Closure of Median Sternotomy in Dogs: Suture Versus Wire

Pelsue, Davyd; Monnet, Eric; Gaynor, James S.; Powers, Barbara E.; Halling, Krista B.; Parker, Denise; Golden, Anne E.

doi:10.5326/0380569

Cited by 30 publications

(87 citation statements)

References 17 publications

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“…Suturing in a figure-eight manner is stable, with the least displacement at higher loads, highlighting that if the tensile strength of the suture is adequate, osteochondral healing depends not on the tissue material itself, but rather on suture characteristics (Pelsue et al 2002;Davis et al 2006).…”

Section: Discussionmentioning

confidence: 99%

Emphysematous lesions in the right cranial lung lobe and torsion of the right medial lung lobe in a British shorthair cat: a case report

Dokic¹,

Pirog²

2015

Vet. Med. - Czech

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ABSTRACT:A three-year-old male British shorthair cat that had exhibited progressive lethargy and intermittent dyspnoea for 14 days was referred for evaluation of acute respiratory deterioration. Clinical findings included rapid and shallow breathing, pale mucous membranes, sound suppression on the right side, and a subcutaneous haematoma in the right epigastric area. Serum biochemistry analysis showed leukocytosis and thrombocytosis. Radiographs revealed hydropneumothorax, a broken eighth right rib, atelectatic right cranial lung lobe (RCrL), and consolidation of the right middle lobe (RML). Doppler examination revealed sonographic changes in the echotexture of both lobes and venous flow was absent in the twisted RML. Furthermore, bronchoscopy showed proximal narrowing of the cat's RML bronchus. Exploratory surgery via medial sternotomy confirmed torsion of the RML and identified deteriorated gas-containing lesions in the collapsed RCrL. Both lung lobes were removed by standard lobectomy, and postoperative recovery was without major complications. Histopathological examination diagnosed multiple bullae and blebs, with significant subpleural haemorrhages in the atelectatic RCrL, whereas tissue congestion with haemorrhages, necrosis, and thrombosis typical for lung lobe torsion were observed in the RML. No other underlying aetiology was apparent. Two months post-operatively, the cat presented with similar acute onset of dyspnoea and spontaneous pneumothorax and was euthanised at the owner's request. The autopsy revealed identical new emphysematous changes in the contra-lateral lung lobes that had been absent at the time of surgery. Emphysematous lesions, regardless of their origin, should be considered in the etiopathology of lung lobe torsion.

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Section: Discussionmentioning

confidence: 99%

Emphysematous lesions in the right cranial lung lobe and torsion of the right medial lung lobe in a British shorthair cat: a case report

Dokic¹,

Pirog²

2015

Vet. Med. - Czech

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“…Furthermore, the problem was unexpected since, from our as well as others' experience, large laboratory animals such as dogs and pigs can withstand median sternotomy incision with a reasonable infection rate (Lust et al 1991, Pelsue et al 2002.…”

Section: Discussionmentioning

confidence: 99%

The sheep as a model for coronary artery bypass surgery

et al. 2004

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Cardiovascular diseases are still the leading cause of morbidity and mortality in the western world (WHO 2002). In spite of the growing use of percutaneous coronary interventions, coronary bypass surgery is still an effective and widely used technique for the treatment of coronary artery disease (Luchi et al. 1987, Pocock et al. 1995, The Bypass Angioplasty Revascularization Investigation (BARI) Investigators 1996).In recent years, there has been a move toward less invasive coronary surgical procedures, with many of the operations being performed without the use of a cardio-pulmonary bypass (off pump coronary artery bypass-OPCAB), and through smaller incisions. This trend implies a growing need for newer surgical techniques and devices to facilitate the operative procedures. In view of this trend, there is a great interest in the development of new methods and devices that may replace traditional suturing methods. Such devices will shorten the time needed to perform an anastomosis, and will

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“…The other sternal ribs (2-9) articulate with the intersternebral cartilages found between the sternebrae themselves. 11,12,18 Intersternebral cartilages may calcify in older dogs. The remaining sternebrae are hourglass shaped with the central portion being thinner than the endplates.…”

Section: Anatomymentioning

confidence: 98%

“…This conformation is dramatically different from the flatter sternum found in humans and porcine models and may predispose the sternebrae to implantrelated fractures. 18 The sternum serves as the insertion point for the pectoral muscles. These muscles normally attach to the ventral and lateral surface of the sternum and rarely cross over the midline.…”

Section: Anatomymentioning

confidence: 99%

“…A complication of less than 4% for median sternotomies is reported in humans, whereas a much higher complication rate (17%-70%) is reported in veterinary patients. [16][17][18][19][20] Reasons for this disparity may include patient differences (veterinary patients rest in sternal recumbency compared with humans), less experienced veterinary surgeons, and lack of standard agreement of what constitutes a complication in veterinary surgical studies. 17,21 Many of the outcome results in reviews of median sternotomy may be more accurately attributed to the disease process rather than to the procedure itself.…”

Section: Median Sternotomy Indicationsmentioning

confidence: 99%

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