Infection rates in clean surgical procedures with and without prophylactic antibiotics

One hundred calves with an uncomplicated umbilical hernia were included in a prospective study. The frequency of wound infection and recurrence of herniation were compared in animals operated on either with or without prophylactic antibiotics. In 90 calves operated on for the first time (60 without antibiotics and 30 with antibiotics) there were no infections and only one hernia recurred. In 10 calves operated on for the second time (seven without antibiotics and three with antibiotics) there were two infections and one hernia recurred in the group not receiving antibiotics.     

Infection rates in contaminated surgical procedures: a comparison of prophylactic treatment for one day or four days

Eighty-three calves with a complicated umbilical hernia were included in a randomised prospective study. The frequency of wound infection was compared in two groups. The first group received antibiotics for one day, the second group for four days. The infection rate in calves receiving antibiotics for one day was 25 per cent compared with 8 per cent in calves treated for four days (P less than 0.05). Male calves were more susceptible to infection than female calves.     

Tibial wedge ostectomy: complications of 300 surgical procedures

Background   Tibial wedge ostectomy (TWO) is a surgical procedure that aims to give functional stability during weight-bearing in a hindlimb with cranial cruciate ligament deficiency, by reducing the slope of the tibial plateau angle.
Procedure   Advantages of the TWO surgery are that it does not require dedicated equipment and can be performed in young dogs prior to closure of the physis. However, it is a technically demanding procedure and the potential for complications is high.
Results   In this retrospective review of 249 dogs that had unilateral and 51 that had bilateral TWO surgery, the overall complication rate was 31.7% (95/300) and the rate of revision surgery was considerable (37 cases or 12.33%).
Conclusions   The most important clinical complications were postoperative medial meniscal tears, tibial fractures and implant failures, necessitating repeat surgery.     

A comparison of endoscopic and surgical collection procedures for the analysis of the bacterial flora in duodenal fluid from cats

In order to assess an endoscopic collection procedure, populations of bacteria in duodenal fluid from seven adult cats were compared in paired samples obtained by endoscopy and direct needle aspiration during laparotomy. Each sample of duodenal juice was subjected to quantitative and qualitative culture of bacteria under both aerobic and anaerobic conditions. There were no significant differences in total numbers or individual species of bacteria comparing the two collection procedures. These findings indicate that collection of duodenal juice by endoscopy using the procedure described provides a representative sample of small bowel fluid for the assessment of the bacterial flora. Therefore, there appears to be no need for more invasive or complicated sampling techniques when quantitative and qualitative culture of duodenal juice is indicated as part of an investigation of small bowel disease in cats.     

Bovine rumenotomy: comparison of four surgical techniques.

Rumenotomy in cattle is a routine procedure for treatment and diagnostic purposes. A comparative study of different rumenotomy techniques is lacking in the veterinary literature. Four rumenotomy techniques were compared in 20 cattle: skin suture fixation, Weingarth's ring, stay suture, and skin clamp fixation. Results indicated that skin suture fixation was superior to Weingarth's ring and the stay suture techniques. Skin clamp fixation was comparable with skin suturing and required a shorter operative time. Rumenotomy using the stay suture technique was followed by postoperative inflammatory complications, as indicated by significant (P < 0.05) increases in mean body temperature and total white blood cell counts of 39.3, s = 0.56 degrees C and 12.6 x 10(9), s = 1.57 x 10(9)/L, respectively, on day 4. Therefore, rumenotomy using the skin clamp fixation technique could be considered as an alternative to the more commonly used skin suture fixation technique.     

Thoracic bite trauma in dogs: a comparison of clinical and radiological parameters with surgical results

OBJECTIVES: Canine bite wounds may cause severe underlying tissue trauma even with no clinically evident puncture wounds. In order to assess the ability of pre-operative diagnostic parameters to predict the extent of internal damage inflicted by a thoracic bite wound, the clinical, radiological and surgical data of 45 dogs that sustained thoracic bite trauma were recorded. METHODS: Clinical, radiographic and surgical parameters from 45 dogs of various breeds with thoracic bite trauma, were analysed (P<0.05). All dogs were treated according to a previously described protocol and had exploratory surgery including a thoracotomy. RESULTS: Mainly small-breed dogs were traumatised. Clinical and radiological data were suggestive of internal trauma but not reliable as accurate indicators for internal lesions. Only radiological evidence of lung contusion was significantly associated with the presence of surgically confirmed lung contusion (P=0.006). Dogs with postoperative wound complications had a significantly higher risk of dying than those without complications (P=0.04). CLINICAL SIGNIFICANCE: This study concludes that according to protocol an optimal management of thoracic bite wounds in small dogs includes surgical exploration of the wound and the thoracic cavity in the presence of flail or pseudo-flail chest, fractured ribs, radiological evidence of lung contusion, pneumothorax or any combination of these.     

