Intraoperative and major postoperative complications and survival of dogs undergoing surgical management of epiglottic retroversion: 50 dogs (2003‐2017)
Objective To report intraoperative and major postoperative complications in dogs treated surgically for epiglottic retroversion (ER), compare the incidence of major postoperative complications between procedures, and report survival of surgically treated dogs. Study design Multi‐institutional retros...
Gespeichert in:
| Veröffentlicht in: | Veterinary surgery 2019-07, Vol.48 (5), p.803-819 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 819 |
|---|---|
| container_issue | 5 |
| container_start_page | 803 |
| container_title | Veterinary surgery |
| container_volume | 48 |
| creator | Mullins, Ronan A. Stanley, Bryden J. Flanders, James A. López, Pablo Pérez Collivignarelli, Francesco Doyle, Ronan S. Schuenemann, Riccarda Oechtering, Gerhard Steffey, Michele A. Lipscomb, Victoria J. Hardie, Robert J. Kirby, Barbara M. McAlinden, Aidan B. |
| description | Objective
To report intraoperative and major postoperative complications in dogs treated surgically for epiglottic retroversion (ER), compare the incidence of major postoperative complications between procedures, and report survival of surgically treated dogs.
Study design
Multi‐institutional retrospective study.
Sample population
Fifty dogs treated with 78 procedures.
Methods
Medical records of dogs diagnosed and surgically treated for ER from 2003 to 2017 at 11 institutions were reviewed. Complications were divided into intraoperative and major postoperative complications.
Results
Intraoperative complications occurred during 2 of 78 (2.6%) procedures. Thirty‐six major postoperative complications were documented in 22 dogs after 36 of 74 (48.7%) procedures. Postoperative complications occurred after 7 of 12 (58.3%) nonincisional epiglottopexy, 23 of 43 (53.5%) incisional epiglottopexy, 2 of 4 (50%) partial epiglottectomy, 2 of 12 (16.7%) subtotal epiglottectomy, and 2 of 3 (66.7%) other surgical procedures. Epiglottopexy failure was the most common major postoperative complication. The incidence of major postoperative complications did not differ between procedures (P = .1239), although, when combined, epiglottopexy procedures (30/55) had a higher incidence of complications than epiglottectomy procedures (4/16; P = .048). Thirty (60%) dogs were alive at a median of 928 days (range, 114‐2805), 8 (16%) were lost to follow‐up after 411 days (range, 43‐1158), and 12 (24%) were dead/euthanized after 301.5 days (range, 3‐1212). Median survival time was not reached after a median of 716 days.
Conclusion
Although intraoperative complications were uncommon, major postoperative complications were common, especially after epiglottopexy procedures.
Clinical significance
Although surgical treatment of ER is associated with a high rate of major postoperative complications, especially epiglottopexy procedures, long‐term survival can be achieved. |
