Laparoscopic adhesiolysis in a mini pony

Background: Intraperitoneal adhesions are common in equines, especially following exploratory celiotomy. Adhesiolysis is the treatment of choice for patients presenting postsurgical adhesions. Laparoscopic approach for adhesiolysis presents several advantageous aspects in human patients. The aim of the current study was to report a case of successful laparoscopic adhesiolysis in a mini pony horse. Case: A male Shetland Pony, weighing 140 kg, was admitted under complaint of right hind limb trauma and treated surgically for metatarsal fracture reduction. The patient has also had intermittent episodes of colic and was always treated clinically without major complications. The pony had no history of previous abdominal surgery and no episodes of acute abdomen were seen during hospital stay. Three months following ostheosynthesis, an exploratory laparoscopic approach was carried out to assess the possible cause or consequences of the episodes of acute abdomen. The patient was submitted to general anesthesia, positioned in dorsal recumbency and the abdomen was clipped and aseptically prepared for surgery. During the laparoscopic inspection, there were adhesions involving the ventral abdominal wall and a ventral mesogastric segment of duodenum. Laparoscopic adhesiolysis was performed using a two-port approach, by gently breaking the adhesion bands using meticulous traction with a 10-mm laparoscopic atraumatic Babcock forceps. Afterwards, the intestinal loop was rinsed with heparin sodium solution diluted in normal saline. The pneumoperitoneum was completely drained and the trocars sequentially withdrawn from the abdominal wall. The synthesis of the muscular layer was carried out using an interrupted cross mattress pattern, followed by synthesis of the skin with an interrupted cushion pattern. Total surgical time was 58 min. the patient was able to recover without complications. In the early postoperative period, the surgical recovery was considered excellent. No apparent adhesion involving the previously affected intestinal loop was found during the ultrasound exam following 15 days of surgery. Furthermore, the surgical wounds had healed completely, with no complications. Discussion: In the current case report, the primary cause of the acute abdomen episodes was not determined since the patient had never undergone abdominal surgery. It was hypothesized that an acute inflammation of the duodenal loop that was involved by the adhesion bands may have triggered the adhesiogenesis. Laparoscopy was efficient and presented a short operative time, due to magnification of image and adequate observation of structures surrounded by adhesion bands. Although the use of Babcock forceps is not usually recommended for adhesiolysis in the current literature, it was both effective in manipulating the bowel and performing the adhesiolysis. The heparin solution diluted in normal saline was effective in preventing the recurrence of new adhesions, which was evidenced by ultrasonography following 15 days. The laparoscopic approach usually minimizes the new formation of adhesions as trauma to the peritoneal surfaces is minimized by the use of delicate instruments, as observed in the current study. In addition, laparoscopy reduces the possibility of contact among the peritoneal surfaces and foreign bodies, such as gauze, glove powder and room air particles. Moreover, it maintains the abdominal surfaces in adequate humidity environment.

Findings of the survey on international classifications in Latin America

Spanish document available at the Library

Evolution of the South Atlantic passive continental margin in southern Brazil derived from zircon and apatite (U-Th-Sm)/He and fission-track data

The area between São Paulo and Porto Alegre in southeastern Brazil plays a key area to understand and quantify the evolution of the South Atlantic passive continental margin (SAPCM) in Brazil. In this contribution, we present new thermochronological data attained by fission-track and (U-Th-Sm)/He analysis on apatites and zircons from metamorphic, sedimentary and intrusive rocks. The zircon fission-track ages range between 108.4 (15.0) and 539.9 (68.4). Ma, the zircon (U-Th-Sm)/He ages between 72.9 (5.8) and 525.1(2.4). Ma, whereas the apatite fission-track ages range between 40.0 (5.3) and 134.7 (8.0). Ma, and the apatite (U-Th-Sm)/He ages between 32.1 (1.5) and 93.0 (2.5). Ma. The spatial distribution of these ages shows three distinct blocks with a different evolution cut by old fracture zones. While the central block exhibits an old stable block, the Northern and especially the Southern block underwent complex post-rift exhumation. The sample of the Northern block shows two distinct cooling phases in the Upper Cretaceous and the Paleogene to Neogene. After sedimentation of the Permian sandstones the samples of the Central block were never heated up over 100. °C with a following moderate to fast cooling phase in Cretaceous to Eocene time and a fast cooling between Oligocene to Miocene. The five thermal models obtained in the Southern block indicate a complex evolution with three cooling phases. The exhumation events of the three blocks correspond with the Paraná-Etendekka event, the alkaline intrusions due to the Trinidad hotspot, and the evolution of the continental rift basins in SE Brazil and are, therefore, most likely to be the major force for the post-rift evolution of the passive continental margin in SE Brazil, which therefore corresponds to the three main phases of the Andean orogeny. © 2013 Elsevier B.V.

Efeitos da ingestão de Yacon (Smallanthus sonchifolius) sobre o processo de carcinogênese de cólon induzido pela 1, 2-dimetilhidrazina em ratos wistar

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Alteraciones climáticas en Bolivia: impactos observados en el primer trimestre de 2007

Incluye Bibliografía

Honduras: evolución económica durante 2008 y perspectivas para 2009

Incluye Bibliografía

Data collection system for domestic violence

Includes bibliography

Canada's trade and investment with Latin America and the Caribbean

Includes bibliography

United States-Latin America and the Caribbean trade developments, 2002

This document provides an overview of the most relevant developments in United States trade policy relating to Latin America and the Caribbean in 2002. U.S. policy continued to promote trade liberalization through advancing negotiations on multiple fronts- globally (WTO), regionally (FTAA) and bilaterally or sub regionally- with a view that the various negotiations are mutually reinforcing and seek to create a constructive competition for liberalization" among trade partners. The passage of Trade Promotion Authority (TPA) included in the Trade Act of August 2002 enhanced the U.S. Administration's ability to negotiate trade agreements. It provided an impetus to conclude bilateral negotiations with Chile as well as to advance a number of trade agreements currently under negotiation, including negotiations toward the Free Trade Area of the Americas (FTAA) and bilateral negotiations with Central America. The Trade Act also renewed the Generalized System of Preferences, extended the Caribbean Trade Partnership Act by liberalizing apparel provisions and augmented the Andean Trade Preference Act, increasing the list of duty free products. On the multilateral front, in partial fulfillment of the Doha mandate, the U.S. tabled in 2002 two comprehensive proposals for the reduction of trade barriers on agricultural and non-agricultural goods. Along with these trade liberalizing proposals, the U.S. Administration imposed temporary safeguard measures on key steel products to provide relief to the sectors of the steel industry that have been most affected by import surges. In addition, the U.S. Congress passed the 2002 Farm Security and Rural Investment Act that substantially increased U.S. domestic farm subsidies to shield domestic farm producers from competition from subsidized products from abroad."