Surgical treatment and long-term outcome of ferrets with bilateral adrenal tumors or adrenal hyperplasia: 56 cases (1994-1997).

OBJECTIVE: To determine signalment, clinical signs, concurrent diseases, response to surgical treatment, and long-term outcome of ferrets with bilateral adrenal tumors or adrenal hyperplasia. DESIGN: Retrospective study. ANIMALS: 56 ferrets with bilateral adrenal tumors or adrenal hyperplasia confirmed histologically following subtotal bilateral adrenalectomy. PROCEDURE: Medical records of all ferrets with bilateral adrenal tumors or hyperplasia examined between 1994 and 1997 were reviewed. Ferrets underwent a subtotal bilateral adrenalectomy or a unilateral adrenalectomy initially, followed by a unilateral subtotal adrenalectomy when tumors or hyperplasia later developed on the contralateral adrenal gland. A long-term follow-up of a minimum of 18 months after final adrenal gland surgery was obtained by examination of medical records and follow-up telephone conversations. RESULTS: Clinical signs of hyperadrenocorticism included bilaterally symmetric alopecia, return to male sexual behavior in castrated male ferrets, or swollen vulva in spayed female ferrets. Surgical treatment of bilateral adrenal disease by subtotal bilateral adrenalectomy (or unilateral adrenalectomy followed by contralateral unilateral subtotal adrenalectomy) was effective with a mortality rate of < 2%. Only 3 (5%) ferrets required glucocorticoid or mineralocorticoid replacement following subtotal bilateral adrenalectomy. Recurrence after bilateral adrenalectomy was 15% with a mean long-term follow-up period of 30 months. CONCLUSIONS AND CLINICAL RELEVANCE: Bilaterally symmetric alopecia, return to male sexual behavior in castrated male ferrets, or swollen vulva in spayed female ferrets are indicative of adrenal tumors or adrenal hyperplasia in ferrets. Surgical treatment of bilateral adrenal disease by subtotal bilateral adrenalectomy is effective, with a low rate of complications and postoperative recurrence rate.     

Simultaneous bilateral femoral head and neck ostectomy for the treatment of canine hip dysplasia

Simultaneous bilateral femoral head and neck ostectomy (FHO) was performed on 15 dogs for severe bilateral hip dysplasia. A follow-up survey was performed 6 to 48 months after surgery to assess the postoperative recovery and activity levels of the operated dogs. All dogs had normal activity levels and were pain free according to their owners. Owner satisfaction regarding the outcome of the surgery was high. Simultaneous bilateral FHO was a viable surgical option for the treatment of painful bilateral hip disease in dogs, especially when other surgical options were not indicated or were cost prohibitive.     

Comparison of tibial plateau angles in dogs with unilateral versus bilateral cranial cruciate ligament rupture: 150 cases (2000-2006)

OBJECTIVE: To compare tibial plateau angle (TPA) in dogs with unilateral versus bilateral cranial cruciate ligament (CCL) rupture, to compare right versus left TPA in dogs with bilateral CCL rupture, and to determine whether TPA can be used to predict whether a dog with unilateral CCL rupture would subsequently rupture the contralateral CCL. DESIGN: Retrospective case series. ANIMALS: 150 dogs with unilateral (n=58) or bilateral (92) CCL rupture. PROCEDURES: Medical records were reviewed and TPA was recorded. Dogs with unilateral CCL rupture that were not known to have ruptured the contralateral ligament were followed up for a minimum of 2 years. RESULTS: Dogs with unilateral CCL rupture were significantly older (median, 7.0 years) than dogs with bilateral CCL rupture (median, 4.5 years). Median TPA for dogs with unilateral CCL rupture (26 degrees) was not significantly different from median TPA for dogs with bilateral rupture (27 degrees in both the right and left limbs), and right and left TPAs were not significantly different in dogs with bilateral CCL rupture. There was no correlation between TPA and the time interval between diagnosis of the initial and subsequent CCL ruptures in dogs with bilateral CCL rupture. CONCLUSION AND CLINICAL RELEVANCE: Results suggested that TPA in the range studied (mostly<35 degrees) was not a useful predictor of contralateral CCL rupture among dogs with unilateral CCL rupture, although age may be a risk factor for development of bilateral CCL rupture. The incidence of bilateral CCL rupture may be higher than previously reported.     