| doi_str_mv | 10.1111/vsu.13226 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2232106625</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2249671810</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3536-370dd4642ada56cef4bb4b6a0965fb3d07d9e7ff936d1b3a833df1a52191d8203</originalsourceid><addsrcrecordid>eNp1kctO3DAUhi0E6kyhC14ARWIzLAK-JM6YHRr1goTEAqi6i5z4JPIosVM7CWLHI3Tdx-uT1CFTKiHhzZF9Pn869o_QMcHnJKyL0Q_nhFHK99CSpIzGIsU_9tESE05ilgixQB-932KMRZKwD2jBpmspJUv0-9r0TtoOnOz1CJE0Kmrl1rqos77_f17atmt0GTbW-BfKD27Uo2wiW0XK1j4ajAJXW23qqVcHuAkqI2towfQTBp2uG9v3uowc9M6O4HzwXUYpnhUrijH78_yLYpKdHaGDSjYePu3qIXr48vl-8y2-uf16vbm6iUuWMh6zDCuV8IRKJVNeQpUURVJwiQVPq4IpnCkBWVUJxhUpmFwzpioiw-sFUWuK2SFazd7O2Z8D-D5vtS-haaQBO_icUkYJ5pymAT19g27t4EyYLlCJ4BlZk0l4NlOls947qPLO6Va6p5zgfPr5PASWvwQW2JOdcShaUK_kv4QCcDEDj7qBp_dN-fe7h1n5FxjxogQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2249671810</pqid></control><display><type>article</type><title>Intraoperative and major postoperative complications and survival of dogs undergoing surgical management of epiglottic retroversion: 50 dogs (2003‐2017)</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Mullins, Ronan A. ; Stanley, Bryden J. ; Flanders, James A. ; López, Pablo Pérez ; Collivignarelli, Francesco ; Doyle, Ronan S. ; Schuenemann, Riccarda ; Oechtering, Gerhard ; Steffey, Michele A. ; Lipscomb, Victoria J. ; Hardie, Robert J. ; Kirby, Barbara M. ; McAlinden, Aidan B.</creator><creatorcontrib>Mullins, Ronan A. ; Stanley, Bryden J. ; Flanders, James A. ; López, Pablo Pérez ; Collivignarelli, Francesco ; Doyle, Ronan S. ; Schuenemann, Riccarda ; Oechtering, Gerhard ; Steffey, Michele A. ; Lipscomb, Victoria J. ; Hardie, Robert J. ; Kirby, Barbara M. ; McAlinden, Aidan B.</creatorcontrib><description>Objective
To report intraoperative and major postoperative complications in dogs treated surgically for epiglottic retroversion (ER), compare the incidence of major postoperative complications between procedures, and report survival of surgically treated dogs.
Study design
Multi‐institutional retrospective study.
Sample population
Fifty dogs treated with 78 procedures.
Methods
Medical records of dogs diagnosed and surgically treated for ER from 2003 to 2017 at 11 institutions were reviewed. Complications were divided into intraoperative and major postoperative complications.
Results
Intraoperative complications occurred during 2 of 78 (2.6%) procedures. Thirty‐six major postoperative complications were documented in 22 dogs after 36 of 74 (48.7%) procedures. Postoperative complications occurred after 7 of 12 (58.3%) nonincisional epiglottopexy, 23 of 43 (53.5%) incisional epiglottopexy, 2 of 4 (50%) partial epiglottectomy, 2 of 12 (16.7%) subtotal epiglottectomy, and 2 of 3 (66.7%) other surgical procedures. Epiglottopexy failure was the most common major postoperative complication. The incidence of major postoperative complications did not differ between procedures (P = .1239), although, when combined, epiglottopexy procedures (30/55) had a higher incidence of complications than epiglottectomy procedures (4/16; P = .048). Thirty (60%) dogs were alive at a median of 928 days (range, 114‐2805), 8 (16%) were lost to follow‐up after 411 days (range, 43‐1158), and 12 (24%) were dead/euthanized after 301.5 days (range, 3‐1212). Median survival time was not reached after a median of 716 days.
Conclusion
Although intraoperative complications were uncommon, major postoperative complications were common, especially after epiglottopexy procedures.
