1.
Comparative Efficacy Of Polypropylene And Polyester Mesh For The Repair Of Abdominal Wall Defect In Pigeons
by Muhammad Naveed Ali (2007-VA-114) | Dr. Hamad Bin Rashid | Prof. Dr. Muhammad Arif Khan | Dr. Asim Khalid Mahmood.
Material type: ; Literary form:
not fiction
Publisher: 2016Dissertation note: Polypropylene is a widely used biomaterial for the treatment of ventral abdominal wall hernias. It exhibit pain, prominent inflammatory response and foreign body reaction. Polyester (Polyethylene terephthalate) is hydrophilic material works with body’s natural systems to improve tissue integration while reducing negative foreign material response. Polyester offers extremely lower pain intensity and less foreign body reaction.
The purpose of designated research was to compare the efficacy of polypropylene and polyester meshes for the treatment of abdominal defect. Both are non-absorbable meshes. Polypropylene mesh is available in Pakistan with the trade name of Prolene® (Ethicon,Johnson & Johnson, USA). Polyester mesh is not available inPakistan and was acquired from Al Zahrawi Medical, a local healthcare company in Dubai, United Arab Emirates. Polyester mesh is available with brandname of (Parietex®, Covidien, France).
The experimental study was conducted on 16 (sixteen) healthy pigeons presented for massive abdominal defect repair. All birds were thoroughly examined to rule out any other anomaly before study. The birds were allocated into two different groups, viz. Group A and Group B with 8 birds in each group respectively. All treatments were administered intramuscularly using 1 ml insulin syringe. The Polypropylene mesh (Prolene®, Ethicon) was used for the treatment of abdominal repair for group A. The birds of group B was treated with Polyester mesh (Parietex®, Covidien). Ventral abdominal wall repair was performed in both groups using Polypropylene and Polyester mesh respectively. The surgery was performed at Surgery Section, Department of CMS, UVAS, Lahore for 3 months duration (including adaptation and postoperative period). Both meshes were compared on the basis of postoperative complications (wound healing, pain evaluation, hematoma, seroma and abscess formation), inflammatory responses and adhesion formation after application of mesh fixation.
During experiment, it was observed that polypropylene mesh resulted in a prominent pain sensation, persistent inflammatory reaction, proliferating fibroblast, more granulating tissue, macrophages appearance, increased connective tissue thickness and proliferating collagen fibre. It was observed that Polyester mesh resulted in less pain sensation, no foreign body reaction, no neutrophil appearance and rare granulating tissue. Polyester mesh showed remarkable advantages over polypropylene mesh in terms lower pain level, reduced size seroma and extremely less scar tissue formation.
Based upon all the findings it was concluded that polyester mesh is safer and more effective in terms of post-operative complications and outcomes.
Availability: Items available for loan: UVAS Library [Call number: 2495-T] (1).
2.
Comparison Of Suturing And Sutureless Techniques For Gastrotomy Closure In Canines
by Muhammad Atif (2007-VA-133) | Dr. Naveed Hussain | Prof. Dr. Muhammad Arif Khan | Dr. Jawaria Ali Khan.
Material type: ; Literary form:
not fiction
Publisher: 2016Dissertation note: Gastrotomy is suggested in case of gastric dilatation with volvolus, gastric foreign bodies, gastric retention, out flow obstruction, hypertropicgastropathy, gastric neoplasia, and gastroduodenal ulceration. Gastrotomy closure technique after gastric surgery is very crucial to avoid post-operative complication like peritonitis. Different techniques are considered to close gastric incisions like absorbable suturing material, stapler suture and use of adhesive glue. These techniques give different kind of effects on gastrotomy closure.
The present study was carried out on 12 adult mongrel dogs with an average of 15 to 20 kg body weight. They were divided into three groups, each group having 4 animals and designated as group A, B and C. Standard Gastrotomy procedure was performed in group A B and C. After performing surgery, the dogs of group A were sutured by cushing suture, followed by continuous lambert suture by 2/0 synthetic absorbable suture. While in group B dogs, stapler sutures were used to close gastric incision and in dogs of group C, incision site was closed through use of tissue adhesive glue (cyanoacrylate).
Comparison of all suturing and sutureless techniques was carried out through Physical evaluation, food, water intake and defecation, Weight loss / gain, Complete Blood Count, Leakage evaluation by contrast radiography and postmortem findings. It was concluded that suturing technique (using absorbable suture material in two layers) maybe considered much better than other two methods (adhesive glue and stapling) economically, due to use of ease and least post-operative complication. Although glue may be considered as second option due to easy handling, minimum fibrosis, least stenosis and better healing time. Stapling may be the third one
SUMMARY
55
because it experiences difficulty to fire, greater chances of infection due to staples and more prone to leakage and stenosis.