Success Rates of Unilateral vs. Bilateral Cataract Extraction in Dogs

Postoperative results of 113 unilateral and 77 bilateral extracapsular cataract extractions (EC-CEs) in dogs were evaluated retrospectively. Restoration or improvement of functional vision was achieved in 79.6% of the eyes in dogs with unilateral extraction and 85.7% of the eyes in dogs with bilateral extractions at weeks 4 to 6. Complications occurring 6 weeks to 9 months after lens extraction lessened the surgical success rate in both groups. Twenty-six percent of the dogs in which bilateral lens removal was performed suffered complications resulting in surgical failure in one eye. When using the criterion that one or both treated eyes had functional vision, a short-term success rate of 98.7% was found for bilateral extractions.     

Veterinary qualifications and the right to practise in the EEC: an analysis of the directives.

The urogenital system was involved in 92 (22.9 per cent) of 401 malformed lambs examined over a three year period; genital 69 (six males: one female) and urinary 23 (three males: one female). Ten lambs had both genital and urinary defects. Sixty-eight (73.0 per cent) of the 92 lambs had defects of other organs, the most common being atresia ani, various skeletal and central nervous system defects, and arthrogryposis. The most common external defect of the male genital system was partial to complete cleft of the scrotum and the most common internal defect was cryptorchidism (six unilateral and 12 bilateral). Both penile agenesis and diphallia were observed twice. Defects of the female genital system included two uterine agenesis, four atresia vaginam, and one freemartin. Male pseudohermaphroditism was found in three lambs. The most common external urinary defect was male hypospadias and the most common internal defect was renal agenesis (12 unilateral and one bilateral). Other urinary defects were hydronephrosis (two unilateral and two bilateral), cystic kidneys (four unilateral and two bilateral), one bilateral polycystic kidneys, one patent urachus and six dysgenic kidneys.     

Mandibular Condylectomy Technique and Results in Normal Horses

A technique of mandibular condylectomy and menisectomy is described. Unilateral condylectomy and menisectomy were performed in two horses, and two horses were treated by bilateral condylectomy and unilateral meniscectomy. Minor temporary alterations in mastication occurred following unilateral condylectomy; more severe and longer lasting abnormalities of prehension and mastication occurred following bilateral condylectomy. Malocclusion occurred in all horses following surgery but was only clinically significant in one horse that developed occlusion of the lower incisor teeth 3 mm caudal to the upper incisor teeth following bilateral condylectomy. Maximal mouth opening was normal following unilateral condylectomy and increased following bilateral condylectomy, both immediately following surgery and after 16 weeks. Maximal lateral deviation of the mandible was increased immediately following unilateral and bilateral condylectomy; 16 weeks following surgery one joint had increased, and two had normal and three had decreased maximal lateral deviations. On radiographic, gross, and histological evaluation, the condylectomy sites underwent remodelling and bony proliferation to produce "pseudo" condyles. At necropsy, 16 weeks following surgery, five of the six operated temporomandibular joints contained fibrous tissue with single or multiple cavities lined by synoviocytes. The nonoperated temporomandibular joints were normal. Functional use of the mandible was good in three horses; the fourth horse developed significant malocclusion and had satisfactory function following bilateral condylectomy.     

Evaluation of complications and short-term outcome after unilateral or single-session bilateral tibial tuberosity advancement for cranial cruciate rupture in dogs

Objective: To compare the resulting complications, short-term results, and client satisfaction for treatment of cranial cruciate ligament rupture using either unilateral or bilateral single-session tibial tuberosity advancement (TTA) in dogs. Methods: Medical records of 68 dogs (101 stifles) undergoing unilateral or bilateral single-session TTA were evaluated. Data gathered included signalment, history, physical examination findings, anaesthesia and surgical time, type of cranial cruciate ligament rupture and meniscal injury, implants, and intra-operative and postoperative complications. A mixed effect logistic regression analysis was performed to determine if complications were grouped by surgical procedure. Linear regression was performed to determine the influence of the variables on the occurrence of complications. Values of p <0.05 were considered significant. Results: No major intra-operative complications occurred. Twenty stifles (20%) developed a complication after surgery (11 minor, 9 major). There was no significant difference in occurrence of complications between dogs undergoing unilateral (n = 8) or bilateral single-session (n = 12) TTA (p = 0.69). The only risk factor found to be associated with complication occurrence was age. Clinical significance: This is the first report evaluating the use of bilateral simultaneous TTA. There was no significant difference in complication rates between unilateral and bilateral single-session TTA. Additional evaluation is needed to fully determine the extent of complications and long-term outcome of bilateral single-session TTA.     

