Ultrasound-guided placement of an anchor wire or injection of methylene blue to aid in the intraoperative localization and excision of peripheral lymph nodes in dogs and cats



Rossanese, Matteo, Pierini, Alessio, Pisani, Guido, Freeman, Alistair, Burrow, Rachel, Booth, Malcolm, Marchetti, Veronica and Finotello, Riccardo ORCID: 0000-0002-1932-211X
(2022) Ultrasound-guided placement of an anchor wire or injection of methylene blue to aid in the intraoperative localization and excision of peripheral lymph nodes in dogs and cats. JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION, 260 (S1). S75-S82.

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Abstract

<h4>Objective</h4>To evaluate ultrasound-guided placement of an anchor wire (AW) or injection of methylene blue (MB) to aid in the intraoperative localization of peripheral lymph nodes in dogs and cats.<h4>Animals</h4>125 dogs and 10 cats with a total of 171 lymphadenectomies.<h4>Procedures</h4>Medical records of dogs and cats that underwent peripheral lymphadenectomies with or without (N) the AW or MB localization technique were reviewed. Data retrieved included clinical, surgical, and histologic findings. The proportions of successful lymphadenectomies, lymph node characteristics, and complications among the 3 groups were analyzed.<h4>Results</h4>143 (84%) lymph nodes were successfully excised. Lymphadenectomy success was significantly affected by the localization technique, with 94% for group AW, 87% for group MB, and 72% for group N. Lymph node size was smaller in groups AW and MB, compared with group N. Duration of lymphadenectomy was shorter in group AW, compared with groups MB and N, and in group MB, compared with group N. Intra- (7%) and postoperative (10%) complications and final diagnosis did not significantly differ among groups.<h4>Conclusions and clinical relevance</h4>Both lymph node localization techniques were highly successful and reduced surgery time, compared with unassisted lymphadenectomy. Specifically, these techniques were effective for localization of normal-sized and nonpalpable lymph nodes and were efficient and practical options for peripheral lymphadenectomies, particularly for those that were small or nonpalpable.

Item Type: Article
Uncontrolled Keywords: Lymph Nodes, Animals, Dogs, Cats, Lymphatic Metastasis, Cat Diseases, Dog Diseases, Methylene Blue, Ultrasonography, Interventional, Sentinel Lymph Node Biopsy
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User: Symplectic Admin
Date Deposited: 16 May 2022 07:55
Last Modified: 18 Jan 2023 21:02
DOI: 10.2460/javma.20.09.0499
Open Access URL: https://doi.org/10.2460/javma.20.09.0499
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3154855