logging in or signing up Efficient Spay Neuter Techniques nsal Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1788 Category: Others/ Misc License: All Rights Reserved Like it (1) Dislike it (0) Added: December 22, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript 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 You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Efficient Spay Neuter Techniques nsal Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 1788 Category: Others/ Misc License: All Rights Reserved Like it (1) Dislike it (0) Added: December 22, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript 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