Laparoscopic Diagnosis and Treatment of Gossypiboma Postconventional Ovariohysterectomy in a Bitch

Introduction. Gossypiboma is a rare surgical complication in small animals. The authors reported the laparoscopic diagnosis and treatment of an abdominal gossypiboma and chronic draining fistula postopen ovariohysterectomy (OVH) unresponsive to medical treatment in a bitch. Case Presentation. The pa...

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Main Authors: Maurício Veloso Brun, Paula Cristina Basso, Marília Teresa de Oliveira, Fabíola Dalmolin, Saulo Tadeu Lemos Pinto-Filho, Helen Fialho Hartmann, Stephanie Lanzarini Abati, Marco Augusto Machado-Silva, Daniel Curvello de Mendonça Müller, Francisco Miguel Sanchez-Margallo
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Veterinary Medicine
Online Access:http://dx.doi.org/10.1155/2021/5381079
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author Maurício Veloso Brun
Paula Cristina Basso
Marília Teresa de Oliveira
Fabíola Dalmolin
Saulo Tadeu Lemos Pinto-Filho
Helen Fialho Hartmann
Stephanie Lanzarini Abati
Marco Augusto Machado-Silva
Daniel Curvello de Mendonça Müller
Francisco Miguel Sanchez-Margallo
author_facet Maurício Veloso Brun
Paula Cristina Basso
Marília Teresa de Oliveira
Fabíola Dalmolin
Saulo Tadeu Lemos Pinto-Filho
Helen Fialho Hartmann
Stephanie Lanzarini Abati
Marco Augusto Machado-Silva
Daniel Curvello de Mendonça Müller
Francisco Miguel Sanchez-Margallo
author_sort Maurício Veloso Brun
collection DOAJ
description Introduction. Gossypiboma is a rare surgical complication in small animals. The authors reported the laparoscopic diagnosis and treatment of an abdominal gossypiboma and chronic draining fistula postopen ovariohysterectomy (OVH) unresponsive to medical treatment in a bitch. Case Presentation. The patient had undergone OVH and exploratory laparotomy in other veterinary practice 3 years previously. The animal, presenting a chronic fistula, was then referred to UFSM Veterinary Hospital. Ultrasonographic examination revealed a structure compatible with a granuloma. For the laparoscopic procedure, a 3-port (two at 11 mm; one at 6 mm) access was used. Adhesiolysis and mass removal were performed by blunt dissection and bipolar electrocoagulation. The fistula was treated by mobilising the omentum through it. There were no intra- or postoperative complications. The chronic wound showed first intention healing. The mass was composed of fibrous tissues surrounding one surgical gauze. Discussion and Conclusion. The removal of a retained surgical gauze in the abdomen by laparoscopy has already been described in medicine. However, a laparoscopic approach for treating a fistulous draining tract due to a gossypiboma has not been previously reported in dogs. Laparoscopic exploration of the fistula allowed the use of a pedicled omental flap through infected sites to control chronic infection. Laparoscopic surgery can be used to identify and treat abdominal gossypiboma in dogs, including those with chronic abdominal sinus.
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spelling doaj-art-73bc3c97543742b3bcc27061b263f02d2025-02-03T01:25:07ZengWileyCase Reports in Veterinary Medicine2090-70012090-701X2021-01-01202110.1155/2021/53810795381079Laparoscopic Diagnosis and Treatment of Gossypiboma Postconventional Ovariohysterectomy in a BitchMaurício Veloso Brun0Paula Cristina Basso1Marília Teresa de Oliveira2Fabíola Dalmolin3Saulo Tadeu Lemos Pinto-Filho4Helen Fialho Hartmann5Stephanie Lanzarini Abati6Marco Augusto Machado-Silva7Daniel Curvello de Mendonça Müller8Francisco Miguel Sanchez-Margallo9Universidade Federal de Santa Maria (UFSM), Santa Maria-RS, BrazilHospital Veterinário Universitário-UFSM, Santa Maria-RS, BrazilUniversidade Federal do Pampa (UNIPAMPA), Uruguaiana-RS, BrazilUniversidade Federal da Fronteira Sul (UFFS), Realeza-PR, BrazilUniversidade Federal de Santa Maria (UFSM), Santa Maria-RS, BrazilUniversidade Federal de Santa Maria (UFSM), Santa Maria-RS, BrazilUniversidade Federal de Santa Maria (UFSM), Santa Maria-RS, BrazilUniversidade Federal de Goiás (UFG), Goiâna-GO, BrazilUniversidade Federal de Santa Maria (UFSM), Santa Maria-RS, BrazilCentro de Cirugía de Mínima Invasión Jesús Usón (CCMIJU), Cáceres-EX, SpainIntroduction. Gossypiboma is a rare surgical complication in small animals. The authors reported the laparoscopic diagnosis and treatment of an abdominal gossypiboma and chronic draining fistula postopen ovariohysterectomy (OVH) unresponsive to medical treatment in a bitch. Case Presentation. The patient had undergone OVH and exploratory laparotomy in other veterinary practice 3 years previously. The animal, presenting a chronic fistula, was then referred to UFSM Veterinary Hospital. Ultrasonographic examination revealed a structure compatible with a granuloma. For the laparoscopic procedure, a 3-port (two at 11 mm; one at 6 mm) access was used. Adhesiolysis and mass removal were performed by blunt dissection and bipolar electrocoagulation. The fistula was treated by mobilising the omentum through it. There were no intra- or postoperative complications. The chronic wound showed first intention healing. The mass was composed of fibrous tissues surrounding one surgical gauze. Discussion and Conclusion. The removal of a retained surgical gauze in the abdomen by laparoscopy has already been described in medicine. However, a laparoscopic approach for treating a fistulous draining tract due to a gossypiboma has not been previously reported in dogs. Laparoscopic exploration of the fistula allowed the use of a pedicled omental flap through infected sites to control chronic infection. Laparoscopic surgery can be used to identify and treat abdominal gossypiboma in dogs, including those with chronic abdominal sinus.http://dx.doi.org/10.1155/2021/5381079
spellingShingle Maurício Veloso Brun
Paula Cristina Basso
Marília Teresa de Oliveira
Fabíola Dalmolin
Saulo Tadeu Lemos Pinto-Filho
Helen Fialho Hartmann
Stephanie Lanzarini Abati
Marco Augusto Machado-Silva
Daniel Curvello de Mendonça Müller
Francisco Miguel Sanchez-Margallo
Laparoscopic Diagnosis and Treatment of Gossypiboma Postconventional Ovariohysterectomy in a Bitch
Case Reports in Veterinary Medicine
title Laparoscopic Diagnosis and Treatment of Gossypiboma Postconventional Ovariohysterectomy in a Bitch
title_full Laparoscopic Diagnosis and Treatment of Gossypiboma Postconventional Ovariohysterectomy in a Bitch
title_fullStr Laparoscopic Diagnosis and Treatment of Gossypiboma Postconventional Ovariohysterectomy in a Bitch
title_full_unstemmed Laparoscopic Diagnosis and Treatment of Gossypiboma Postconventional Ovariohysterectomy in a Bitch
title_short Laparoscopic Diagnosis and Treatment of Gossypiboma Postconventional Ovariohysterectomy in a Bitch
title_sort laparoscopic diagnosis and treatment of gossypiboma postconventional ovariohysterectomy in a bitch
url http://dx.doi.org/10.1155/2021/5381079
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