Publications by authors named "Penny J Regier"

Objective: To compare survival and report perioperative complications in cats undergoing surgery for small intestinal (SI) linear (LFBO) and discrete (DFBO) foreign body obstructions (FBO). To report success of a red rubber catheter technique (RRCT) to remove LFBOs.

Study Design: Retrospective study.

View Article and Find Full Text PDF

Objective: To report gross anatomical gastrointestinal measurements and compare enterotomy leak pressures between fresh and cooled feline cadavers.

Study Design: Ex vivo, randomized study.

Animals: Fresh feline cadavers (n = 20).

View Article and Find Full Text PDF
Article Synopsis
  • The study compared construction time and leak testing between hand-sewn and skin staple techniques for intestinal surgeries in cats.
  • Hand-sewn anastomoses took significantly longer to complete compared to skin staple anastomoses, but both methods showed no significant difference in intraluminal pressure.
  • While skin staple enterotomies were much faster than hand-sewn enterotomies, they had lower intraluminal pressure and higher rates of leakage, suggesting that skin staple enterotomies are less reliable than hand-sewn methods.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigated the use of near-infrared fluorescence (NIRF) to assess the viability of gastric tissue in dogs suffering from gastric dilatation and volvulus (GDV).
  • It involved 20 dogs with GDV alongside 20 healthy dogs, comparing subjective assessments of gastric viability with NIRF imaging results.
  • NIRF effectively identified nonviable gastric tissue, influencing surgical decisions in some cases, suggesting its potential as a valuable tool in surgical practice for better outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to compare the construction time and leakage resistance of five intestinal anastomosis techniques in cats while also measuring normal gastrointestinal thickness.
  • A total of 120 segments of cat intestines were used to test techniques, including hand-sewn and stapled methods, measuring factors like time taken and internal pressure after construction.
  • Results showed that while all methods prevented leakage beyond normal pressure levels, stapled techniques were significantly faster to perform compared to hand-sewn methods.
View Article and Find Full Text PDF
Article Synopsis
  • A 1-year-old male shih tzu was treated for persistent urinary tract infections, prostatitis, and urine dribbling that didn't improve with medication.
  • A physical exam and CT scan showed the dog had a micropenis with an unusually large prepuce, leading to a surgical procedure involving preputial shortening.
  • Following the surgery, the dog had a successful recovery, ultimately resolving his urine dribbling and recurrent UTIs within a year, suggesting that this surgical technique can significantly improve quality of life in similar cases.
View Article and Find Full Text PDF

Objective: To describe the feasibility and technique for performing laparoscopic ultrasound (LUS) of the liver in dogs.

Animals: 12 client-owned dogs presenting for elective laparoscopic surgery from January 1, 2022, to October 31, 2022.

Methods: Laparoscopic exploration and LUS of the liver were performed in all dogs.

View Article and Find Full Text PDF

Objective: To compare the effect of a geometric, landmark-guided lymphadenectomy (LL) approach to peripheral lymph nodes (LNs) on successful LN identification, surgical time, tissue trauma, and ease of LN identification compared to standard lymphadenectomy (SL) and methylene blue-guided lymphadenectomy (MBL).

Sample: 18 adult, mixed-breed canine cadavers operated on by 7 veterinarians and 5 fourth-year veterinary students between July 23 and October 12, 2022.

Methods: Participants were provided standardized, publicly available materials regarding the anatomy and surgical techniques for SL of 3 peripheral lymphocentrums: superficial cervical, axillary (ALN), and superficial inguinal (SILN).

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to compare complications and variables related to two surgical techniques—staphylectomy (S) and folded flap palatoplasty (FFP)—in dogs with elongated soft palates.
  • Data from 124 client-owned dogs showed that while FFP had longer surgery and anesthesia durations, both procedures had similar rates of anesthetic complications, postoperative regurgitation, and hospitalization durations.
  • Ultimately, neither technique showed major differences in outcomes aside from the time required, suggesting that clinical judgment should guide the choice of procedure due to inherent study limitations.
View Article and Find Full Text PDF

Objective: To evaluate the short- and long-term outcomes of dogs undergoing surgical ligation for a left-to-right shunting patent ductus arteriosus (PDA), identify risk factors for intraoperative hemorrhage and intra- and postoperative complications, and report overall mortality rates.

Animals: 417 client-owned dogs undergoing surgical ligation for a left-to-right shunting PDA between January 2010 and January 2020.

Procedures: Data recorded included patient signalment, echocardiogram findings, intraoperative complications and mortality, postoperative complications, and short- and long-term outcomes.

View Article and Find Full Text PDF

Objective: To investigate sidestream dark field (SDF) videomicroscopy as an objective measure of intestinal viability and determine the effects of enterectomy techniques on intestinal microvasculature in dogs with foreign body obstructions.

Study Design: Prospective, randomized, clinical trial.

Animals: A total of 24 dogs with an intestinal foreign body obstruction and 30 systemically healthy dogs.

View Article and Find Full Text PDF

Objective: To utilize the geometry of superficial anatomic landmarks to guide incisional location and orientation for peripheral lymphadenectomy, document deep anatomic landmarks for lymphocentrum identification, and develop novel surgical approaches to the superficial cervical, axillary, and superficial inguinal lymphocentrums in dogs.

Animals: 12 canine cadavers.

Procedures: 2 cadavers were used for a pilot investigation to determine optimal body positioning, select superficial anatomic landmarks for lymphocentrum identification, and evaluate novel surgical approaches to the 3 lymphocentrums.

