{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T05:50:47Z","timestamp":1788587447082,"version":"build-2803163510"},"reference-count":11,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T00:00:00Z","timestamp":1691539200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Animals"],"abstract":"<jats:p>A suitable wound retraction is crucial for open surgical treatment of chylothorax in dogs. A single paracostal approach for transabdominal\/transdiaphragmatic thoracic duct ligation and cisterna chyli ablation is an effective procedure. For the procedure, the use of stay sutures and handheld or automatic soft tissue retractors is recommended. However, it is often necessary to adjust the retractors several times during the surgery to provide sufficient exposure of the thoracic duct. This prolongs the operation and increases infection risk. In this report, we describe the modified application of two o-ring elastic wound retractors (O-WRs) in three large breed dogs with idiopathic chylothorax. We conclude that the O-WRs provide a static circumferential vision of the operation field and good access to the cisterna chyli, especially to the thoracic duct. The usage of other surgical instruments is not hampered by the O-WRs, and the elastic rings are not damaged by the metal instruments. Once placed in the diaphragmatic area, indeed, they do not require further manual retraction.<\/jats:p>","DOI":"10.3390\/ani13162567","type":"journal-article","created":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T10:21:50Z","timestamp":1691576510000},"page":"2567","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Double-Wound O-Ring Retraction for Chylothorax Surgery in Dogs"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4213-1207","authenticated-orcid":false,"given":"Piotr","family":"Tr\u0119bacz","sequence":"first","affiliation":[{"name":"Department of Small Animal Diseases with Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences\u2014SGGW, Nowoursynowska 159c, 02-776 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0665-4502","authenticated-orcid":false,"given":"Jan","family":"Frymus","sequence":"additional","affiliation":[{"name":"Department of Small Animal Diseases with Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences\u2014SGGW, Nowoursynowska 159c, 02-776 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Galanty","sequence":"additional","affiliation":[{"name":"Department of Small Animal Diseases with Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences\u2014SGGW, Nowoursynowska 159c, 02-776 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,8,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1111\/j.1532-950X.2005.00078.x","article-title":"Cisterna chyli ablation with thoracic duct ligation for chylothorax: Results in eight dogs","volume":"34","author":"Hayashi","year":"2005","journal-title":"Vet. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1111\/j.1532-950X.2011.00878.x","article-title":"Single paracostal approach to thoracic duct and cisterna chyli: Experimental study and case series","volume":"40","author":"Staiger","year":"2011","journal-title":"Vet. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"696","DOI":"10.2460\/javma.22.08.0381","article-title":"Resolution, recurrence, and chyle redistribution after thoracic duct ligation with or without pericardiectomy in dogs with naturally occurring idiopathic chylothorax","volume":"261","author":"Mayhew","year":"2022","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_4","first-page":"E17","article-title":"Evaluation of wound healing after direct anterior total hip arthroplasty with use of a novel retraction device","volume":"44","author":"Mutnal","year":"2015","journal-title":"Am. J. Orthop."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1097\/01.ta.0000196704.78785.ae","article-title":"Randomized, controlled investigation of the anti-infective properties of the Alexis retractor\/protector of incision sites","volume":"62","author":"Horiuchi","year":"2007","journal-title":"J. Trauma"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1292\/jvms.22-0043","article-title":"Triple-combination surgery with thoracic duct ligation, partial pericardiectomy, and cisterna chyli ablation for treatment of canine idiopathic chylothorax","volume":"84","author":"Ishigaki","year":"2022","journal-title":"J. Vet. Med. Sci."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1111\/vsu.13322","article-title":"Treatment of idiopathic chylothorax in dogs and cats: A systematic review","volume":"49","author":"Reeves","year":"2020","journal-title":"Vet. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.ciresp.2018.06.013","article-title":"Use of Alexis retractor in thyroid and parathyroid surgery","volume":"97","year":"2019","journal-title":"Cir. Esp. (Engl. Ed.)"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.2460\/javma.245.10.1129","article-title":"Prospective evaluation of access incision position for minimally invasive surgical organ exposure in cats","volume":"245","author":"Mayhew","year":"2014","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.ejvsextra.2004.02.002","article-title":"Use of a Self-retaining Retractor for Minimally Invasive Approaches to the Aorta","volume":"7","author":"Robb","year":"2004","journal-title":"EJVES Extra"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s11748-012-0088-1","article-title":"A new application of a wound retractor for chest wall surgery","volume":"61","author":"Igai","year":"2013","journal-title":"Gen. Thorac. Cardiovasc. Surg."}],"container-title":["Animals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-2615\/13\/16\/2567\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:29:44Z","timestamp":1760128184000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-2615\/13\/16\/2567"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,9]]},"references-count":11,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2023,8]]}},"alternative-id":["ani13162567"],"URL":"https:\/\/doi.org\/10.3390\/ani13162567","relation":{},"ISSN":["2076-2615"],"issn-type":[{"value":"2076-2615","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,9]]}}}