Risk factors for, frequency, and type of complications after temporary tube cystostomy in goats, sheep, and pigs.
Journal
Veterinary surgery : VS
ISSN: 1532-950X
Titre abrégé: Vet Surg
Pays: United States
ID NLM: 8113214
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
27
04
2020
revised:
16
09
2020
accepted:
21
11
2020
pubmed:
22
12
2020
medline:
20
4
2021
entrez:
21
12
2020
Statut:
ppublish
Résumé
To describe risk factors for as well as type and frequency of complications, time to occurrence of complications, and mortality after temporary tube cystostomy alone or in combination with other surgical procedures, in goats, sheep, and pigs. Retrospective case series. One hundred thirteen goats, eight sheep, and six pigs. Medical records of goats, sheep, and pigs that underwent temporary tube cystostomy alone or in combination with urethrotomy at the Veterinary Medicine Teaching Hospital, University of California-Davis from January 1, 2007 to December 31, 2018 were reviewed. Signalment, presurgical and surgical procedures, urolith type and location, and postoperative complications and mortality were analyzed. In goats, logistic regression analysis was performed to determine association between the presence of complications or mortality as well as candidate predictor variables. Postoperative complications were reported in 54.9% (62/113) of goats, 37.5% (3/8) of sheep, and 50% (3/6) of pigs. The most frequent type of complication was reobstruction. Median (range) time to first complication was 171 days (1-2247) for goats. In sheep and pigs, the range for time to re-presentation for complications was 11 to 37 and 17 to 1182 days, respectively. Proportions of nonsurvivors after tube cystostomy were 48.4% (30/62) goats, 1/8 sheep and 2/6 pigs. No association between examined predictor variables and the occurrence of complications or mortality was detected. The risk of complications and mortality after temporary tube cystostomy was high, especially in goats. Owners should be made aware of the high complication rate after temporary tube cystostomy alone or in combination with other procedures. Investigation of alternative approaches to manage obstructive urolithiasis in goats, sheep, and pigs should be considered.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
283-293Informations de copyright
© 2020 The American College of Veterinary Surgeons.
Références
Ewoldt JM, Anderson DE, Miesner MD, Saville WJ. Short- and long-term outcome and factors predicting survival after surgical tube cystostomy for treatment of obstructive urolithiasis in small ruminants. Vet Surg. 2006;35(5):417-422. https://doi.org/10.1111/j.1532-950X.2006.00169.x.
Riedi AK, Nathues C, Knubben-Schweizer G, Nuss K, Meylan M. Variables of initial examination and clinical management associated with survival in small ruminants with obstructive urolithiasis. J Vet Intern Med. 2018;32(6):2105-2114. https://doi.org/10.1111/jvim.15336.
Fortier LA, Gregg AJ, Erb HN, Fubini SL. Caprine obstructive urolithiasis: requirement for 2nd surgical intervention and mortality after percutaneous tube cystostomy, surgical tube cystostomy, or urinary bladder marsupialization. Vet Surg. 2004;33(6):661-667. https://doi.org/10.1111/j.1532-950X.2004.04089.x.
Fazili MR, Malik HU, Bhattacharyya HK, Buchoo BA, Moulvi BA, Makhdoomi DM. Minimally invasive surgical tube cystotomy for treating obstructive urolithiasis in small ruminants with an intact urinary bladder. Vet Rec. 2010;166(17):528-532. https://doi.org/10.1136/vr.b4831.
Tobias KM, Van Amstel SR. Modified proximal perineal urethrostomy technique for treatment of urethral stricture in goats. Vet Surg. 2013;42(4):455-462. https://doi.org/10.1111/j.1532-950X.2013.01104.x.
Jacobs CC, Fecteau ME. Urethrotomy in combination with or after temporary tube cystostomy for treatment of obstructive urolithiasis in male goats. Vet Surg. 2019;48(3):315-320. https://doi.org/10.1111/vsu.13170.
