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Vet Times March 2017 - Lipogems Equine Feature

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Holly Kernot explores the latest in regenerative technology from Lipogems Equine and how it can treat a range of orthopaedic and soft tissue injuries in horses.

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Vet Times March 2017 - Lipogems Equine Feature

  1. 1. NEWS2 veterinary TimesFollow us on Facebook and @vettimesuk If you received a personal copy of Veterinary Times, your details were generated from our Vetfile database. To change your delivery details, email vetfile@vbd.co.uk In brief RECORD-BREAKER:Athlete LauraMuirhasspokenofherjoy atbreakingtheBritishrecordfor the1,000mindooreventatthe MüllerGrandPrixinBirmingham. Thetraineevetclocked2:31.95 –breakingDameKellyHolmes’ 2004recordof2:32.96–but justmissedoutontheworld recordsetbyMariaMutolain 1999.MsMuirsaidbreaking therecordwas”amazing”and beingclosetotheworldrecord was“veryencouraging”.She broketheEuropean3,000m indoorrecordearlierthisyearin additiontotheBritish5,000m and1,000mindoorrecords.She willattempttowin1,500mand 3,000mgoldattheEuropean IndoorChampionshipsinSerbia inMarch. PRODUCT RECALL:TheVMD has issued a recall of all batches of Norbrook Laboratories’ Propofol Emulsion for Injection 1% w/v. A statement said: “An issue of coring has been reported where the shearing off of a portion of the 20mm bromobutyl bung occurs as the vial is pierced to withdraw the product.This may result in particles from the bung entering the product and potentially being drawn up into the syringe on extraction of the product from the vial.”The UK brands are Inductofol (02000/4274) and Vetofol (02000/4244).Telephone 028 3026 4435 for more details. MONTHLY CPD: Merial Animal Health has launched a programme of monthly webinars, hosted on its Nexus online portal, to support large animal vets with ongoing CPD. Topics include postmortem/ diagnostics and calf pneumonia, parasitology, and effective communication between farmers and vets. One hour webinars take place on the last Wednesday of each month, except August and December, and include a live question and answer session. For more information and to register, visit https://merialnexus.co.uk PARTNERSHIP:TheWSAVA has expressed its gratitude to Hill’s Pet Nutrition for its long-term commitment to supporting small animal vets. This year marks the 10th year of partnership with theWSAVA. It is the global veterinary association’s most long-standing and significant industry partner, having invested more than US$1.5 million (£1.2 million) in initiatives and projects to help increase standards of small animal vet care around the world during the past decade. STUDENT PROJECT APPEAL: A University of BristolVN student is appealing for help with a dissertation project – investigating the UK’s public perception of separation anxiety in dogs. Final-year student Sam Cross, who is studying for a Nursing and Bioveterinary Science degree, asked for help in publicising a questionnaire in the hope of widening responses. The link is http://bit.ly/2molDcY AFASTand cost-efficient tech- nique for harvesting stem cells may have the potential to revolutionise the way vets treat orthopaedic conditions in horses. The regenerative therapy, called Lipogems, uses fat tissue-derived mesenchymal stem cells from the tail head of the patient, which is prepared using a stable-side kit, meaning the procedure can be carried out immediately. Historically, vets wanting to obtain stem cells would have to harvest fat tissue or bone marrow from the patient and send it to a laboratory for the cells to be cultivated and prepared for injection at another consultation – a pro- cess that could take weeks and delay treatment. In comparison, Lipogems allows the transplanting of lipoaspirate from fat tissue within 20 to 30 minutes of har- vesting, said Lipocast Biotech UK, the company responsible for introducing the technique to the veterinary market for the first time. Quick extraction Conditions treated to date include lesions of the superfi- cial and deep flexor tendons, suspensory ligament desmitis (proximal, body and branch lesions), check ligament injuries and osteoarthritis affecting distal interphalangeal, fetlock and stifle joints. Vet Tim Watson, of Waterlane Equine Vets in Gloucestershire, led initial work on the project. “In the past, people have cultured stem cells from fat tissues, but what this technique offers for the first time is the ability to extract stem cells in a quick, easy and relatively cost-effective way, so you can treat the horse immediately,”Dr Watson said. “We are really excited with the development – the science is really exciting and full of promise. It wasn’t until I did the first cases I began to realise how effective this could be. “We are seeing healing as early as 3 to 5 weeks in cases where you would usually see nothing for 12 to 20 weeks by other treatments.” The technique means stem cell cultivation techniques are no longer the preserve of hos- pitals and laboratories. “Vets out on the road can do it. Potentially, it could revolu- tionise the waywe treat ortho- paedic conditions in horses,”Dr Watson explained. Lipogems is already noted in human medicine for its regenerative capacity and has been used in a number of cases; from general, ortho- paedic and aesthetic surgery to oral and maxillofacial procures. “There is nothing compara- ble with this technique in the industry,” Dr Watson said. Cross-sector use The use of Lipogems has only been documented in horses in the UK, but Dr Watson believes there is potential for it to be implemented by, and of benefit to, vets across the sector. Lipocast Biotech UK said work on the technique foruse in dogs is also underway. Clive Hamblin, veterinary advisor for the National Train- ers Federation, said Lipogems is proving to be a “revolutionary” mode of treatment for a group of injuries that have previously been difficult to treat and often have unfavourable outcomes. Dr Hamblin said: “This has great potential in many eques- trian disciplines, such as racing, eventing and polo.” Lipogems kits, which include cannulae and syringes for infiltration and harvesting of adipose tissue and a device for washing and isolation of pericytes, are available