Efficient Spay Neuter Techniques

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Published on December 22, 2008

Author: nsal

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Efficient Spay Neuter Techniques : Efficient Spay Neuter Techniques Phil Bushby, DVM, MS, ACVS Marcia Lane Endowed Professor of Humane Ethics and Animal Welfare College of Veterinary Medicine Mississippi State University Introduction : Introduction Surgical techniques used in high volume spay neuter clinics are: Efficient Safe Fundamentally different from those taught in veterinary school We will look at: : We will look at: Helpful hints Where does the surgeon stand? Positioning of the patient Placement of the incision Ligation techniques Hand ties Pedicle ties Millers knot Pediatric techniques Where does the surgeon stand? : Where does the surgeon stand? Where does the surgeon stand? : Where does the surgeon stand? The surgeon should stand with the animal’s head on the side of their dominant hand. So if you are right-handed stand with the cat’s head to your right. If you are left-handed stand with the cat’s head to your left. A Hint : A Hint Patient Positioning : Patient Positioning Patient Positioning : Patient Positioning Patient Positioning : Patient Positioning Patient Positioning : Patient Positioning Placement of Incision for spays : Placement of Incision for spays Placement of Incision: Cat spay : Placement of Incision: Cat spay Midpoint between umbilicus and anterior brim of the pubis Placement of Incision: Adult dog spay : Placement of Incision: Adult dog spay Cranial third of the space between umbilicus and anterior brim of the pubis. But : But Enter abdominal cavity slightly right paramedian. Placement of Incision: Adult spay : Placement of Incision: Adult spay Second fourth of the space between umbilicus and anterior brim of the pubis Placement of Incision: Cat spay : Placement of Incision: Cat spay Second fourth of the space between umbilicus and anterior brim of the pubis Placement of Incision: Puppy spay : Placement of Incision: Puppy spay Second fourth of the space between umbilicus and anterior brim of the pubis Castration incisions : Castration incisions Scrotal Cats Puppies Adult dogs Ligation techniques : Ligation techniques Single ligatures Transect the tissue first Finding uterus / Expose 1st ovary : Finding uterus / Expose 1st ovary Once you have the uterus (or broad ligament) Grasp with fingers and gentle tension exteriorizes 1st ovary Exteriorize ovary : Exteriorize ovary Cut suspensory ligament with scissors and Tear a hole in the broad ligament. Further exteriorizing ovary 3 Clamp Technique : 3 Clamp Technique Place 1st hemostat proximal. Close 1 click. Place 2nd hemostat between 1st and ovary. 2 clicks. 3 Clamp Technique / Transect ovarian pedicle : 3 Clamp Technique / Transect ovarian pedicle And 3rd hemostat between ovary and uterine horn. 3 clicks Place gauze sponge behind pedicle. Cut on top of # 2. Ligate ovarian pedicle : Ligate ovarian pedicle Reflect uterine horn & ovary caudally Ligate in crushed area from 1st hemostat. HAND TIE! Hand tie-Square Knot : Hand tie-Square Knot Hand tie-Surgeon’s Knot : Hand tie-Surgeon’s Knot Pedicle Tie : Pedicle Tie Miller’s Knot – Instrument tie : Miller’s Knot – Instrument tie Miller’s Knot – Hand tie : Miller’s Knot – Hand tie Pediatric Surgeries : Pediatric Surgeries As young as 6 to 8 weeks in the Shelter environment More realistically 4 to 5 months in practice Allows animals to receive full vaccination series prior to surgery. Still sterilize prior to sexual maturity Easier Faster Quicker recovery So lets put these all together: : So lets put these all together: Cat castration : Cat castration Cat spay : Cat spay Puppy Castration : Puppy Castration Puppy Spay : Puppy Spay Adult dog castration : Adult dog castration Adult dog spay : Adult dog spay Adult dog spay : Adult dog spay Questions : Questions

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