Abstract Hypertensive disorders of pregnancy (HDP) are a leading cause severe maternal morbidity (SMM), yet mediation by cesarean delivery is largely unexplored. We investigated the association between HDP and SMM in cohort deliveries at safety-net institution Atlanta, Georgia, during 2016–2018. Using multivariable generalized linear models, we estimated adjusted risk differences, ratios, 95% confidence intervals for SMM. examined interactions with used analysis 4-way decomposition to...

Abstract OBJECTIVE To evaluate endoscopy for detection of epithelial remnants within the feline tympanic bulla following ventral osteotomy (VBO) and to report most likely locations occur. METHODS This was a single-center experimental cadaveric study. 10 VBO procedures were performed by 5 board-certified surgeons in cadavers. Following completion, 1.9-mm, 30° rigid endoscope inserted into rostral, caudal, dorsal, lateral, medial section, images acquired. A blinded observer evaluated...

Abstract Objective To document and evaluate postoperative complications associated with 3 urethral prolapse surgical techniques: urethropexy (UP), resection anastomosis (RA), via carbon dioxide (CO 2 ) laser. Animals 20 male dogs that underwent treatment for prolapse. Clinical Presentation Medical records were reviewed retrospectively. Dogs included in this study repair Complications classified as early if they occurred before discharge, late after, minor or major based on the need revision....

To compare bacteria cultured at the time of total ear canal ablation (TECA) to from post-TECA incisional dehiscence. Multicenter retrospective case series. Dogs (n = 12) with dehiscence following TECA. Medical records dogs that had a TECA between August 1, 2015, and 2023, subsequent within 5 weeks surgery were reviewed. Aerobic cultures performed The most common organisms samples included Staphylococcus spp. (5/12, 41.7%), Enterococcus (3/12, 25%), Streptococcus Escherichia coli (2/12,...

Abstract Objective To describe the use of laparoscopic ultrasound (LUS) for evaluation liver in dogs with clinical disease and to compare findings LUS transabdominal (TUS). Methods 8 client-owned presenting biopsies due were enrolled. All underwent TUS, lesions identified, localized, quantified per presumed lobe. Laparoscopic examination performed, quantified. obtained submitted histopathological analysis, copper culture susceptibility. Results The median time perform hepatobiliary TUS was...

ABSTRACT Background The utility of cytologic evaluation to distinguish adrenocortical tumors and pheochromocytomas in dogs has not been thoroughly investigated, partly because the perceived risks procedure. Objectives Report test characteristics fine needle aspiration (FNA) for differentiation dogs. Complications associated with FNA also were recorded. Animals Thirty‐eight 40 adrenal that had performed before adrenalectomy included study from three institutions. Tumors 17 pheochromocytomas,...

Abstract Objective To determine the rate of incisional infections after gastrointestinal surgery in dogs and cats describe aerobic bacteria isolated from these infections. Study design Retrospective study. Animals Client‐owned (n = 210) 66). Methods Records that underwent at Matthew J. Ryan Veterinary Hospital University Pennsylvania were reviewed for surgical procedures, presence an infection, bacterial species isolated, perioperative antimicrobials administered, outcome. Results The median...

Abstract OBJECTIVE To investigate the frequency at which cystine and urate cystoliths (stones) are visible on radiographs prior to surgical or nonsurgical retrieval. METHODS Records of client-owned dogs (n = 331) were analyzed between January 2019 December 2023 for submitted stone analysis after removal cystolith type; when stones identified, records signalment, procedure, presence mineral opaque pre-procedural radiographs, urine pH crystalluria, history previous cystoliths, prescription...

Abstract OBJECTIVE To describe clinical findings, complications, and short- long-term outcomes associated with colonic torsion volvulus in dogs. ANIMALS 28 client-owned CLINICAL PRESENTATION Multi-institutional, retrospective study. Medical records were searched for dogs of any age, body weight, sex, breed that underwent surgery volvulus. Collected data included signalment, previous history, preoperative time until surgery, intraoperative postoperative length hospitalization, survival to...

Although opioid analgesics are effective therapeutic agents, gastrointestinal (GI) side effects represent a challenging consequence of treatment. In an elderly population, age-related physiological changes, such as decreased GI functioning and dehydration, may compound the adverse opioids; therefore, appropriate prophylactic treatment, utilizing laxatives and/or acid suppressants, is particularly important in population.This study describes prevalence outpatient dispensings concomitant...

To report the rate of surgical site infections (SSIs) after clean-contaminated and dirty gastrointestinal surgery in dogs cats that did not receive incisional infiltration Nocita bacteria isolated.Client-owned (n = 211) (78).Records underwent at Matthew J. Ryan Veterinary Hospital University Pennsylvania Florida Small Animal between July 1, 2020, April 2023, were reviewed for procedures, presence preoperative septic peritonitis, use Nocita, perioperative antibiotics administered,...

Objectives The aim of the study was to analyze association administration liposomal bupivacaine (Nocita) with postoperative opioid use in cats undergoing gastrointestinal surgery, as well antiemetics postoperatively this population qualify degree nausea related administration. Methods Records 187 surgery across two institutions, Matthew J Ryan Veterinary Hospital at University Pennsylvania and Florida Small Animal Hospital, were analyzed for multilayer infiltration time abdominal closure,...

Abstract Non‐neoplastic scrotal testicular torsions in juvenile dogs have been rarely reported. This case report describes a scenario which patient presented with abdominal pain, vomiting and unilateral enlargement. The primary veterinarian performed radiographs that were suspicious for hernia. was referred to specialty hospital further diagnostics treatment. Upon referral, an ultrasound revealed suspected non‐neoplastic torsion. underwent hemicastration remove the affected testis recovered...

Introduction Distal radius fractures (DRFs) are common requiring surgical fixation. The literature varies regarding opioid prescribing habits, consumption, and postoperative pain scores. We hypothesized that the preoperative administration of a liposomal bupivacaine (LB) supraclavicular nerve block would be safe effective in controlling pain. Methods A standardized management protocol was implemented at single institution from July 2021 to March 2022 for patients undergoing open reduction...

BACKGROUND: The use of osseointegration (OI), a process in which there is direct structural and functional connection between living bone the surface load-bearing artificial implant, has long been used dental reconstruction. notion expanding this to extremity reconstruction explored within past three decades. OI implants have become broadly utilized European sector using Osseointegrated Prostheses for Rehabilitation Amputees (OPRA) protocol system. This system was recently adopted United...

Care study Jim, a 61-year-old sea captain, was knocked down by car while away from home. He sustained severe head injury and skull fracture, extending the temporal region to base. also suffered multiple injuries: fractured jaw bone, ribs, bilateral fractures of tibia fibula collapsed lungs. critically ill for few months, after which he made satisfactory recovery transferred hospital nearer his home under care orthopaedic team. Jim has supportive partner who at bedside whole time. She is...

HistoryA 5-year-old 26.7-kg castrated male Basset Hound was referred for evaluation of hyporexia and icterus. The dog had a prolonged history dietary indiscretion, weight loss, diarrhea, inflammatory bowel disease. disease being managed with prednisone (1 mg/kg, PO, q 12 h) cyclosporine (5.6 h). Two weeks prior to presentation the exhibited signs neck pain diagnosed presumptive intervertebral disc started on gabapentin (10 8 hours). On initial physical examination, icteric, grade 2/6 left