Diagnostic procedures and surgical treatment of craniodorsal coxofemoral luxation in calves

OBJECTIVE: To report use of ultrasonographic examination of the coxofemoral joint, a surgical technique for repair of craniodorsal coxofemoral dislocation, and outcome. STUDY DESIGN: Clinical case reports. ANIMALS: Calves (n=4) with coxofemoral luxation. METHODS: Craniodorsal coxofemoral luxation was diagnosed by physical examination, radiographic, and ultrasonographic findings. Open surgical reduction of the femoral head was performed using a modified caudal approach. RESULTS: Craniodorsal luxation of the femoral head and the presence of an intact femoral neck were confirmed by ultrasonography. All luxations were successfully reduced and reluxation did not occur. At follow-up, 1 heifer had calved and 1 was 5 months pregnant. One calf died of bronchopneumonia 6 days after surgery. One calf had severe coxofemoral degenerative joint disease diagnosed (ultrasonography, radiography, and arthrocentesis) 3 months after surgery and confirmed by necropsy. CONCLUSION: Ultrasonography proved to be a simple and effective non-invasive technique for diagnosis of coxofemoral luxation. Immediate surgical intervention in hip dislocation in calves is necessary to avoid unnecessary trauma to subchondral structures. In calves, open instead of closed surgical reduction appears preferable because it allows access to the acetabular cavity for removal of debris. CLINICAL RELEVANCE: Ultrasonography should be considered a supplementary but not an alternative to radiographic examination for diagnosis of coxofemoral luxation and for follow-up examinations after reduction.     

A simple, clean method for the surgical ablation of anal sacs in dogs

A technique is described for impregnating canine anal sacs with a dental mould material. After the mould has set the sacs can be ablated surgically. The method is efficient, quick and simple.     

Canine urinary tract infections: a comparison of in vitro antimicrobial susceptibility test results and response to oral therapy with ampicillin or with trimethoprim-sulfa

In vitro susceptibility testing correctly predicted the outcome of ampicillin therapy in all 56 urinary tract infections (UTI) caused by coagulase-positive staphylococci (Staphylococcus aureus and S intermedius), in all 26 UTI caused by Proteus mirabilis, in 38 of 44 UTI caused by Escherichia coli, in 29 of 31 UTI caused by Streptococcus spp, in 8 of 10 UTI caused by Klebsiella pneumoniae, and in 16 of 20 UTI caused by other bacterial species. Thus, 173 of 187 (92.5%) isolates responded to ampicillin therapy in a manner predicted by in vitro susceptibility test results. In vitro susceptibility testing correctly predicted the outcome of therapy with trimethoprim-sulfa in 119 of 138 UTI caused by Escherichia coli, in 33 of 45 UTI caused by Klebsiella pneumoniae, in 38 of 43 UTI caused by Proteus mirabilis, in 21 of 25 UTI caused by Streptococcus spp, in 9 of 11 UTI caused by coagulase-positive staphylococci, and in 19 of 21 UTI caused by other bacterial species. Thus, 239 of 283 (84%) isolates responded to trimethoprim-sulfa therapy in a manner predicted by in vitro susceptibility test results.     

Esophagotomy in the pony: comparison of surgical techniques and form of feed

Esophageal healing was studied in 12 ponies after cervical esophagotomy. The esophagus was sutured, feed and water were withheld for 48 hours, and then all ponies were permitted to eat. In group I (n = 6), a longitudinal esophagotomy was made. In group II (n = 6), a rotational esophagotomy was made with the mucosal incision 180 degrees away from the incision in the esophageal muscle. Three ponies in each group were fed a soft diet ad libitum for 9 days, and then were allowed access to hay and grain. The remaining ponies were fed hay and grain. The esophagotomies of all hay-fed ponies dehisced and healed by second intention, whereas esophagotomies healed by first intention in the ponies given a soft diet. Endoscopic and radiographic examinations indicated that the progression of healing in the present study was a function of diet (form of food), rather than surgical technique. The cross-sectional width of the muscularis externa at the incision site was 39.6% greater in mash-fed ponies than in hay-fed ponies. Based on density-dependent image analysis, average elastin content and reticulin fiber of the submucosa and muscularis externa at the incision were not influenced by the form of feed or surgical technique, although elastin fiber regeneration did not occur at the site of the incision.     

Invasive teat surgery in dairy cattle: part I - surgical procedures and classification of lesions

A prospective study was performed to identify the nature and management of teat abnormalities in cows presented to a referral teaching hospital during a three year period. All cattle (n = 60) admitted to the Ontario Veterinary College for teat problems were evaluated by physical examination; in 53 teats, contrast radiography or xeroradiography were obtained. Surgery was performed on 52 teats from 51 cows and a prosthesis was implanted in 27 teats. Short term (under two weeks) complications included intraoperative bleeding (n = 6), milk leakage through the incision (n = 4), and failure to milk by machine in 26 cases. Histopathological diagnosis of sections taken from obstructive lesions included fibrous tissue (n = 8), normal mammary tissue (n = 3), fibropapilloma, mammary polyps, and inflamed mucosa (one each). The lesion could be classified into five types: 1) focal teat cistern obstruction, 2) diffuse teat cistern obstruction, 3) membranous obstruction, 4) diffuse teat and gland cistern obstruction, or 5) leakage of milk through an abnormal route (i.e. teat fistula, webbed teat, or lacerations).     

