Nefrectomia videolaparoscópica em Graxaim-do-campo (Pseudalopex gymnocercus) com displasia renal

Feranti, João P.S.; Motta, Adriana Costa da; Oliveira, Marília Teresa de; Wiecheteck, Fernando; Corrêa, Luis Felipe Dutra; Pires, Jefferson S.; Beck, C.A.C.; Brun, Maurício Veloso

doi:10.1590/s0100-736x2014000800012

Cited by 2 publications

(4 citation statements)

References 14 publications

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“…Laparoscopic approach for nephrectomy has already been reported in veterinary patients [2,4,10], as well as three-port lap-assisted OVH have been performed [2,9]. Innovative aspect of this case report concerns the one-stage laparoscopic approach for both nephrectomy and OVH, using left lateral recumbency to carry out lap-assisted spay for pyometra.…”

Section: Discussionmentioning

confidence: 98%

“…Skin was closed using interrupted horizontal mattress 3-0 USP nylon (Shalon ® ) 1 sutures. Patient was discharged on the early post-op, receiving tramadol chloride (Dorless V ® ) 2 [4 mg kg -1 , TID] and sodium dipyrone (Dipirona gotas ® ) 3 [25 mg kg -1 , TID] for three days and enrofloxacin (Baytril ® ) 4 [5 mg kg -1 , BID)] for seven days. The patient recovered uneventfully.…”

Section: Casementioning

confidence: 99%

“…Laparoscopic renal resections for dioctophymosis in companion animals was first reported in the late 90's [2,4]. Dioctophymosis is most diagnosed in stray dogs [6].…”

Section: Introductionmentioning

confidence: 99%

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One-stage Laparoscopic Nephrectomy and Ovariohysterectomy for Concurrent Dioctophymosis and Pyometra in a Bitch

Hartmann

Oliveira

Feranti

et al. 2018

Acta Scientiae. Vet.

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Background: Dioctophyme renale, also known as “giant kidney worm”, is a cosmopolitan parasite, which usually affects domestic and wildlife canids in wetlands. Nephrotomy and nephrectomy are the only treatment options. Laparoscopic nephrectomy for dioctophymosis was first performed in veterinary patients in the late 90’s. Canine pyometra is one of themost frequent surgical disorder in the small animal setting. The purpose of this study was to report a case of successful one-stage laparoscopic approach for nephrectomy and ovariohysterectomy in a bitch.Case: A female stray dog, rescued from a riverside community, was presenting hematuria. Abdominal echography revealed presence of Dioctophyme renale worms within the right renal parenchyma. Moreover, the uterus was moderately filled by anechoic content. The patient was clinically stable and undergone laparoscopy. A 10-mm trocar was established at the middle third of the right flank, followed by 12-mmHg CO2 insufflation. The telescope was inserted and a giant worm wasseen free within the abdominal cavity. A second 10-mm port was inserted cranial and dorsally to the first one. The parasite was retrieved using a laparoscopic Kelly forceps. A third 5-mm trocar was inserted in a classic laparoscopic triangulation port positioning. Renal artery and vein were individually triple ligated using titanium clips and then transected. The rightovarian pedicle was sequentially coagulated and transected using laparoscopic bipolar forceps. The right kidney was then dissected and detached from the abdominal wall, followed by cauterization and transection of the left ovarian pedicle. The uterus was exposed out of the abdominal cavity through the 5-mm port access. Uterine body and vessels were double ligated using polyglactin 910, with transfixating ligatures, and then transected. The opening of the retrieval bag was exposed through the cranial port site incision. Eight dioctophyme worms and the kidney sections were withdrawn through the sacusing a Kelly hemostat. Abdominal wounds were closed in two layers using cross-mattress polyglactin 910 sutures. Skinwas closed using interrupted horizontal mattress nylon sutures. Patient was discharged on the early post-op, receiving tramadol chloride and sodium dipyrone for three days and enrofloxacin for seven days. The patient recovered uneventfully. Owner was contacted by phone eight months following surgery, which informed the bitch was clinically stable.Discussion: Riverside stray dogs present high incidence of dioctophymosis worldwide, due to irregular feeding and consequent intake of intermediate hosts. The reported patient met those features, without previous background regarding infestation episode. It presented hematuria, which usually results from renal parenchyma consumption by the worms. The patient was retrieved nine dioctophyme worms. Laparoscopic approach for nephrectomy has already been reported in veterinary patients, as well as three-port lap-assisted OVH have been performed. Innovative aspect of this case report concerns the one-stage laparoscopic approach for both nephrectomy and OVH. Moreover, the procedures required only three-port access, which was considered a suitable and safe minimally invasive approach in dogs affected by Dioctophyme renale and concurrent indication for OVH. The three-port access shown is adequate to perform one-stage nephrectomy and ovariohysterectomy in bitches, for reaching benefits of laparoscopic surgery in comparison to conventional approaches.Keywords: canine, endosurgery, kidney, laparoscopy, videosurgery.

