Use of preoperative computed tomography for surgical treatment of recurrent draining tracts. (11th December 2013)

• Record Type: Journal Article
• Authors: Bouabdallah, R.; Moissonnier, P.; Delisle, F.; De Fornel, P.; Manassero, M.; Maaoui, M.; Fayolle, P.; Viateau, V.
• Is Part Of: Journal of small animal practice. Volume 55:Number 2(2014:Feb.)
• Page Start: 89
• Page End: 94
• Publication Date: 2013-12-11
• Subjects: Veterinary medicine -- Periodicals; Veterinary Medicine -- Periodicals; 636.089
• DOI: 10.1111/jsap.12163
• Languages: English
• ISSNs: 0022-4510

Abstract

<abstract abstract-type="main" id="jsap12163-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jsap12163-sec-0001" sec-type="section"> <title>OBJECTIVES</title> <p id="jsap12163-para-0001"> <bold>To evaluate a rational decision‐making approach based on preoperative computed tomography for surgical planning in dogs and cats with recurrent draining tracts.</bold> </p> </sec> <sec id="jsap12163-sec-0002" sec-type="section"> <title>METHODS</title> <p id="jsap12163-para-0002"> <bold>Retrospective evaluation of case records of animals that underwent preoperative computed tomography for surgical treatment of thoracic/abdominal recurrent draining tracts. Cases were classified according to whether a source of inflammation and/or infection, in particular foreign bodies, was identified (group 1), suspected (group 2) or neither identified nor suspected (group 3) at computed tomography. Surgery consisted of removal of the source of inflammation and/or infection (group 1), debridement or abscess drainage (group 2) or en bloc resection of diseased tissues (group 3). Clinical outcome was evaluated at least 12 months after surgery.</bold> </p> </sec> <sec id="jsap12163-sec-0003" sec-type="section"> <title>RESULTS</title> <p id="jsap12163-para-0003"> <bold>A source of inflammation and/or infection was found in 100% (8 of 8), 41% (7 of 17) and 25% (3 of 12) of cases in groups 1, 2 and 3, respectively. Recurrent draining tracts resolved in 100% (8 of 8), 94% (16 of 17) and 92% (11 of 12) of cases in groups 1, 2 and 3, respectively.</bold> </p> </sec> <sec id="jsap12163-sec-0004" sec-type="section"> <title>CLINICAL SIGNIFICANCE</title> <p id="jsap12163-para-0004"> <bold>The proposed strategy provided a 95% (35 of 37) cure rate, after a single procedure in 81% (30 of 37) of cases. Recovery of a foreign body at surgery was not a prerequisite for the resolution of the recurrent draining tracts.</bold> </p> </sec> </abstract>