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Intrapelvic Urethral Anastomosis in a Dog with Complete Obstruction of Proximal Membranous Urethra
윤헌영,Jun-young Kim,Hyun-jung Han,Ha-young Jang,Bora Lee,Hyo-sun Namkung,Soon-wuk Jeong 한국임상수의학회 2006 한국임상수의학회지 Vol.23 No.1
A 4.65 kg 13-month-old male Pekingese dog was referred to veterinary teaching hospital of KonkukUniversity for evaluation of dysuria. On physical examination, severe distention of urinary bladder was found inabdominal palpation. Urinary catheter could not be guided into urinary bladder. On serum biochemistry, blood ureanitrogen (35.6 mg/dl) and creatinine (1.9 mg/dl) were increased. Obstruction part of proximal membranous urethra wasfounded on urethrogram. The length (13 m) of obstruction part was callipered by cystourethrogram and urethrogramwas performed with 5-0 polyglycolic acid. Omentum was placed around the urethral anastomosis. On first day aftersurgery, appetite was good. On day 5, complete blood count and serum biochemistry showed normal range but mildurinary incontinence was showed after removing catheter. On day 7, urinalysis showed normal condition. On day 14,no leakage of surgical site was observed in excretory urogram. On day 21, no more urinary incontinence and goodmicturition were found. On 1 year later, the patient showed healthy condition without recurrence.
동맥관 개존증을 보이는 개에서의 이중 결찰술 실시 3예
윤헌영,김준영,한현정,장하영,이보라,남궁효선,박희명,정순욱,Yoon, Hun-young,Kim, Jun-young,Han, Hyun-jung,Jang, Ha-young,Lee, Bo-ra,Namkung, Hyo-sun,Park, Hee-myung,Jeong, Soon-wuk 대한수의학회 2006 大韓獸醫學會誌 Vol.46 No.2
Three dogs with suspected patent ductus arteriosus were referred to Veterinary Medical Teaching Hospital of College of Veterinary Medicine, Konkuk University because of cough, shortness of breath, exercise intolerance, and syncope, Continuous murmur and thrill were detected in physical examination. Left ventricular enlargement, cardiomegaly, bulged main pulmonary artey were found in radiography. Tall R wave, wide P wave, atrial fibrillation, and turbulent flow were observed in electrocardiogram and echocardiogram. Thoracotomy was performed at left fourth intercostal space under isoflurane anesthesia. Patent ductus arteriosus was double ligated with 1-0 silk. The median (mean ${\pm}$ SD) diameter of patents was $8.0{\pm}2.0mm$. The median operation time was $36{\pm}6.6min$. On examination right after surgery, continuous murmur, thrill, atrial fibrillation, and turbulent flow were disappeared. On 30 days after surgery, clinical signs, left ventricular enlargement, and, bulged main pulmonary artery were disappeared. VHS 12.5 and 13.5, R wave 3.3 and 3.0 mV, and P wave 0.05 and 0.05 sec were decreased to 10.0 and 10.5, 1.8 and 2.0 mV, and 0.04 and 0.04 sec respectively in case 1 and 2. Ratio of aorta and main pulmonary artery in diameter was changed 1 : 1.3 and 1 : 1.6 into 1 : 1.1 and 1 : 1 respectively in case 1 and 2. Mild tear developed during dissection in case 3 and hemorrhage was controlled by vascular Devakey forceps. However, the dog died. On 12 months after surgery, patients (case 1 and case 2) have not showed abnormal signs.