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      Corrección quirúrgica de ruptura traumática total de uretra membranosa en un canino: reporte de caso Translated title: Surgical correction of traumatic total urethral rupture in a canine

      case-report

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          Abstract

          RESUMEN Este reporte de caso describe la reparación quirúrgica de una ruptura traumática total de uretra membranosa de un paciente macho canino de cinco años, raza mestiza, que fue atropellado tres días atrás por un automóvil. En este procedimiento se usó la técnica descrita por Fossum (2019) con modificaciones realizadas por la experiencia quirúrgica de los autores: se utilizó un punto de fijación prostático que permitió disminuir las fuerzas de tensión ejercidas por la vejiga y el tamaño del defecto. En casos de trauma abdominal, la presencia de comorbilidades se asocia a peor pronóstico, en este caso, el uroabdomen que fue tratado de forma inmediata. El paciente permaneció en posoperatorio durante cuatro semanas y catorce meses después, presentó perfecto funcionamiento del tracto urinario inferior con flujo normal de orina, por lo que se considera que la técnica fue exitosa. Se administraron antibióticos sistémicos, antiinflamatorios y el cierre completo de la herida se dio tres semanas después. El objetivo de este trabajo es presentar una técnica quirúrgica poco invasiva y con escasas complicaciones intraoperatorias en la cual se modifica el procedimiento quirúrgico convencional, lo que genera un resultado exitoso sin que sea necesaria la realización de una osteotomía púbica, la cual, además de ser altamente invasiva con los tejidos, es bastante dolorosa para el paciente.

          Translated abstract

          ABSTRACT This case report describes the surgical repair of a total traumatic rupture of the membranous urethra in a 5 years old, mixed-breed male canine patient who was hit three days earlier by a car. In this procedure, the technique described by Fossum (2019) was used with modifications made by the surgical experience of the authors, where a prostatic fixation point was used, allowing to reduce the tension forces exerted by the bladder and the size of the defect. In cases of abdominal trauma, comorbidities are associated with a worse prognosis, in this case, the uroabdomen was treated immediately. The patient remains in the postoperative period for 4 weeks and 14 months later presents a perfect function of the lower urinary tract with normal urine flow, considering that the technique was successful. Systemic antibiotics and anti-inflammatories were administered, and the wound was completely closed three weeks later. The objective of this work is to present a minimally invasive technique without intraoperative complications in which the conservative procedure is modified, generating a successful result without the need for a pubic osteotomy which, in addition to being highly invasive with the tissues, is quite painful for the patient.

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          Most cited references30

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          Omentum a powerful biological source in regenerative surgery

          The Omentum is a large flat adipose tissue layer nestling on the surface of the intra-peritoneal organs. Besides fat storage, omentum has key biological functions in immune-regulation and tissue regeneration. Omentum biological properties include neovascularization, haemostasis, tissue healing and regeneration and as an in vivo incubator for cells and tissue cultivation. Some of these properties have long been noted in surgical practice and used empirically in several procedures. In this review article, the author tries to highlight the omentum biological properties and their application in regenerative surgery procedures. Further, he has started a process of standardisation of basic biological principles to pave the way for future surgical practice.
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            A review of sutures and other skin closure materials.

            More than ever, dermatologic surgeons are faced with a multitude of suture and other closure materials when evaluating a surgical wound. Given there is no single material that is ideal for all situations, the physician must decide which material is best suited for that particular closure. This review seeks to summarize the major properties of common suture materials as well as other closure materials including adhesive tapes, glues and staples.
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              The Use of Ultrasound for Dogs and Cats in the Emergency Room

              Internal injuries are common and often life-threatening conditions that can be challenging to detect based on physical examination, radiographs, and centesis. Recently, ultrasound has been introduced and evaluated in human and veterinary emergency medicine as a point-of-care test for a variety of emergent conditions. This article discusses the indications for point-of-care emergency ultrasound of dogs and cats in the emergency and critical care setting. Techniques for performing focused emergency evaluations are described and the current veterinary and human literature is contrasted, with emphasis on abdominal, pleural, pericardial, and pulmonary evaluation.
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                Author and article information

                Journal
                rfmvz
                Revista de la Facultad de Medicina Veterinaria y de Zootecnia
                Rev. Med. Vet. Zoot.
                Facultad de Medicina Veterinaria y de Zootecnia Universidad Nacional de Colombia (Bogotá, Distrito Capital, Colombia )
                0120-2952
                December 2023
                : 70
                : 3
                : e9
                Affiliations
                [1] Villavicencio Meta orgnameUniversidad de los Llanos orgdiv1Facultad de Ciencias Agropecuarias y Recursos Naturales Colombia
                Author information
                https://orcid.org/0000-0001-5991-0525
                https://orcid.org/0000-0002-7257-974X
                Article
                S0120-29522023000300009 S0120-2952(23)07000300009
                10.15446/rfmvz.v70n3.107956
                a94d2b19-9b7b-4671-85aa-9c897a0fe77e

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 22 March 2023
                : 12 October 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 31, Pages: 0
                Product

                SciELO Colombia

                Categories
                Reporte de caso

                injury,veterinary surgery,cirugía veterinaria,lesión,uroabdomen,anastomosis

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