9 resultados para enterotomy
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Intestinal obstruction occurs in chelonian mainly due parasitism and foreign bodies, as stones and sand. An intestinal compaction was described in a five year-old male d'orbigny's slider which was taken to the Veterinary Medical Teaching Hospital of the UNICASTELO, at Fernandopolis, SP, Brazil, presenting anorexia for a week, severe dehydration and stupor. Definitive diagnostic was performed by radiographic exam and great amount of intestinal radiopac substance was detected. The animal went through emergency celiotomy for removing the intestinal foreign bodies. Inhalatory anesthesia with isofluorane was used for anesthesia induction and manutention. After local antisepsy, a 4cm(2) oblique opening was conducted on plastron by using a vibratory saw. Peritoneum was cut, intestines exteriorized and enterotomy performed. During the surgery, the animal was radiographed to confirm the complete taken out of the foreign bodies. Mononylon 4-0 strand was applied for intestinal suture in two planes. The plastron piece that was taken out was replaced and set with epoxy resine and gaze on the surgical window, making it waterproof. In the postoperative time, animal was medicated with analgesics for two days and pentabiotics for five days. Oral creamy diet was used with oral tube from the second to tenth day, what provided a great clinicosurgical recovering.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Pós-graduação em Medicina Veterinária - FMVZ
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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BACKGROUND: Sepsis is a threatening postoperative complication especially in small infants. Regarding the advances in perinatal medicine, its incidence is unknown to date. We aimed to investigate the incidence, risk factors, laboratory findings and outcome of postoperative sepsis in infants younger than 6 months old. METHODS: We examined postoperative sepsis in babies below 6 months of age during a 4-year period at a tertiary pediatric institution. RESULTS: The rate of postoperative sepsis was 6.9%. Laparotomy with enterotomy, thoracotomy and diaphragmatic hernia repair (P<0.05, respectively) as well as low postnatal age and long operation time (P<0.001, respectively) were correlated with the incidence of sepsis. Significant independent predictors for the development of sepsis were the presence of a central venous catheter and perioperative antibiotic treatment (P<0.001, respectively). Coagulase negative Staphylococci were the major infecting organism associated with postoperative sepsis, accounting for 53% of monomicrobial infections. Complete blood counts with differential were not different between infants with sepsis and controls, who had undergone the same surgical procedures. Outcome was favorable in all cases; however, the length of hospital stay was significantly longer in sepsis patients (P<0.05). CONCLUSIONS: Postoperative sepsis syndrome is a frequent complication in infants below 6 months of age and causes significant prolongation of hospital stay. Adequate prevention and therapeutic strategies warrant further prospective investigations.