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3.
Vet Clin North Am Small Anim Pract ; 50(1): 17-21, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31627990

RESUMO

Minimally invasive fracture repair (MIFR) is the ultimate culmination of current osteosynthesis concepts that emphasize the preservation and enhancement of the biologic components of fracture healing. Although the "less is more" approach to tissue dissection and fracture exposure and handling that defines MIFR has numerous reported advantages over more traditional open surgical treatments, it does present some unique challenges and important considerations for the surgeon. This article describes some of the general MIFR challenges a surgeon may encounter.


Assuntos
Fixação Interna de Fraturas/veterinária , Fraturas Ósseas/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos , Procedimentos Cirúrgicos Minimamente Invasivos/métodos
4.
Vet Clin North Am Small Anim Pract ; 50(1): 23-47, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31635912

RESUMO

Indirect fracture reduction is used to align diaphyseal fractures when using minimally invasive fracture repair. Indirect reduction achieves functional fracture reduction without opening the fracture site. The limb is restored to length and spatial alignment is achieved to ensure proper angular and rotational alignment. Fracture reduction can be accomplished using a variety of techniques and devices, including hanging the limb, manual traction, distraction table, external fixators, and fracture distractors.


Assuntos
Placas Ósseas/veterinária , Fixação Interna de Fraturas/veterinária , Fraturas Ósseas/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Mesas Cirúrgicas/veterinária
5.
Vet Clin North Am Small Anim Pract ; 50(1): 263-271, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31635913

RESUMO

As the saying goes, "cats are not small dogs." Throughout veterinary medicine history, most of the literature focus has been on the canine. Feline patients, however, now constitute a larger proportion of the pet population and are unique in many aspects. They differ anatomically and biomechanically from canines and have specific recovery needs and different pain-related behaviors. It is important that veterinary surgeons understand these differences and improve their knowledge base in the treatment of cats. This article highlights the differences in cats relevant to minimally invasive fracture repair and how they affect a surgeon's approach to fractures in cats.


Assuntos
Placas Ósseas/veterinária , Doenças do Gato/cirurgia , Gatos/lesões , Fraturas Ósseas/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Fraturas Ósseas/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Especificidade da Espécie
6.
Vet Clin North Am Small Anim Pract ; 50(1): 213-230, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31635914

RESUMO

Articular fractures are common injuries in veterinary medicine. The principles of articular fracture repair are anatomic reduction and rigid fixation in order to optimize joint function. Fluoroscopy and arthroscopy are tools commonly used to allow for anatomic reduction with a minimally invasive approach. Minimally invasive techniques can decrease morbidity and promote an early return to function. Different types of articular fractures and options for minimally invasive repair are reviewed in this article.


Assuntos
Fixação Interna de Fraturas/veterinária , Fraturas Ósseas/veterinária , Articulações/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia , Articulações/lesões , Procedimentos Cirúrgicos Minimamente Invasivos/métodos
7.
Vet Clin North Am Small Anim Pract ; 50(1): 135-153, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31635915

RESUMO

Minimally invasive plate osteosynthesis (MIPO) is a biologically friendly approach to fracture reduction and stabilization that is applicable to many radius and ulna fractures in small animals. An appropriate knowledge of the anatomy of the antebrachium and careful preoperative planning are essential. This article describes the MIPO technique, which entails stabilization of the fractured radius with a bone plate and screws that are applied without performing an extensive open surgical approach. This technique results in good outcomes, including a rapid time to union and return of function.


Assuntos
Gatos/cirurgia , Cães/cirurgia , Membro Anterior/cirurgia , Fixação Interna de Fraturas/veterinária , Fraturas Ósseas/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Gatos/lesões , Cães/lesões , Membro Anterior/lesões , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia
8.
Vet Clin North Am Small Anim Pract ; 50(1): 123-134, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31635917

RESUMO

A thorough knowledge of humeral anatomy is critical to performing minimally invasive techniques. Fluoroscopy, when available, is invaluable in optimizing fracture repair with minimally invasive techniques. Minimally invasive approaches decrease morbidity and allow an earlier return to function. Minimally invasive fracture repair is performed using implant systems similar to open approaches.


