Paul-Alexis Mellet, Les traités monarchomaques. Confusion des temps, résistance armée et monarchie parfaite (1560-1600)

Abstract

Small Animals cats. In a case series 9 of 48 dogs undergoing com-plete liver lobectomy for massive hepatocellular car-cinoma, major intraoperative hemorrhage occurred in 7% of patients, moderate hemorrhage in 2%, and minor hemorrhage in 14%. Two of the 48 (4%) dogs died of intraoperative exsanguination. 9 In another case series 10 involving 29 patients of various species, including cats and dogs, mild intraoperative bleeding was noted during 4 of 32 (12%) lobectomies, and 1 dog developed hemoabdomen after lobectomy and received a packed RBC transfusion. Six of 15 dogs undergoing liver lobectomy received a blood transfu-sion in a third case series. 11 In a case series 12 involving 18 cats undergoing liver lobectomy, transfusion was reportedly required for 11 (61%) cats. 12 Hemorrhage can also occur during liver biopsy, with 4% of small animal patients undergoing laparoscopic liver biopsy reportedly requiring transfusion. 13 These reports sug-gest that hemorrhage requiring blood transfusion is often encountered on an urgent basis during liver lo-bectomy in both dogs and cats. The purpose of the study reported here was to determine the incidence of blood transfusion and postoperative mortality rate (based on survival to hospital discharge) in dogs and cats undergoing liv-er lobectomy. A secondary objective was to evaluate potential associations between specific factors (age, body weight, preoperative hemoabdomen, pre-and postoperative PCV and plasma total solids concen-tration, surgical method of lobectomy, number and specific lobe or lobes removed, concurrent perfor-mance of other surgical procedures, and survival to hospital discharge) and the need for perioperative blood transfusion. We hypothesized that liver lobec-tomy would be associated with a high incidence of blood transfusion but a low mortality rate in dogs and cats. In addition, we hypothesized that there would be an association between the secondary factors evaluated and need for perioperative blood transfusion.