Clinical significance
Although surgical treatment of ER is associated with a high rate of major postoperative complications, especially epiglottopexy procedures, long‐term survival can be achieved.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/vsu.13226</identifier><identifier>PMID: 31111521</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Animals ; Complications ; Dog Diseases - surgery ; Dogs ; Epiglottis ; Female ; Incidence ; Intraoperative Complications - veterinary ; Laryngeal Diseases - surgery ; Laryngeal Diseases - veterinary ; Male ; Medical records ; Population studies ; Postoperative Complications - veterinary ; Postoperative Period ; Retrospective Studies ; Survival ; Treatment Outcome</subject><ispartof>Veterinary surgery, 2019-07, Vol.48 (5), p.803-819</ispartof><rights>2019 The American College of Veterinary Surgeons</rights><rights>2019 The American College of Veterinary Surgeons.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3536-370dd4642ada56cef4bb4b6a0965fb3d07d9e7ff936d1b3a833df1a52191d8203</citedby><cites>FETCH-LOGICAL-c3536-370dd4642ada56cef4bb4b6a0965fb3d07d9e7ff936d1b3a833df1a52191d8203</cites><orcidid>0000-0003-1159-2382 ; 0000-0003-0852-0644 ; 0000-0003-0343-9134</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvsu.13226$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvsu.13226$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31111521$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mullins, Ronan A.</creatorcontrib><creatorcontrib>Stanley, Bryden J.</creatorcontrib><creatorcontrib>Flanders, James A.</creatorcontrib><creatorcontrib>López, Pablo Pérez</creatorcontrib><creatorcontrib>Collivignarelli, Francesco</creatorcontrib><creatorcontrib>Doyle, Ronan S.</creatorcontrib><creatorcontrib>Schuenemann, Riccarda</creatorcontrib><creatorcontrib>Oechtering, Gerhard</creatorcontrib><creatorcontrib>Steffey, Michele A.</creatorcontrib><creatorcontrib>Lipscomb, Victoria J.</creatorcontrib><creatorcontrib>Hardie, Robert J.</creatorcontrib><creatorcontrib>Kirby, Barbara M.</creatorcontrib><creatorcontrib>McAlinden, Aidan B.</creatorcontrib><title>Intraoperative and major postoperative complications and survival of dogs undergoing surgical management of epiglottic retroversion: 50 dogs (2003‐2017)</title><title>Veterinary surgery</title><addtitle>Vet Surg</addtitle><description>Objective
To report intraoperative and major postoperative complications in dogs treated surgically for epiglottic retroversion (ER), compare the incidence of major postoperative complications between procedures, and report survival of surgically treated dogs.
Study design
Multi‐institutional retrospective study.
Sample population
Fifty dogs treated with 78 procedures.
Methods
Medical records of dogs diagnosed and surgically treated for ER from 2003 to 2017 at 11 institutions were reviewed. Complications were divided into intraoperative and major postoperative complications.
Results
Intraoperative complications occurred during 2 of 78 (2.6%) procedures. Thirty‐six major postoperative complications were documented in 22 dogs after 36 of 74 (48.7%) procedures. Postoperative complications occurred after 7 of 12 (58.3%) nonincisional epiglottopexy, 23 of 43 (53.5%) incisional epiglottopexy, 2 of 4 (50%) partial epiglottectomy, 2 of 12 (16.7%) subtotal epiglottectomy, and 2 of 3 (66.7%) other surgical procedures. Epiglottopexy failure was the most common major postoperative complication. The incidence of major postoperative complications did not differ between procedures (P = .1239), although, when combined, epiglottopexy procedures (30/55) had a higher incidence of complications than epiglottectomy procedures (4/16; P = .048). Thirty (60%) dogs were alive at a median of 928 days (range, 114‐2805), 8 (16%) were lost to follow‐up after 411 days (range, 43‐1158), and 12 (24%) were dead/euthanized after 301.5 days (range, 3‐1212). Median survival time was not reached after a median of 716 days.
Conclusion
Although intraoperative complications were uncommon, major postoperative complications were common, especially after epiglottopexy procedures.
