Veterinary Endoscopy for the Small Animal Practitioner. Группа авторов

in a 12‐year‐old spayed female La...Figure 9.144 A pericardium with mesothelial reaction suspicious of mesotheli...Figure 9.145 A metastatic thyroid carcinoma lesion on the base of the aorta ...Figure 9.146 Inflammatory pericarditis in a spayed female Whippet of unknown...Figure 9.147 Mesothelioma nodules on the internal surface of the pericardium...Figure 9.148 A solid sheet of mesothelioma lining the pericardium in a neute...Figure 9.149 A completed pericardial window in a patient with a heart base t...Figure 9.150 Elevation of the pericardium looking cranially from the paraxip...Figure 9.151 Using a 30° telescope with the angle directed down in the same ...Figure 9.152 Additional elevation with two instruments and the 30° telescope...Figure 9.153 A large dark purple heart base tumor in a ten‐year‐old neutered...Figure 9.154 A heart base tumor with areas of multiple different appearances...Figure 9.155 A heart base tumor with the appearance of blood clots of differ...Figure 9.156 Biopsy of a pleural mesothelioma nodule using 5 mm diameter opp...Figure 9.157 Biopsy of a large mesothelioma mass on the parietal pleura in a...Figure 9.158 Biopsy of a pleural lesion in a dog with chylothorax. The lesio...Figure 9.159 A metastatic mass on the parietal pleura of a 12‐year‐old neute...Figure 9.160 An inoperable cranial mediastinal mass biopsied with the patien...Figure 9.161 A primary osteosarcoma in the chest wall of a 16‐month‐old neut...Figure 9.162 Biopsy of an enlarged hilar lymph node in a 6‐year‐old spayed f...Figure 9.163 Placement of 5 mm diameter opposing cup or clam shell biopsy fo...Figure 9.164 Placement of 5 mm biopsy forceps at the margin of a focal lung ...Figure 9.165 A defect in the margin of normal appearing lung tissue after a ...Figure 9.166 The biopsy site at the side of the focal lung lesion seen in Fi...Figure 9.167 Abnormal lung tissue in the cranial portion of the left cranial...Figure 9.168 The cut end of the resected left cranial lung lobe after applic...Figure 9.169 Abnormal lung tissue involving the right cranial and middle lun...Figure 9.170 An articulated EndoGIA linear stapler is positioned across the ...Figure 9.171 The lobectomy resection site after removal of the stapler and r...Figure 9.172 This is the authors preference for operating room setup and pat...Figure 9.173 An alternative operating room setup, patient positioning, and p...Figure 9.174 The authors preferred portal placement for pericardial window s...Figure 9.175 An alternative for portal placement for pericardial window surg...Figure 9.176 A pericardial window can also be created with the patient in le...Figure 9.177 Pericardial window surgery portal placement when the patient is...Figure 9.178 Grasping the pericardium with 5 mm diameter aggressive rat toot...Figure 9.179 Excessive fat covering the pericardium and preventing access to...Figure 9.180 Reactive loose pleura on the pericardium interfering with visua...Figure 9.181 Grasping forceps elevating tissue in a patient where it cannot ...Figure 9.182 Grasping forceps with a grip that has clearly elevated the peri...Figure 9.183 Dissecting pleura and fat off of the pericardium to provide acc...Figure 9.184 Metzenbaum scissors positioned to cut into the pericardium in F...Figure 9.185 Cutting pericardium with scissors after initial penetration and...Figure 9.186 Elevation of the pericardium is maintained with the grasping fo...Figure 9.187 The procedure is continued until a patch of pericardium approxi...Figure 9.188 In this picture there is loss of pericardial elevation during c...Figure 9.189 The same patient as in Figure 9.188 with the grasping forceps r...Figure 9.190 This image demonstrates grasping forceps with a position that d...Figure 9.191 Thickened pericardial tissue may require more robust scissors t...Figure 9.192 Using a 5 mm vessel sealing device to create a pericardial wind...Figure 9.193 A thickened highly vascular pericardium in an 8‐year‐old neuter...Figure 9.194 Removing pericardial window tissue through a 6 mm EndoTIP cannu...Figure 9.195 Extracting pericardial window tissue with a significant adipose...Figure 9.196 Performing a subtotal pericardiectomy for treatment of chylotho...Figure 9.197 Subtotal pericardiectomy being performed in a 3‐year‐old neuter...Figure 9.198 Completed subtotal pericardiectomy in a dog with no visible per...Figure 9.199 Completed subtotal pericardiectomy in a cat with no visible per...Figure 9.200 Abnormal lung tissue in the ventral margin of the caudal portio...Figure 9.201 Positioning an articulating EndoGIA stapling device across the ...Figure 9.202 The stapling cartridge in Figure 9.201 was too short leaving a ...Figure 9.203 Completion of transection of lung tissue for this partial lung ...Figure 9.204 The resection line of a partial lobectomy of the right cranial ...Figure 9.205 Positioning of an EndoGIA