The results of this study will help veterinarian, field workers and pet practioners to use suturing technique as most effective and appropriate technique for gastrotomy closure in terms of better healing, less blood loss and least chances of post operation complications. Availability: Items available for loan: UVAS Library [Call number: 2559-T] (1).
3.
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).
4.
Comparative Efficacy Of Xylocaine Hcl And Bupivacaine Hcl For Ophthalmic Anesthesia In Horses
by Muhammad Asad Islam (2012-VA-576) | Dr. Sadaf Aslam | Prof. Dr. Muhammad Arif Khan | Prof. Dr. Muhammad Sarwar Khan.
Material type: ; Literary form:
not fiction
Publisher: 2015Dissertation note: Ophthalmic procedures can be performed by many clinicians in horses using local nerve blocks by using local anaesthetics for short duration of action for completion of these procedures. These surgical procedures may involve exclusion of third eyelid, suturing of laceration around eye orbit and tumor which can be caused due to any reason with in time period of thirty minutes. Inner chamber centesis can be done easily by using the above mentioned technique in standing horse.
There are numerous benefits of doing standing surgical methods and avoiding general anaesthesia in horses. As hospitalizing horse may get other infectious diseases from surroundings like colitis and laminitis and also injured it when recovering from general anaesthesia. On the other hand standing surgical procedure reduced such complication by using local anaesthetic for short duration.
Bupivacaine Hcl gave an ideal local eye anaesthesia compare to xylocaine Hcl for standing surgical procedures in horses.
The present study was accomplished to assess the effectiveness of two local eye anaesthetics; xylocaine Hcl and bupivacaine Hcl by two different techniques i.e. retrobulbar technique and auriculopalpebral technique in horses. A total of 12 horses from indoor clinic and S.P.C.A were used in this study. These horses were subjected to two groups’ i.e. Group A and B. Each of these groups was further subdivided into two subgroups i.e. Group AI, AII and BI, BII respectively.
SUMMARY
42
Horses in group A were administered xylocaine Hcl through auriculopalpebral technique and retrobulbar technique. While horses of subgroup AI were given xylocaine Hcl by auriculopalpebral technique and horses in subgroup AII were injected xylocaine Hcl by retrobulbar technique.
Likewise horses in subgroup BI were given bupivacaine Hcl by auriculopalpebral technique, while those of subgroup BII were given bupivacaine Hcl through retrobulbar technique. The efficacy of above mentioned local anaesthetics was compared on the basis of Pattern of induction, Duration of anaesthesia and Recovery Pattern. Presence or absence of reflexes was also noted i.e. Pupillary Light Reflex and Blink reflex.
The data were analyzed through one way analysis of variance (ANOVA). The difference in group’s means was determined by Least Significant Difference (LSD) post-hoc test. A probability level of (P<0.05) was considered as statistically significantly difference. The statistical analysis was performed using statistical package for social science (SPSS) version16. Availability: Items available for loan: UVAS Library [Call number: 2679-T] (1).
5.
Comparative Efficacy Of Ketamine-Xylazine-Tramadol Combination With Ketamine-Xylazine-Ketorolac Tromethamine In Dogs
by Ameer Hamza Rabbani (2009-VA-58) | Dr. Hamad Bin Rashid | Prof. Dr. Muhammad Arif Khan | Dr. Mamoona Chaudhry.
Material type: ; Literary form:
not fiction
Publisher: 2017Dissertation note: The study was designed on the premise that use of Ketamine-Xylazine-Tramadol combination was more efficacious in providing better depth of anesthesia and postoperative analgesia than the combination of Ketamine-Xylazine-Ketorolac tromethamine.
Two separate combinations of anesthetic cocktails i.e. ketamine-xylazine-tramadol and ketamine-xylazine-Ketorolac tromethamine were tested for their comparative efficacies. A total of 8 mongrel adult clinically healthy male dogs between 1 to 2 years of age which were presented to clinic for castration, were managed in to two groups comprising 4 (n=4) individuals in each. These groups were designated as group A and B. General and clinical examination of the animal, LFT and RFT were performed prior to surgery. Atropine was administered at dose rate of 0.04mg/kg SC twenty minutes prior to the surgery. Both anesthetic regiments were used respectively in either groups and their efficacy was tested based upon the depth of anesthesia and postoperative analgesia.
