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Surgery & Wound Management

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Orthopedic infections should also be thought of as infections involving the bones (osteitis or osteomyelitis), joints and surrounding support structures (periostitis, myelitis, cellulitis). Typically when we think of orthopedic infections we think of infections resulting after orthopedic surgery.

The choice of surgical approach depends largely on the type of access needed for the thoracic surgery. Intercostal thoracotomy and median sternotomy are the two most commonly performed approaches in small animals. Be certain to clip and prepare a large enough area to anticipate placement of a thoracostomy tube and the potential need to extend the incision.

Perianal fistula is a specific disease of the canine characterized by ulcerating fistulous tracts, often with a malodorous purulent discharge around the anal orifice. The tracts are usually infected and filed with chronic inflammatory tissne. The extremely severe and chronic cases the tracts may extend to the lumen of the rectoanal canal, becoming true fistulas.