stapling device on the ventral margin...Figure 9.206 The sealed staple line following partial lung lobectomy in the ...Figure 9.207 Running saline over a partial lung lobectomy site done with an ...Figure 9.208 Operating room arrangement for total lobectomy of a left crania...Figure 9.209 Operating room arrangement for total lobectomy of a left caudal...Figure 9.210 Portal placement for total lobectomy of the right caudal lung l...Figure 9.211 Portal placement for total lobectomy of the right cranial lung ...Figure 9.212 A 5 mm diameter vessel sealing device in position demonstrating...Figure 9.213 Cutting an avascular dorsal pulmonary ligament of the left caud...Figure 9.214 The activated vessel sealing device on the dorsal pulmonary lig...Figure 9.215 An EndoGIA stapler placed across the hilus of the left caudal l...Figure 9.216 A second EndoGIA stapler placed across the untransected portion...Figure 9.217 A tissue retrieval bag being used to remove a resected lung lob...Figure 9.218 The right cranial lung lobe elevated to expose the hilus in a p...Figure 9.219 The hilar resection site in the right cranial lung lobe seen in...Figure 9.220 A stapling device on the hilus of the cranial portion of the le...Figure 9.221 The hilar resection site in the left cranial portion of the lef...Figure 9.222 Operating room setup for combined thoracic duct occlusion and s...Figure 9.223 Portal placement for thoracic duct occlusion and subtotal peric...Figure 9.224 Pleural reaction with thickening in a 9‐year‐old spayed female ...Figure 9.225 Pleural reaction with thickening in a three‐year‐old neutered m...Figure 9.226 Incising the thickened pleura in the dog in Figure 9.224 expose...Figure 9.227 Incised thickened pleura in the cat in Figure 9.226 with expose...Figure 9.228 Clips applied after dissection of multiple thoracic duct branch...Figure 9.229 Dissected periaortic tissue in the cat seen in Figures 9.225 an...Figure 9.230 Portal placement for correction of persistent right aortic arch...Figure 9.231 Exposure and identification of the ligamentum arteriosum by sha...Figure 9.232 The ligamentum arteriosum is isolated from the esophagus and su...Figure 9.233 Patency of the ligamentum arteriosum in many patients requires ...Figure 9.234 Dissection over the constricted area of the esophagus is contin...Figure 9.235 Dissection of the cranial mediastinal mass shown in Figure 9.83...Figure 9.236 Completed dissection of the mass in Figure 9.235 with removal t...Figure 9.237 Dissection of a cranial mediastinal ectopic thyroid carcinoma i...Figure 9.238 The tumor site after complete resection of the ectopic thyroid ...Figure 9.239 Resecting a large vascular lymphocyte rich thymoma from the cra...Figure 9.240 Completed resection of the cranial mediastinal mass in Figure 9...Figure 9.241 The reactive ventral mediastinum in a five‐year‐old intact male...Figure 9.242 Transection of reactive caudal mediastinal tissue in the same p...Figure 9.243 Completed resection of the caudal mediastinal mass seen in Figu...Figure 9.244 Removing one of 45 porcupine quills seen in Figure 9.92 from th...Figure 9.245 Removing the quill from the patient seen in Figure 9.61 using 5...Figure 9.246 The quill in Figure 9.245 after it was withdrawn from its posit...Figure 9.247 The lung lesion caused by the porcupine quill shown being remov...Figure 9.248 A porcupine quill protruding from the heart of a dog with multi...Figure 9.249 A lung penetration with air leakage caused during portal placem...

      10 Chapter 10Figure 10.1 Normal canine ear model.Figure 10.2 Video otoscope in the intertragic incisure (notch). This is the ...Figure 10.3 Luminal fold at the entrance to the horizontal ear canal. This p...Figure 10.4 Normal stenosis (lateral compression) of horizontal canal just i...Figure 10.5 Normal vasculature – canine ear canal (indicated by the arrows);...Figure 10.6 Hairs growing on the floor of the horizontal canal, just in fron...Figure 10.7 Normal canine tympanic membrane.Figure 10.8 Normal canine tympanic membrane with “normal” dilated pars flacc...Figure 10.9 Another example of a normal canine tympanic membrane.Figure 10.10 Normal tympanic membrane of the cat.Figure 10.11 Canine middle ear. Cadaver scull preparation.Figure 10.12 Canine middle ear. Cadaver preparation with soft tissues in pla...Figure 10.13 Feline middle ear. Cadaver skull.Figure 10.14 Normal feline middle ear with tympanum removed; other soft tiss...Figure 10.15 Canine ear. Dilated, fluid‐filled ceruminous glands associated ...Figure 10.16 Canine chronic, proliferative otitis externa with fibroprolifer...Figure 10.17 Feline concurrent otitis media and externa. Tympanum is thicken...Figure 10.18 Feline otitis media from Figure 10.15. Ear cleaned and dried. M...Figure 10.19 Chronic canine otitis media and externa. The canal was cleaned ...Figure 10.20 Video otoscope cone with working channel attached to a single‐c...Figure 10.21 Otoscope