• 제목/요약/키워드: sacculectomy

검색결과 3건 처리시간 0.02초

Surgical Correction of Canine Brachycephalic Syndrome Including Resection of Elongated Soft Palate and Everted Laryngeal Saccules Using Harmonic Scalpel: A Retrospective Study of 21 Cases

  • Shin, Jung-In;Kim, Minkyung;Kim, Jong-Hoon;Lee, Chaeyeong;Kim, Young-Hwan;You, Young-Sung;Lee, Dong-Bin;Lee, Jae-Hoon
    • 한국임상수의학회지
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    • 제39권1호
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    • pp.1-8
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    • 2022
  • The current, retrospective study aimed to assess the short-term prognosis and postoperative complications associated with the surgical correction of elongated soft palate using harmonic scalpel and to compare the postoperative complications associated with the application of harmonic scalpel and traditional surgery using Metzenbaum scissors. Harmonic scalpel was used to perform staphylectomy in 21 dogs. A total of ten dogs underwent sacculectomy; six dogs with harmonic scalpel and four dogs using Metzenbaum scissors. Stenotic nares were corrected by wedge resection. Postoperative complications were recorded through monitoring and radiographic examinations. Telephone interviews were conducted on the first, third, and seventh day after discharge and continued until the resolution of postoperative complications. Postoperative edema at the surgical site was identified and mitigated within a day or two. Snoring and dyspnea improved dramatically in the group that underwent staphylectomy alone. Moreover, three dogs presented with postoperative gastrointestinal complications, especially retching. The symptoms persisted for seven days and ten days in two dogs that underwent sacculectomy with harmonic scalpel and for two days in one dog that underwent sacculectomy with Metzenbaum scissors. The clinical signs and symptoms of brachycephalic syndrome disappeared without recurrence. Harmonic scalpel provides a hemostatic effect during staphylectomy, is convenient, and does not cause postoperative complications. Conversely, the use of harmonic scalpel during sacculectomy necessitated a longer period for the resolution of complications without any significant hemostatic efficacy, compared to traditional surgery.

개에서 항문낭 절제를 위한 폴리카테터의 이용 (Use of a Foley Catheter for Anal Sacculectomy in Dogs)

  • 한태성;김중현;조기래;이혜윤;김근형;최석화
    • 한국임상수의학회지
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    • 제24권1호
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    • pp.35-37
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    • 2007
  • 개의 오른쪽 또는 왼쪽 항문낭에 화농성 삼출물이 있거나 항문낭이 개방된 8마리의 개를 대상으로 항문낭 적출술을 하였다. 환자의 체중은 3-8 kg이며. 항문낭을 쉽게 절제하기 위하여 폴리카테터(1.5 ml, 6호)를 이용하여 폐쇄법으로 항문 적출술을 하였다. 항문낭 적출술을 하는 동안 모든 환자에서 폴리카테터를 팽창하여 항문낭을 쉽게 식별할 수 있었다. 항문낭 적출술을 실시 한 환자들을 대상으로 1-3개월 동안 임상증상을 추적하였다. 항문낭 적출술이 만성 항문낭염 또는 항문 질환에 좋은 치료법이었다. 폴리카테터의 이용은 항문낭의 적출 시 항문낭을 쉽게 구별할 수 있었고 경제적이었다.

Semitendinosus Muscle Transfer Flap for the Treatment of Canine Fecal Incontinence

  • Cho, Hyoung-sun;Lee, Dong-bin;Kwon, Yong-hwan;Kim, Young-ung;Kang, Jin-su;Lee, Ki-chang;Kim, Nam-soo;Kim, Min-su
    • 한국임상수의학회지
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    • 제33권2호
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    • pp.131-134
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    • 2016
  • A 4-year-old intact female Maltese was referred to the Animal Medical Center of Chonbuk National University with a history of consistent fecal incontinence over 4 months following sacculectomy surgery. We suspected that anal sacculectomy resulted in loss of the external anal sphincter. On physical examination, the external anal sphincter muscle on the left side was intact, while the external anal sphincter muscle on the right side could not be detected and exhibited severe laceration. To repair the defect, the left semitendinosus muscle was transposed around the anus. The left semitendinosus muscle was isolated and transected near the stifle, reflected dorsally and passed around the ventral rectum into the pararectal fossa. Care was taken to preserve the integrity of the vasculature and nerve supply. The muscle was secured dorsally with simple interrupted sutures to the levator ani and coccygeus muscles to simulate the external anal sphincter. Nine days after surgery, the dog was defecating normally with no evidence of incontinence. The use of semitendinosus muscle flaps is a good option for the treatment of fecal incontinence secondary to loss of sphincter muscle in dogs.