The Efficacy of Surgical Treatment with Flexible Alligator Forceps in Dogs with Heartworm Infection

심장사상충 감염견에서 Flexible Alligator Forceps을 이용한 외과적 치료

  • Yoon Hun-young (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Jeong Soon-wuk (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Kim Jun-young (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Han Hyun-jung (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Jang Ha-young (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Lee Bora (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University) ;
  • Namkung Hyo-sun (Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University)
  • 윤헌영 (건국대학교 수의과대학 의과대학교실) ;
  • 정순욱 (건국대학교 수의과대학 외과학교실) ;
  • 김준영 (건국대학교 수의과대학 외과학교실) ;
  • 한현정 (건국대학교 수의과대학 외과학교실) ;
  • 장하영 (건국대학교 수의과대학 외과학교실) ;
  • 이보라 (건국대학교 수의과대학 외과학교실) ;
  • 남궁효선 (건국대학교 수의과대학 외과학교실)
  • Published : 2005.12.01

Abstract

This study was performed to assess the efficacy of surgical treatment with flexible alligator forceps (FAF) on heartworm infected dogs. Twenty dogs (10 males and 10 females) with heartworm infection, age $5.3\pm3.0\;(mean{\pm}S.D.)$ years and weight $9.3\pm6.5(mean{\pm}S.D.)kg$ were treated with FAF. Adult heartworms were removed by fluoroguided technique with FAF under inhalation anesthesia with isoflurane. For evaluation of the efficacy, removal rate and surgical time were measured, and removal sites were found. Antigen ELISA kit test and autopsy were performed to examine remained adult heartworms. Removal rate of total heartworms was $91.4\%$ including 15 complete retrieval cases and surgical time was $30.0\pm7.6(mean{\pm}S.E.)$ minutes. Heartworms were removed from the right ventricle, main pulmonary artery, and right and left pulmonary artery. Surgical treatment with FAF is an effective method with high removal rate, short surgical time, and various removal sites and it could be considered for the removal of adult heartworms in a dog.

본 연구는 심장사상충 감염견에 있어서 flexible alligator forceps(FAF)을 이용한 외과적 치료법의 효능을 평가하기 위해 실시되었다. FAF를 이용한 외과적 치료를 위해 평균 연령 $5.3\pm3.0\;(mean{\pm}S.D.)$ 년, 평균 체중 $9.3\pm6.5(mean{\pm}S.D.)kg$인 20마리의 심장사상충 감염견을 실험에 사용하였다 그 중 수컷 10마리, 암컷 10마리였다. 성충 제거를 위한 외과적 치료를 isoflurane호흡 마취 하에 FAF완 투시기를 이용하여 실시하였다 FAF를 이용한 외과적 치료방법의 평가를 위해 제거율과 수술시간을 측정하였고 제거 부위를 확인하였다 제거되지 알고 남아 있을 수 있는 성충 확인을 위해 항원 ELISA kit검사와 부검을 실시하였다. 제거율은 심장사상충이 완전히 제거된 15마리를 포함 전체 심장사상충의 $91.4\%$ 였고 수술에 걸린 평균 시간은 $30.0\pm7.6(mean{\pm}S.E.)$이었다. 또한 심장사상충은 우심실, 주폐동맥, 우폐동맥, 그리고 좌폐동맥에서 제거되었다 결론적으로, FAF를 이용한 외과적 치료법은 높은 제거율, 짧은 수술 시간, 그리고 다양한 제거부위와 같은 장점을 보이는 효과적이 방법이며 심장사상충 감염견에서 적용될 수 있는 좋은 치료법으로 사료된다.

Keywords

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