Clinical significance
Although surgical treatment of ER is associated with a high rate of major postoperative complications, especially epiglottopexy procedures, long‐term survival can be achieved.</description><subject>Animals</subject><subject>Complications</subject><subject>Dog Diseases - surgery</subject><subject>Dogs</subject><subject>Epiglottis</subject><subject>Female</subject><subject>Incidence</subject><subject>Intraoperative Complications - veterinary</subject><subject>Laryngeal Diseases - surgery</subject><subject>Laryngeal Diseases - veterinary</subject><subject>Male</subject><subject>Medical records</subject><subject>Population studies</subject><subject>Postoperative Complications - veterinary</subject><subject>Postoperative Period</subject><subject>Retrospective Studies</subject><subject>Survival</subject><subject>Treatment Outcome</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctO3DAUhi0E6kyhC14ARWIzLAK-JM6YHRr1goTEAqi6i5z4JPIosVM7CWLHI3Tdx-uT1CFTKiHhzZF9Pn869o_QMcHnJKyL0Q_nhFHK99CSpIzGIsU_9tESE05ilgixQB-932KMRZKwD2jBpmspJUv0-9r0TtoOnOz1CJE0Kmrl1rqos77_f17atmt0GTbW-BfKD27Uo2wiW0XK1j4ajAJXW23qqVcHuAkqI2towfQTBp2uG9v3uowc9M6O4HzwXUYpnhUrijH78_yLYpKdHaGDSjYePu3qIXr48vl-8y2-uf16vbm6iUuWMh6zDCuV8IRKJVNeQpUURVJwiQVPq4IpnCkBWVUJxhUpmFwzpioiw-sFUWuK2SFazd7O2Z8D-D5vtS-haaQBO_icUkYJ5pymAT19g27t4EyYLlCJ4BlZk0l4NlOls947qPLO6Va6p5zgfPr5PASWvwQW2JOdcShaUK_kv4QCcDEDj7qBp_dN-fe7h1n5FxjxogQ</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Mullins, Ronan A.</creator><creator>Stanley, Bryden J.</creator><creator>Flanders, James A.</creator><creator>López, Pablo Pérez</creator><creator>Collivignarelli, Francesco</creator><creator>Doyle, Ronan S.</creator><creator>Schuenemann, Riccarda</creator><creator>Oechtering, Gerhard</creator><creator>Steffey, Michele A.</creator><creator>Lipscomb, Victoria J.</creator><creator>Hardie, Robert J.</creator><creator>Kirby, Barbara M.</creator><creator>McAlinden, Aidan B.</creator><general>John Wiley & Sons, Inc</general><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1159-2382</orcidid><orcidid>https://orcid.org/0000-0003-0852-0644</orcidid><orcidid>https://orcid.org/0000-0003-0343-9134</orcidid></search><sort><creationdate>201907</creationdate><title>Intraoperative and major postoperative complications and survival of dogs undergoing surgical management of epiglottic retroversion: 50 dogs (2003‐2017)</title><author>Mullins, Ronan A. ; Stanley, Bryden J. ; Flanders, James A. ; López, Pablo Pérez ; Collivignarelli, Francesco ; Doyle, Ronan S. ; Schuenemann, Riccarda ; Oechtering, Gerhard ; Steffey, Michele A. ; Lipscomb, Victoria J. ; Hardie, Robert J. ; Kirby, Barbara M. ; McAlinden, Aidan B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3536-370dd4642ada56cef4bb4b6a0965fb3d07d9e7ff936d1b3a833df1a52191d8203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Animals</topic><topic>Complications</topic><topic>Dog Diseases - surgery</topic><topic>Dogs</topic><topic>Epiglottis</topic><topic>Female</topic><topic>Incidence</topic><topic>Intraoperative Complications - veterinary</topic><topic>Laryngeal Diseases - surgery</topic><topic>Laryngeal Diseases - veterinary</topic><topic>Male</topic><topic>Medical records</topic><topic>Population studies</topic><topic>Postoperative Complications - veterinary</topic><topic>Postoperative Period</topic><topic>Retrospective Studies</topic><topic>Survival</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mullins, Ronan A.</creatorcontrib><creatorcontrib>Stanley, Bryden J.</creatorcontrib><creatorcontrib>Flanders, James A.</creatorcontrib><creatorcontrib>López, Pablo Pérez</creatorcontrib><creatorcontrib>Collivignarelli, Francesco</creatorcontrib><creatorcontrib>Doyle, Ronan S.</creatorcontrib><creatorcontrib>Schuenemann, Riccarda</creatorcontrib><creatorcontrib>Oechtering, Gerhard</creatorcontrib><creatorcontrib>Steffey, Michele A.</creatorcontrib><creatorcontrib>Lipscomb, Victoria J.</creatorcontrib><creatorcontrib>Hardie, Robert J.</creatorcontrib><creatorcontrib>Kirby, Barbara M.</creatorcontrib><creatorcontrib>McAlinden, Aidan B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mullins, Ronan A.</au><au>Stanley, Bryden J.</au><au>Flanders, James A.</au><au>López, Pablo Pérez</au><au>Collivignarelli, Francesco</au><au>Doyle, Ronan S.</au><au>Schuenemann, Riccarda</au><au>Oechtering, Gerhard</au><au>Steffey, Michele A.</au><au>Lipscomb, Victoria J.</au><au>Hardie, Robert J.</au><au>Kirby, Barbara M.</au><au>McAlinden, Aidan B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative and major postoperative complications and survival of dogs undergoing surgical management of epiglottic retroversion: 50 dogs (2003‐2017)</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Vet Surg</addtitle><date>2019-07</date><risdate>2019</risdate><volume>48</volume><issue>5</issue><spage>803</spage><epage>819</epage><pages>803-819</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective
To report intraoperative and major postoperative complications in dogs treated surgically for epiglottic retroversion (ER), compare the incidence of major postoperative complications between procedures, and report survival of surgically treated dogs.
