Objective—To evaluate sedative, antinociceptive, and physiologic effects of acepromazine and butorphanol during tiletamine-zolazepam (TZ) anesthesia in llamas.
Animals—5 young adult llamas.
Procedures—Llamas received each of 5 treatments IM (1-week intervals): A (acepromazine, 0.05 mg/kg), B1 (butorphanol, 0.1 mg/kg), AB (acepromazine, 0.05 mg/kg, and butorphanol, 0.1 mg/kg), B2 (butorphanol, 0.2 mg/kg), or C (saline [0.9% NaCl] solution). Sedation was evaluated during a 30-minute period prior to anesthesia with TZ (2 mg/kg, IM). Anesthesia and recovery characteristics and selected cardiorespiratory variables were recorded at intervals. Antinociception was assessed via a toe-clamp technique.
Results—Sedation was not evident following any treatment. Times to sternal and lateral recumbency did not differ among treatments. Duration of lateral recumbency was significantly longer for treatment AB than for treatment C. Duration of antinociception was significantly longer for treatments A and AB, compared with treatment C, and longer for treatment AB, compared with treatment B2. Treatment B1 resulted in a significant decrease in respiratory rate, compared with treatment C. Compared with treatment C, diastolic and mean blood pressures were lower after treatment A. Heart rate was increased with treatment A, compared with treatment B1 or treatment C. Although severe hypoxemia developed in llamas anesthetized with TZ alone and with each treatment-TZ combination, hemoglobin saturation remained high and the hypoxemia was not considered clinically important.
Conclusions and Clinical Relevance—Sedation or changes in heart and respiratory rates were not detected with any treatment before administration of TZ. Acepromazine alone and acepromazine with butorphanol (0.1 mg/kg) prolonged the duration of antinociception in TZ-treated llamas.
Case Description—An adult sexually intact female Vietnamese potbellied pig was examined because of abdominal distention of 5 months' duration.
Clinical Findings—The pig was moderately anemic, and its abdomen was greatly distended. A freely movable abdominal mass was detected during palpation and ultrasonographic examination of the abdomen. Examination of abdominal and thoracic radiographs revealed faint, ill-defined, linear and curvilinear mineralized opacities in the region of the mass and that the gastrointestinal tract was displaced craniodorsally. Results of radiographic exami-nation suggested that the cause of distention was a single abdominal mass (possibly a neoplasm).
Treatment and Outcome—Surgery was performed, and the mass, which was identified as the right ovary, was removed. The left ovary had a normal appearance, but it was also removed during surgery. The pig was administered a transfusion (314 mL of plasma and 296 mL of packed RBCs) before and during surgery. The mass, which accounted for ap-proximately one-third of the pig's body weight, was identified histologically as an ovarian leiomyoma.
Clinical Relevance—Pigs can safely be administered a transfusion of RBCs and plasma. Ovarian tumors can be removed from Vietnamese potbellied pigs, which allows them to be used as pets or for reproduction when only 1 ovary is affected. Uterine masses in older sexually intact Vietnamese potbellied pigs are more common than are ovarian tumors; thus, complete ovariohysterectomy should be considered when the primary purpose of the pig is to serve as a pet.
To describe rates of surgical complications, survival, and return to breeding soundness following herniorrhaphy for bulls with inguinal hernias.
13 sexually mature bulls with acquired inguinal hernias.
Medical record databases of 3 veterinary teaching hospitals were searched to identify records of bulls that underwent herniorrhaphy for correction of an inguinal hernia from 2005 to 2017. Information extracted from the medical records included breed, age, duration and side of the hernia, surgical procedure details, postoperative complications, and information regarding subsequent fertility.
All 13 bulls had a left inguinal hernia and were anesthetized and underwent herniorrhaphy via an inguinal approach. The left testicle was removed during the surgical procedure in 2 bulls. Nylon or polypropylene mesh secured with size-5 polyester suture was used to facilitate inguinal ring closure in 2 bulls. The inguinal ring was closed with size-5 or size-2 polyester suture in the remaining bulls. Postoperative complications included hernia recurrence (n = 4), excessive scrotal swelling (3), and transient radial nerve paralysis (1). Follow-up information was available for 7 bulls. All 7 bulls had impregnated cows or heifers following surgery, including 1 bull that had hernia recurrence and underwent unilateral castration during the second herniorrhaphy.
CONCLUSIONS AND CLINICAL RELEVANCE
Inguinal herniorrhaphy with or without mesh was a safe and effective procedure for inguinal hernia repair in bulls and was associated with a good prognosis for subsequent fertility. However, sparing the ipsilateral testicle during the herniorrhaphy procedure might increase the risk for hernia recurrence.