Surgical management of dystocia due to unilateral uterine torsion in a domestic shorthair cat

This article describes the surgical management of uterine torsion by midline celiotomy for cesarean section in 11 mares presented with signs of colic at a teaching veterinary hospital. The mares were either in full term of gestation (n = 6) or in advanced stage of pregnancy (n = 5). Majority of the mares (44.5%) were in fourth parity. 78% cases of uterine torsion were post cervical and clockwise and (22%) cases were post cervical and anticlockwise. For surgical intervention, mares were anesthetized using a combination of xylazine (1.1 mg/kg) and ketamine (2.2 mg/kg), intravenously and maintained on isoflurane inhalation anesthesia. Midline celiotomy was performed, and foals were delivered by cesarean section. Before closing the abdominal wound, the uterus was detorted manually and confirmed per-vaginally for its normal position. After long-term follow-up, the study reported 90.0% (10/11) survival rate out of which, seven were bred successfully.

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CT and surgical management of a uterine torsion associated with leiomyosarcoma in a dog

Veterinary Record Case Reports ◽

10.1136/vetreccr-2020-001103 ◽

2020 ◽

Vol 8 (3) ◽

pp. e001103

Author(s):

Gabriel Carbonell Rossello ◽

Inma Ferrandis ◽

Juan Francisco Borrego Masso ◽

Manuel Jimenez Pelaez

Keyword(s):

Weight Loss ◽

Surgical Management ◽

Exploratory Laparotomy ◽

Abdominal Ultrasound ◽

Large Mass ◽

Uterine Tissue ◽

Intact Female ◽

En Bloc ◽

First Case ◽

Uterine Torsion

An 11-year-old, 22-kg, intact female crossbred dog presented with abdominal distention and marked chronic weight loss. Abdominal ultrasound revealed a large mass (>20-cm diameter) in the mid-abdomen; its origin could not be determined. CT of the abdomen revealed three masses associated with the uterus. A 720° uterine rotation along its long axis was noted. An exploratory laparotomy and en bloc ovariohysterectomy of the twisted uterus was performed and the dog recovered uneventfully. Histopathology confirmed three leiomyosarcomas within the uterine tissue. To the authors’ knowledge, this is the first case describing a uterine torsion associated with a leiomyosarcoma in a dog and diagnosed by CT.

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Successful Surgical Management of Uterine Torsion with Imperfect Cervical Dilatation in a Pattanam Ewe

International Journal of Livestock Research ◽

10.5455/ijlr.20200528094612 ◽

2020 ◽

pp. 1

Author(s):

Prabaharan Vaiyapuri ◽

Palanisamy Mahakrishnan ◽

Rajkumar Rajkumar ◽

Raja Sengodan

Keyword(s):

Surgical Management ◽

Cervical Dilatation ◽

Uterine Torsion

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Surgical Management of Patients With 22q11.2 Deletion Syndrome

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-sig5-2019-0004 ◽

2019 ◽

Vol 4 (5) ◽

pp. 857-869

Author(s):

Oksana A. Jackson ◽

Alison E. Kaye

Keyword(s):

Surgical Management ◽

Preoperative Evaluation ◽

Preoperative Assessment ◽

22Q11.2 Deletion Syndrome ◽

Deletion Syndrome ◽

22Q11.2 Deletion ◽

Surgical Decision ◽

Obstructive Sleep ◽

Spine Abnormalities ◽

Speech Assessment

Purpose The purpose of this tutorial was to describe the surgical management of palate-related abnormalities associated with 22q11.2 deletion syndrome. Craniofacial differences in 22q11.2 deletion syndrome may include overt or occult clefting of the palate and/or lip along with oropharyngeal variances that may lead to velopharyngeal dysfunction. This chapter will describe these circumstances, including incidence, diagnosis, and indications for surgical intervention. Speech assessment and imaging of the velopharyngeal system will be discussed as it relates to preoperative evaluation and surgical decision making. Important for patients with 22q11.2 deletion syndrome is appropriate preoperative screening to assess for internal carotid artery positioning, cervical spine abnormalities, and obstructive sleep apnea. Timing of surgery as well as different techniques, common complications, and outcomes will also be discussed. Conclusion Management of velopharyngeal dysfunction in patients with 22q11.2 deletion syndrome is challenging and requires thoughtful preoperative assessment and planning as well as a careful surgical technique.

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