Assuntos
Gatos/cirurgia , Cães/cirurgia , Membro Anterior/cirurgia , Fixação Interna de Fraturas/veterinária , Fraturas Ósseas/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Gatos/lesões , Cães/lesões , Membro Anterior/lesões , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia
9.
Vet Clin North Am Small Anim Pract ; 50(1): 207-212, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31648818

RESUMO

A concise review of the history of meta-bone fracture repair is provided. The relevant surgical anatomy, available instrumentation, and execution of preoperative, intraoperative, and postoperative surgical care using minimally invasive plate osteosynthesis are discussed in detail. A short discussion that touches on future directions for care of meta-bone fractures follows.


Assuntos
Placas Ósseas/veterinária , Fixação Interna de Fraturas/veterinária , Fraturas Ósseas/veterinária , Ossos Metacarpais/cirurgia , Ossos do Metatarso/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia , Ossos Metacarpais/lesões , Ossos do Metatarso/lesões , Procedimentos Cirúrgicos Minimamente Invasivos/métodos
10.
Vet Clin North Am Small Anim Pract ; 50(1): 231-239, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31653535

RESUMO

Sacroiliac fracture-luxation is a common injury that is associated with ilial and acetabular fractures of the opposite hemipelvis. Sacroiliac fracture-luxation results in an unstable pelvis and potentially collapse of the pelvic canal. A minimally invasive approach to the reduction and insertion of a screw for fixation of sacroiliac fracture-luxation using fluoroscopic guidance is viable. The advantages of using this technique are that a small incision is made with minimal soft tissue disruption and the surgical time is short. Recent publications have documented that this technique provided superior repair of sacroiliac fracture-luxations.


Assuntos
Fixação Interna de Fraturas/veterinária , Luxações Articulares/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Articulação Sacroilíaca/cirurgia , Animais , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia , Fraturas Ósseas/veterinária , Luxações Articulares/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Articulação Sacroilíaca/patologia
11.
Vet Clin North Am Small Anim Pract ; 50(1): 67-100, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31668598

RESUMO

Reviews of clinical outcomes led to the foundation of a new approach in fracture management known as biological osteosynthesis. As intramedullary rods featuring cannulations and locking devices at both extremities, interlocking nails are well suited for bridging osteosynthesis. Unique biological and mechanical benefits make them ideal for minimally invasive nail osteosynthesis and an attractive, effective alternative to plating, particularly in revisions of failed plate osteosynthesis. Thanks to a new angle-stable locking design, interlocking nailing indications have been expanded to osteosynthesis of epi-metaphyseal fractures, including those with articular involvement and angular deformities such as distal femoral varus and associated patellar luxations.


Assuntos
Pinos Ortopédicos/veterinária , Fixação Interna de Fraturas/veterinária , Fraturas Ósseas/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Fenômenos Biomecânicos , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/métodos
12.
Vet Clin North Am Small Anim Pract ; 50(1): 155-182, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31668599

RESUMO

A thorough working knowledge of the anatomic landmarks of the femur facilitates anatomic alignment during minimally invasive osteosynthesis (MIO). A variety of fixation techniques, including plate, plate-rod, and interlocking nail, are well suited for stabilization of femoral shaft fractures with MIO techniques. Axis and torsional alignment can be assessed with various intraoperative techniques to ensure that anatomic alignment is obtained.


Assuntos
Fêmur/cirurgia , Fraturas Ósseas/veterinária , Membro Posterior/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Fêmur/lesões , Fraturas Ósseas/cirurgia , Membro Posterior/lesões , Procedimentos Cirúrgicos Minimamente Invasivos/métodos
13.
Vet Clin North Am Small Anim Pract ; 50(1): 183-206, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31733670

RESUMO

Fractures of the tibia and fibula are common in dogs and cats and occur most commonly as a result of substantial trauma. Tibial fractures are particularly amenable to treatment using minimally invasive fracture repair (MIFR) techniques that preserve blood supply to comminuted fracture fragments, accelerating bone callus production and speeding fracture healing. Treatment of tibial fractures using MIFR techniques has been found to reduce surgical time, reduce the time for fracture healing, and to decrease patient morbidity, while at the same time reducing complications compared with traditional open reduction and internal fixation.


