Laryngeal Paralysis

Monnet, Eric

doi:10.1002/9781119693741.ch38

Cited by 1 publication

(2 citation statements)

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“…Though percutaneous endovascular embolization, being minimally invasive, is considered the gold therapeutic standard [10,11], this procedure is not commonly available. Therefore, still, open surgical techniques are mostly used to attenuate the shunts using different types of constrictors, occluders or cellophane bands [12,13]. Identification of the shunting vessel(s) is crucial during this procedure.…”

Section: Introductionmentioning

confidence: 99%

“…Based on previous US examinations, identification is usually not difficult by direct visualization after laparotomy if it is an extrahepatic PSS (EHPSS) in typical localization. In contrast, in the case of IHPSS, this is more difficult as the shunt is located within the liver parenchyma [12,13]. The location and anatomical structure of these aberrant vessels vary between the cases, which underlines the importance of reliable navigation for surgery.…”

Section: Introductionmentioning

confidence: 99%

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Three-Dimensional Models of Liver Vessels for Navigation during Laparotomic Attenuation of Intrahepatic Portosystemic Shunt in Dogs

Frymus

Trębacz

Kurkowska

et al. 2023

Animals

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Laparotomic attenuation of an intrahepatic portosystemic shunt (IHPSS) is more difficult than an extrahepatic one, and results in a higher risk of complications because the identification of the aberrant vessel in the liver remains often a challenge. Excessive preparation and traction of the parenchyma results in trauma, bleeding, and prolonged surgery, which is what worsens the prognosis. Therefore, based on computed tomographic angiography, we printed 3-dimensional (3D) individual patient liver models, scaled 1:1, and used them for surgery planning and as a guide during intraoperative identification of the shunt in four dogs with IHPSS. The advantages of the 3D technology are simple and precise planning of the surgery, fast intraoperative identification of the shunt, and low invasive dissection of the liver parenchyma. We conclude that 3D technology can potentially raise the recovery rate. To the best of our knowledge, this was the first application of 3D models in the surgery of canine IHPSS.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%