View Article and Find Full Text PDF

This experimental study compared leak pressures and completion time of intestinal anastomoses performed by novice veterinarians and a Board-certified surgeon using simple interrupted and simple continuous suture patterns. Grossly normal jejunal segments ( = 108) from 6 fresh canine cadavers were used to harvest 8-cm cooled canine cadaveric jejunal segments that were randomly assigned to a control group (12 segments) and 4 treatment groups (24 segments/group, 12 constructs/group): i) simple interrupted anastomoses performed by a Board-certified surgeon (BSI); ii) simple continuous anastomoses performed by a Board-certified surgeon (BSC); iii) simple interrupted anastomoses performed by novice veterinarians (NSI); and iv) simple continuous anastomoses performed by novice veterinarians (NSC). Median (range) initial leak pressure (ILP) for control was 400.

View Article and Find Full Text PDF

Objective: To describe the embolization technique and short-term clinical outcome in dogs undergoing lymphatic embolization (LE) as part of treatment for presumptive idiopathic chylothorax (IC). Additionally, to document findings in computed tomography lymphangiography (CTLa) following embolization.

Study Design: Prospective case series.

View Article and Find Full Text PDF

Objective: To describe veterinary house officers' perceptions of dimensions of well-being during postgraduate training and to identify potential areas for targeted intervention.

Sample: 303 house officers.

Procedures: A 62-item questionnaire was generated by use of an online platform and sent to house officers at participating institutions in October 2020.

View Article and Find Full Text PDF

Objective: To determine the outcome in dogs diagnosed with congenital extrahepatic portosystemic shunts (EHPSS) at ≥ 5 years of age treated with medical management only (M) or with surgical attenuation (S). The hypothesis was that dogs undergoing surgical attenuation would have a longer survival time than dogs undergoing medical management only.

Animals: 351 dogs definitively diagnosed with EHPSS at ≥ 5 years of age.

View Article and Find Full Text PDF
Article Synopsis
  • The article reviews common anastomosis techniques used in veterinary medicine, focusing on both handsewn and stapled methods.
  • It compares variations in suture patterns, materials, and stapling equipment, while also addressing surgical reinforcement techniques and leak testing.
  • Additionally, it touches on ongoing research aimed at improving the assessment of intestinal tissue viability to enhance patient outcomes.
View Article and Find Full Text PDF

Objective: To provide updated information on the distribution of histopathologic types of primary pulmonary neoplasia in dogs and evaluate the effect of postoperative adjuvant chemotherapy in dogs with pulmonary carcinoma.

Animals: 340 dogs.

Procedures: Medical records of dogs that underwent lung lobectomy for removal of a primary pulmonary mass were reviewed, and histopathologic type of lesions was determined.

View Article and Find Full Text PDF

Objective: To evaluate outcomes of dogs with parathyroid carcinoma (PTC) treated by surgical excision and to describe the incidence of postoperative hypocalcemia, degree of hypocalcemia, duration of hospitalization, duration of calcium supplementation, and survival time.

Animals: 100 client-owned dogs with PTC admitted to academic, referral veterinary institutions.

Procedures: In a retrospective multi-institutional study, medical records of dogs undergoing surgical excision of PTC between 2010 to 2019 were reviewed.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to assess whether using saline or air for intraluminal injection could better detect leakage in enterotomy closures in canine jejunal segments.
  • Results showed that air injections led to lower leak pressures compared to saline, indicating that air may be a more effective option for detecting leaks during surgery.
  • Overall, the findings suggest that using air for leak testing in small intestinal enterotomy closures can improve sensitivity and precision, which has important implications for surgical practices.
View Article and Find Full Text PDF

Objective: To compare the rate of postoperative dehiscence on the basis of intraoperative anastomotic leak test results (ie, positive or negative for leakage or testing not performed) between dogs that underwent hand-sewn anastomosis (HSA) or functional end-to-end stapled anastomosis (FEESA) of the small intestine.

Animals: 131 client-owned dogs that underwent 144 small intestinal anastomoses (94 FEESA and 50 HSA).

Procedures: Medical records were searched to identify dogs that had undergone a small intestinal anastomosis (HSA or FEESA) from January 2008 through October 2019.

View Article and Find Full Text PDF

Objective: To determine the feasibility of laparoscopic liver lobectomy (LLL) in dogs by using canine cadavers and to describe the clinical application in dogs with liver disease.

Study Design: Ex vivo experiment and descriptive case series.

Sample Population: Twelve canine cadavers and six client-owned dogs.

View Article and Find Full Text PDF

Objective: To determine and report the diagnosis, treatment, and outcome in dogs with persistent right aortic arch (PRAA) with an aberrant left subclavian artery (ALS) that underwent thoracoscopic surgery.

Animals: Dogs with PRAA and an ALS (n = 5).

Study Design: Short case series.

View Article and Find Full Text PDF

A 5 mo old male intact English bulldog was evaluated at a veterinary referral hospital for acute respiratory distress and chronic difficulty breathing. Thoracic radiographs revealed multifocal pulmonary hyperinflation and hyperlucency suspected in the left caudal and accessory lung lobes. A thoracic computed tomography scan identified severe diffuse enlargement of the caudal subsegment of the left cranial lung lobe and the dorsal process of the accessory lung lobe, with parenchymal hypoattenuation, rounded margins, and thin pulmonary vessels.

View Article and Find Full Text PDF