Advances in endoscopic surgery for small animal reproduction.

Although endoscopic surgery entered its "golden era" in the mid-1980s, it is still advancing at a tremendous pace. Novel surgical techniques and devices are continuously developed and applied, and new indications (and/or contraindications) for the use of endoscopic surgery are routinely reported in the literature and subjected to systematic assessments. Although endoscopic surgery (laparoscopy in particular) has already become established as the gold standard in human medicine, it has yet to be proven as a viable alternative to open surgery in the field of veterinary medicine. The advantages of minimally invasive surgery include better intra-operative visualization, reduced postoperative pain, reduced scar formation and increased postoperative mobility. Therefore, it is reasonable to expect that the application of this will continue to expand. Small animal reproduction, a field within the broad discipline of veterinary medicine, has already recognized and begun to reap the benefits of endoscopic surgery. Herein, we retrospectively review the most recent successful novel applications of endoscopic surgery in the small animal reproduction system to provide small animal reproductive surgeons with important knowledge to help improve their own veterinarian medical practice.

Los elementos decorativos ambientales en el Área de Imagen Médica mejoran la percepción de agradabilidad del paciente / Decorative elements in the medical imaging area improve patients’ perception of pleasantness

Objetivos: Valorar la sensación de agradabilidad percibida por los pacientes que acuden al servicio de radiología asociada a la instalación de elementos decorativos ambientales. Material y métodos: Los recursos materiales consistieron en la implantación de obras de arte en los techos en forma de «ventanas mágicas» y paneles en las paredes de las salas de espera y pasillos del Área de Imagen, respectivamente, que representan elementos ambientales de la naturaleza. Posteriormente, a los pacientes se les dio un breve cuestionario con datos generales y preguntas (tristeza-alegría, frialdad-calidez, oscuridad-luminosidad y pesimismo-optimismo) sobre la percepción que le transmiten los elementos decorativos instalados. Resultados: De 150 cuestionarios recogidos, 142 pacientes rellenaron completa y adecuadamente el cuestionario. El estado de salud general de estos pacientes era bueno en 84 (56%), regular en 58 (39%) y malo en 8 (5%). La idea les pareció muy buena a 70 pacientes (47%), buena a 58 (39%), regular a 8 (5%), indiferente a 11 (7%), mala a 1 (1%) y muy mala a 2 pacientes (1%). La movilidad del paciente al realizar la consulta se distribuyó entre aquellos que venían andando (119 pacientes, 79%), estaban encamados (18 pacientes, 12%) y necesitaban silla de ruedas (13 pacientes, 9%). Conclusiones: Se ha constatado un alto nivel de satisfacción por parte de los pacientes cuando se valora la sensación percibida asociada a la instalación de elementos decorativos ambientales en las paredes y techos de las salas de espera y pasillos del Área de Imagen (AU)

Objectives: To evaluate the sensation of pleasantness perceived by patients attended in the radiology department in response to decorative elements hung on the walls in the waiting rooms and in the hallways of the imaging area. Material and methods: The material resources comprised works of art in the form of "magic windows" representing scenes from nature installed on the ceilings and walls of the waiting area and hallways of the imaging area. Patients were given a brief questionnaire with general data and questions (sadness-cheerfulness, coldness-warmth, darkness-light, and pessimism-optimism) about their perception of the decorative elements. Results: Of the 150 questionnaires collected, 142 were filled out correctly. The overall health of these patients was good in 84 (56%), not bad in 58 (39%), and poor in 8 (5%). The idea seemed very good to 70 patients (47%), good to 58 (39%), not bad to 8 (5%), indifferent to 11 (7%), bad to 1 (1%), and very bad to 2 (1%). As far a patients’ mobility, 119 patients (79%) walked into the department, 18 (12%) were wheeled in on beds, and 13 (9%) needed wheelchairs. Conclusions: We found a high level of satisfaction with the decorative elements (AU)

[Decorative elements in the medical imaging area improve patients' perception of pleasantness]. / Los elementos decorativos ambientales en el Área de Imagen Médica mejoran la percepción de agradabilidad del paciente.

OBJECTIVES: To evaluate the sensation of pleasantness perceived by patients attended in the radiology department in response to decorative elements hung on the walls in the waiting rooms and in the hallways of the imaging area. MATERIAL AND METHODS: The material resources comprised works of art in the form of "magic windows" representing scenes from nature installed on the ceilings and walls of the waiting area and hallways of the imaging area. Patients were given a brief questionnaire with general data and questions (sadness-cheerfulness, coldness-warmth, darkness-light, and pessimism-optimism) about their perception of the decorative elements. RESULTS: Of the 150 questionnaires collected, 142 were filled out correctly. The overall health of these patients was good in 84 (56%), not bad in 58 (39%), and poor in 8 (5%). The idea seemed very good to 70 patients (47%), good to 58 (39%), not bad to 8 (5%), indifferent to 11 (7%), bad to 1 (1%), and very bad to 2 (1%). As far a patients' mobility, 119 patients (79%) walked into the department, 18 (12%) were wheeled in on beds, and 13 (9%) needed wheelchairs. CONCLUSIONS: We found a high level of satisfaction with the decorative elements.

Traumatic diaphragmatic rupture in a cat with partial kidney displacement into the thorax.

A two-year-old, male, neutered, domestic shorthair cat was presented after suspected trauma. Diaphragmatic rupture with concomitant displacement of the right kidney into the thorax was diagnosed using ultrasound and intravenous urography. Avulsion of the renal pedicle and diaphragmatic rupture were confirmed and treated surgically with excellent outcome.