Removal of a fragmented nasogastric tube from the transverse colon of a horse undergoing exploratory celiotomy for colic

This report describes the clinical course and surgical findings of a 5-year-old Warmblood gelding referred for colic with a previous history of intermittent colic episodes, and gastric ulcers diagnosed by gastroscopy in the preceding months. The horse underwent medical treatment but remained painful and surgery was elected. The horse underwent an exploratory laparotomy during which an impaction was identified in the transverse colon that was associated with an approximately 1 metre segment of nasogastric tube. The foreign body was removed via an enterotomy in the left dorsal colon, and the horse recovered well from surgery. No complications were encountered post-operatively.     

The clinical features and short-term treatment outcomes of scirrhous cord: A retrospective study of 32 cases

Scirrhous cord (SC) is an uncommon complication of castration, characterised by chronic infection of the spermatic cord remnant. It is reported that surgical excision of the infected tissue is the most effective means of treatment, but there are few published studies assessing the outcomes of horses treated for SC. The aims of this retrospective study were to describe the clinical features and short-term outcomes in horses treated for SC at two equine hospitals in the UK. The clinical records of horses diagnosed with SC over a 10-year period were reviewed. A diagnosis of SC was made if the gelding presented with typical clinical signs with confirmation at surgery. Thirty-two cases of SC were identified at the two equine hospitals. The mean age at presentation was 6 years (range 2–14 years, n = 22), and the median time from castration to presentation was 29.5 days (range 20–2500 days). Mean age at castration was 4.3 years (range 6 months to 10 years, n = 10). Clinical signs included scrotal swelling, discharging wounds, hindlimb lameness and pyrexia. Five horses demonstrated hyperfibrinogenaemia (n = 8). Microbial culture isolated various bacterial species. All 32 cases were treated with surgical excision of the infected tissue and discharged from the hospitals between 1 and 10 days post-operatively. A limitation of this study is that it was a retrospective study with no long-term follow-up available. It was concluded that the results of this study confirm that SC can present at variable time points following castration, even many years later, and that a variety of bacterial species may be involved. Surgical excision of infected tissue is a successful treatment with a good short-term prognosis for survival.     

Postenucleation orbital sialocele in a dog associated with prior parotid duct transposition

An orbital sialocele developed in a dog following enucleation for protracted glaucoma. This eye had historically been treated for keratoconjunctivitis sicca by parotid duct transposition approximately 5 years previously, and the duct was ligated distally at the time of enucleation. One month following enucleation, the dog presented with a fluctuant conical-shaped swelling ventrolateral to the orbital socket. Surgical exploration revealed a dilated, fibrotic distal portion of the previously transposed parotid duct, and saliva, within the enucleated orbit. The distal portion of the duct and saliva-containing tissues from within the orbit were excised. The remaining proximal normal portion of the parotid duct was re-routed into the oral cavity. Clinicopathologic and histologic examination of the excised orbital contents and dilated portion of duct revealed a sterile sample of saliva and moderate chronic periductal fibrosis. At a 6-month re-evaluation there was no evidence of recurrence of the sialocele, and the parotid duct was functional.     

食管癌切除术后并发胸胃排空障碍的诊断与防治

从１９７３年１月至１９９５年２月治疗食管癌切除术后胸胃排空障碍１１例。１０例行１１次手术：膈下胸胃十二指肠吻合术１例，胸内胸胃空肠合术２例，幽门区纵行全层切开横行缝合术１例；粘连松解术７例，其中同时行十二指肠松解术１例，幽门成形术２例。术后均解除梗阻。还就此症的诊断和预防作了讨论。     

腹腔镜胆囊切除术及其并发症的预防（附30例报告）

用腹腔镜行胆囊切除术３０例。术前均经Ｂ超检查确诊为胆囊结石者２４例和胆囊息肉６例。３０例中有２９例获手术成功，１例因胆囊萎缩在术中转为开腹术，出现并发症者４例，其中１例因胆素床出血转为开腹后发现出血已停，另３例术后出现皮下气肿。手术时间最短１５ｍｉｎ，最长８７ｍｉｎ，平均２８ｍｉｎ。住院时间最短４天，最长１１天，平均６．５天。     

经三通管接分流管置肝脏膈面处理脑室-腹腔分流术腹腔端阻塞的效果观察

目的 观察经三通管接分流管置肝脏膈面处理脑室腹腔分流术后腹腔端阻塞的效果.方法 对脑室腹腔分流术后因大网膜包裹或扭折成角致分流管腹腔端阻塞者,不拔除其原分流管腹腔段,而是将其在腹腔入口处剪断后加接脑室导管三通管(埋于上腹部皮下),另接一新分流管(腹腔段)置于肝脏膈面;并将原腹腔段与三通管连接.结果 术后随访6～24个月,除1例出现脑室端分流管阻塞外,余11例患者症状消失,分流通畅.复查CT示脑室系统缩小至正常,脑组织间质水肿明显减轻.所有患者均无明显腹部不适症状.结论 经三通管再接新分流管置肝脏膈面处理脑室-腹腔分流术后腹腔端阻塞的效果好.