{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,7,29]],"date-time":"2023-07-29T04:19:16Z","timestamp":1690604356854},"reference-count":12,"publisher":"American Veterinary Medical Association (AVMA)","license":[{"start":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T00:00:00Z","timestamp":1693440000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2023,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"sc_a1\">\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Current cystotomy methods often implement the use of off-label devices, resulting in urocystolith extraction difficulty and potentially leading to postoperative complications and discomfort for the patient. The objective of this study was to create 3 novel 3-D printed cystotomy spoons that offer a dedicated solution for removing urocystoliths from a patient's urinary bladder.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a2\">\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>Clinical use of the 3 novel 3-D printed cystotomy spoons were ultimately evaluated in 4 dogs and 1 cat that presented for urocystotlith removal at 3 different veterinary hospitals in northwest Arkansas.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a3\">\n<jats:title>METHODS<\/jats:title>\n<jats:p>The novel cystotomy spoons were designed using SolidWorks, 3-D printed with a Dental Surgical Guide resin, and underwent prototype testing that included chlorhexidine soaking, autoclave sterilization, 3-point bend testing, and Finite Element Analysis. The efficiency of the spoons was then evaluated through a limited proof-of-concept study utilizing a postoperative questionnaire for the participating clinicians.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a4\">\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Practitioner feedback indicated positive experiences using 1 or more of the novel 3-D printed cystotomy spoons while performing a cystotomy surgery. However, successful use of the spoons was ultimately limited to dogs in the 23 to 34 kg weight range.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sc_a5\">\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Novel 3-D printed cystotomy spoons have the potential to mediate urocystolith extraction difficulty and reduce postoperative complications. Additionally, this research demonstrates how veterinarians might develop custom 3-D models and prints to meet patient-specific needs. As such, further development could impact the standard of healthcare and the veterinary industry by promoting the use of additive manufacturing in veterinary medicine.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/ajvr.23.02.0038","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T12:53:01Z","timestamp":1690548781000},"page":"1-8","source":"Crossref","is-referenced-by-count":0,"title":["Design, fabrication, and evaluation of 3-D\u2013printed cystotomy spoons as a retrieval method in dogs"],"prefix":"10.2460","author":[{"given":"Davina C.","family":"D'Angelo","sequence":"first","affiliation":[{"name":"Department of Animal Sciences, Dale Bumpers College of Agricultural, Food and Life Sciences, University of Arkansas, Fayetteville, AR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam E.","family":"Stephens","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, College of Engineering, University of Arkansas, Fayetteville, AR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morten O.","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, College of Engineering, University of Arkansas, Fayetteville, AR"},{"name":"Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren R.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Animal Sciences, Dale Bumpers College of Agricultural, Food and Life Sciences, University of Arkansas, Fayetteville, AR"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"issue":"6","key":"B1","series-title":"J Am Vet Med Assoc","first-page":"759","article-title":"Use of laparoscopic-assisted cystoscopy for removal of urinary calculi in dogs","volume":"222","author":"Rawlings CA","year":"2003","unstructured":"Rawlings CA, Mahaffey MB, Barsanti JA, Canalis C. Use of laparoscopic-assisted cystoscopy for removal of urinary calculi in dogs. J Am Vet Med Assoc. 2003;222(6):759\u2013761. doi:10.2460\/javma.2003.222.759"},{"issue":"7","key":"B2","series-title":"J Am Vet Med Assoc","first-page":"763","article-title":"Frequency of incomplete urolith removal, complications, and diagnostic imaging following cystotomy for removal of uroliths from the lower urinary tract in dogs: 128 cases (1994\u20132006)","volume":"236","author":"Grant DC","year":"2010","unstructured":"Grant DC, Harper TA, Werre SR. Frequency of incomplete urolith removal, complications, and diagnostic imaging following cystotomy for removal of uroliths from the lower urinary tract in dogs: 128 cases (1994\u20132006). J Am Vet Med Assoc. 