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in Journal of the American Veterinary Medical Association

SUMMARY

Transcutaneous oxygen monitoring is commonly used in human beings to assess skin viability. Little attention has been directed toward the use of transcutenaous carbon dioxide (PCO2-TC ) monitoring for the same purpose. The application of PCO2-TC monitoring for evaluating skin viability in dogs was investigated.

The changes in PCO2-TC and local power reference (LPR) values were measured from 16 skin flaps created along the lateral hemithoraces of 4 dogs. Transcutaneous PPCO2 and LPR values were serially recorded from the base and apex of each flap for 12 hours. A single measurement was obtained from each flap base and apex 24 hours after surgery. Arterial blood gas analyses were obtained to compare central PCO2 values with peripheral skin PCO2 values. The flaps were observed for 4 days and then harvested for histologic examination. Full-thickness skin biopsy specimens were obtained 24 hours after surgery and when the flaps were harvested to evaluate the viability of the apex and base of the flaps. A subjective grade was assigned to all skin biopsy specimens during histologic examination.

For all measurements, a significant difference was found between the PCO2-TC values for apices and bases of the flaps. The mean PCO2-TC for all bases was 52.66 mm of Hg ± 2.24 (SEM), and the mean PCO2-TC for all apices was 106.4 mm of Hg ± 2.44. The regional carbon dioxide index (apex PCO2-TC /base PCO2-TC ) was 2.02.

A significant difference was not found between the LPR values for bases and apices. The mean lpr for all bases was 253.23 mW ± 4.06, and the mean LPR for all apices was 243.53 mW ± 4.49.

A signficant difference was found between the histologic grades assigned to the collective bases and apices 4 days after creation of the flaps. A difference was not found between the collective bases and apices 24 hours after flap creation. On the basis of our findings, transcutaneous carbon dioxide monitoring is a useful method of evaluating skin viability in dogs.

Free access
in American Journal of Veterinary Research

SUMMARY

Transcutaneous oxygen (PO2-TC) monitoring is commonly used in human medicine for evaluating skin viability. The application of transcutaneous monitoring for evaluating skin viability in dogs was investigated.

The changes in PO2-TC values were measured from 16 avascular skin flaps created along the lateral hemithoraces of 4 dogs. Transcutaneous oxygen values were serially recorded from the vascular base and avascular apex of each flap for 12 hours after surgery. A single transcutaneous measurement was obtained from each flap base and apex 24 hours after surgery. Serial arterial blood gas analyses were obtained to compare central oxygen values with PO2-TC values. Full-thickness skin biopsy specimens were harvested from the base and apex of each flap 24 hours after surgery. The flaps were observed for 4 days and then excised for histologic examination. A subjective grading scale was used to assess histologic changes.

Throughout the 12-hour period and at 24 hours, a statistically significant difference was found between the PO2-TC values for apices and bases of the flaps. The mean PO2-TC for all bases was 90.9 mm of Hg ± 3.3 SEM, and the mean PO2-TC for all apices was 21.2 mm of Hg ± 1.8 SEM. The mean regional perfusion index (apex PO2-TC/base PO2-TC) was 0.23 ± 0.02. The subjective numbers assigned to the biopsy specimens were statistically evaluated by using a paired Student's t test and a Wilcoxon signed-rank test. A significant difference was found between the numbers for the collective bases and apices with both tests. A statistically significant difference was found between the numbers for the apex biopsy specimens taken 24 hours after creation of the skin flap and those taken when the flap was excised, whereas no difference was found between the numbers for the base biopsy specimens. On the basis of our findings, PO2-tc monitoring is a useful technique for assessing skin viability in dogs.

Free access
in American Journal of Veterinary Research
in Journal of the American Veterinary Medical Association

Abstract

Objective

To evaluate the histologic pattern and biomechanical properties of adhesions caused by chromic catgut and polypropylene sutures, using an enteropexy model.

Design

Enteropexies were created in dogs, using chromic catgut and polypropylene suture. The adhesions associated with the enteropexies were examined histologically and mechanically.

Animals

6 mixed-breed dogs weighing 16 to 20 kg.

Procedure

72 enteropexies were created between the jejunum and abdominal wall. 36 sites were sutured with chromic catgut, and 36 were sutured with polypropylene. 3 dogs were euthanatized after 1 week. The remaining dogs were euthanatized after 1 month. Samples of the enteropexy sites were obtained for histologic examination. The remaining sites were mechanically distracted until failure of the enteropexy site or adjacent tissue occurred.