Bilateral corneoconjunctival dermoids and nasal choristomas in a calf

A 5-day-old Angus x Hereford calf presented for bilateral haired masses on the eyes and nasolabial planum since birth. The masses were surgically excised from the inferonasal cornea and bulbar conjunctiva of both eyes and the left and right side of the dorsomedial nasolabial planum. Histopathology of the excised tissue confirmed bilateral corneoconjunctival dermoids with ectopic lacrimal glands, and bilateral nasal choristomas and ectopic nasal glandular tissue. Surgery was curative and healing was uneventful. Bilateral ocular dermoids in combination with nasal choristomas and ectopic glandular tissue have not been documented previously in cattle.     

Feline Thyroidectomy A Comparison of Postoperative Hypocalcemia Associated with Three Different Surgical Techniques

Three bilateral thyroidectomy techniques used in 41 hyperthyroid cats over a 7 year period were compared for rates of postoperative hypocalcemia. Extracapsular dissection of the thyroid glands resulted in an 82% rate of postoperative hypocalcemia. An intracapsular dissection technique produced a 36% rate of postoperative hypocalcemia. The incidence of postoperative hypocalcemia was reduced to 11% when bilateral thyroidectomies were done asynchronously (staged), 3 to 4 weeks apart. Immediate postoperative treatment with dihydrotachysterol did not reduce the incidence of postoperative hypocalcemia. Because the incidence of hypocalcemia did not differ significantly between intracapsular and staged intracapsular dissection, the authors concluded that staged bilateral thyroidectomy in hyperthyroid cats had limited benefit over simultaneous bilateral thyroidectomy.     

Bilateral Rupture of the Palmar Carpal Ligament in a Horse Suffering from Acute Diaphragmatic Hernia

A 20-year-old Argentinian gelding was evaluated for sudden weakness, muscular tremors, tachypnea, and reluctance to move. On admission, a mild bilateral hyperextension of the carpi was noticed. On the basis of the clinical, laboratory, and ultrasonographic findings, a diagnosis of diaphragmatic hernia was made. During confinement, the hyperextension of the carpi worsened. Because radiographic examination of both carpi revealed palmar-lateral diastasis of the accessory carpal bone, bilateral rupture of the palmar carpal ligament (PCL) was suspected. Gross pathology confirmed the diaphragmatic hernia and the bilateral rupture of the PCL. Rupture of a PCL in a horse has been previously described, and conformation of the forelimb of that horse was similar to that of the horse in the case described in this article.     

Bilateral correction of metatarsal rotation in a dog using circular external skeletal fixation

An 8-month-old castrated male Saint Bernard was evaluated for bilateral hind limb lameness. Lameness was ascribed to bilateral metatarsal rotational abnormalities on the basis of the physical examination and radiographic evaluations. Staged, bilateral deformity correction and tarsometatarsal arthrodeses were performed using circular external skeletal fixators. The dog's gait improved following surgery and the fixators were removed 3 (left hind paw) and 4 (right hind paw) months following surgery. Twenty months after the initial surgery, the owner reported that the dog was walking well without apparent lameness. Previous reports suggest that metatarsal rotation is untreatable; however, our results suggest that surgical correction of this deformity can substantially improve limb function in dogs affected with metatarsal rotation.     

