Hiatal Hernia in the Dog: A Clinical Report of Four Chinese Shar Peis

Four Chinese shar pei littermate puppies were presented for vomiting, regurgitation, hypersalivation, and poor growth. Diagnosis of hiatal hernia was made for each of the four dogs based on survey radiographs and barium esophagram studies. All dogs initially underwent medical therapy, to which only one dog responded. All dogs underwent surgical treatment, which included manual hernia reduction followed by phrenoplasty, esophagopexy, and left incisional gastropexy, 5 to 40 days following initiation of medical therapy. The three surgical techniques described eliminated the need to enter the pleural cavity and offered excellent long-term results with no recurrence of clinical signs following surgery.

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Laryngeal stent for acute and chronic respiratory distress in seven dogs with laryngeal paralysis

Open Veterinary Journal ◽

10.4314/ovj.v10i1.2 ◽

2020 ◽

Vol 10 (1) ◽

pp. 4-10 ◽

Cited By ~ 1

Author(s):

María Cecilia Ricart ◽

Sergio Martín Rodríguez ◽

Roberto Miguel Duré

Keyword(s):

Respiratory Distress ◽

Alternative Therapy ◽

Clinical Signs ◽

Surgical Techniques ◽

Case Series ◽

Laryngeal Function ◽

Laryngeal Stenosis ◽

Laryngeal Paralysis ◽

Silicone Stent

Background: Laryngeal paralysis, failure of arytenoid cartilage, and vocal fold abduction are commonly seen in older medium to large breed dogs. Observation of laryngeal function in dogs and cats is performed by transoral visualization. There are a variety of surgical techniques; aspiration pneumonia is the most common complication associated with surgical correction of laryngeal paralysis. The aim of this case series is to report on the placement of a laryngeal silicone stent in seven dogs with laryngeal paralysis and its use as an alternative treatment of respiratory distress caused by laryngeal paralysis and/or its use for laryngeal stenosis as complication of laryngeal paralysis surgery.Case description: Seven dogs presented with either episode of gagging, mild-to-severe inspiratory distress, or cyanosis because of a laryngeal paralysis or laryngeal stenosis. In each case, the laryngeal paralysis was diagnosed by direct laryngoscopy. They were treated with a silicone laryngeal stent (Stening®) that substantially improved the clinical signs. Each dog had a different outcome because of other pathologies; however, the laryngeal pathology was successfully treated with the stent.Conclusion: The placement of the laryngeal stent is an easy technique to learn and practice, it could avoid the lifethreatening complications of the laryngeal paralysis at the acute phase, and it could be a noninvasive and long-term alternative therapy for laryngeal paralysis in dogs. The results in these clinical cases are encouraging for considering the laryngeal stent as a therapeutic alternative. Key words: Canine, Polyneuropathy, Prosthesis, Surgery.

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Long-term low-dose ketoconazole treatment in bilateral macronodular adrenal hyperplasia

Endocrinology Diabetes and Metabolism Case Reports ◽

10.1530/edm-14-0083 ◽

2014 ◽

Vol 2014 ◽

Author(s):

Sophie Comte-Perret ◽

Anne Zanchi ◽

Fulgencio Gomez

Keyword(s):

