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Biomedical subjects

D R Waldron

Publications and source records attributed to D R Waldron.

16 recordsLinked to original sources
PubMed1994

Skin and fascia staple closure.

Skin stapling is the fastest method of closure for long skin incisions. In addition, clean-contaminated wounds closed by staples have a greater resistance to infections than wounds closed with suture. It is important to realize that staples are a particular modality of suturing live tissues and if used properly they add speed and precision to wound closure. Many skin staplers are available to the veterinary surgeon and most perform satisfactorily. Stapling may be economically feasible when the reduced cost of surgical time and anesthesia is considered.

Animals↗
PubMed1993

Reexpansion pulmonary edema after surgery to repair a diaphragmatic hernia in a cat.

Fulminant pulmonary edema developed after rapid lung reexpansion following diaphragmatic herniorrhaphy in a cat. Despite medical treatment, the cat died. Pulmonary edema is a potential complication of lung reexpansion achieved by negative intrathoracic pressure or positive-pressure ventilation. Slow expansion of a collapsed lung over a 12-hour period may help prevent this devastating complication.

Animals↗
PubMed1993

Metastatic extramedullary plasmacytoma of the colon and rectum in a dog.

Stage-3 extramedullary plasmacytoma of the large intestine was diagnosed in an 8-year-old Labrador Retriever. Three primary tumors were located in the colon and rectum, with metastasis to local lymph nodes and the spleen. The disease was associated with a monoclonal serum protein spike identified as IgG. Treatment consisted of surgical excision followed by chemotherapy, using melphalan and prednisone. The dog remained free from clinical signs of disease and adverse effects of the chemotherapy at 9 months. Findings in this dog indicated that extramedullary plasmacytoma may be an aggressive disease, associated with spread to distant sites and monoclonal gammopathy.

Animals↗
PubMed1992

Clinical evaluation of axial pattern skin flaps in dogs and cats: 19 cases (1981-1990).

Nineteen axial pattern skin flaps were used in 16 dogs and cats to provide skin for repair of extensive cutaneous defects. Retrospective evaluation of medical records was used to determine percentage flap survival, postoperative complications, and long-term outcome of axial pattern skin flaps. The most common indication for use of axial pattern flaps was to augment wound closure following tumor resection (n = 7). Other indications included trauma (n = 5), chronic nonhealing wounds (n = 4), urine-induced cellulitis (n = 1), idiopathic dermal necrosis (n = 1), and chronic lymphoplasmocytic dermatitis (n = 1). Mean flap survival (+/- SD) was 96% (+/- 8). Postoperative complications included wound drainage (n = 15), partial dehiscence of the sutured flap (n = 7), distal flap necrosis (n = 6), infection (n = 3), edema (n = 3), and seroma formation (n = 2). After a median follow-up time of 5 months, evaluation of animals indicated that surgery provided successful wound reconstruction with good cosmetic results. Reconstruction of large cutaneous defects is facilitated by axial pattern flap application regardless of cause of wound. Postoperative complications are common but amenable to standard wound management techniques such as drain placement and surgical debridement of devitalized distal flap skin.

Animals↗
PubMed1992

Evaluation of biocompatible osteoconductive polymer as an orthopedic implant in dogs.

