OBJECTIVE To evaluate the economic and clinical feasibility of introducing rigid endoscopy and laparoscopy to a small animal general practice.
DESIGN Prospective study.
SAMPLE A single 2-veterinarian small animal practice in southern California.
PROCEDURES In early 2012, endoscopic equipment was purchased, and both veterinarians in the practice undertook training in rigid endoscopic and laparoscopic procedures. Subsequently, information for client-owned animals that underwent endoscopic and laparoscopic procedures during a 12-month period (2012 to 2013) was collected. Cost of equipment and training, revenue generated, specific procedures performed, surgery time, complications, and client satisfaction were evaluated.
RESULTS 78 endoscopic procedures were performed in 73 patients, including 71 dogs, 1 cat, and 1 rabbit. Cost of endoscopic and laparoscopic equipment and training in the first year was $14,809.71; most equipment was financed through a 5-year lease at a total cost of $57,507.70 ($ 10,675.20/y). Total revenue generated in the first year was $50,423.63. The most common procedures performed were ovariectomy (OVE; n = 49), prophylactic gastropexy (6), and video otoscopy (12). Mean ± SD surgery times for OVE (n = 44) and for OVE with gastropexy (5) were 63.7 ± 19.7 minutes and 73.0 ± 33.5 minutes; respectively. Twelve of 54 patients undergoing laparoscopic procedures experienced minor intraoperative complications. Conversion to laparotomy was not required in any patient. There were no major complications. All 49 clients available for follow-up were satisfied.
CONCLUSIONS AND CLINICAL RELEVANCE With appropriate training and equipment, incorporation of basic rigid endoscopy and laparoscopy may be feasible in small animal general practice. However, results of the present study are not applicable to all veterinarians and practice settings, and patient safety considerations should always be paramount.
OBJECTIVE To evaluate owner satisfaction with a home-based, synchronous videoconferencing telemedicine application as an alternative to in-clinic appointments for conducting recheck examinations after surgical sterilization in dogs.
DESIGN Randomized controlled clinical trial.
ANIMALS 30 client-owned dogs undergoing elective surgical sterilization and postsurgical recheck examination between September 27, 2017, and February 23, 2018.
PROCEDURES Dogs were randomly assigned to have their recheck examinations performed remotely (the telemedicine group) or at the veterinary clinic (the control group). After the recheck examination, owners completed a survey regarding their satisfaction with the recheck examination and their dogs' behavior during it. Information regarding the surgery and recheck examination was obtained from the electronic medical record. Mann-Whitney U tests were used to compare results between the telemedicine and control groups.
RESULTS Owners were equally satisfied with recheck examinations performed by videoconference and in-clinic appointments. Owners of dogs in the telemedicine group indicated that their dogs were less afraid during the virtual appointment, compared with what was typical for them during in-clinic appointments, but the difference was not statistically significant. Most owners who completed a postsurgical recheck examination by videoconferencing preferred this method for similar appointments in the future.
CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that owners were satisfied with videoconferencing as a means of conducting a postsurgical recheck examination. Further research is needed to assess videoconferencing's ability to reduce signs of fear in dogs during veterinary examinations, its economic feasibility, and the willingness of veterinarians and animal owners to adopt the technology.
Objective—To describe effects of lifetime food
restriction on causes of death and the association
between body-mass characteristics and time of death
Animals—48 dogs from 7 litters.
Procedures—Dogs were paired, and 1 dog in each
pair was fed 25% less food than its pair mate from 8
weeks of age until death. Numerous morphometric
and physiologic measures were obtained at various
intervals throughout life. Associations of feeding
group to time and causes of death were evaluated,
along with important associated factors such as body
composition components and insulin-glucose
Results—Median life span was significantly longer
for the group that was fed 25% less food, whereas
causes of death were generally similar between the 2
feeding groups. High body-fat mass and declining
lean mass significantly predicted death 1 year prior to
death, and lean body composition was associated
with metabolic responses that appeared to be integrally
involved in health and longevity.
Conclusions and Clinical Relevance—Results were
similar to results of diet restriction studies in rodents
and primates, reflecting delayed death from species-
and strain-specific intrinsic causes. Clinicians should
be aware that unplanned body mass changes during
mid- and later life of dogs may indicate the need for
thorough clinical evaluation. (J Am Vet Med Assoc 2005;226:225–231)