Embryo reduction before day 11 in mares with twin conceptuses

Incidence of embryo reduction (natural elimination of one member of a twin set) before d 11 was studied by comparing the number of ultrasonically detected conceptuses per ovulation between single and double ovulators. Effect of unilateral (n = 24) vs bilateral (n = 26) double ovulations on the incidence of embryo reduction also was considered. Each of 50 double-ovulating mares was matched with two single ovulators yielding 100 ovulations, or potential embryos, per group. Frequency with which an ovulation resulted in a conceptus was greater for single ovulators (85%, P less than .01) and for bilateral double ovulators (77%, P less than .05) than for unilateral double ovulators (60%). The difference between single and bilateral ovulators was not significant. Expected frequencies for none, one or two conceptuses per mare for double ovulators were calculated using the d-11 pregnancy rate for the single ovulators (85%). For unilateral ovulators, but not for bilateral ovulators, observed frequencies of none, one or two conceptuses were different (P less than .05) from expected (observed and expected, respectively, for no conceptuses, 29% and 2%; one conceptus, 21% and 26%; two conceptuses, 50% and 72%). Results did not indicate the existence of an embryo reduction phenomenon before d 11 in bilateral ovulators; each ovum had the same chance (no significant difference) of developing into a d-11 conceptus as an ovum in single ovulators. In unilateral double ovulators, the lower d-11 pregnancy rate per ovum, compared with bilateral ovulators and single ovulators, was attributable to a greater frequency of mares with no embryonic vesicles rather than to a greater frequency of mares with one vesicle.(ABSTRACT TRUNCATED AT 250 WORDS)     

Comparison of unilateral versus bilateral nasal catheters for oxygen administration in dogs

Objective: To determine the effect of bilateral nasal oxygen supplementation on tracheal airway and arterial blood gas parameters. Design: Original research. Setting: Research Laboratory. Animals: Eight normal dogs. Interventions: None. Measurements: Intra‐tracheal oxygen concentration and arterial oxygen partial pressure at three different oxygen flow rates given through either unilateral or bilateral nasal catheters. Main results: F_IO₂ and PaO₂ were significantly increased with higher total oxygen flow rates, but the increase was the same whether the higher flow was delivered through one nasal catheter or divided and administered though two nasal catheters. The use of bilateral nasal catheters allowed a tracheal F_IO₂ as high as 0.60 with minimal patient discomfort. Conclusions: The benefit of bilateral nasal catheters for oxygen supplementation is the ability to provide high total oxygen flows with decreased risk of patient discomfort. If the desired oxygen flow can be achieved with a unilateral nasal catheter, then the only benefit of bilateral catheters is increased patient comfort. The use of bilateral nasal oxygen catheters for oxygen supplementation can result in an F_IO₂ that is high enough to produce oxygen toxicity with prolonged administration.     

Bilateral ear canal neoplasia in three dogs

Bilateral ear canal infections are common in dogs. Ear canal neoplasia is usually associated with unilateral problems, and is uncommon in dogs. To the best of the author's knowledge, bilateral aural neoplasia has not been reported in dogs, and only four case reports were found in the human literature. This report presents three dogs that had bilateral tumours in their ear canals. They were presented with bilateral otitis externa. All three dogs exhibited tissue proliferation of both ear canals that did not respond to glucocorticoids. Treatment consisted of total ear canal ablation, and tissues were submitted for histopathological evaluation. Case # 1 (a 10-year-old, male cocker spaniel) was diagnosed as ceruminious gland carcinoma. Cases # 2 and 3 were diagnosed as squamous cell carcinoma. Case # 1 was diagnosed 4 years earlier as having keratinization disorder, which was causing its chronic ear problems. Case # 2 (a 5-year-old, female French bulldog) was diagnosed 4 years earlier as having atopic dermatitis, which did not respond to hyposensitization, and only partially responded to glucocorticoids therapy. Case # 3 (a 9-year-old, male German shepherd) was diagnosed by the referring veterinarian as having unilateral ear canal proliferation 2 months prior to presentation. However, otoscopic examination showed bilateral proliferation that obstructed both canals. In summary, bilateral ear canal neoplasia should be considered in cases of nonresponsive, proliferative aural pathology.     

Gynecomastia and mammary gland adenocarcinoma in a Nubian buck.

A 6-year-old Nubian buck was presented for bilateral mammary gland enlargement. Gynecomastia and mastitis were diagnosed, and bilateral mastectomy was performed. Histological examination showed mammary adenocarcinoma, active lactation, hyperplasia, and abscessation. Karyotyping showed a normal male. Clinical, therapeutic, etiologic, and epidemiologic aspects of gynecomastia and mammary gland adenocarcinoma are discussed.     