Results

Histologic examination of the enteropexy sites did not reveal substantial differences in the degree of inflammation between the 2 suture types at 1 week or 1 month. The degree of inflammation decreased and the maturity of fibrous tissue formed at the enteropexy sites increased for all specimens over time. No statistically significant difference in breaking strength was observed between suture types at 1 week or 1 month.

Conclusion

In dogs, the formation and strength of intentionally created abdominal adhesions are not increased by use of chromic catgut.

Clinical Relevance

Selection of chromic catgut suture for use in surgical procedures where adhesions are desired is unwarranted. (Am J Vet Res 1996;57:943–947)

Free access
in American Journal of Veterinary Research

Abstract

Objective—To determine immunoreactivity of matrix metalloproteinase (MMP)-1, -3, and -13 in cartilaginous tumors of dogs, correlate expression of MMP with histologic grade of tumors and clinical outcome of dogs, and compare MMP immunoreactivity between chondrosarcomas and chondromas.

Sample Population—Formalin-fixed, paraffin-embedded tissues obtained from samples of naturally occurring chondrosarcomas (n = 31) and chondromas (8) of dogs that were submitted to our veterinary medical diagnostic laboratory.

Procedure—Histologic sections from each sample were stained with H&E and monoclonal antibody to MMP-1, -3, and -13 by use of an avidin-peroxidase immunohistochemical technique. For each section, histologic grade (I, II, or III) and immunohistochemical expression (0, 1, 2, or 3) were evaluated. Clinical outcome was obtained from medical records or interviews with referring veterinarians and scored as a good outcome, moderate outcome, or poor outcome. Correlations among variables and differences between chondrosarcomas and chondromas were analyzed.

Results—Samples from chondrosarcomas had significantly higher immunoreactivity of MMP-1 and -13, compared with immunoreactivity in samples from chondromas. In chondrosarcomas, a significant positive correlation (r, 0.386) was found between MMP-1 and -13 immunoreactivities, and a significant negative correlation (r, –0.390) was detected between MMP-3 and -13 immunoreactivities.

Conclusion and Clinical Relevance—A significant increase in expression of collagenases (MMP-1 and - 13) in chondrosarcomas, compared with expression in chondromas, suggests that collagenases may play an important role in tumor progression, and possibly metastasis, in chondrosarcomas of dogs. (Am J Vet Res 2002;63:1285–1291)

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in American Journal of Veterinary Research

Abstract

Objective—To evaluate the clinical and pathologic characteristics of mammary duct ectasia in dogs.

Design—Retrospective study.

Animals—51 dogs with mammary duct ectasia.

Procedure—Information regarding body condition, history, number and location of affected mammary glands, appearance of lesions, surgical treatment, nonsurgical treatment, and evidence of recurrence or development of mammary neoplasia was obtained from surveys sent to referring veterinarians. Results of information from examination of histologic sections and referring veterinarians were evaluated for all mammary duct ectasia biopsies performed between 1992 and 1999.

Results—Duct ectasia was the primary diagnosis in 51 of 1,825 (2.8%) mammary biopsy specimens and comprised 48% of nonneoplastic mammary diseases. Affected dogs were evenly distributed over a range of 1 to 13 years of age, with a mean age at the time of diagnosis of 6.1 ± 3.1 years. All dogs were female (31 sexually intact, 20 spayed); 10 of 26 had whelped. Duct ectasia was described as nodular (26 dogs), cystic (13), and multiglandular (11) and located in caudal (31) more often than cranial (14) or middle glands (10). Ectasia recurred in 3 dogs. One dog had a history of previously excised mammary adenocarcinoma; another subsequently developed mammary carcinoma.

Conclusions and Clinical Relevance—Duct ectasia affected mature, sexually intact and spayed female dogs over a wide age range. Certain breeds were affected more commonly than expected. Increased risk for mammary neoplasia was not evident. Duct ectasia should be considered as a cause for mammary enlargement, especially in young dogs or when its cystic nature is evident. Mastectomy is usually curative, and neoplasia should be ruled out in dogs with ectasia. (J Am Vet Med Assoc 2001;218:1303–1307)

Full access
in Journal of the American Veterinary Medical Association