Medical Therapy ◽

Cushing’S Syndrome ◽

Clinical Signs ◽

Cushing's Syndrome ◽

List Type ◽

Adrenal Hyperplasia ◽

Benign Condition ◽

Steroid Secretion ◽

Free Cortisol

Summary Medical therapy for Cushing's syndrome due to bilateral macronodular adrenal hyperplasia (BMAH) is generally administered for a limited time before surgery. Aberrant receptors antagonists show inconsistent efficacy in the long run to prevent adrenalectomy. We present a patient with BMAH, treated for 10 years with low doses of ketoconazole to control cortisol secretion. A 48-year-old woman presented with headaches and hypertension. Investigations showed the following: no clinical signs of Cushing's syndrome; enlarged lobulated adrenals; normal creatinine, potassium, and aldosterone; normal urinary aldosterone and metanephrines; elevated urinary free cortisol and steroid metabolites; and suppressed plasma renin activity and ACTH. A screening protocol for aberrant adrenal receptors failed to show any illegitimate hormone dependence. Ketoconazole caused rapid normalisation of cortisol and ACTH that persists over 10 years on treatment, while adrenals show no change in shape or size. Ketoconazole decreases cortisol in patients with Cushing's syndrome, and may prevent adrenal overgrowth. Steroid secretion in BMAH is inefficient as compared with normal adrenals or secreting tumours and can be controlled with low, well-tolerated doses of ketoconazole, as an alternative to surgery. Learning points Enlarged, macronodular adrenals are often incidentally found during the investigation of hypertension in patients harboring BMAH. Although laboratory findings include low ACTH and elevated cortisol, the majority of patients do not display cushingoid features. Bilateral adrenalectomy, followed by life-long steroid replacement, is the usual treatment of this benign condition, and alternative medical therapy is sought. Therapy based on aberrant adrenal receptors gives disappointing results, and inhibitors of steroidogenesis are not always well tolerated. However, ketoconazole at low, well-tolerated doses appeared appropriate to control adrenal steroid secretion indefinitely, while preventing adrenal overgrowth. This treatment probably constitutes the most convenient long-term alternative to surgery.

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Combined Replacement of Aortic Valve and Ascending Aorta—A 70-Year Evolution of Surgical Techniques

Aorta ◽

10.1055/s-0041-1729913 ◽

2021 ◽

Author(s):

Igor Vendramin ◽

Uberto Bortolotti ◽

Davide Nunzio De Manna ◽

Andrea Lechiancole ◽

Sandro Sponga ◽

...

Keyword(s):

Aortic Valve ◽

Elderly Patients ◽

Aortic Valve Disease ◽

Surgical Techniques ◽

Ascending Aorta ◽

Valve Disease ◽

Long Term Results ◽

The Past ◽

Technical Advances

AbstractSimultaneous replacement of the ascending aorta and aortic valve has always been a challenging procedure. Introduction of composite conduits, through various ingenious procedures and their modifications, has changed the outlook of patients with aortic valve disease and ascending aorta pathology. In the past 70 years, progress of surgical techniques and prosthetic materials has allowed such patients to undergo radical procedures providing excellent early and long-term results in both young and elderly patients. This article aims to review the most important technical advances in the treatment of aortic valve disease and ascending aorta aneurysms recognizing the important contributions in this field.

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Long-term results of hiatal hernia mesh repair and antireflux laparoscopic surgery

Surgical Endoscopy ◽

10.1007/s00464-009-0425-3 ◽

2009 ◽

Vol 23 (11) ◽

pp. 2499-2504 ◽

Cited By ~ 64

Author(s):

E. Soricelli ◽

N. Basso ◽

A. Genco ◽

M. Cipriano

Keyword(s):

Laparoscopic Surgery ◽

Hiatal Hernia ◽

Mesh Repair ◽

Long Term Results ◽

Hernia Mesh ◽

Hernia Mesh Repair

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Gefäßchirurgie an der Jahrtausendwende

VASA ◽

10.1024/0301-1526.29.1.17 ◽

2000 ◽

Vol 29 (1) ◽

pp. 17-27 ◽

Cited By ~ 1

Author(s):

Polterauer ◽

Nanobachvili ◽

Fuegl ◽

Huk

Keyword(s):

Gene Therapy ◽

Vascular Surgery ◽

Intimal Hyperplasia ◽

Surgical Techniques ◽

Aortic Aneurysms ◽

Long Term Results ◽

Prosthetic Material ◽

Vascular Medicine ◽

The Future

Modern diagnostic modalities as well as ongoing improvement of vascular prosthetic material and surgical techniques have stimulated progress in vascular surgery. New discoveries concerning the mechanism of endothelial function, atherosclerosis, developments in gene therapy and endovascular techniques will expand the future therapeutic spectrum of vascular surgery. Endoluminal implantation of stent grafts for the treatment of aortic aneurysm may be a reasonable alternative to conventional surgery, especially in high-risk patients. Long-term results of this procedure, however, are not yet available. Stenting of internal carotid artery stenosis may be considered as an experimental method of treatment. Its feasibility, efficacy, safety and long-term results must be analyzed before the application of the method may be restricted or recommended. Endoluminal irradiation (brachytherapy) reduces intimal hyperplasia/restenosis and can improve the long-term results of percutaneous transluminal angioplasty. Anti-atherosclerotic and anti-aggregatory therapy (with statins, estrogens, antibiotics, nitric oxide precursor/donors, glycoprotein IIb/IIIa receptor inhibitors) will play an important role in the prevention of ischemic diseases and improve the results of surgical/interventional treatment by reducing intimal hyperplasia and restenosis. Gene therapy opens new vistas in vascular medicine. Angiogenetic factors can be used for the treatment of patients with distal occlusion of the peripheral arteries. Gene transfer may be useful in the conservative treatment of progressive aortic aneurysms. A more unified vision toward vascular medicine might be the key for research and development in the future.

