Laparoscopic Diagnosis and Treatment of Gossypiboma Postconventional Ovariohysterectomy in a Bitch

Autor: Maurício Veloso Brun, Paula Cristina Basso, Marília Teresa de Oliveira, Fabíola Dalmolin, Saulo Tadeu Lemos Pinto-Filho, Helen Fialho Hartmann, Stephanie Lanzarini Abati, Marco Augusto Machado-Silva, Daniel Curvello de Mendonça Müller, Francisco Miguel Sanchez-Margallo
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Case Reports in Veterinary Medicine, Vol 2021 (2021)
Druh dokumentu: article
ISSN: 2090-7001
2090-701X
DOI: 10.1155/2021/5381079
Popis: Introduction. Gossypiboma is a rare surgical complication in small animals. The authors reported the laparoscopic diagnosis and treatment of an abdominal gossypiboma and chronic draining fistula postopen ovariohysterectomy (OVH) unresponsive to medical treatment in a bitch. Case Presentation. The patient had undergone OVH and exploratory laparotomy in other veterinary practice 3 years previously. The animal, presenting a chronic fistula, was then referred to UFSM Veterinary Hospital. Ultrasonographic examination revealed a structure compatible with a granuloma. For the laparoscopic procedure, a 3-port (two at 11 mm; one at 6 mm) access was used. Adhesiolysis and mass removal were performed by blunt dissection and bipolar electrocoagulation. The fistula was treated by mobilising the omentum through it. There were no intra- or postoperative complications. The chronic wound showed first intention healing. The mass was composed of fibrous tissues surrounding one surgical gauze. Discussion and Conclusion. The removal of a retained surgical gauze in the abdomen by laparoscopy has already been described in medicine. However, a laparoscopic approach for treating a fistulous draining tract due to a gossypiboma has not been previously reported in dogs. Laparoscopic exploration of the fistula allowed the use of a pedicled omental flap through infected sites to control chronic infection. Laparoscopic surgery can be used to identify and treat abdominal gossypiboma in dogs, including those with chronic abdominal sinus.
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