Modified Lateral Enucleation Technique Overview
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Questions and Answers

What type of complications were specifically noted in the observations?

  • Seroma formation (correct)
  • Hematoma
  • Anaphylactic reactions
  • Infections
  • What statistical method was utilized in the analysis mentioned?

  • Linear regression
  • Logistic regression (correct)
  • Survival analysis
  • ANOVA
  • What aspect was primarily excluded from the logistic regression model?

  • Age of patients
  • Complications unrelated to species
  • Cations observed (correct)
  • Severity of complications
  • How many cases were classified as minor complications?

    <p>Ten cases</p> Signup and view all the answers

    What was considered as the covariable in the logistic regression model?

    <p>Species</p> Signup and view all the answers

    What method was used to estimate blood loss?

    <p>Gravimetric method</p> Signup and view all the answers

    During which time period was the detailed review conducted?

    <p>2019–2022</p> Signup and view all the answers

    What was assessed using a statistical method prior to surgery?

    <p>Blood loss estimation</p> Signup and view all the answers

    What specific measurement was mentioned as being taken before the surgery?

    <p>Dry weight</p> Signup and view all the answers

    Which process is NOT mentioned in the context of the review?

    <p>Patient recovery analysis</p> Signup and view all the answers

    What aspect does the au-proach improve during a retrobulbar dissection?

    <p>Overview of orbital tissues</p> Signup and view all the answers

    Which of the following statements is true regarding RBL during retrobulbar dissection?

    <p>RBL varies depending on the approach taken.</p> Signup and view all the answers

    What does RBL likely refer to in the context of retrobulbar dissection?

    <p>Retrobulbar lymphatics</p> Signup and view all the answers

    Which of the following is most indicative of the complications that can arise during retrobulbar dissection?

    <p>Increased risk of optic nerve injury</p> Signup and view all the answers

    In the context of the content, what is the primary focus of the authors' findings?

    <p>The benefits of different surgical techniques</p> Signup and view all the answers

    What was the incidence rate of orbital emphysema reported in the cases studied?

    <p>0.08%</p> Signup and view all the answers

    How many cases were examined to determine the incidence of orbital emphysema?

    <p>1296</p> Signup and view all the answers

    Given the reported incidence, how many cases of orbital emphysema were observed?

    <p>1</p> Signup and view all the answers

    What conclusion can be drawn from the incidence of orbital emphysema in the study?

    <p>It is a rare occurrence.</p> Signup and view all the answers

    What aspect of the technique used in the study could explain the low incidence of orbital emphysema?

    <p>The lateral cleation technique.</p> Signup and view all the answers

    What is the primary focus of the enucleation technique mentioned?

    <p>A lateral approach</p> Signup and view all the answers

    In what year was the referenced technique associated with contralateral optic neuropathy noted?

    <p>1972</p> Signup and view all the answers

    Which of the following conditions is associated with the enucleation technique described?

    <p>Retinopathy</p> Signup and view all the answers

    Which publication is referenced regarding the enucleation technique?

    <p>Journal of Animal Hospital Association</p> Signup and view all the answers

    What specific type of neuropathy is linked with the discussed medical procedure?

    <p>Contralateral optic neuropathy</p> Signup and view all the answers

    Which arteries are specifically indicated in the lateral view of the left feline orbit drawing?

    <p>Infraorbital and lingual arteries</p> Signup and view all the answers

    What structure is depicted in the lateral view alongside the major arteries in the left feline orbit?

    <p>Ocular and retrobulbar vessels</p> Signup and view all the answers

    In the context of feline anatomy, which of the following arteries is associated with the infraorbital artery?

    <p>The lingual artery</p> Signup and view all the answers

    What does the lateral view of the left ocular vessels of a cat primarily illustrate?

    <p>The locations of specific arteries in relation to the eye</p> Signup and view all the answers

    Which orientation is used in the drawing that depicts the major arteries in the left feline orbit?

    <p>Lateral view</p> Signup and view all the answers

    Study Notes

    Modified Lateral Enucleation Technique

    • This study describes a modified lateral enucleation technique for animals, omitting optic nerve ligation/clamping.
    • The aim was to assess complication rates, intraoperative blood loss, and potential risk factors.

    Purpose

    • To modify lateral enucleation by avoiding optic nerve ligation.
    • To document complication rates.
    • To estimate intraoperative blood loss.
    • To identify potential risk factors for complications.

    Methods

    • Retrospective review of medical records (2000-2022) for dogs, cats, and rabbits undergoing lateral enucleation.
    • Subset of patients (2019-2022) evaluated for risk factors (species, sex, age, surgeon, presumed ocular surface infection, culture results, follow-up, antibiotics, NSAIDs, complications, diabetes).
    • Prospective study estimated intraoperative blood loss by gravimetric analysis.

    Results

    • 1296 enucleations reviewed retrospectively.
    • Potential risk factor evaluation in 446 cases.
    • Overall complication rate: 2.31%.
    • Surgical site infection rate: 2.08%.
    • Only Pseudomonas spp. bacterial culture associated with complications.
    • Estimated intraoperative blood loss: 2.2% (dogs) and 4.1% (cats).

    Conclusions

    • The modified technique is safe and fast in dogs, cats, and rabbits.
    • Optic nerve/tissue ligation/clamping is contraindicated based on orbital vasculature anatomy.

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    Description

    This quiz covers the modified lateral enucleation technique for animals, focusing on its advantages over traditional methods. It discusses complication rates, intraoperative blood loss, and risk factors based on a comprehensive study conducted from 2000 to 2022. Ideal for veterinary professionals seeking to enhance surgical practices.

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