Surgery

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San Diego - Veterinarians can earn more than 300 CE credits and peruse the offerings of numerous product vendors at the American College of Veterinary Surgeons' Symposium in San Diego Oct. 22-25 at the Manchester Grand Hyatt.

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Editor's note: SurgerySTAT is a collaborative column between the American College of Veterinary Surgeons (ACVS) and DVM Newsmagazine. In September, Shawn Mattson, DVM, DVSc, BSc will discuss "Treating Subchondral Bone Cysts in the Fetlock Joint." Dr. Mattson is an ACVS board-certified surgeon who practices at Moore and Company Veterinary Services, a full-service equine hospital in Calgary, Alberta, Canada. Dr. Mattson, previously at the Ontario Veterinary College in Guelph, Ontario, has published scientific articles in the American Journal of Veterinary Research and Veterinary Surgery related to research on orthopedic infections in horses.

While this review will focus on postoperative pain management, it is important that we acknowledge the critical perioperative elements that lay the foundation for ideal patient pain management. Pain control needs to be in place before the surgeon's blade contacts skin in order to minimize central and peripheral sensitization. Without adequate pre-emptive analgesia, the nociceptive process ramps up unabated by general anesthesia. Receptor sensitivity increases and structural rewiring can occur.

The stage was all mine. With trembling hands, I went to work. ... As sheer dumb luck would have it, the surgery went perfectly.

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Ligating the ovarian pedicles during an ovariohysterectomy in a large or obese dog can be a challenging task, especially if the ovarian pedicles are thick or surrounded by excessive adipose tissue that is not easily incorporated into simple encircling ligatures.

We prefer to do surgery in the morning - my favorite time of day - before the telephone starts ringing and emergencies begin showing up. It's peaceful, and surgery usually can be done without hurry or distraction.