Van Weeren P, Klein W, Voorhout G. Urolithiasis in small ruminants. I. A retrospective evaluation of urethrostomy. Vet Q. 1987;9:76-79.
May KA, Moll HD, Wallace LM, Pleasant RS, Howard RD. Urinary bladder marsupialization for treatment of obstructive urolithiasis in male goats. Vet Surg. 1998;27(6):583-588. https://doi.org/10.1111/j.1532-950X.1998.tb00534.x.
May KA, Moll HD, Duncan RB, Moon MM, Pleasant RS, Howard RD. Experimental evaluation of urinary bladder marsupialization in male goats. Vet Surg. 2002;31(3):251-258. https://doi.org/10.1053/jvet.2002.32441.
Halland SK, House JK, George LW. Urethroscopy and laser lithotripsy for the diagnosis and treatment of obstructive urolithiasis in goats and pot-bellied pigs. J Am Vet Med Assoc. 2002;220(12):1831-1834. https://doi.org/10.2460/javma.2002.220.1831.
Cypher EE, van Amstel SR, Videla R, Force Clark K, Anderson DE. Vesicopreputial anastomosis for the treatment of obstructive urolithiasis in goats. Vet Surg. 2017;46(2):281-288. https://doi.org/10.1111/vsu.12615.
Tamilmahan P, Mohsina A, Karthik K, et al. Tube cystostomy for management of obstructive urolithiasis in ruminants. Vet World. 2014;7(4):234-239. https://doi.org/10.14202/vetworld.2014.234-239.
Applegate TJ, Barrell EA, Hassel DM, Hackett ES, Simpson KM, Callan RJ. Combined tube cystostomy and urethrotomy for the treatment of urethral obstruction due to urolithiasis in goats. Vet Surg. 2020;49(2):373-379. https://doi.org/10.1111/vsu.13335.
Rakestraw PC, Fubini SL, Gilbert RO, Ward JO. Tube cystostomy for treatment of obstructive urolithiasis in small ruminants. Vet Surg. 1995;24:498-505.
Chigerwe M, Mavangira V, Byrne BA, Angelos JA. Antibiotic resistance patterns of bacteria isolated from indwelling Foley catheters following tube cystostomy in goats with obstructive urolithiasis. J Vet Diagn Invest. 2017;29(3):316-320. https://doi.org/10.1177/1040638717695607.
Mavangira V, Cornish JM, Angelos JA. Effect of ammonium chloride supplementation on urine pH and urinary fractional excretion of electrolytes in goats. J Am Vet Med Assoc. 2010;237(11):1299-1304. https://doi.org/10.2460/javma.237.11.1299.
Grissett G, Fleming S, Neizman K. Evaluation of orally supplemented D, L-Methionine as a urine acidifier for small ruminants. In: Proceedings from the American College of Veterinary Internal Medicine Forum; May 30 to June 2, 2012; New Orleans, Louisiana.
Streeter RN, Washburn KE, McCauley CT. Percutaneous tube cystostomy and vesicular irrigation for treatment of obstructive urolithiasis in a goat. J Am Vet Med Assoc. 2002;221(4):546-549+501. https://doi.org/10.2460/javma.2002.221.546.
Rawlings C, Mahaffey MB, Barsanti J, Canalis C. Use of laparoscopic-assisted cystoscopy for removal of urinary calculi in dogs. J Am Vet Med Assoc. 2003;222(6):759-761. https://doi.org/10.2460/javma.2003.222.759.
Franz S, Dadak AM, Schöffmann G, et al. Laparoscopic-assisted implantation of a urinary catheter in male sheep. J Am Vet Med Assoc. 2008;232(12) 1857-1862. https://doi.org/10.2460/javma.232.12.1857.
Pinel CB, Monnet E, Reems MR. Laparoscopic-assisted cystotomy for urolith removal in dogs and cats - 23 cases. Can Vet J. 2013;54(1):36-41.