In case of group A ketamine was used at a dose rate of 6mg/kg, xylazine at 0.5mg/kg and tramadol at a dose rate of 2mg/kg. These anesthetic agents were administered intramuscularly. The time it took for onset of sedation and depth of anesthesia was monitored, while presence of ocular, oropharyngeal, and anal sphincter reflexes indicated induction, depth, maintenance and recovery from sedation. In case of group B, ketamine was used at a dose rate of 6mg/kg, xylazine at 0.5mg/kg and ketorolac tromethamine at a dose rate of 0.5mg/kg. These anesthetic agents were administered intramuscularly. The time it took for onset of sedation and depth of anesthesia were monitored, while presence of ocular, oropharyngeal, and anal sphincter reflexes indicated induction, depth, maintenance and recovery from sedation. Surgical procedure for castration was
SUMMARY
58
performed as surgical plane of anesthesia was acquired. Postoperatively, Intramuscular antibiotics were injected for 5 days to avoid secondary bacterial infections to wounds. Cleaning of the wound with good antiseptic solution and excellent hygienic measures were adopted to minimize infection. Balanced diet was given to improve health of animals. LFT and RFT were performed preoperatively (baseline), and one hour postoperatively in each dog. The measurements were analyzed as change from baseline in each dog.
The results were statistically analyzed using t-test with significant level 0.05% (p≤0.05), using statistical analysis software Statistica. The results of temperature, pulse and respiration were statistically analyzed using t-test with significant level 0.05% (p≤0.05). Observations pertaining to depth and quality of sedation were analyzed by using t-test with statistical analysis software Statistica. Statistical significance was assigned at p≤0.05.
This study was helpful in determining efficacy of tramadol an opioid against ketorolac tromethamine which is an NSAID. This study emphasized upon discovering the most efficacious adjuvant to anesthetic combination of ketamine and xylazine. This study aimed to reduce the dose of xylazine without compromising the anesthetic effect of the combination while mitigating its side effects as well. This study provided us with a viable analgesic agent which may be administered peri-operatively to provide analgesia during immediate post-surgery period. Furthermore magnitude of improvement in depth of anesthesia helped determine an effective and cheap adjuvant to ketamine-xylazine combination. Availability: Items available for loan: UVAS Library [Call number: 2807-T] (1).
6.
Comparative Efficacy of Different Surgical Techniques and Suturing Patterns for Cystotomy in Rabbits
by Uroosa Anjum (2015-VA-601) | Prof. Dr. Muhammad Arif Khan | Dr. Sadaf Aslam | Dr. Raheela Akhtar.
Material type: ; Literary form:
not fiction
Publisher: 2017Dissertation note: CD Corrupt. Availability: Items available for loan: UVAS Library [Call number: 2814-T] (1).
7.
Treatment Of Long Oblique Tibial Fracture With Intramedullary Pin Alone And Full Cerclage Wires In Cats
by Syed Muhammad Faheem Ahmed (2010-VA-147) | Dr. Ayesha Safdar | Prof. Dr. Muhammad Arif Khan | Dr. Muhammad Zahid Tahir.
Material type: ; Literary form:
not fiction
Publisher: 2017Dissertation note: Fracture of long bone in animals is a challenging problem these days. Leg fractures in cats are quite common problem. 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 tibial fractures in cats, with minimal side effects and stress to the patient.
For the study total twelve adult cats as and when presented at Pet Centre, University of Veterinary & Animal Sciences Lahore, and Saleem Veterinary Clinic and petshop Lahore, having long oblique fracture of tibia irrespective of breed, sex and considering almost similar age group, both stray and domesticated were selected. These cats were divided into three groups i.e groups A, B and C comprising of four cats in each group, and designated as 1, 2 3 and 4 respectively. They were admitted as clinical trial patients and were kept in separate cat cages at Saleem Veterinary Clinic until the completion of the study. Specific tagged collars were applied on all the cats. They were kept under comfortable environment and on a standard commercially available cat feed diet with ad labitum access to water. All the cats of three groups, having long oblique tibial fracture were treated with 3 separate techniques for comparison. In group A, fracture was reduced and immobilized with intramedullary pinning. In group B, fracture was treated with full cerclage wires alone while cats of group C were treated with intramedullary pin and cerclage wires. Thus comparative fracture healing and efficacy of individual techniques in their respective cases were evaluated.
Subsequent comparative parameters were studied which included physical examination of wound, lameness grading, radiological scoring for callus formation, fracture line union, fracture alignment as well as callus remodelling. The collected data regarding study parameters were 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 tibial fracture in cats. 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 and also to counteract different forces acting on the fracture site.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: 2891-T] (1).