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Section: Discussionmentioning

confidence: 98%

Section: Casementioning

confidence: 99%

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One-stage Laparoscopic Nephrectomy and Ovariohysterectomy for Concurrent Dioctophymosis and Pyometra in a Bitch

Hartmann

Oliveira

Feranti

et al. 2018

Acta Scientiae. Vet.

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“…Ao considerar as complicações decorrentes desse tipo de trauma, procedimentos cirúrgicos são por diversas vezes necessários, todavia, poucos trabalhos que descrevem o emprego de técnicas cirúrgicas para animais silvestres, ou que discorram, de maneira detalhada as particularidades anatômicas destas espécies. Feranti et al [10] abordaram o uso da técnica de nefrectomia videolaparoscópica em um espécime de graxaim do campo (Pseudalopex gymnocercus) com displasia renal, contudo não foram encontrados trabalhos que relatem o emprego da técnica de nefrectomia total unilateral para cachorro-do-mato (Cerdocyon thous), principalmente em situações emergenciais.…”

Section: Discussionunclassified

Nefrectomia total unilateral em cachorro-do-mato (Cerdocyon thous)

Piccoli

Thomazoni

Druziani

et al. 2017

Acta Scientiae. Vet.

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Background: The loss of natural habitats associated with the development of humanity resulted in the need for longer trips and greater interaction with highways by some animal species. Vehicle collision with animals is one of the main factors of pressure over wild animal populations in Brazil; veterinary surgery can play an important role for the recovery of these patients. The lesions commonly seen in animals hit by vehicles may comprise skin lesions, central nervous system injuries, intrathoracic and intra-abdominal complications, among which renal lesions are included. The aim of this work is to report the use of a total nephrectomy technique in a crab-eating fox.Case: A female, adult, 5-kg crab-eating fox (Cerdocyon thous Linnaeus, 1766) was received for emergency care at the Veterinary Hospital of Universidade Federal do Paraná at Palotina. The patient had been struck by a vehicle at a local highway, was unconscious, and exhibited signs of blood loss such as hypothermia, hypotension, and pale mucous membranes. As the clinical evaluation was performed, the patient was stabilized with pain management, correction of hypovolemia and hypothermia, and oxygen therapy. Blood samples were taken in case of the need for preoperative tests. Subsequently, the animal was submitted to the diagnostic imaging section to investigate possible injuries. No chemical restraint was necessary for the procedures. Radiography examination revealed loss of intra-abdominal contrast, which was confirmed to be free fluid on ultrasound examination. Immediately after imaging examination, the animal was taken to the surgical room for exploratory laparotomy. The surgical incision, which was performed over the linea alba, extended from the xiphoid process to the pubis. During surgery, free fluid was confirmed to be diffuse bloody fluid, which was observed in the abdomen; there was absence of lesions in all organs except the right kidney, which revealed clots and lacerations to the capsule, cortex, and medulla, resulting in poor viability of the organ. The condition required removal of the organ, which was performed with the conventional technique described for domestic animals. During the nephrectomy surgical procedure, the patient exhibited severe hypotension with the need of compensatory measures such as intravenous administration of crystalloid and colloid solutions, and vasoactive drugs, which were maintained during the period of surgery. Postoperative care included administration of analgesics and anti-inflammatory drugs for three days, and antibiotics for seven days. Hematological and renal profiles as well as ultrasound examinations were used for monitoring of clinical evolution. The patient was kept in isolation to avoid behavioral stress during hospital stay.Discussion: In this case, the importance of ultrasound diagnosis and viability of the nephrectomy technique were established for the specimen, which was returned to its natural habitat eighteen days after the vehicle collision, after authorization from the local environmental agency. Immediate care of a wild animal that suffers trauma is an important factor to increase success rate for recovery of fauna threatened by vehicle collisions. Early diagnosis associated with the employment of surgical techniques commonly used for domestic animals allow wild-animal clinicians and surgeons to improve viability of threatened populations.

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Nefrectomia videolaparoscópica em Graxaim-do-campo (Pseudalopex gymnocercus) com displasia renal

Cited by 2 publications

References 14 publications

One-stage Laparoscopic Nephrectomy and Ovariohysterectomy for Concurrent Dioctophymosis and Pyometra in a Bitch

One-stage Laparoscopic Nephrectomy and Ovariohysterectomy for Concurrent Dioctophymosis and Pyometra in a Bitch

Nefrectomia total unilateral em cachorro-do-mato (Cerdocyon thous)

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