{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T05:42:11Z","timestamp":1775626931083,"version":"3.50.1"},"reference-count":15,"publisher":"American Veterinary Medical Association (AVMA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2012,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:p><jats:bold>Objective<\/jats:bold>\u2014To compare short-term complication rates in dogs and cats undergoing cystotomy closure by use of an inverting double-layer pattern (group I) versus cystotomy closure by use of an appositional single-layer pattern (group A).<\/jats:p>\n<jats:p><jats:bold>Design<\/jats:bold>\u2014Retrospective case series.<\/jats:p>\n<jats:p><jats:bold>Animals<\/jats:bold>\u2014144 client-owned dogs and cats that underwent cystotomy between 1993 and 2010.<\/jats:p>\n<jats:p><jats:bold>Procedures<\/jats:bold>\u2014Information on signalment, reason for cystotomy, method of cystotomy closure, complications that developed during hospitalization, and duration of hospitalization were obtained from the medical record. The effect of closure technique on short-term complication rate and duration of hospitalization was examined.<\/jats:p>\n<jats:p><jats:bold>Results<\/jats:bold>\u20142 of the 144 animals developed dehiscence and uroabdomen following cystotomy closure: 1 from group A and 1 from group I. Of group A animals, 29 of 79 (37%) developed minor complications such as hematuria and dysuria. Of group I animals, 33 of 65 (50%) developed the same complications. Group A and group I animals did not differ significantly with regard to prevalence of minor or major complications. The mean duration of hospitalization was 4.1 days and did not differ significantly between groups.<\/jats:p>\n<jats:p><jats:bold>Conclusions and Clinical Relevance<\/jats:bold>\u2014An appositional single-layer suture pattern for cystotomy closure was a safe and effective procedure with minimal risk of urine leakage and a short-term complication rate of 37%. The appositional single-layer suture pattern for cystotomy closure may be recommended for clinical use because the inverting double-layer suture pattern offered no clear advantage.<\/jats:p>","DOI":"10.2460\/javma.240.1.65","type":"journal-article","created":{"date-parts":[[2011,12,15]],"date-time":"2011-12-15T21:40:46Z","timestamp":1323985246000},"page":"65-68","source":"Crossref","is-referenced-by-count":29,"title":["Comparison of short-term complication rates between dogs and cats undergoing appositional single-layer or inverting double-layer cystotomy closure: 144 cases (1993\u20132010)"],"prefix":"10.2460","volume":"240","author":[{"given":"Kelley M.","family":"Thieman-Mankin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary W.","family":"Ellison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia J.","family":"Jeyapaul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen S.","family":"Glotfelty-Ortiz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Clin Tech Small Anim Pract","first-page":"11","article-title":"Cystotomy, partial cystectomy and tube cystostomy","volume":"15","author":"Cornell","year":"2000"},{"key":"ref2","series-title":"Genito-urinary surgery and venereal diseases","first-page":"544","article-title":"Surgery of the bladder","author":"White","year":"1920"},{"key":"ref3","series-title":"Textbook of small animal surgery","first-page":"1629","article-title":"Urinary bladder","author":"Waldron","year":"2003"},{"key":"ref4","series-title":"Small animal surgery","first-page":"666","article-title":"Surgery of the urinary bladder and urethra","author":"Fossum","year":"2007"},{"key":"ref5","series-title":"Vet Clin North Am Small Anim Pract","first-page":"77","article-title":"Surgical therapy for urolithiasis","volume":"14","author":"Stone","year":"1984"},{"key":"ref6","series-title":"Current techniques in small animal surgery","first-page":"451","article-title":"Urinary bladder","author":"Kyles","year":"1998"},{"key":"ref7","series-title":"Vet Surg","first-page":"283","article-title":"Cystotomy closure. A comparison of the strength of appositional and inverting suture patterns","volume":"19","author":"Radasch","year":"1990"},{"key":"ref8","series-title":"Am J Vet Res","first-page":"686","article-title":"Biomechanical and histologic comparison of single-layer continuous Cushing and simple continuous appositional cystotomy closure by use of poliglecaprone 25 in rats with experimentally induced inflammation of the urinary bladder","volume":"67","author":"Hildreth","year":"2006"},{"key":"ref9","series-title":"Surg Gynecol Obstet","first-page":"933","article-title":"The effect of suture materials on healing wounds of the bladder","volume":"140","author":"Hastings","year":"1975"},{"key":"ref10","series-title":"Semin Vet Med Surg (Small Anim)","first-page":"294","article-title":"Wound healing in the urinary tract","volume":"4","author":"Bellah","year":"1989"},{"key":"ref11","series-title":"Vet Clin North Am Small Anim Pract","first-page":"197","article-title":"Healing response of the lower urinary tract","volume":"26","author":"Degner","year":"1996"},{"key":"ref12","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","year":"2010"},{"key":"ref13","series-title":"Urologic surgery of the dog and cat","first-page":"182","article-title":"Postoperative management and surgical complications of urolithiasis","author":"Stone","year":"1992"},{"key":"ref14","series-title":"J Am Vet Med Assoc","first-page":"1889","article-title":"Evaluation of risk factors associated with suture-nidus cystoliths in dogs and cats: 176 cases (1999\u20132006)","volume":"233","author":"Appel","year":"2008"},{"key":"ref15","series-title":"Invest Urol","first-page":"269","article-title":"Epithelialization after cystotomy","volume":"12","author":"Hepperlen","year":"1975"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/240\/1\/javma.240.1.65.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/240\/1\/javma.240.1.65.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/240\/1\/javma.240.1.65.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T13:46:44Z","timestamp":1741355204000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/240\/1\/javma.240.1.65.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1,1]]},"references-count":15,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.2460\/javma.240.1.65","relation":{},"ISSN":["0003-1488"],"issn-type":[{"value":"0003-1488","type":"print"}],"subject":[],"published":{"date-parts":[[2012,1,1]]}}}