The biocompatibility and osteoconductive properties of biocompatible osteoconductive polymer (BOP), a synthetic implant, were evaluated. Bilateral oval cortical defects (1 x 2 cm) were made in the lateral subtrochanteric area of the proximal portion of the femur in 16 dogs that later were treated with BOP fiber (n = 16) or autogenous cancellous bone (n = 11), or were not treated (n = 5). The BOP block was attached extraperiosteally to the proximal portion of the humerus in 6 dogs. Radiographic assessment of surgery sites was performed at 4-week intervals, and histologic evaluation was performed at 4, 8, 16, and 24 weeks after surgery. Radiographic signs of bone healing were not observed in defects treated with BOP fiber. Defects treated with cancellous bone or not treated had radiographic signs of progressive bone ingrowth. Radiographic evidence of periosteal new bone formation near control and BOP-treated defects was observed 4 weeks after surgery; increased periosteal reaction was associated with BOP fiber. This new bone had resorbed by week 24, except bone adjacent to BOP fiber, where continued periosteal reaction was apparent. Histologic evidence of bone formation was observed extending to, but not incorporating, BOP fibers. The BOP fibers became surrounded by a fibrous capsule, and fibrovascular connective tissue infiltrated between and into BOP fibers, but minimal bone formation incorporated the BOP material during the follow-up period. During that time, active periosteal new bone formation was evident adjacent to the BOP fibers. Defects treated with cancellous bone or not treated healed by ingrowth of cancellous bone during the first 12 weeks after surgery and by reformation of the lateral cortical wall by week 24. The BOP blocks became surrounded by a fibrous capsule, but connective tissue or bone ingrowth into BOP blocks was not observed. Results indicate that BOP is not osteoconductive within a 6-month time frame when used in subtrochanteric femoral defects or when placed extraperiosteally on the proximal portion of the humerus of clinically normal dogs.

Animals↗
PubMed1992

Direct cutaneous arterial supply to the tail in dogs.

Cutaneous arterial blood supply to the tail was evaluated in 12 dogs. Subtraction radiography of internal iliac artery and distal aorta angiography in 3 of these dogs was used to determine arterial blood supply to the tail from the median sacral and lateral caudal arteries. Dissection of the tail in 8 canine cadavers revealed bilateral subcutaneous location of lateral caudal arteries following tail amputation. An axial pattern flap based on the lateral caudal arteries contributed to the reconstruction of a large caudodorsal cutaneous defect in a dog. An axial pattern flap based on the lateral caudal arteries following tail amputation may be indicated to aid reconstruction of large caudodorsal cutaneous defects of the trunk in dogs.

Amputation, Surgical↗
PubMed1991

Cleft palate repair.

Cleft palates are congenital or acquired and effect the primary palate (lip) or the secondary (hard and soft) palate. Surgical repair of congenital cleft palate is indicated at an early age. Preservation of maximal tissue and tissue blood supply and a tension-free closure of the defect are requisite for successful repair. Multiple surgical procedures are often performed prior to resolution of this problem. Aspiration pneumonia is often present concurrently and should be treated with appropriate antibiotic therapy.

Anesthesia, Inhalation↗
PubMed1991

Salivary mucoceles.

The overall incidence of salivary gland disease in dogs and cats is low. Salivary mucocele is the most frequently diagnosed disease of salivary glands. Mucoceles consist of collections of saliva in subcutaneous, sublingual, pharyngeal, or periorbital locations. Definitive therapy of salivary mucoceles consists of excision of the affected salivary gland and mucocele drainage.

Animals↗
PubMed1989

Surgery of the geriatric patient.

The geriatric patient commonly requires surgical intervention. Although precaution is warranted, age alone is not a contraindication to surgery. A problem-oriented approach is needed, along with proper surgical planning that incorporates preoperative, intraoperative, and postoperative needs of the patient. This article discusses both perioperative management theory and practical surgical techniques that can be applied to the aged animal. Many of the principles discussed are not limited to the practice of geriatric surgery but reflect reactions of aging patients to specific disease pathologies.

Aging↗
PubMed1988

Survival of a dog with pneumonia caused by Mycobacterium fortuitum.

Pneumonia caused by Mycobacterium fortuitum was diagnosed in the left lung lobes of a 3-year-old male Samoyed. Unilateral pneumonectomy and antibiotic treatment (primarily amoxicillin trihydrate-clavulanate potassium and kanamycin) were associated with resolution of the pneumonia. In dogs, M fortuitum causes pulmonary disease that radiographically resembles bacterial pneumonia. Therefore, M fortuitum infection should be considered in dogs with radiographic signs of bronchopneumonia that worsen despite antibiotic treatment.

Animals↗
PubMedDate not supplied

Platysma myocutaneous flap for head and neck reconstruction in cats.