2010;236(7):763\u2013766. doi:10.2460\/javma.236.7.763"},{"issue":"10","key":"B3","series-title":"Vet World","first-page":"2133","article-title":"Urinalysis in dog and cat: a review","volume":"13","author":"Yadav SN","year":"2020","unstructured":"Yadav SN, Ahmed N, Nath AJ, Mahanta D, Kalita MK. Urinalysis in dog and cat: a review. Vet World. 2020;13(10):2133. doi:10.14202\/vetworld.2020.2133-2141"},{"issue":"5","key":"B4","series-title":"J Am Vet Med Assoc","first-page":"703","article-title":"Evaluation of costs and time required for laparoscopic-assisted versus open cystotomy for urinary cystolith removal in dogs: 43 cases (2009-2012)","volume":"243","author":"Arulpragasam SP","year":"2013","unstructured":"Arulpragasam SP, Case JB, Ellison GW. Evaluation of costs and time required for laparoscopic-assisted versus open cystotomy for urinary cystolith removal in dogs: 43 cases (2009-2012). J Am Vet Med Assoc. 2013;243(5):703\u2013708. doi:10.2460\/javma.243.5.703"},{"issue":"1","key":"B5","series-title":"J Am Animal Hospital Assoc","first-page":"13","article-title":"Complications and mortality associated with anesthesia in dogs and cats","volume":"35","author":"Gaynor JS","year":"1999","unstructured":"Gaynor JS, Dunlop CI, Wagner AE, Wertz EM, Golden AE, Demme WC. Complications and mortality associated with anesthesia in dogs and cats. J Am Animal Hospital Assoc. 1999;35(1):13\u201317. doi:10.5326\/15473317-35-1-13"},{"issue":"1","key":"B6","series-title":"Vet Anaesth Analg","first-page":"73","article-title":"Effect of prolonged general anesthesia with sevoflurane and laparoscopic surgery on gastric and small bowel propulsive motility and pH in dogs","volume":"41","author":"Boscan P","year":"2014","unstructured":"Boscan P, Cochran S, Monnet E, Webb C, Twedt D. Effect of prolonged general anesthesia with sevoflurane and laparoscopic surgery on gastric and small bowel propulsive motility and pH in dogs. Vet Anaesth Analg. 2014;41(1):73\u201381. doi:10.1111\/vaa.12093"},{"key":"B7","series-title":"Composites Part B: Engineering","first-page":"172","article-title":"Additive manufacturing (3D printing): a review of materials, methods, applications and challenges","volume":"143","author":"Ngo TD","year":"2018","unstructured":"Ngo TD, Kashani A, Imbalzano G, Nguyen KTQ, Hui D. Additive manufacturing (3D printing): a review of materials, methods, applications and challenges. Composites Part B: Engineering. 2018;143:172\u2013196. doi:10.1016\/j.compositesb.2018.02.012"},{"key":"B8","series-title":"Additive Manufacturing","first-page":"64","article-title":"Making sense of 3-D printing: creating a map of additive manufacturing products and services","volume":"1\u20134","author":"Conner BP","year":"2014","unstructured":"Conner BP, Manogharan GP, Martof AN, et al. Making sense of 3-D printing: creating a map of additive manufacturing products and services. Additive Manufacturing. 2014;1\u20134:64\u201376. doi:10.1016\/j.addma.2014.08.005"},{"issue":"4","key":"B9","series-title":"Vet Radiol Ultrasound","first-page":"347","article-title":"Invited review-applications for 3D printers in veterinary medicine","volume":"55","author":"Hespel AM","year":"2014","unstructured":"Hespel AM, Wilhite R, Hudson J. Invited review-applications for 3D printers in veterinary medicine. Vet Radiol Ultrasound. 2014;55(4):347\u2013358. doi:10.1111\/vru.12176"},{"key":"B10","year":"2019","unstructured":"Surgical Guide Resin Instructions for Use. 2019. Accessed July 20, 2023. https:\/\/dentalmedia.formlabs.com\/filer_public\/56\/69\/566945b9-11c8-417a-a3e2-e88ec38668f5\/surgicalguideifu.pdf"},{"key":"B11","article-title":"United States Department of Agriculture","unstructured":"\u201cChlorhexidine - Ams.Prod.Usda.Gov.\u201d United States Department of Agriculture. Accessed 14 May 2023. ams.prod.usda.gov\/sites\/default\/files\/media\/Chlorhexidine%20TR%202010.pdf"},{"issue":"6","key":"B12","series-title":"Compend Contin Educ Vet","first-page":"E1","article-title":"Methods of urolith removal","volume":"32","author":"Langston C","year":"2010","unstructured":"Langston C, Gisselman K, Palma D, McCue, J. Methods of urolith removal. Compend Contin Educ Vet. 2010;32(6):E1\u2013E8."}],"container-title":["American Journal of Veterinary Research"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/ajvr\/aop\/ajvr.23.02.0038\/ajvr.23.02.0038.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/ajvr\/aop\/ajvr.23.02.0038\/ajvr.23.02.0038.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/ajvr\/aop\/ajvr.23.02.0038\/ajvr.23.02.0038.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T12:53:02Z","timestamp":1690548782000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/ajvr\/aop\/ajvr.23.02.0038\/ajvr.23.02.0038.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,31]]},"references-count":12,"URL":"https:\/\/doi.org\/10.2460\/ajvr.23.02.0038","relation":{},"ISSN":["0002-9645","1943-5681"],"issn-type":[{"value":"0002-9645","type":"print"},{"value":"1943-5681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,31]]}}}