Remappings - the Making of European Narratives

How narratives emerge, unfold and impact across Europe today, and how they contribute to redrawing our maps of Europe

Laparoscopic Cisterna Chyli Ablation Combined with Thoracoscopic Thoracic Duct Ligation and Pericardectomy in 5 Dogs and 2 Cats with Idiopathic Chylothorax

Objective: To assess feasibility of a left-sided laparoscopic flank approach for cisterna chyli ablation (CCA) and evaluate effectiveness of a combination of en-block thoracic duct ligation (TDL), sub-phrenic pericardectomy (PC), and CCA in a minimally invasive approach for treatment of idiopathic chylothorax in dogs and cats. Methods: Dogs and cats diagnosed with idiopathic chylothorax were admitted for a minimally invasive surgical treatment combining TDL, PC, and CCA. Results: Five dogs and 2 cats received the minimally invasive combination treatment (TDL + PC + CCA). Two patients were treated for recurrent chylothorax after previous TDL + PC. TDL was performed in sternal recumbence with bilateral approach in 6 cases and unilateral in 1. CCA was successfully performed through a 2-portal left-sided flank approach in sternal recumbence. PC was performed in dorsal recumbence in 6 cases and sternal in 1 cat. Obvious lymph spillage from the cisterna chyli into the abdomen was noted during CCA in all patients. No intraoperative complications occurred. Post-operative complications included development of pyothorax in 1 patient after prolonged maintaining of a thoracic drain, which resolved with antibiotic treatment. Pleural effusion resolved in 4/7 patients (4/5 dogs); 3/7 were eventually euthanized because of continued chylothorax, including both cats. Conclusion: Laparoscopic CCA is feasible through a 2 portal left-sided flank approach in sternal recumbence and seemingly without complications. Further investigation is needed to assess specific value of a combination of all 3 therapies

Laparoscopic Cisterna Chyli Ablation Combined with Thoracoscopic Thoracic Duct Ligation and Pericardectomy in 5 Dogs and 2 Cats with Idiopathic Chylothorax

Objective: To assess feasibility of a left-sided laparoscopic flank approach for cisterna chyli ablation (CCA) and evaluate effectiveness of a combination of en-block thoracic duct ligation (TDL), sub-phrenic pericardectomy (PC), and CCA in a minimally invasive approach for treatment of idiopathic chylothorax in dogs and cats. Methods: Dogs and cats diagnosed with idiopathic chylothorax were admitted for a minimally invasive surgical treatment combining TDL, PC, and CCA. Results: Five dogs and 2 cats received the minimally invasive combination treatment (TDL + PC + CCA). Two patients were treated for recurrent chylothorax after previous TDL + PC. TDL was performed in sternal recumbence with bilateral approach in 6 cases and unilateral in 1. CCA was successfully performed through a 2-portal left-sided flank approach in sternal recumbence. PC was performed in dorsal recumbence in 6 cases and sternal in 1 cat. Obvious lymph spillage from the cisterna chyli into the abdomen was noted during CCA in all patients. No intraoperative complications occurred. Post-operative complications included development of pyothorax in 1 patient after prolonged maintaining of a thoracic drain, which resolved with antibiotic treatment. Pleural effusion resolved in 4/7 patients (4/5 dogs); 3/7 were eventually euthanized because of continued chylothorax, including both cats. Conclusion: Laparoscopic CCA is feasible through a 2 portal left-sided flank approach in sternal recumbence and seemingly without complications. Further investigation is needed to assess specific value of a combination of all 3 therapies

Skin and subcutaneous tumors.

In dogs, approximately 25–30% of all neoplasms are reported to arise in the skin. The World Health Organization has a detailed histologic classification scheme for mesenchymal and epithelial skin tumors of domestic animals. All skin and subcutaneous masses should have fine needle aspiration cytology performed as part of the diagnostic process before surgical intervention. Appropriate treatment options in an individual case are based on the tumor type and degree of local tumor disease, the results of staging tests, the presence or absence of metastases, and the overall condition of the patient. Surgery can be used as the sole treatment modality or incombination with chemotherapy, radiation therapy, or other adjunctive treatments. The chapter covers mast cell tumors (MCTs) and soft tissue sarcomas. MCTs are the most common malignant cutaneous tumor in dogs and the second most common cutaneous tumor in cats. The treatment of choice for local cutaneous melanoma in both the cat and dog is surgical excision

Skin and subcutaneous tumors.

In dogs, approximately 25–30% of all neoplasms are reported to arise in the skin. The World Health Organization has a detailed histologic classification scheme for mesenchymal and epithelial skin tumors of domestic animals. All skin and subcutaneous masses should have fine needle aspiration cytology performed as part of the diagnostic process before surgical intervention. Appropriate treatment options in an individual case are based on the tumor type and degree of local tumor disease, the results of staging tests, the presence or absence of metastases, and the overall condition of the patient. Surgery can be used as the sole treatment modality or incombination with chemotherapy, radiation therapy, or other adjunctive treatments. The chapter covers mast cell tumors (MCTs) and soft tissue sarcomas. MCTs are the most common malignant cutaneous tumor in dogs and the second most common cutaneous tumor in cats. The treatment of choice for local cutaneous melanoma in both the cat and dog is surgical excision