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Survey of complications and antimicrobial use in equine patients at veterinary teaching hospitals that underwent surgery because of colic.

OBJECTIVE: To determine current practices regarding use of antimicrobials in equine patients undergoing surgery because of colic at veterinary teaching hospitals. DESIGN: Survey. SAMPLE POPULATION: Diplomates of the American College of Veterinary Surgeons performing equine surgery at veterinary teaching hospitals in the United States. PROCEDURE: A Web-based questionnaire was developed, and 85 surgeons were asked to participate. The first part of the survey requested demographic information and information about total number of colic surgeries performed at the hospital, number of colic surgeries performed by the respondent, and whether the hospital had written guidelines for antimicrobial drug use. The second part pertained to nosocomial infections. The third part provided several case scenarios and asked respondents whether they would use antimicrobial drugs in these instances. RESULTS: Thirty-four (40%) surgeons responded to the questionnaire. Respondents indicated that most equine patients undergoing surgery because of colic at veterinary teaching hospitals in the United States received antimicrobial drugs. Drugs that were used were similar for the various hospitals that were represented, and for the most part, the drugs that were used were fairly uniform irrespective of the type of colic, whereas the duration of treatment varied with the type of colic and the surgical findings. The combination of potassium penicillin and gentamicin was the most commonly used treatment. CONCLUSIONS AND CLINICAL RELEVANCE: Results of this study document the implementation of recommendations by several authors in veterinary texts that antimicrobial drugs be administered perioperatively in equine patients with colic that are undergoing surgery. However, the need for long-term antimicrobial drug treatment in equine patients with colic is unknown.

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Surgeons' preferences in treating cranial cruciate ligament ruptures in dogs.

To characterize veterinary surgeons' preferences in diagnostic, surgical, and postoperative management of cranial cruciate ligament ruptures in dogs, 175 surgeons, including American College of Veterinary Surgeons diplomates, surgery specialty-practice veterinarians, university surgeons, and surgery residents, were surveyed. Their experience with stifle surgery was evenly distributed from 1 to > 21 years. Approximately 70% (118/175) of surgeons treated 3 to 9 dogs with cranial cruciate ligament rupture each month. In diagnosis, 98% (172/175) of the surgeons used a cranial drawer test with the stifle joint at 140 degrees of flexion. Stifle radiography was performed by 53% (93/175) of surgeons for acute and by 81% (141/175) of surgeons for chronic cases. In repair of cranial cruciate ligament ruptures, 32% (56/175) of surgeons did not use intra-articular procedures, whereas 8% (14/175) of surgeons did not use extra-articular procedures. Surgical preferences depended on dog size (P < 0.05). For small dogs (ie, < 11 kg), 80% (140/175) of surgeons used extra-articular methods, and 14% (24/175) used intra-articular methods. For medium dogs (ie, 11 to 29 kg), 52% (91/175) of surgeons used extra-articular and 43% (75/175) used intra-articular methods. For large dogs (ie, > 29 kg), surgeons' preferences depended on the injury's duration (P < 0.05). For large dogs with acute injuries, 39% (68/175) preferred extra-articular and 55% (96/175) preferred intra-articular, whereas in chronic cases, 52% (91/175) preferred extra-articular and 42% (73/175) preferred intra-articular. The most common extra-articular method was placement of a suture from the lateral fabella to a hole drilled in the tibial tuberosity.(ABSTRACT TRUNCATED AT 250 WORDS)

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Student surgery.

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Review of the technique and complications of median sternotomy in the dog and cat.

The surgical and medical records of 67 dogs and nine cats which underwent median sternotomy over a five-year period were reviewed. The indication for median sternotomy and the short and longer term complications were recorded. Twenty-six of the dogs died or were euthanased within 48 hours of the surgery as a consequence of the pre-existing disease or complications of the intrathoracic surgical procedure. A further four dogs were enthanased between 48 hours and 14 days following confirmation of neoplastic processes. Thirty-seven dogs were alive at 14 days: of these, seven dogs (19 per cent) experienced short-term wound complications, including haemorrhage, wound infection, thoracic limb neurological deficits and excessive postoperative discomfort. Of the 37 dogs alive for longer term follow-up, eight dogs (22 per cent) experienced wound complications, including haemorrhage, sternal fracture, sternal osteomyelitis and delayed wound healing. No complications were noted in the cats.

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[Thoracic surgery in companion animals. The role of Professor Dr. G.H.B. Teunissen (1907-1998)].

By this review we commemorate professor dr. dr. h.c. G.H.B. Teunissen, who died on August 20, 1998. We report his important role in the development of human and small animal thoracic surgery in the Netherlands following his appointment as professor in the Small Animal Clinic of the State University of Utrecht in January 1947. Comparing Teunissen's publications on thoracic surgery with other literature on this subject in the same period shows that he was aware of and made use of the possibilities of the developments at that time. Thanks to his contributions, the small animal thoracic surgery in Utrecht is internationally recognized.

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Preservation of cadavers for surgical technique training.

OBJECTIVE: To evaluate a technique for preservation of organoleptic tissue characteristics (color, odor, texture, and flexibility) in cadavers used for surgical instruction. STUDY DESIGN: Experimental study. ANIMALS: Forty-three canine cadavers. METHODS: Cadavers were preserved with a modified Larssen solution of the Hospital Cochim, Paris and cryopreservation. Tissue handling qualities were evaluated in surgical laboratory sessions. RESULTS: All cadavers kept texture and tissues consistency, especially skin and muscle, similar to those of live animals. Some skin desquamation and pallor of the mucous membranes occurred with repetitive freeze-thaw cycles. CONCLUSIONS: This preservation technique provides acceptable cadaver quality and tissue handling for use in surgical instruction. CLINICAL RELEVANCE: Preparation of patient cadavers by intravascular injection of modified Larssen solution yielded suitable instructional models for surgical training.

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