Minimally invasive technique to facilitate ultrasound-guided removal of migrating foreign bodies: eight cases (2022).

IF 1.7 2区 农林科学 Q2 VETERINARY SCIENCES Journal of Small Animal Practice Pub Date : 2024-11-24 DOI:10.1111/jsap.13808
C Brincin, O J Anderson, E J Field, C Howes, E Reeve, D Sutton
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Abstract

Objectives: Migrating foreign bodies is common in cats and dogs and can be challenging to retrieve. The aim of this study is to describe a minimally invasive ultrasound-guided technique for the removal of migrating foreign bodies.

Materials and methods: Cases were retrospectively recruited from a single referral hospital. Soft tissue swelling with suspected abscessation was identified on CT and the presence of migrating foreign material was confirmed on ultrasound. Foreign body retrieval was performed under ultrasound guidance: a large bore cannula (14G) was placed in direct contact with the foreign body. A pair of 16G flexible grasping forceps was passed through the sheath of the cannula and the foreign material was grasped and removed. Follow-up was obtained via patient records or telephone conversation.

Results: Seven dogs and one cat were included in this series. This technique was successful in removing foreign material from the neck (n = 4) and retro-bulbar area (n = 3). One retro-bulbar foreign body could not be safely removed due to its proximity to the globe. Median procedure duration was 20 minutes (range 5 to 35 minutes). Follow-up was available for seven cases at a median of 6 months (range 0.5 to 6 months). There was no recurrence of clinical signs in six out of seven cases. The swelling recurred at a different location in one case and no further foreign material was identified.

Clinical significance: This technique enabled retrieval of migrating foreign material from the retro-bulbar and cervical regions. This was an efficient and minimally invasive technique that spared the need for surgical exploration.

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利用微创技术在超声引导下取出移位异物:8 个病例(2022 年)。
目的:移位异物在猫和狗中很常见,而且取出难度很大。本研究旨在描述一种微创超声引导异物取出技术:病例从一家转诊医院进行回顾性收集。CT检查发现疑似脓肿的软组织肿胀,超声检查确认存在移行异物。异物取出术在超声引导下进行:将大口径套管(14G)与异物直接接触。将一对 16G 灵活抓取钳穿过套管鞘,抓取并取出异物。通过患者记录或电话交谈获得随访结果:结果:本系列共包括七只狗和一只猫。该技术成功取出了颈部(4 只)和后颊区(3 只)的异物。有一个球后异物因靠近眼球而无法安全取出。手术时间中位数为 20 分钟(5 至 35 分钟不等)。7例患者的随访时间中位数为6个月(0.5至6个月)。七例病例中有六例的临床症状没有复发。有一个病例的肿胀在不同位置复发,但没有发现其他异物:临床意义:这项技术可以取出后穹隆和颈部的移位异物。临床意义:这是一种高效的微创技术,无需进行手术探查。
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来源期刊
Journal of Small Animal Practice
Journal of Small Animal Practice 农林科学-兽医学
CiteScore
3.30
自引率
6.20%
发文量
117
审稿时长
12-24 weeks
期刊介绍: Journal of Small Animal Practice (JSAP) is a monthly peer-reviewed publication integrating clinical research papers and case reports from international sources, covering all aspects of medicine and surgery relating to dogs, cats and other small animals. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. JSAP publishes high quality original articles, as well as other scientific and educational information. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of small animal medicine and surgery. In addition to original articles, JSAP will publish invited editorials (relating to a manuscript in the same issue or a topic of current interest), review articles, which provide in-depth discussion of important clinical issues, and other scientific and educational information from around the world. The final decision on publication of a manuscript rests with the Editorial Board and ultimately with the Editor. All papers, regardless of type, represent the opinion of the authors and not necessarily that of the Editor, the Association or the Publisher. The Journal of Small Animal Practice is published on behalf of the British Small Animal Veterinary Association and is also the official scientific journal of the World Small Animal Veterinary Association
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