 years; median body weight, 34.8 kg), TTA was performed in 92 stifles. Twenty breeds were represented, with Labrador Retrievers and Rottweilers the most common. The period of lameness ranged from 3 days to 24 months. The median pre-operative lameness score was 3/4 and meniscal injury was present in 51 stifles. Minor complications occurred in 29% of cases. Major complications occurred in 6.5% of cases and consisted of meniscal injury and two tibial tuberosity fractures. All were successfully managed, with good limb function when subsequently assessed. In the owner evaluation, 96% reported moderate to great improvement postoperatively, with no lameness at rest and mild to no lameness after vigorous exercise. CONCLUSION: Clinical outcome and owner evaluations in this case series indicate favourable results can be expected when CCL-deficient stifles are treated with TTA.

Intraoperative hemorrhage during patent ductus arteriosus ligation in dogs.

OBJECTIVE: To determine the prevalence of intraoperative hemorrhage in a consecutive series of dogs undergoing patent ductus arteriosus (PDA) ligation at a veterinary teaching hospital, and to describe strategies to reduce the risk of ductus perforation and deal with hemorrhage when it occurs. STUDY DESIGN: Retrospective clinical study. ANIMALS: Sixty-four dogs. METHODS: The records of all dogs undergoing PDA ligation at the University Veterinary Center, Sydney between May 1989 and February 1998 were reviewed and the prevalence and nature of complications identified. RESULTS: Serious hemorrhage occurred in 4 of 64 dogs (6.25%) that underwent PDA ligation. In all cases, hemorrhage resulted from perforation of the craniomedial aspect of the ductus while attempting to expose the tips of the dissecting forceps. Hemorrhage was controlled in 3 dogs by clamping the main pulmonary artery, digital compression of the descending aorta, and completion of ductus ligation during an approximately 5-minute period of circulatory arrest. The remaining dog exsanguinated during an unsuccessful attempt to locate, clamp, and ligate the bleeding point. The mortality rate for PDA ligation was I of 64 dogs (1.6 %). CONCLUSIONS: The technique described in this report permits simple ligation of a range of different ductus morphologies in dogs of varying breeds, weights, and ages. In the event of serious hemorrhage, prompt ventricular outflow occlusion and ductus ligation followed by rapid whole blood transfusion is life saving in most cases.

Outcomes of thoracic surgery in dogs and cats.

Records of 146 dogs and 41 cats that underwent thoracic surgery at The University of Sydney Veterinary Teaching Hospital were reviewed for age, sex, breed, disease, operation date, periods of pre- and post-operative hospitalisation, use of surgical drains and outcome. Animals were assigned to 16 disease categories, the most common being patent ductus arteriosus, traumatic diaphragmatic hernia and oesophageal foreign body in dogs and traumatic diaphragmatic hernia in cats. Differences were observed between disease categories in all the criteria examined. There were almost equal numbers of male (72) and female (74) dogs, the median (range) age was 2.0 (0.2 to 14.0) years, the median pre-operative stay was 1 (0 to 14) days, the median post-operative stay was 4 (0 to 28) days and the overall survival to discharge rate was 78%. There were 24 male and 15 female cats (sex not recorded in 2 cats). The median (range) age was 3 (0.1 to 12) years, pre-operative stay 1 (0 to 6) days, post-operative stay 5 (0 to 15) days and the overall survival to discharge rate was 85%. Causes of post-operative deaths among animals in the most common categories are recorded and discussed.

Management of urinary incontinence in five bitches with incompetence of the urethral sphincter mechanism by colposuspension and a modified sling urethroplasty.

Urinary incontinence due to incompetence of the urethral sphincter mechanism was diagnosed in five neutered female dogs. After poor clinical responses to medical treatment, the five bitches were managed by a combination of colposuspension and sling urethroplasty. No major complications developed, although three bitches voided small volumes of urine more frequently for the first few days after surgery. The response to surgery was considered excellent in the two dogs which became continent and poor in the three which did not. In one of the dogs which responded poorly, the incontinence resolved after a revision of the colposuspension part of the procedure, and in the other two the incontinence became more responsive to medical management. The addition of a sling urethroplasty to colposuspension appeared to have little beneficial effect.

Colorectal blood supply in dogs.

To determine blood supply in the area, dye or radioopaque contrast material was injected into the named arteries supplying the terminal colon and rectum in 10 dogs. The cranial rectal artery appeared to supply most of the blood to the terminal colon and rectum. The middle and caudal rectal arteries supplied variable and relatively insignificant amounts. The intrapelvic rectum had a less adequate blood supply than did the terminal colon or proximal rectum. A ventral midline laparotomy and pubic osteotomy were performed in an additional 11 dogs to provide access to the terminal colon and rectum. When the cranial rectal artery was ligated and the colorectal junction was transected and anastomosed, the intrapelvic rectum developed marked congestion, edema, and discoloration. Rectal fluorescence, after IV administration of fluorescein, was either poor or absent. Histologically, partial- to full-thickness mucosal necrosis was evident in most tissue specimens taken from the rectum, and muscle necrosis was evident in some. These findings suggest that, in dogs, the cranial rectal artery should be preserved if at all possible and, if the cranial rectal artery is ligated, most of the intrapelvic rectum should be resected to ensure adequate blood supply to the anastomosis.

Calcifying tendinopathy of the biceps brachii in a dog.

Calcifying tendinopathy of the biceps brachii was associated with lameness in a 1.5-year-old Rottweiler. Lameness was relieved by excision of the calcified mass and suture repair of the partially ruptured tendon. Calcifying tendinopathy is not well described in dogs, but it is a recognized clinical syndrome in human beings. The etiopathogenesis of the condition in human beings and dogs is poorly understood. Wider recognition of calcifying tendinopathy in dogs should lead to a better understanding of the disease and development of appropriate clinical treatments.

Urinary incontinence after prostatectomy in dogs.

Eleven dogs with prostatic disease were treated by total prostatectomy. Urinary incontinence persisted in three of nine dogs, two of which were also incontinent before surgery. The incidence of postoperative incontinence may be reduced by undermining the prostatic capsule to preserve as much prostatic urethra as possible. The risk of postoperative incontinence appeared greater if there was prostatic neoplasia or preoperative urinary incontinence.