Treatment of bilateral corneal ulceration in a Peregrine Falcon (Falco peregrinus) using 360 degree conjunctival flaps

A wild Peregrine Falcon (Falco peregrinus) was presented with extensive bilateral fluorescein positive corneal damage. Local therapy and bilateral tarsorrhaphies resulted in slow improvement over 5 weeks. When bilateral 360 degree conjunctival flaps were used subsequently, healing proceeded more rapidly over the next 8 weeks. Although bulbar conjunctival flaps have been reported as difficult in birds due to their small size and relatively immobile bulbar conjunctiva, 360 degree conjunctival flaps made from palpebral rather than bulbar conjunctiva were found to be technically feasible in a larger bird species such as the Peregrine Falcon.     

Unilateral arytenoid lateralisation for the treatment of laryngeal paralysis in four cats

A unilateral arytenoid lateralisation procedure was successfully performed in four cats with either unilateral or bilateral laryngeal paralysis. All of the cats were presented for the investigation of signs of exercise-related respiratory embarrassment and stridor. Other clinical signs seen included altered vocalisation, an inability to purr, coughing and lethargy. A diagnosis of either bilateral or left or right unilateral laryngeal paralysis was made in each case following visual inspection of the vocal folds with the aid of a laryngoscope under a light plane of anaesthesia. In two cases the paralysis was bilateral and the condition was considered to be either congenital or idiopathic. In the other two cases the condition was unilateral and was considered to be iatrogenic as a result of previous surgical procedures. The results of this technique were considered excellent in all cases.     

Partial carpal and pancarpal arthrodesis in the dog: a review of 50 cases

Fifty-six carpal arthrodeses were carried out in 50 dogs. Six of these had bilateral arthrodeses. A dynamic compression plate (DCP; Straumann Great Britain Ltd), placed on the dorsal aspect of the carpus, was used for fixation in all cases. The main indication for pancarpal arthrodesis was a hyperextension injury of the radiocarpal joint. Forty-three pancarpal arthrodeses were performed in 40 dogs (a bilateral procedure was performed in three). Hyperextension injuries of the intercarpal and carpometacarpal joints were treated by partial carpal arthrodesis in 10 dogs; three of these had bilateral procedures. Seventy-four per cent of dogs treated by pancarpal arthrodesis regained full limb function. Only 50 per cent of cases treated by partial carpal arthrodesis had a similar result.     

URINARY OBSTRUCTION SECONDARY TO A RETROPERITONEAL CARCINOMA IN A DOG

A 7-year-old, intact, anestrous, female Doberman pinscher was presented with anorexia and hindlimb swelling of three days duration. Renal failure was documented. Survey radiographs revealed patchy alveolar consolidation and bilateral renomegaly with increased retroperitoneal and sublumbar soft tissue opacification. Renal ultrasonography showed bilateral hydronephrosis with ectatic ureters. A retroperitoneal carcinoma was identified via fine needle aspiration. Percutaneous nephropyelocentesis and antegrade nephrography further delineated the hydronephrosis and ureteral obstruction.     

Evaluation of the prognostic value of positive-contrast shoulder arthrography for bilateral osteochondrosis lesions in dogs

To investigate whether arthrographic findings had any prognostic value with respect to treatment and outcome of bilateral osteochondrosis, shoulder arthrograms (n = 80) from 40 dogs with bilateral lesions were evaluated. Arthrography was performed, using 1.5 to 4 ml of a 25% solution of meglumine-sodium diatrizoate, with admixture of 0.2 mg of epinephrine. A shoulder with signs of pain and lameness was surgically treated. The contralateral shoulder was treated conservatively, and the final outcome was compared with the arthrographic findings. In 37 dogs, signs of lameness and pain were associated with a loose cartilage flap and, in 3, with a detached cartilage flap. In 2 dogs, admitted with bilateral lameness, a loose cartilage flap was detected in both shoulders. Of 12 dogs with a detectable loose cartilage flap in the contralateral shoulder joint, 6 became lame 2 to 4 months after initial surgical intervention and needed bilateral surgery. In the contralateral joint, development of thick articular cartilage over the subchondral defect or a detached cartilage flap lodged in the caudal pouch of the shoulder joint was a favorable prognostic sign. Such dogs had no signs of lameness on the contralateral side during a follow-up period that ranged from 1 to 7 years.