Use of preoperative computed tomography for surgical treatment of recurrent draining tracts
OBJECTIVES: To evaluate a rational decision‐making approach based on preoperative computed tomography for surgical planning in dogs and cats with recurrent draining tracts. METHODS: Retrospective evaluation of case records of animals that underwent preoperative computed tomography for surgical treat...
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Published in | Journal of small animal practice Vol. 55; no. 2; pp. 89 - 94 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Publishing Ltd
01.02.2014
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Subjects | |
Online Access | Get full text |
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Summary: | OBJECTIVES: To evaluate a rational decision‐making approach based on preoperative computed tomography for surgical planning in dogs and cats with recurrent draining tracts. METHODS: Retrospective evaluation of case records of animals that underwent preoperative computed tomography for surgical treatment of thoracic/abdominal recurrent draining tracts. Cases were classified according to whether a source of inflammation and/or infection, in particular foreign bodies, was identified (group 1), suspected (group 2) or neither identified nor suspected (group 3) at computed tomography. Surgery consisted of removal of the source of inflammation and/or infection (group 1), debridement or abscess drainage (group 2) or en bloc resection of diseased tissues (group 3). Clinical outcome was evaluated at least 12 months after surgery. RESULTS: A source of inflammation and/or infection was found in 100% (8 of 8), 41% (7 of 17) and 25% (3 of 12) of cases in groups 1, 2 and 3, respectively. Recurrent draining tracts resolved in 100% (8 of 8), 94% (16 of 17) and 92% (11 of 12) of cases in groups 1, 2 and 3, respectively. CLINICAL SIGNIFICANCE: The proposed strategy provided a 95% (35 of 37) cure rate, after a single procedure in 81% (30 of 37) of cases. Recovery of a foreign body at surgery was not a prerequisite for the resolution of the recurrent draining tracts. |
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Bibliography: | http://dx.doi.org/10.1111/jsap.12163 ark:/67375/WNG-LCZRGQL7-H ArticleID:JSAP12163 istex:FE20C14485120BFA33C855E7DCF5F0033F6689FF ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0022-4510 1748-5827 |
DOI: | 10.1111/jsap.12163 |