Study design
Multi‐institutional retrospective study.
Sample population
Fifty dogs treated with 78 procedures.
Methods
Medical records of dogs diagnosed and surgically treated for ER from 2003 to 2017 at 11 institutions were reviewed. Complications were divided into intraoperative and major postoperative complications.
Results
Intraoperative complications occurred during 2 of 78 (2.6%) procedures. Thirty‐six major postoperative complications were documented in 22 dogs after 36 of 74 (48.7%) procedures. Postoperative complications occurred after 7 of 12 (58.3%) nonincisional epiglottopexy, 23 of 43 (53.5%) incisional epiglottopexy, 2 of 4 (50%) partial epiglottectomy, 2 of 12 (16.7%) subtotal epiglottectomy, and 2 of 3 (66.7%) other surgical procedures. Epiglottopexy failure was the most common major postoperative complication. The incidence of major postoperative complications did not differ between procedures (P = .1239), although, when combined, epiglottopexy procedures (30/55) had a higher incidence of complications than epiglottectomy procedures (4/16; P = .048). Thirty (60%) dogs were alive at a median of 928 days (range, 114‐2805), 8 (16%) were lost to follow‐up after 411 days (range, 43‐1158), and 12 (24%) were dead/euthanized after 301.5 days (range, 3‐1212). Median survival time was not reached after a median of 716 days.
Conclusion
Although intraoperative complications were uncommon, major postoperative complications were common, especially after epiglottopexy procedures.
Clinical significance
Although surgical treatment of ER is associated with a high rate of major postoperative complications, especially epiglottopexy procedures, long‐term survival can be achieved.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>31111521</pmid><doi>10.1111/vsu.13226</doi><tpages>17</tpages><orcidid>https://orcid.org/0000-0003-1159-2382</orcidid><orcidid>https://orcid.org/0000-0003-0852-0644</orcidid><orcidid>https://orcid.org/0000-0003-0343-9134</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0161-3499 |
| ispartof | Veterinary surgery, 2019-07, Vol.48 (5), p.803-819 |
| issn | 0161-3499 1532-950X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2232106625 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Animals Complications Dog Diseases - surgery Dogs Epiglottis Female Incidence Intraoperative Complications - veterinary Laryngeal Diseases - surgery Laryngeal Diseases - veterinary Male Medical records Population studies Postoperative Complications - veterinary Postoperative Period Retrospective Studies Survival Treatment Outcome |
| title | Intraoperative and major postoperative complications and survival of dogs undergoing surgical management of epiglottic retroversion: 50 dogs (2003‐2017) |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T20%3A40%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Intraoperative%20and%20major%20postoperative%20complications%20and%20survival%20of%20dogs%20undergoing%20surgical%20management%20of%20epiglottic%20retroversion:%2050%20dogs%20(2003%E2%80%902017)&rft.jtitle=Veterinary%20surgery&rft.au=Mullins,%20Ronan%20A.&rft.date=2019-07&rft.volume=48&rft.issue=5&rft.spage=803&rft.epage=819&rft.pages=803-819&rft.issn=0161-3499&rft.eissn=1532-950X&rft_id=info:doi/10.1111/vsu.13226&rft_dat=%3Cproquest_cross%3E2249671810%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2249671810&rft_id=info:pmid/31111521&rfr_iscdi=true |