Squamous cell carcinoma is the fourth most common neoplasm in cats. As in man, local resective surgery of stage III and IV carcinoma often results in recurrence related to compromised margins. Radical resective procedures may be performed when reconstructive techniques are available to restore cosmesis and function. A platysma myocutaneous flap that was based on a cutaneous branch of the caudal auricular artery and vein was developed to fulfill this requirement. Control flaps, which included ligation and division of the caudal auricular artery and vein, were similarly developed on the contralateral aspect of the neck. Mean survival of all platysma myocutaneous flaps (86.7%), compared with control flaps (62.9%), was significantly different (p < .05). Flaps grouped in lengths of 6, 9, and 12 cm had mean survival lengths of 93.8%, 81.9%, and 84.4%, respectively. The mean survival length of flaps measuring 12 cm in length was significantly different (p < .05) compared with flaps measuring 6 and 9 cm. On the basis of the results of this study, the platysma myocutaneous flap based on a cutaneous branch of the caudal auricular artery and vein may be a source of tissue for reconstructive procedures of the head and neck in cats.

Animals↗
PubMedDate not supplied

The effect of epidural and general anesthesia on the healing of colonic anastomoses.

Colonic anastomoses were performed on two groups of 13 dogs each. Epidural anesthesia and general anesthesia were performed in one group and general anesthesia only in the other. Intraoperatively, the epidural-general anesthesia dogs tended to bleed less, making the anastomosis less difficult. Histologic comparisons showed healing to be more advanced in the epidural-general anesthesia dogs compared to the general anesthesia dogs 24 hours and 7 days postoperatively. Differences were not noticed 14 and 28 days postoperatively. Bursting pressures were determined 24 hours after surgery. Differences between the groups were not noticed. Leakage occurred at 72% of the pressure determined to cause leakage in normal colons.

Anastomosis, Surgical↗
PubMedDate not supplied

Endoscopic diagnosis of chronic hypertrophic pyloric gastropathy in dogs.

The endoscopic appearance of chronic hypertrophic pyloric gastropathy (CHPG) in five dogs is described. Several patterns of enlarged mucosal folds that surrounded and obstructed the pyloric canal were observed. Initially, endoscopically obtained biopsy samples of mucosa were judged to be histologically normal. Diagnosis of CHPG was confirmed and relief of pyloric obstruction accomplished at exploratory laparotomy (in four dogs). Retrospective evaluation of pyloric tissue samples, obtained during endoscopy, identified subtle histological characteristics of CHPG. Gastric and duodenal neoplasia or antral polyps can mimic the endoscopic appearance of CHPG but can be differentiated based on their endoscopic and histological appearance. These cases show that endoscopic examination is a valuable procedure for the diagnosis of CHPG in dogs that chronically vomit.

Animals↗
PubMedDate not supplied

Partial splenectomy in the dog: a comparison of stapling and ligation techniques.

Partial splenectomy was performed in 17 adult dogs by using either surgical stapling instrumentation or conventional suturing techniques. Blood loss was minimal as determined by clinical observation and comparison of packed cell volumes and total protein levels before and after surgery. Surgical stapling instrumentation or suturing techniques may be used safely for partial splenectomy in the dog; however, the stapling technique significantly decreases operative time.

Animals↗
PubMedDate not supplied

Ectopic ureter surgery and its problems.

The incidence of ectopic ureter in companion animals is low. The most common clinical sign is urinary incontinence. Many animals with ectopic ureters have other urinary tract abnormalities that may contribute to urinary incontinence. A properly performed excretory urographic study in combination with pneumocystography is most likely to confirm the diagnosis and can demonstrate ureteral morphology. Surgical treatment options for ectopic ureter are varied and should be aimed at preserving the effected ureter and kidney. Common complications of surgery are hydroureter and hydronephrosis. These complications may be minimized with proper surgical technique. Medical therapy has been used successfully to control continued urinary incontinence following surgery.

Animals↗