To describe a novel surgical technique for intestinal foreign body removal without enterotomy using a laparotomy-assisted endoscopic approach and compare short-term outcomes to enterotomy.Materials and MethOds: Medical records of dogs and cats with intestinal foreign bodies that underwent attempted treatment with a laparotomy-assisted endoscopic approach between June 2019 and July 2021 were extracted. The approach consisted in manoeuvring the intestinal foreign body into the stomach during laparotomy and then removing it via a gastroscopy. If the foreign body was unmovable, an enterotomy was performed.results: Fifty-eight cases were enrolled and foreign bodies were successfully removed in 25 cases using a laparotomy-assisted endoscopic approach. The median distance between the pylorus and the proximal part of the foreign body was 55 cm (range: 0 to 300). The mean surgical time and median endoscopic time were 49 minutes (±sd 12.8) and 5 minutes (range: 2 to 28), respectively. All but two cases were discharged 1 day postoperatively. In 20 cases, the foreign body was not easily movable, and an enterotomy was performed. In three of these cases, conversion to enterotomy was required due to serosal tears that occurred as a consequence of the attempted retrograde manipulation of the foreign body. Foreign body width, length and distance to pylorus were not significantly different between the two techniques.Mean surgical time was significantly shorter for laparotomy-assisted endoscopic approach compared to enterotomy: 49 minutes (±SD 12.8) versus 61.7 minutes (±SD 14.6). clinical significance: Surgical removal of intestinal foreign bodies through a laparotomy-assisted endoscopic approach is a feasible technique that offers satisfactory outcomes and shorter surgical time than enterotomy. Retrograde manipulation of the intestinal foreign body may result in serosal tears.
A 7‐year‐old female bearded collie was presented with a 6‐month history of coughing. A thoracic and abdominal computed tomography examination revealed a large soft tissue mass within the right caudal and middle pulmonary lobes. A right caudal, middle and accessory lobe lung lobectomy was performed with a combination of manual sutures and staples. A persistent pneumothorax was observed during the 4 days following surgery, and surgical exploration was conducted. Two lung perforations in the cranial pulmonary lobe induced by the suture ends from the first procedure were detected. A right cranial lobectomy using a TA stapler was performed, resulting in a right total pneumonectomy. Seven months after the surgery, the dog was reported to be doing well with no recurrence of clinical signs. To the authors’ knowledge, this is the first case report of a lung perforation caused by suture ends as a complication of lung lobectomy in a dog.
To describe a novel surgical technique for intestinal foreign body removal without enterotomy, using a laparotomy-assisted endoscopic approach, and to report its short-term outcomes. MethodsMedical records of dogs and cats that underwent a laparotomy-assisted endoscopic removal of foreign bodies between June 2019 and June 2021 were evaluated retrospectively. Cases with complete medical records in which intestinal foreign bodies were successfully removed endoscopically were included in this study. Foreign bodies were manoeuvred back into the stomach during a laparotomy, and then removed orally using endoscopy. The data collected were: signalment, foreign body length and width, distance from the pylorus, surgical and endoscopic time, time to eat, and complications.
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