Beatrice Hertel, Victoria Roberts, Claire Deroy-Bordenave, Jessica Adamany, Rosario Vallefuoco
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The underlying mucosa was resected with micro curved scissors and mucocutaneous apposition was achieved with simple interrupted sutures placed circumferentially. Minor protrusion of the tip of the penis was recorded in the short-term follow-up (2 weeks) but resolved on the long-term follow-up (10 and 72 months). No evidence of urinary tract infection, strictures or clinical signs associated with phimosis were recorded at long-term follow-up.</p><p><strong>Relevance and novel information: </strong>This short case series describes the surgical correction of type I phimosis by circumferential preputioplasty implemented using a Keyes biopsy punch in two kittens. 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引用次数: 0
摘要
病例系列摘要:本文回顾了两只被诊断为 I 型包皮龟头炎的小猫的医疗记录。报告了发病时的临床症状、检查结果、手术技术描述以及短期和长期随访情况。根据临床、影像学和手术探查结果,两只小猫均被诊断为 I 型包皮龟头炎。每个病例都由同一名外科医生使用 4 毫米和 6 毫米 Keyes 活检穿刺针进行了改良的包皮环切术。活检穿刺器以现有狭窄的阴道前口为中心,顺时针和逆时针旋转,在皮肤和粘膜下形成直径可预测的锐利环形切口。用微型弯剪切除下层粘膜,然后用简单的间断缝合线沿周向缝合粘膜和皮肤。在短期随访(2 周)中记录到阴茎头有轻微突出,但在长期随访(10 个月和 72 个月)中症状消失。长期随访中未发现尿路感染、狭窄或与包皮过长相关的临床症状:这组简短的病例描述了使用 Keyes 活检打孔器对两只小猫进行包皮环切术矫正 I 型包皮过长。本病例系列中描述的技术可与其他已报道的手术技术一并考虑,在已报道的两个病例中,该技术似乎能可靠、快速、准确地切除包皮。
Modified circumferential preputioplasty using a Keyes biopsy punch for treatment of type I phimosis in two kittens.
Case series summary: Medical records of two kittens diagnosed with type I phimosis were reviewed. Clinical signs on presentation, investigations, description of the surgical technique, and short- and long-term follow-up were reported. Type I phimosis was diagnosed in both kittens based on the clinical, radiographic and surgical exploration findings. Modified circumferential preputioplasty using 4 and 6 mm Keyes biopsy punches was performed by the same surgeon in each case. The biopsy punch was centred over the existing narrowed preputial orifice and rotated clockwise and anticlockwise to obtain a sharp circumferential cut through the skin and submucosa of predictable diameter. The underlying mucosa was resected with micro curved scissors and mucocutaneous apposition was achieved with simple interrupted sutures placed circumferentially. Minor protrusion of the tip of the penis was recorded in the short-term follow-up (2 weeks) but resolved on the long-term follow-up (10 and 72 months). No evidence of urinary tract infection, strictures or clinical signs associated with phimosis were recorded at long-term follow-up.
Relevance and novel information: This short case series describes the surgical correction of type I phimosis by circumferential preputioplasty implemented using a Keyes biopsy punch in two kittens. The technique described in this case series can be considered alongside other reported surgical techniques, and appears to provide a reliable, rapid and accurate removal of preputial skin in the two reported cases.