Assuntos
Fíbula/cirurgia , Fixação Interna de Fraturas/veterinária , Fraturas Ósseas/veterinária , Membro Posterior/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Tíbia/cirurgia , Animais , Fíbula/lesões , Fixação Interna de Fraturas/métodos , Fraturas Ósseas/cirurgia , Membro Posterior/lesões , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Tíbia/lesões
14.
Vet Surg ; 48(S1): O34-O40, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30919990

RESUMO

OBJECTIVE: To describe a minimally invasive surgical technique for the treatment of comminuted humeral bicondylar (also known as T-Y) fractures in dogs and report outcome in 3 cases. STUDY DESIGN: Surgical technique description and case report. ANIMALS: Three consecutive dogs with traumatic comminuted humeral T-Y fractures. METHODS: Dogs that presented with a traumatic humeral T-Y fracture were prospectively included. The condylar component of the fractures was reduced first by using a combination of percutaneous forceps and K-wires. A transcondylar screw was applied, and epicondylar pins were preplaced medially and laterally. The metaphyseal component of the fracture was then reduced and stabilized with the pins. Finally, a bone plate was applied percutaneously along the medial humeral surface. Intraoperative fluoroscopy was used throughout surgery in all cases. Postoperative alignment in the frontal and sagittal planes was compared to the contralateral limbs. Time to clinical union, clinical outcome, and complications were recorded. RESULTS: Three dogs were included. Body weight ranged from 5.9 to 40 kg. Incomplete ossification of the humeral condyle was identified as the primary pathology leading to the fracture in 2 cases. All cases experienced uncomplicated healing with good to excellent functional recovery. CONCLUSION: The reported technique was associated with good outcomes without complications in 3 cases. CLINICAL SIGNIFICANCE: This study provides evidence that minimally invasive plate osteosynthesis represents an alternative to open reduction and internal fixation in the treatment of comminuted humeral T-Y fractures.


Assuntos
Placas Ósseas/veterinária , Cães/lesões , Fixação Interna de Fraturas/veterinária , Fraturas do Úmero/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Pinos Ortopédicos/veterinária , Parafusos Ósseos/veterinária , Fios Ortopédicos/veterinária , Doenças do Cão/cirurgia , Feminino , Fixação Interna de Fraturas/instrumentação , Fixação Interna de Fraturas/métodos , Humanos , Fraturas do Úmero/cirurgia , Úmero/patologia , Úmero/cirurgia , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Recuperação de Função Fisiológica , Resultado do Tratamento
15.
Vet Surg ; 48(S1): O41-O51, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30444262

RESUMO

OBJECTIVE: To describe and prospectively report outcomes associated with a novel minimally invasive percutaneous osteosynthesis (MIPO) technique for the treatment of humeral fractures in dogs and cats. STUDY DESIGN: Prospective clinical case series. ANIMALS: Eleven dogs and 4 cats with traumatic nonarticular humeral fractures. METHODS: Dogs and cats that presented with traumatic humeral fractures were enrolled in the study. After closed reduction, the fracture was stabilized by using a plate-rod combination applied via remote medial incisions. Postoperative alignment in the frontal and sagittal planes was statistically compared with the contralateral limbs. Time to clinical union and complications were also recorded. RESULTS: Eleven dogs and 4 cats were included in this study. Body weight ranged from 4.5 to 33.6 kg in dogs and from 2.2 to 3.6 kg in cats. A veterinary cuttable plate (6/11 dogs and 3/4 cats) or locking compression plate was used in a plate-rod configuration (11/11 dogs and 2/4 cats) or alone (2/4 cats). Rod-to-medullary-cavity ratio was 30%. Plate-span ratio was 5.8 (range, 2-13.5). No significant differences were found in frontal or sagittal plane alignment. Healing time in cases that completed on-time follow-up (12/15) was 36 ± 14 days (range, 20-69). No major complications were recorded. CONCLUSION: The reported technique was associated with good outcomes in a large variety of fracture configurations and animal sizes, with no complications. CLINICAL SIGNIFICANCE: This report provides evidence that MIPO is a compelling alternative to open reduction and internal fixation in the treatment of various humeral fractures.


Assuntos
Placas Ósseas/veterinária , Fixação Interna de Fraturas/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Animais , Peso Corporal , Doenças do Gato/cirurgia , Gatos , Doenças do Cão/cirurgia , Cães , Feminino , Fixação Interna de Fraturas/instrumentação , Fixação Interna de Fraturas/métodos , Humanos , Fraturas do Úmero/cirurgia , Úmero/cirurgia , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Período Pós-Operatório , Estudos Prospectivos , Procedimentos Cirúrgicos Reconstrutivos/instrumentação , Procedimentos Cirúrgicos Reconstrutivos/métodos , Procedimentos Cirúrgicos Reconstrutivos/veterinária , Resultado do Tratamento , Cicatrização
16.
Vet Clin North Am Small Anim Pract ; 49(2): 287-309, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30583810

RESUMO

Minimally invasive interventional therapies are the new standard of care in veterinary medicine. In comparison with standard surgical procedures, they are associated with minimal tissue injury, leading to shorter, smoother recovery and decreasing the perioperative morbidity and mortality. A thorough understanding of the therapeutic options available is essential to properly educate and inform clients. Proper equipment, technical expertise, and experience are essential prerequisites to many of these procedures.


