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. 2012 Mar;53(3):303-10.

Cystotomy practices and complications among general small animal practitioners in Ontario, Canada

Sherry Appel  1 , Simon J Otto, J Scott Weese
Affiliations

Cystotomy practices and complications among general small animal practitioners in Ontario, Canada

Sherry Appel et al. Can Vet J. 2012 Mar.

Abstract
in English, French

Cystotomy is a common surgical procedure in small animal veterinary medicine, yet common pre-, intra-, and post-operative practices have not been described. This survey evaluated cystotomy practices of 106 veterinarians in Ontario. The majority of respondents reported practices consistent with standard recommendations, but some deficiencies in antimicrobial and analgesic use, as well as intra- and post-operative practices, were identified. Some factors associated with the likelihood that practitioners reported recurrent urolithiasis or urinary tract infection are contrary to typical recommendations, such as the association of the use of absorbable, multifilament suture or a dorsal (versus ventral) incision and a lesser likelihood of reporting post-operative urinary tract infections. While care must be taken interpreting these statistical associations, the results suggest that objective assessment of common cystotomy recommendations (use of monofilament, absorbable suture) is required. Re-assessment of certain peri-operative practices, such as analgesic and antimicrobial administration, and post-operative testing, is required for a minority of practitioners.

Pratiques de cystotomie et complications parmi les praticiens pour petits animaux en Ontario, au Canada. La cystotomie est une intervention chirurgicale courante en médecine vétérinaire pour petits animaux, pourtant les pratiques pré-opératoires, intra-opératoires et post-opératoires n’ont pas été décrites. Ce sondage a évalué les pratiques de cystotomie de 106 vétérinaires en Ontario. La majorité des répondants ont signalé des pratiques conformes aux recommandations standards, mais certaines lacunes à l’égard de l’utilisation des antimicrobiens et des analgésiques, ainsi que les pratiques intra-opératoires et post-opératoires, ont été identifiées. Certains facteurs associés à la probabilité que les praticiens signalent de l’urolithiase ou des infections des voies urinaires sont contraires aux recommandations typiques, comme l’association de l’utilisation de suture résorbable multifilament ou d’une incision dorsale (par opposition à ventrale) et d’une probabilité réduite de déclaration d’infections des voies urinaires après l’opération. Bien qu’il faille interpréter prudemment ces associations statistiques, les résultats suggèrent que l’évaluation objective des recommandations courantes pour la cystotomie (utilisation du monofilament, d’une suture résorbable) est requise. La réévaluation de certaines pratiques péri-opératoires, comme l’administration d’analgésique et d’antimicrobien et les tests post-opératoires, est requise pour une minorité de praticiens.

(Traduit par Isabelle Vallières)

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Figures

Figure 1
Figure 1
The predicted probability of a veterinarian having a patient with recurrent uroliths following cystotomy by their year of graduation from the multivariable logistic regression model. Probabilities were predicted while holding other model variables constant.
Figure 2
Figure 2
The predicted probability of a veterinarian having a patient with recurrent urinary tract infection (UTI) following cystotomy by the annual number of feline cystotomies they perform from the multivariable logistic regression model. Probabilities were predicted while holding other variables in the model constant.
See this image and copyright information in PMC

References

    1. Cornell KK. Cystotomy, partial cystectomy, and tube cystotomy. Clin Tech Small Anim Pract. 2000;15:11–16. - PubMed
    1. Grier RL. Symposium on surgical techniques in small animal practice. Cystotomy Vet Clin North Am. 1975;5:415–420. - PubMed
    1. Appel SL, Lefebvre SL, Houston DM, et al. Evaluation of risk factors associated with suture-nidus cystoliths in dogs and cats: 176 cases (1999–2006) J Am Vet Med Assoc. 2008;233:1889–1895. - PubMed
    1. Fossum TW. Small Animal Surgery. 2nd ed. St. Louis, Missouri: Mosby; 2002.
    1. Slatter D. Textbook of Small Animal Surgery. 2nd ed. Philadelphia, Pennsylvania: Elsevier Science; 2003.

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