Urine protein determination in dogs and cats: comparison of dipstick and sulfasalicylic acid procedures

Protein levels in urine specimens from 91 dogs and 65 cats were evaluated by sulfasalicylic acid precipitation (SSA) and dipstick methods. The dipstick frequently yielded reactions for protein that were greater than the level of protein indicated by SSA (i.e., false positive reactions), although no false negative reactions for protein were noted. All urine specimens with protein levels equal to or greater than 100 mg/dl by SSA had dipstick results of 3 +. Results of this study suggest that dipstick analysis for urine protein is an adequate screening procedure for the selection of urines for quantitative analysis of protein and creatinine to assess proteinuria.     

Further comparison of faecal egg count reduction test procedures: sensitivity and specificity

In a recent communication (McKenna 2006), a comparison was made between four different methods for calculating results from faecal egg count reduction (FECR) tests (FECRTs). The first and most complex of these, referred to as FECRT1, involved the use of the formula: FECR = 100 x (1-[T2/T1][C1/C2]), where T1 and T2 represented the mean pre- and post-treatment faecal nematode egg counts (FECs) of a treated group, and C1 and C2 represented the mean pre- and post-treatment FECs of an untreated control group, respectively. The other three formulae consisted of more simplified versions of this procedure. In one of them (FECRT2), only post-treatment samples were considered, whereas the other two were based on comparisons between the FECs of groups of animals sampled at the time of anthelmintic treatment (pre-treatment) with those sampled several days later (post-treatment). Thus, FECRT2 was determined according to the formula: FECR = 100 x (1-[T2/C2]), while FECRT3 was calculated from FECR = 100 x (1-[T2/T1]). The fourth procedure (FECRT4) was based on a further simplification of FECRT3, where pre-treatment FECs from only one treatment group were used for comparison with all post-treatment results. This base-line pre-treatment group thus effectively functioned as an untreated control group and hence the formula for FECRT4 was FECR = 100 x (1-[T2/C1]). The study was based on an analysis of 210 previously published FECRTs performed in sheep or goats. In each case, FECRs were calculated using all four of these FECRT formulae, and their results compared. The results of these comparisons indicated that the use of any one of them was likely to result in similar estimates of anthelmintic efficacy and the detection of comparable numbers of cases of anthelmintic resistance continued.     

Further comparison of faecal egg count reduction test procedures: Sensitivity and specificity

Extract

In a recent communication (McKenna2006 McKenna, PB. 2006. A comparison of faecal egg count reduction test procedures. New Zealand Veterinary Journal, 54: 202–3. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]), a comparison was made between four different methods for calculating results from faecal egg count reduction (FECR) tests (FECRTs). The first and most complex of these, referred to as FECRT₁, involved the use of the formula: FECR = 100 × (1?[T2/T1][C1/C2]), where T1 and T2 represented the mean pre- and post-treatment faecal nematode egg counts (FECs) of a treated group, and C1 and C2 represented the mean pre- and post-treatment FECs of an untreated control group, respectively. The other three formulae consisted of more simplified versions of this procedure. In one of them (FECRT₂), only post-treatment samples were considered, whereas the other two were based on comparisons between the FECs of groups of animals sampled at the time of anthelmintic treatment (pre-treatment) with those sampled several days later (post-treatment). Thus, FECRT₂ was determined according to the formula: FECR = 100 × (1?[T2/C2]), while FECRT₃ was calculated from FECR = 100 × (1?[T2/T1]). The fourth procedure (FECRT₄) was based on a further simplification of FECRT₃ where pre-treatment FECs from only one treatment group were used for comparison with all post-treatment results. This base-line pre-treatment group thus effectively functioned as an untreated control group and hence the formula for FECRT₄ was FECR = 100 × (1?[T2/C1]).     

Effect of housing conditions (clean vs. dirty) on growth performance and feeding behavior in growing pigs in a tropical climate

The effect of bad sanitary conditions on growth performance and feeding behaviour were studied on a total of 48 Large White pigs between 95 and 130 d of age. This experiment carried out during the hot season in a tropical humid climate. Two groups of 12 pigs each were housed in a clean environment in which the pens were disinfected thoroughly prior to stocking and maintained in a clean state by daily washing the pens and by weekly emptying the manure stored beneath the partial concrete floor. The dirty environment was achieved by not cleaning the pens prior to stocking or throughout the experiment and by storing the manure beneath the floor slats throughout the experimental period. The microbial pressure was increased by introducing 5 additional non experimental pigs near each experimental dirty pen. Feeding behaviour parameters were measured using automatic feed dispensers. Pigs housed in a clean environment consumed more feed (2.283 vs. 1.953 kg/d; P < 0.001) and grew faster (871 vs. 780 g/d; P < 0.05) than those housed in the dirty environment. No significant effect on treatment was reported for the feed conversion efficiency (2.70 kg/kg on average). The reduced average daily feed intake in dirty pens was associated with a reduction of the meal size (334 vs. 282 g/meal; P = 0.10) whereas the meal frequency was not affected by treatment (7.5 meals/d on average). The rate of feed intake was significantly higher in the clean than in the dirty environment (34.0 vs. 29.9 g/min; P < 0.05).