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Cartilage-sparing otoplasty: a review with long-term results

The Journal of Laryngology & Otology ◽

10.1017/s0022215100137545 ◽

1997 ◽

Vol 111 (5) ◽

pp. 424-430 ◽

Cited By ~ 23

Author(s):

H. D. Vuyk

Keyword(s):

Surgical Technique ◽

Head And Neck ◽

Surgical Techniques ◽

Neck Region ◽

Psychological Aspects ◽

Long Term Results ◽

Congenital Deformity ◽

Head And Neck Region ◽

Prominent Ears

AbstractProminent ears are the most frequent congenital deformity in the head and neck region. Anatomy of normal and prominent ears as well as the psychological aspects of prominent ears are reviewed. Two types of surgical technique are described with emphasis on the cartilage-sparing technique.A sound pre-operative analysis, focusing on all partsof the deformity, and surgical techniques which are gradually applied to these deformities should result in pleasing, permanent changes for the vast majority of patients. In our opinion, a combination of cartilage-sparing techniques augmented with cartilage-weakeningprocedures give predictable long-term results with a natural appearing ear and concomitant few, easily treated complications.

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Surgical management of retinal detachment secondary to acute retinal necrosis: clinical features, surgical techniques, and long-term results

Japanese Journal of Ophthalmology ◽

10.1016/s0021-5155(03)00139-4 ◽

2003 ◽

Vol 47 (5) ◽

pp. 484-491 ◽

Cited By ~ 26

Author(s):

H Ahmadieh

Keyword(s):

Retinal Detachment ◽

Clinical Features ◽

Surgical Management ◽

Surgical Techniques ◽

Acute Retinal Necrosis ◽

Long Term Results

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Surgical Techniques and Long-Term Results of Pulmonary Artery Reconstruction in Patients With Lung Cancer

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2015.04.124 ◽

2015 ◽

Vol 100 (4) ◽

pp. 1196-1202 ◽

Cited By ~ 10

Author(s):

Domenico Galetta ◽

Alessandro Borri ◽

Roberto Gasparri ◽

Francesco Petrella ◽

Lorenzo Spaggiari

Keyword(s):

Lung Cancer ◽

Pulmonary Artery ◽

Surgical Techniques ◽

Long Term Results ◽

Pulmonary Artery Reconstruction ◽

Artery Reconstruction

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Surgical treatment of hemorrhoids: a critical appraisal of the current options

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/s0102-67202014000100016 ◽

2014 ◽

Vol 27 (1) ◽

pp. 66-70 ◽

Cited By ~ 12

Author(s):

Marlise Mello CERATO ◽

Nilo Luiz CERATO ◽

Patrícia PASSOS ◽

Alberto TREIGUE ◽

Daniel C. DAMIN

Keyword(s):

Surgical Treatment ◽

Postoperative Pain ◽

Treatment Options ◽

Surgical Techniques ◽

Postoperative Recurrence ◽

Long Term Results ◽

Published Data ◽

Complication Rates ◽

Recurrence Rates

Introduction : Surgical treatment of hemorrhoids is still a dilemma. New techniques have been developed leading to a lower rate of postoperative pain; however, they are associated with a greater likelihood of recurrence. Aim : To review current indications as well as the results and complications of the main techniques currently used in the surgical treatment of hemorrhoidal disease. Methods : A systematic search of the published data on the options for treatment of hemorrhoids up to December 2012 was conducted using Medline/PubMed, Cochrane, and UpToDate. Results : Currently available surgical treatment options include procedure for prolapse and hemorrhoids (PPH), transanal hemorrhoidal dearterialization (THD), and conventional hemorrhoidectomy techniques. Excisional techniques showed similar results regarding pain, time to return to normal activities, and complication rates. PPH and THD were associated with less postoperative pain and lower complication rates; however, both had higher postoperative recurrence rates. Conclusion : Conventional surgical techniques yield better long-term results. Despite good results in the immediate postoperative period, PPH and THD have not shown consistent long-term favorable results.

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