from Lipocast Biotech UK. Lipogems Equine will host several veterinary training days in the coming months. Formore information, contact general manager Lucy Wilson via lucy_ wilson@lipogemsequine.com or visit lipogemsequine.com report by Holly Kernot hollykernot@vbd.co.uk 01733 383562 Vet:stemcelltechniquecould revolutioniseequinemedicine A FORMER pub given a lease of life as a “long-awaited” £1.3 million CVS animal hospital saw hundreds of visitors pour through its doors at the official opening. Owners and their pets visited the former watering hole – The Queens Head, in Londonderry Lane – for the opening of YourVets24 Smethwick. Lynne Reeves, owner of Birmingham-based charity The Animal House Rescue, cut a ribbon to officially open the practice. She said: “YourVets24 Smethwick has been long-awaited in Sandwell and our local network of foster carers will be reassured such a modern, 24-hour facility has opened on their doorstep. “I am delighted to have officially opened it in the presence of local residents who are clearly going to benefit from its facilities, as well as the impeccable expertise of its staff.” Visitors toured the facility, took part in games and prize draws, and enjoyed celebratory foods. Staff also gave visiting dogs and cats a complimentary manicure. Hospital coordinator Nathan Price said: “This is a fantastic, much-needed animal hospital for the area and it was great to welcome lots of new clients during our open day, as well as offer behind-the-scenes access, so local residents can fully appreciate the work we do.” According to YourVets24, the clinic is the town’s first 24-hour veterinary surgery and includes digital x-ray, ultrasound and monitoring equipment, kennels, a conference room and on-site parking. YourVets24 Smethwick employees 16 staff, including vets, VNs, veterinary care assistants and receptionists. Hundredsattendhospitalopenday Staff and visitors celebrate YourVets24 Smethwick’s opening. A VET team pooled its expertise and honed its detective skills to solvethemysterybehindadog’sbreathingandvomitingproblems. Small animal medicine specialist Isuru Gajanayake was the first vet to examine two-year-old French bulldog Pacha. Owner Jade Norris took the dog to Willows Veterinary Centre and Referral Service in Solihull, after six veterinary appointments in one week still left her in the dark. Dr Gajanayake diagnosed inflammatory bowel disease (IBD) and hiatal hernia, and recommended Pacha be examined by his colleague, specialist soft tissue surgeon Chris Shales. He concluded the dog needed to be treated forbrachycephalic obstructive airway syndrome to improve her breathing and tendency to regurgitate. Dr Shales said: “Pacha had very noisy breathing, which is rela- tively common in bulldogs and can progress fairly quickly to an irreversible, life-threatening collapse of the voice box. “Often, the reduced effort needed to breathe following surgery can reduce signs caused by the hiatal hernia and prevent the need for additional surgery. With Pacha, we shortened her palate, removed abnormal tissue within her voice box, and widened her nostrils to help her breathing and reduce the chest cavity effort. “There was a nice improvement after the operation in Pacha’s regurgitation and her breathing was much easier. However, six months later, she once again started bringing up food and water, so Jade brought her back to Willows, where Isuru and I spent quite a long time discussing whether this reflected a deterioration of her IBD or continued problems from her hiatal hernia.” They decided to perform hiatal hernia surgery, which involved tightening a loosevalve in the oesophagus. Surgerywas performed and Pacha had, according to Dr Shales, responded extremely well. Departments solve dog’s breathing mystery A VN has been suspended from the register for 10 months after she admitted placing five orders for prescription-only medications for personal use and/or without an authorised prescription using the practice’s veterinary wholesaler ordering system. The RCVS disciplinary committee (DC) heard Lois Hodgkinson, while working at a practice in Surrey, ordered codeine phosphate, naproxen and amitriptyline tablets. The drugs were intended for personal use in three of the charges, as she had previously been prescribed them after being involved in a road collision in November 2012 – as a result of which she suffered from chronic back pain and other problems. In two further charges, the drugs were said to be intended for her dog, Minnie. Ms Hodgkinson admitted the charges from the outset, although she believed other staff at the practice had placed similar personal orders and she said she had been given permission to do so as well. Ms Hodgkinson also accepted the facts amounted to disgraceful conduct in a professional respect. A number of mitigating factors were put for- ward in Ms Hodgkinson’s defence, including the fact a period of lengthy suspension or removal from the register would result in her losing an offer of employment; the fact, up to the relevant conduct, she had an unblemished career; and the fact she had made early admissions of guilt and shown insight into her misconduct. VN suspended for 10 months by DC VET professionals can learn how to approach suspected cruelty cases with confidence and play theirpart in helping prevent animal, domestic and child abuse at a specialised training dayin June. The Links Group works to increase knowledge of abuse by working with human and animal health care professionals and various bodies, including the police and animal charities, to explore the links between domestic abuse and non-accidental injury to animals. A Links Veterinary Training Initiative day will take place on 1 June at PDSA head office in Telford from 9:30am to 4:30pm. Tickets are £75, with a £25 discount for Links members. Links chairman Freda-Scott Park said: “The Links Group firmly believes vets and the wider veteri- nary team have a role to play in helping to prevent animal abuse, domestic abuse and child cruelty.” For more information, visit www.thelinksgroup.org.uk and to book visit http://bit.ly/2l2UyLf Cruelty prevention course Page 2.indd 2 24/02/2017 12:45 Name: Date: Approved New Version Comments:Andrew Greenwood February 24, 2017

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