1.
Comparative Efficacy Of Intravesical Mucosal And Extravesical Apposition Techniques For Ureteroneocystostomy in Dogs
by Muhammad Talha Sajjad | Prof. Dr. Muhammad Arif Khan | Dr. Aneela | Dr. Shahan Azeem.
Material type: ; Format:
print
; Literary form:
not fiction
Publisher: 2011Dissertation note: This project was designed to evaluate the comparative efficacy of two different techniques of Ureteroneocystostomy for ureteral reimplantation in dogs. Sixteen stray dogs were selected and were divided into two groups i.e. group A & B, comprising eight animals each. The efficacy of the procedures was evaluated on the basis of physical examination, serum evaluation for creatinine & urea, contrast radiography and post mortem findings.
The surgery was conducted through ventral midline celiotomy from umbilicus to a variable distance caudally under general anesthesia in both the groups and urinary bladder was exteriorized in both the groups. In group A, longitudinal incision was made near the bladder dome, a mosquito hemostat was passed from the surface of the bladder through the bladder wall at an oblique angle then the ureter was brought to the level of the bladder mucosa incision. A 6-0 Polyglactin 910 (Vicyrl,Jhonsons & Jhonsons Pharma) suture with double needles was then placed at each apex of the spatulated ureter and the full-thickness of ureter anastomosed to the bladder mucosa in one layer with a continuous, nonlocking stitch. In group B, two small incisions were made at the outer part of the bladder wall until the mucosa was seen through the cuts. Then a submucosal tunnel was dissected between them and the graft's ureter was introduced. Once the ureteral end has been spatulated, a reabsorbable 4-0 suture thread with independent needles at each end was passed (each needle goes from the outer to the inner side of the ureteral wall. Afterward, both needles were advanced into the bladder by the creation of a mucosal incision at the distal hole; these two needles then transfixed the bladder wall
from inside about 2 cm distally. During knotting of the suture (outside the bladder) the distal ureter was pushed to the bladder wall that it anchored against the mucosa.
The results of this study clearly indicated that both techniques are equally effective for the reimplantation of the ureter to bladder but an extravesical ureteroneocystostomy (Modified Lich Gregoir) has an edge over in intravesical mucosal apposition technique (Modified Lead better-Politano) in terms of effectiveness , safety and minimum postoperative complications.
Availability: Items available for loan: UVAS Library [Call number: 1210,T] (1).
2.
Comparative Evaluation Of Conventional Method And Staple Suture Technique For Intestinal Aanastomosis In Dogs
by Hafiz Kashif Shahzad | Prof. Dr. Muhammad Arif Khan | Dr. Aneela | Dr. Shehla Gul Bokhari.
Material type: ; Format:
print
Publisher: 2013Dissertation note: Intestinal resection and anastomosis is frequently essential during abdominal surgeries. Indications for intestinal resection are malignancy, inflammation, stricture formation, injuries and ischemia. Several surgical situations necessitate the resection of intestinal segments and the formation of consistent anastomoses. Conventionally, a large diversity of suture materials has been used to make hand-sewn anastomoses. Surgical stapler was made for the first time at the beginning of 20th century but its use remained limited in gastrointestinal surgery. Currently, stapled anastomoses is an essential part of the majority of the gastrointestinal surgeries. The simple-interrupted, single-layer, approximating technique, in which absorbable monofilament suture material is used, is presently believed to be the technique of choice for end-to-end bowel anastomosis. This procedure is mostly used in gastrointestinal surgeries with comparatively lesser complications. Intestinal anastomosis with skin staples was started by military surgeons for the soldiers suffering from bowel trauma caused by gunfire. In this technique, stainless steel skin staples were used to create a seromuscular intestinal anastomoses. There are several types of staplers available in markets, e.g. circular ligators, clip appliers, endoscopic staplers etc. The circular stapler is a disposable anastomotic instrument that places a round, double staggered row of titanium staples connecting intervening tissues. It can generate an end-to-end, end-to-side, or side-to-side anastomosis. This round stapler is available with a variety of staple line diameters to be used according to need. In current years, there has been a large shift from hand-sewn method towards the use of intestinal stapler in gastrointestinal surgery. They present a possible reduction in operational timing and are easy to learn and use than for hand-sewn method. So, staplers are very popular in the trainee. This research project was tested on 12 mongrel dogs divided randomly into two different groups (A and B). Each group comprised of 6 dogs. Conventional hand-sewn method of end-to-end anastomosis was applied on group A and stapled anastomosis was made in the dogs of group B. Two surgical techniques were applied for end to end anastomosis of jejunum. In group-A conventional hand-sewn anastomosis technique was applied. In this method a piece of jejunum was removed and then anatomosed with simple interrupted, single-layer, approximating technique. The absorbable, monofilament suture material was applied manually. This is currently considered the method of choice for end-to-end intestinal anastomosis in small animal surgery. This technique is well described and has been used throughout the canine gastrointestinal tract with a relatively low complication rate. In group-B a circular mechanical stapler was used to construct anastomosis. In this method a piece of jejunum was removed and end-to-end anatomosis was made using a mechanical stapler. Comparison of both techniques was made on the basis of clinical parameters (temperature, pulse, respiration, vomiting, diarrhea and blood in feces), radiographic evaluation, exploratory laparotomy, change in lumen diameter and duration of surgical procedure. There is a significant difference in change in diameter within each group before and after surgery but there is no significant difference in change in diameter or stenosis formation between these two groups. There is a significant difference in the duration of operation; stapled group significantly requires an average of 10 minutes less than conventional hand-sewn method. Conclusively it was inferred that there is no significant difference in change in diameter between stapled group and hand sewn group but the anastomosis construction time is shorter in stapled group. Stapled anastomosis is safe and faster technique than hand-sewn method. The prevalence of low complication rate makes it all the more ideal for application in routine practices.
