Surgery & Wound Management

What are the advantages of this treatment for canine hip dysplasia?

A variety of treatments can get patients back comfortably on all fours.

After clipping a short-haired dog for a surgical procedure, we use a sticky-paper lint roller to remove all the small hairs from its skin.

Cranial cruciate ligament injuries are some of the most common orthopedic conditions seen in small animal practice. Even so, the optimal treatment modality is hotly debated within the profession. Each new surgery is introduced with great fanfare but, in most clinical studies, the fabellar suture technique in one iteration or another has been found to be superior or equal to other methods.

Goal of all techniques is to create a mucosal tunnel extending from the urethral orifice to near the mucocutaneous junction.

Urine diversion techniques are performed to temporarily or permanently divert urine from its normal anatomic course from the kidney through the ureter to the bladder and finally through the urethra. Veterinarians are most familiar with temporary urine diversion (urethral catheters) that are often used to stabilize animals that are sick as a result of metabolic changes associated with urinary tract obstruction. Temporary diversion (peritoneal drainage) may also be used as a bridge to more definitive surgical procedures such as repair of a ruptured urinary bladder.

Laryngeal paralysis is a congenital or acquired disease that causes upper airway obstruction. Paralysis causes partial or complete obstruction of the laryngeal lumen due to denervation of the cricoarytenoideus dorsalis muscle of the larynx. Interruption of nerve transmission from the recurrent laryngeal nerve or the vagus results in failure of the arytenoid cartilages and vocal folds to abduct on inspiration.

If the side of cryptorchidism is unknown, surgery can be prolonged and laparoscopic exploration of the abdomen may be a better approach.

Megacolon occurs more frequently in cats than dogs and is usually seen in middle-aged to geriatric cats. The ascending, transverse, and descending colon are chronically large in diameter and filled with dry stool. A congenital form of the disease has been seen especially in Manx cats with rectal/anal atresia and a sacral spinal deformity. An acquired form of the disease has been seen secondary to mechanical obstruction caused by malunion of pelvic fractures that have not had surgical treatment.

A variety of approaches have been proposed to assist in making decisions regarding fracture management. At the most basic level, the task is to evaluate what is needed and then assess one's own capabilities. In so doing, fractures that one is properly able to manage can be dealt with appropriately and mistakes can be avoided that would prove detrimental to the patient.

Canine hip dysplasia is a very common orthopedic condition and every small- or mixed-animal practitioner will see cases. Despite this, the management of this syndrome can be frustrating and confusing to the clinician as well as the client. Questions about prognosis, what surgery to recommend (and when), various aspects of medical management and more are difficult to answer definitively.

The stomach is a C-shaped musculoglandular organ. It has the largest dilatation of the alimentary canal. The stomach lies mainly in a transverse position, Predominantly to the left of the median plane. When it is empty, the stomach lies cranial to the last rib and between the ninth thoracic and first lumbar vertebra.

A number of fractures can be managed conservatively or with external coaptation. Still others can be dealt with using combinations of pins and wire. It is only when clinicians are able to utilize bone plating or external fixators that the number of manageable fractures truly expands.

Careful consideration of preoperative, intraoperative, and postoperative management techniques will assist in preventing complications related to anesthesia and surgery in patients with urinary tract surgical disease. Hospital acquired renal insufficiency is common in humans, seemingly less so in animals but caution is advised. Hypotension of any cause is a potential predisposing cause to renal failure.

Just as in the human population, the incidence of osteoarthritis in veterinary patients is very high. Many of the developmental diseases as well as traumatic injuries ultimately become cases of osteoarthritis management. As with any chronic progressive (and largely incurable) disease, the treatment can be frustrating. In fact, treatment of arthritis is easy when the client is patient, willing, and has a lot of money.

Rostral Mandibular & Maxillary Fractures: Fractures of the rostral mandible and premaxilla/incisive bones that can be repaired with wire or acrylic.

Ideally, you need at least one trained assistant to adequately perform most of these selected distal limb, head, and neck surgeries.

Cats add an extra dimension of difficulty when it comes to assessing pain in animals. Listed below, are just some of the "new onset pain behaviors" shown by cats in acute severe pain. (adapted from Karol Matthews's excellent chapter in the Veterinary Clinics of North America Small Animal Management of Pain, July 2000 Vol 30 issue entitled: Pain Assessment and General Approach to Management). However, the observer must be very astute if they are to pick up signs of moderate or mild pain, and are exhibited not by the onset of new behaviors, but rather absence of usual behaviors.

The good news is that veterinary clinicians are faced with a staggering array of possibilities to prevent and manage pain in surgical patients. The bad news is that veterinary clinicians are faced with a staggering array of possibilities to prevent and manage pain in surgical patients.

A number of respiratory emergencies may ultimately require surgical intervention, but the surgical techniques most likely to be indicated on an emergent basis are tube tracheostomy, tracheal resection/anastomosis, tube thoracostomy, and diaphragmatic hernia repair.

Acute abdomen is the acute onset of abdominal pain that requires prompt diagnosis and immediate intervention to prevent patient deterioration. The decision to operate depends on efficient diagnostic evaluation, and the timing of the surgery should be based on what will maximize survival and minimize morbidity.

When a pet is sick clients will often do some research and find that diet and environment is incorrect. Many times they make those changes just prior to their visit and report to you only the recent diet and environment. It is up to you and your staff to find out what the real situation is that the patient has been in prior to the visit.

When a pet is sick clients will often do some research and find that diet and environment is incorrect. Many times they make those changes just prior to their visit and report to you only the recent diet and environment. It is up to you and your staff to find out what the real situation is that the patient has been in prior to the visit.

This author commonly uses lidocaine and bupivicaine combined in the same syringe for regional oral nerve blocks. Lidocaine is not desirable as a sole agent due to its limited effect post administration (1-2 hours).

Canine hip dysplasia is a very common orthopedic condition and every small- or mixed-animal practitioner will see cases. Despite this, the management of this syndrome can be frustrating and confusing to the clinician as well as the client. Questions about prognosis, what surgery to recommend (and when), various aspects of medical management and more are difficult to answer definitively.