SURGICAL PROCEDURES
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Transcript SURGICAL PROCEDURES
SURGICAL PROCEDURES
ELECTIVE VS. NONELECTIVE
ELECTIVE PROCEDURES – performed at the
veterinarian and owner’s convenience
Patients are usually healthy
Examples: spay, neuter, declaw
NONELECTIVE PROCEDURES – procedure MUST be
done urgently to improve patient’s life
Usually emergency procedures
Animals are usually compromised
Examples: intestinal foreign body removal, pyometra
ELECTIVE VS. NONELECTIVE
NOTE: some surgeries are necessary to improve
quality of life, but are not urgent and it is ok if
the procedure is delayed until conditions are
favorable
EXAMPLES: cruciate repair, entropion, ear canal
ablations from chronic otitis, cancer resection
ELECTIVE PROCEDURES
TAIL DOCKINGS (PUPPIES)
DEFINITION
Partial amputation of the tail
INDICATIONS
Usually for aesthetic purposes (however can be
done in instances of trauma)
Breed standards set by AKC
TAIL DOCKING
PREOPERATIVE CONSIDERATIONS
Always consider the dam
Is she protective?
Usually provides the warmth/
food
Schedule to be performed
at age 3 -5 days.
General anesthesia is not performed at this age
Pick location of procedure carefully-puppies have a
weak immune system
TAIL DOCKING
TECHNIQUE AND INTRAOPERATIVE CONSIDERATIONS
Puppy should be supported in the palms with the
hind limbs supported between the middle and index
fingers
Rear of puppy is toward the surgeon
Site is aeseptically prepared
Exact location is determined and tail is excised distal
to desired location
Hemorrhage is controlled
Suture placed to oppose the ends of the tail
Problems with amputating too much of the tail
TAIL DOCKING
POSTOPERATIVE CONSIDERATIONS
Return to mother quickly
Don’t allow dam to lick sutures out!
Observe for hemorrhage/early
removal of
sutures/redness/drainage/open
surgery site
Area can get infected
Some have to be re-done
DEWCLAW REMOVAL
(PUPPIES)
DEFINITION
Amputation of the claw on the medial aspect of each limb – if
present
INDICATIONS
Aesthetic purposes
Usually performed at time of tail docking – if necessary
Also perform if there is a known risk of trauma for the patient
(particularly hunting dogs)
Some breeds, such as Great Pyrenees, require the declaws to
be present for showing
DEWCLAW REMOVAL
PREOPERATIVE CONSIDERATIONS
Same as for tail dockings
TECHNIQUE AND INTRAOPERATIVE CONSIDERATIONS
Aeseptically prepare surgery site
Cradle puppy on its side and extend one leg at a time toward
the surgeon
Dewclaw is excised
Hemorrhage is controlled (pressure, electrocautery)
Can either heal by second intention or sutured closed (silver
nitrate, surgical glue)
DEWCLAW REMOVAL
POSTOPERATIVE CONSIDERATIONS
Return to mother quickly
Don’t allow dam to lick surgical area!
Observe for hemorrhage/early removal of
sutures/redness/drainage/open surgery site
Area can get infected
Tail Docking & Dewclaw
removal video
http://www.youtube.com/watch?v=SyxfYK9dV5E
TAIL AMPUTATION AND
DEWCLAW REMOVING - adults
INDICATIONS
Aesthetics, trauma, infection, neoplasia
PREOPERATIVE CONSIDERATIONS
What is reason for surgery?
Neoplasia – Obtain clean margins, submit tissue for
histopathology
Trauma – Stabilize patient before procedure
Infection – Culturing of area may be warranted
DEWCLAW REMOVAL - adults
TECHNIQUE AND INTRAOPERATIVE
CONSIDERATIONS – dewclaw removal
GENERAL ANESTHESIA required
Clip, aeseptically prepare site
Dewclaw is excised at the base (excision extends
through joint, not bone)
Hemorrhage is controlled, skin edges are apposed
with suture
Paw is bandaged to prevent swelling, self trauma
DEW CLAW AMPUTATION
TAIL AMPUTATION - adults
TECHNIQUE AND INTRAOPERATIVE CONSIDERATIONS – tail
amputation
May also be performed in other animals
Clipped, aseptically prepared
Some surgeons prefer for tail to positioned in air (vertically)
Tourniquet at base of tail is useful for hemorrhage
Skin is incised, tail is disarticulated at the joint that was
specified (usually skin incision is distal to disarticulation site to
facilitate closure)
Ligation of blood vessels
Skin is sutured to cover caudal vertebrae that is now exposed
TAIL
AMPUTATION
http://www.youtube.com/watch?v=
TeKAojeDb4I
TAIL AMPUTATION AND
DEWCLAW REMOVAL - adults
POST-OPERATIVE CONSIDERATIONS
Tail bandaging is difficult
Monitor site for
hemorrhage/swelling/drainage/redness/selftrauma/dehiscence
Consider placing an Elizabethan Collar
Skin sutures generally removed in 10-14 days
Pain meds are important