Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series

Foreign bodies (FBs) retained in the subcutaneous tissues are a common reason for medical consultation. In small animals, FBs usually consist of vegetal materials, especially grass awns. Failure to remove the FBs is likely to give rise to acute or late complications. The surgical removal of the FBs...

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Main Authors: Sabrina Manfredi, Gianmaria Covi, Mattia Bonazzi, Giacomo Gnudi, Martina Fumeo, Francesca Miduri, Eleonora Daga, Antonella Volta
Format: Article
Language:English
Published: Czech Academy of Agricultural Sciences 2020-02-01
Series:Veterinární Medicína
Subjects:
Online Access:https://vetmed.agriculturejournals.cz/artkey/vet-202002-0001_ultrasound-guided-removal-of-soft-tissue-foreign-bodies-in-companion-animals-a-case-series.php
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author Sabrina Manfredi
Gianmaria Covi
Mattia Bonazzi
Giacomo Gnudi
Martina Fumeo
Francesca Miduri
Eleonora Daga
Antonella Volta
author_facet Sabrina Manfredi
Gianmaria Covi
Mattia Bonazzi
Giacomo Gnudi
Martina Fumeo
Francesca Miduri
Eleonora Daga
Antonella Volta
author_sort Sabrina Manfredi
collection DOAJ
description Foreign bodies (FBs) retained in the subcutaneous tissues are a common reason for medical consultation. In small animals, FBs usually consist of vegetal materials, especially grass awns. Failure to remove the FBs is likely to give rise to acute or late complications. The surgical removal of the FBs can be invasive, costly and technically challenging. Ultrasound has become a mainstay in the detection of FBs and it can be used to guide the extraction of the FBs with a minimally invasive technique. This study describes the detection and extraction of soft-tissue FBs in small animals. One hundred-sixty-two patients, presenting at two veterinary clinics with suspected FBs retained in the soft tissues of various body districts, were considered. Once an ultrasound diagnosis was established, the ultrasound-guided removal of the FB was performed. A high-frequency linear transducer, a skin disinfection, sedation or anaesthesia was used when needed and a scalpel and some Hartmann forceps were also used. One hundred-eighty-two FBs were successfully removed in all the patients. In six cases, the FB was identified during a second ultrasonographic examination, after recurrence of the fistula. No complications were reported after the procedure. The extraction of the FB was performed in an echographic suite in 138 cases and in a surgery room with surgical intervention in 24 cases. In the latter situation, the surgical minimally invasive dissection of tissues under ultrasound guidance was performed before the removal of the FB. In conclusion, the ultrasound-guided removal of the FBs retained in the superficial soft tissue can be considered a good alternative to surgery. However, failure to remove a FB does not preclude the removal by traditional surgery.
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spelling doaj.art-447a4e358a5741078e76637ff0288ff22023-02-23T03:50:58ZengCzech Academy of Agricultural SciencesVeterinární Medicína0375-84271805-93922020-02-01652495510.17221/18/2019-VETMEDvet-202002-0001Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case seriesSabrina Manfredi0Gianmaria Covi1Mattia Bonazzi2Giacomo Gnudi3Martina Fumeo4Francesca Miduri5Eleonora Daga6Antonella Volta7Department of Veterinary Science, University of Parma, Parma, ItalyAmbulatorio Veterinary Health Center, Fabbrico, Reggio Emilia, ItalyCasa di Cura San Geminiano, Strada Bellaria, Modena, ItalyDepartment of Veterinary Science, University of Parma, Parma, ItalyDepartment of Veterinary Science, University of Parma, Parma, ItalyDepartment of Veterinary Science, University of Parma, Parma, ItalyDepartment of Veterinary Science, University of Parma, Parma, ItalyDepartment of Veterinary Science, University of Parma, Parma, ItalyForeign bodies (FBs) retained in the subcutaneous tissues are a common reason for medical consultation. In small animals, FBs usually consist of vegetal materials, especially grass awns. Failure to remove the FBs is likely to give rise to acute or late complications. The surgical removal of the FBs can be invasive, costly and technically challenging. Ultrasound has become a mainstay in the detection of FBs and it can be used to guide the extraction of the FBs with a minimally invasive technique. This study describes the detection and extraction of soft-tissue FBs in small animals. One hundred-sixty-two patients, presenting at two veterinary clinics with suspected FBs retained in the soft tissues of various body districts, were considered. Once an ultrasound diagnosis was established, the ultrasound-guided removal of the FB was performed. A high-frequency linear transducer, a skin disinfection, sedation or anaesthesia was used when needed and a scalpel and some Hartmann forceps were also used. One hundred-eighty-two FBs were successfully removed in all the patients. In six cases, the FB was identified during a second ultrasonographic examination, after recurrence of the fistula. No complications were reported after the procedure. The extraction of the FB was performed in an echographic suite in 138 cases and in a surgery room with surgical intervention in 24 cases. In the latter situation, the surgical minimally invasive dissection of tissues under ultrasound guidance was performed before the removal of the FB. In conclusion, the ultrasound-guided removal of the FBs retained in the superficial soft tissue can be considered a good alternative to surgery. However, failure to remove a FB does not preclude the removal by traditional surgery.https://vetmed.agriculturejournals.cz/artkey/vet-202002-0001_ultrasound-guided-removal-of-soft-tissue-foreign-bodies-in-companion-animals-a-case-series.phpsonographyextractiongrass awndogscats
spellingShingle Sabrina Manfredi
Gianmaria Covi
Mattia Bonazzi
Giacomo Gnudi
Martina Fumeo
Francesca Miduri
Eleonora Daga
Antonella Volta
Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series
Veterinární Medicína
sonography
extraction
grass awn
dogs
cats
title Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series
title_full Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series
title_fullStr Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series
title_full_unstemmed Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series
title_short Ultrasound-guided removal of soft tissue foreign bodies in companion animals: A case series
title_sort ultrasound guided removal of soft tissue foreign bodies in companion animals a case series
topic sonography
extraction
grass awn
dogs
cats
url https://vetmed.agriculturejournals.cz/artkey/vet-202002-0001_ultrasound-guided-removal-of-soft-tissue-foreign-bodies-in-companion-animals-a-case-series.php
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