Assuntos
Doenças do Gato/terapia , Doenças do Cão/terapia , Sistema Urinário , Doenças Urológicas/veterinária , Animais , Gatos , Cães , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Radiografia Intervencionista/veterinária , Doenças Urológicas/terapia , Medicina Veterinária
17.
J Am Vet Med Assoc ; 253(11): 1467-1472, 2018 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-30451615

RESUMO

CASE DESCRIPTION 2 fillies, aged 3 months and 1 month, were examined because of urinary incontinence and urine scalding. CLINICAL FINDINGS In horse 1, ultrasonography did not reveal any structural abnormalities of the kidneys; however, unilateral ureteral ectopia was diagnosed cystoscopically. In horse 2, CT revealed bilateral nephropathy, bilateral distended ureters (up to 3.6 cm in diameter), and bilateral ureteral ectopia. Cystoscopy revealed intramural ureteral ectopia with abnormally caudally positioned ureteral ostia in both horses. TREATMENT AND OUTCOME Ureteral ostioplasty was performed under cystoscopic guidance. Laparoscopic scissors (horse 1) or a vessel-sealing device (horse 2) was introduced, and the tissue separating the intramural portion of the ureter from the urethra and bladder was cut longitudinally in a cranial direction toward the trigone. After surgery, both horses were continent and voided normal streams of urine for the duration of the follow-up periods of 20 and 9 months for horse 1 and horse 2, respectively. CLINICAL RELEVANCE Cystoscopically guided ureteral ostioplasty provided an effective and minimally invasive surgical treatment option for correction of ureteral ectopia in 2 fillies.


Assuntos
Doenças dos Cavalos/cirurgia , Ureter/anormalidades , Doenças Ureterais/veterinária , Animais , Feminino , Doenças dos Cavalos/diagnóstico por imagem , Cavalos , Laparoscopia/veterinária , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Tomografia Computadorizada por Raios X/veterinária , Resultado do Tratamento , Ureter/cirurgia , Doenças Ureterais/cirurgia , Ureterostomia/veterinária
18.
J Am Vet Med Assoc ; 253(7): 897-906, 2018 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-30211643

RESUMO

OBJECTIVE To describe use of a modified open castration technique with a scrotal approach and primary closure in equids. DESIGN Prospective case series. ANIMALS 38 client-owned, sexually intact male equids. PROCEDURES With owner consent, elective castration was performed with a modified open technique on patients (1 pony, 1 miniature horse, and 36 horses of other breeds) under general anesthesia. The procedure included minimal dissection into the scrotal region for removal of testes, with cremaster muscles left intact and the parietal vaginal tunic closed in place. Primary closure of surgical wounds was performed. Patients were monitored for signs of complications. Signalment, surgery-related variables, results of ultrasonographic imaging, postoperative treatments, and outcomes were recorded. Follow-up information was obtained from owners ≥ 6 months after surgery. Medical records were reviewed, and descriptive data were reported. RESULTS Median anesthesia and surgery times were 113.5 and 60 minutes, respectively. Duration of hospitalization ranged from 1 to 3 days. No intraoperative complications were observed. Postoperative complications (moderate swelling in the scrotal region) developed in 2 of 38 (5%) patients. Mild scrotal swelling (n = 5) and transient pyrexia (typically mild; 9) also occurred; no patients had signs of postoperative bleeding, infection, or colic. All equids gradually returned to exercise beginning 10 days after the procedure. Cosmetic results were considered excellent. CONCLUSIONS AND CLINICAL RELEVANCE The modified castration technique was considered simple to perform and advantageous because of the low complication rate, excellent cosmetic results, and prompt return to intended use after surgery.


