关键词: Eyes Horses Soft tissue surgery

Mesh : Animals Eye Diseases / surgery veterinary Eye Enucleation / methods veterinary Female Horse Diseases / surgery Horses Male Orbit / surgery Patient Satisfaction / statistics & numerical data Postoperative Complications / veterinary Prostheses and Implants / veterinary Retrospective Studies Surgical Mesh / veterinary Sutures / veterinary Treatment Outcome

来  源:   DOI:10.1136/vr.103305   PDF(Sci-hub)

Abstract:
This retrospective study on 37 horses was conducted to assess long-term complications, scarring, cosmetic appearance and owner satisfaction of horses that underwent transpalpebral enucleation with (n=26) or without (n=11) non-absorbable sutured meshwork prosthesis between 2006 and 2013. Postoperative complications related to the surgery were wound infection, discharge and dehiscence, and no significant difference between groups was found. In one horse, the meshwork had to be removed in order to treat a chronic fistula. Horses with infection or inflammation before surgery were more likely to encounter postoperative complications, whether or not a meshwork was used. Most owners were satisfied by the surgical technique for scarring, but contrary to the present hypothesis, most horses with a meshwork implant had a poor sunken-in appearance, and 26 per cent of owners would like to attempt other techniques to improve the cosmetic result. Also, a further 44 per cent of owners would prefer a better cosmetic result if the technique does not increase complication risk or cost. Meshwork implant prosthesis after transpalpebral enucleation was safe. However, in order to achieve a better cosmetic result, further improvements of the technique will be required.
摘要:
这项针对37匹马的回顾性研究旨在评估长期并发症,疤痕,在2006年至2013年期间,使用(n=26)或不使用(n=11)不可吸收的网状假体进行了椎管眼球摘除术的马匹的外观和所有者满意度。与手术相关的术后并发症有伤口感染,放电和开裂,组间无显著差异。一匹马,为了治疗慢性瘘管,必须移除网状物。手术前感染或炎症的马更容易遇到术后并发症,是否使用了网状物。大多数业主对疤痕的手术技术感到满意,但与目前的假设相反,大多数带有网状植入物的马的外观都很差,26%的业主希望尝试其他技术来改善美容效果。此外,如果该技术不增加并发症的风险或成本,则另有44%的所有者希望获得更好的美容效果。经椎体摘除术后的网状植入物假体是安全的。然而,为了达到更好的美容效果,该技术需要进一步改进。
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