负压伤口治疗在犬部分闭合性胸骨正中切开术中的应用。

IF 0.9 4区 农林科学 Q3 VETERINARY SCIENCES Canadian Veterinary Journal-revue Veterinaire Canadienne Pub Date : 2025-01-01
Shiori Arai, Jessi Coryell, Tiffany Johnson, Rosalind S Chow, Pierre M Amsellem
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引用次数: 0

摘要

一个6岁的拉布拉多寻回犬与肺炎的历史提出,因为急性发作沉闷的精神状态和咳嗽。诊断影像及细胞学检查显示气胸、纵隔气肿及胸腔积液,符合脓胸。犬行探查性胸骨切开术,切除右颅脑和中肺叶。术后出现持续性气胸和胸腔积液,术后6 d胸骨切口裂开。第二次CT扫描显示左颅肺叶持续实变,持续气胸和胸腔积液。首次手术后第8天行左颅肺叶切除术。切口感染被确定与多重耐药大肠杆菌感染有关。由于持续的胸膜和切口引流,需要进行第三次探查性胸骨切开术,结果发现手术部位裂开,胸骨骨折后胸骨修复不稳定。胸骨切开术部位部分闭合,应用负压创面治疗。术后无并发症,切口愈合良好。关键临床信息:这是第一次有文献记载的使用NPWT在狗身上成功处理部分闭合的胸骨切开术和解决胸骨切开术部位的多药耐药感染。
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Application of negative pressure wound therapy to partially closed median sternotomy in a dog.

A 6-year-old Labrador retriever dog with a history of pneumonia was presented because of an acute onset of dull mentation and coughing. Diagnostic imaging and cytology revealed a pneumothorax, pneumomediastinum, and pleural effusion, consistent with pyothorax. The dog underwent exploratory sternotomy for lung lobectomy of the right cranial and middle lung lobes. Persistent pneumothorax and pleural effusion were present after surgery, and the sternotomy site dehisced 6 d postoperatively. A second CT scan revealed persistent consolidation of the left cranial lung lobe and continued pneumothorax and pleural effusion. A left cranial lung lobectomy was done on the 8th day following initial surgery. An incisional infection was determined to be associated with multidrug-resistant Escherichia coli infection. Due to persistent pleural and incisional drainage, a third exploratory sternotomy was required, which revealed dehiscence of the surgical site and an unstable sternal repair with fractured sternebrae. The sternotomy site was left partially closed and negative pressure wound therapy (NPWT) was applied. No complications with NPWT were encountered, and the incision healed appropriately. Key clinical message: This is the first documented description of the use of NPWT in a dog to successfully manage a partially closed sternotomy and resolve a multidrug-resistant infection of the sternotomy site.

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来源期刊
CiteScore
1.20
自引率
10.00%
发文量
177
审稿时长
12-24 weeks
期刊介绍: The Canadian Veterinary Journal (CVJ) provides a forum for the discussion of all matters relevant to the veterinary profession. The mission of the Journal is to educate by informing readers of progress in clinical veterinary medicine, clinical veterinary research, and related fields of endeavor. The key objective of The CVJ is to promote the art and science of veterinary medicine and the betterment of animal health. A report suggesting that animals have been unnecessarily subjected to adverse, stressful, or harsh conditions or treatments will not be processed for publication. Experimental studies using animals will only be considered for publication if the studies have been approved by an institutional animal care committee, or equivalent, and the guidelines of the Canadian Council on Animal Care, or equivalent, have been followed by the author(s).
期刊最新文献
Clinical and magnetic resonance imaging findings of presumed limber tail syndrome in a cat. A cross-sectional survey examining Canadian veterinarians' experiences with and perceptions of canine importation. Antemortem diagnostic tests and treatment outcomes using ivermectin in 13 cases of presumptive feline neurocuterebriasis. Application of negative pressure wound therapy to partially closed median sternotomy in a dog. Around the world in 80 days - Part 3.
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