Assuntos
Cavalos/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Orquiectomia/veterinária , Animais , Tempo de Internação , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Orquiectomia/métodos , Complicações Pós-Operatórias/veterinária , Estudos Prospectivos , Técnicas de Sutura/veterinária , Resultado do Tratamento
19.
Aust Vet J ; 96(8): 302-307, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30129027

RESUMO

OBJECTIVE: This study evaluated the proficiency in executing closed, fluoroscopic-assisted reduction of unicondylar humeral fractures. The following were hypothesised: experienced surgeons would be highly successful in performing closed reduction; body weight, time to surgery and surgeon experience would influence the reduction method; and the reduction method would not affect technical aspects of the repair. METHODS: All unicondylar humeral fractures stabilised between January 2007 and January 2017 were reviewed. Signalment and time to surgery, experience of the attending surgeon, and the initial and definitive reduction methods were recorded. Initial and subsequent postoperative radiographs were used to assess fracture reduction, implant placement and complications. Univariate polychotomous logistic regressions, Fisher's exact test, Kruskal-Wallis rank sums non-parametric test or equivalence tests were used to compare parameters evaluated based on the approach employed (P < 0.05 significant). RESULTS: A total of 36 dogs with 37 fractures were identified (median weight: 5.4 kg; median time to surgery: 3 days). Of these, 11 of 15 attempted closed reductions were successful. Successful closed reductions had shorter times to surgery than limited open or open reductions (P = 0.009). Age, weight and surgeon experience did not influence the definitive reduction method. Technical aspects of reduction and stabilisation were similar among the reduction methods. Surgery times were shorter for closed reductions (P = 0.034). Of the fractures, 75% healed without complications and 85% had excellent long-term function. CONCLUSION: The results suggested that closed, fluoroscopic-assisted reduction is a proficient (73% successful) and efficient (shorter surgery times with comparable technical results compared with other limited open and open reduction) means of stabilising acute unicondylar humeral fractures.


Assuntos
Cães/lesões , Fixação Interna de Fraturas/veterinária , Fraturas do Úmero/veterinária , Redução Aberta/veterinária , Animais , Feminino , Florida , Fluoroscopia , Fixação Interna de Fraturas/métodos , Fraturas do Úmero/diagnóstico por imagem , Fraturas do Úmero/cirurgia , Modelos Logísticos , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Redução Aberta/métodos , Estudos Retrospectivos , Resultado do Tratamento , Medicina Veterinária/métodos
20.
J Am Vet Med Assoc ; 252(12): 1527-1537, 2018 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-29889638

RESUMO

OBJECTIVE To describe and evaluate outcomes of a multidisciplinary, minimally invasive approach combining lacrimoscopy and fluoroscopically guided stenting for management of nasolacrimal apparatus (NLA) obstruction in dogs. DESIGN Prospective, nonrandomized clinical trial. ANIMALS 16 client-owned dogs with confirmed NLA obstruction. PROCEDURES Dogs underwent CT contrast dacryocystorhinography, rhinoscopy, and lacrimoscopy. Whenever possible, the NLA was stented, typically with fluoroscopic guidance. RESULTS Median duration of clinical signs prior to treatment was 3.2 months (range, 0.2 to 14 months). Causes of NLA obstruction were a foreign body (n = 5), dacryocystitis (4), stenosis secondary to fibrosis (3), granulation tissue (1), or granulation tissue in association with a small foreign body (1); a cause was not identified in 2 dogs. Stents were placed in 14 of 16 (88%) dogs for a median duration of 5.6 weeks (range, 1.3 to 9.4 weeks). Stenting was not possible in 2 dogs with stenosis of the NLA secondary to granulation tissue or fibrosis. Owners of all 16 dogs reported at least 60% clinical improvement with median improvement rated as 95%, and owners of 8 dogs reporting complete resolution of signs. Two dogs required antimicrobial administration because of dacryocystitis that persisted after stent removal; a foreign body was not found in either dog. CONCLUSIONS AND CLINICAL RELEVANCE Overall clinical response and owner-rated improvement for dogs with NLA obstruction that underwent lacrimoscopy and fluoroscopically guided stenting were high, especially given that these dogs had failed to respond to conventional treatment.


Assuntos
Doenças do Cão/cirurgia , Obstrução dos Ductos Lacrimais/veterinária , Ducto Nasolacrimal/cirurgia , Animais , Doenças do Cão/diagnóstico por imagem , Cães , Feminino , Fluoroscopia/veterinária , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos/veterinária , Estudos Prospectivos , Stents/veterinária , Resultado do Tratamento
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