Availability: Items available for loan: UVAS Library [Call number: 1533,T] (1).
3.
Prevalance, Diagnosis and Economic Losses Due to Bovine Cysticercosis in Punjab
by Muhammad saeed (2009-VA-254) | Prof. Dr. Aneela Zameer Durrani | Prof. Dr. Muhammad Arif Khan | Prof. Dr. Azhar Maqbool.
Material type: ; Literary form:
not fiction
Publisher: 2014Dissertation note: Theses submitted with blank cd. Availability: Items available for loan: UVAS Library [Call number: 1379-T] (1).
4.
Study On The Repair Of Long Oblique Mid-Shaft Femoral Fracture In Domestic Fowl, Using Full Cerclage Wires With Or Without Intra-Medullary Pin
by Muhammad Waqas (2008-VA-224) | Prof. Dr. Muhammad Arif Khan | Dr. Hammad Bin Rashid | Prof. Dr. Aneela Zameer Durrani.
Material type: ; Literary form:
not fiction
Publisher: 2016Dissertation note: Fracture is a challenging problem in domestic as well as wild birds. Caged birds are
prone to stress and self-injury. Wing and leg fractures in birds are most common problems. The
fracture of bones is common in avian species as a result of impact injuries due to collision with
branches, electric lines or other obstacles, either natural or anthropogenic. The basic principles of
fracture fixation are the same in birds and mammals. Fractures treated with biomechanically
sound fixation and proper attention to soft tissues will be most likely to heal with a functional
outcome. However, osteomyelitis, bone sequestration, and joint ankylosis still continue to be
major factors in inhibiting healing and bone functionality.
This research project was designed with the aim to test the effectiveness and accuracy of
three sets of bone splintage devices in healing long oblique mid-shaft femoral fractures in birds,
with minimal side effects and stress to the patient.
The Study was conducted on 12 adult, domestic fowls of either sex. The birds were
received as clinical cases presented with long oblique femoral fracture at Pet Centre, University
of Veterinary & Animal Sciences Lahore. They were individually marked with coloured plastic
rings for the sake of identification. They were divided into three groups i.e. Group A , Group B
and Group C comprising four birds each, which were designated as I, II, III, and IV respectively.
In the birds of Group A long oblique femoral fracture was reduced and immobilized with
intramedullary pinning, with pin size between 2.5mm to 3.0mm. While in Group B, similar
fracture was treated with 2 – 3 full cerclage wiring. And in the final Group C both of the above
techniques were applied simultaneously i.e. IM pin with 2 – 3 cerclage wires. The birds were
maintained in separate cages post-operatively until the completion of the study.
Subsequent comparative parameters were studied which included physical examination
of wound, lameness grading, radiological scoring for callus formation, fracture line union,
SUMMARY
74
fracture alignment as well as callus remodelling. The collected data regarding study parameters
was illustrated by descriptive statistics and non-parametric analysis of variance (Kruskal Walis
Test) using IBM SPSS Statistics version 20.
Conclusion:
Therefore, as advocated by the results of this study, intramedullary pinning (preferably
threaded) with at least 2 – 3 full cerclage wiring was a better choice for the correction of a long
oblique mid-shaft femoral fracture in domestic fowl. The combination of both these techniques
together give a strong backbone for bone healing to take place with minimum amount of stress to
the bone fragments. Both these techniques were easy, required little soft tissue manipulation,
were cost-effective, required less equipment and could easily be applied by an average
practitioner. Availability: Items available for loan: UVAS Library [Call number: 2653-T] (1).
