Type: Exploratory Essays
Sample donated: Debbie Bishop
Last updated: April 26, 2019
1)Ovariohysterectomy: (Dogs and cats) on Dorsal Recumbency position with all 4extremities tied down to the table. Equipment: electric clippers,Sterile surgical gloves, Surgical apparel, Surgical lights, Surgicalstapler/staples, stapler remover, Surgical Table, Suture material, ScalpelBlade, surgical gown, caps, masks, sterile gloves. The sterile spay surgical packcontains: Snook Hook, Olsen Hegar Needle Holder, Mayo Scissor, HalsteadMosquito Hemostats, Curved Kelly Hemostats, Straight Rochester Carmalts,Straight Rochester Carmalts, Curved Allis Forceps, Straight Metzenbaum Scissor,Curved Adson Brown Forcep , Scalpel Handle, Backhaus Towel Forceps. 2) Caesareansection: Dogs and cats: on dorsal recumbencywith all 4 extremities tied down to the table. Cows: Different postions: standing left paralumbar celiotomy, standingright paralumbar celiotomy, recumbent left paralumbar celiotomy, recumbentright paralumbar celiotomy, recumbent ventral midline celiotomy, recumbentventral paramedian celiotomy, ventrolateral celiotomy, and the standing leftoblique celiotomy.
Equipment: electric clippers,Sterile surgical gloves, Surgical apparel, Surgical lights, Surgicalstapler/staples, Stapler remover, Surgical Table, Suture material, LA restraintropes & halter, Spay surgical pack, Scalpel Blade, surgical gown, caps,masks, sterile gloves. Once the uterus is gently exteriorized—laparotomy sponges can be placed toprevent uterine fluids from contaminating the abdomen.Neonates: as they come out,staff removes sacs, cuts cords and tries to get them all breathing. It shouldbe done CPR, mouth-to-mouth, and rub-downs. It is vital to keep them warm byusing warm towels. Three “hypos” should be avoided at all cost: hypotension,hypoxia and hypothermia. The amniotic sac has to be removed quickly and airwayscleared with a bulb syringe.
Hypotension can be addressed by pre operation IVfluids on the mother. 3) Orthopedicprocedures: Dogs, cats, cows, horsesThe animal patient is placed indorsal recumbency with the affected limb extended rostrally so medial and thesurgeon can easily access lateral compartments of the joint.Equipment: electric clippers, Sterile surgical gloves, Surgicalapparel, Surgical lights, Surgical Table, Suture material and orthopedic instruments,LA restraint ropes & halter, Orthopedic surgical pack, Scalpel Blade,surgical gown, caps, masks, sterile gloves.The Orthopedic surgical packcontains: Bone cutting forceps, Bone files, Bone fragment forceps, Bone holdingforceps, Bone rasps, Bone Tamps, Cartilage Scissors and knife, Cartilagescissors, Clamp and knife, Chisels, Crimper, Cruciate packs, Curettes, Depthgauge, Drills, Elevators, Fracture management, Gouges, Hand chuck, Hand drills,Hand held retractors, Hooks, Probes, Retractors, IVD Rongeurs, Kerrison withthin foot plate, Kirschner wires, K-wires, Ligament meniscus clamp, Lockingpliers, Mallet, Measuring ruler, Osteotomes, Pin and rod cutters, Pliers,Mallet , Measuring Ruler, Pin and Rod Cutters, Pliers, Punches, Rongeurs Doubleaction, Rongeurs single action, ,Saws , Screwdrivers, Self retainingretractors, Steinmann Pins, Stifle retractor, Suction tubes, tamps, trephinebone saws, Wire and Pin cutters, Wire and pin management, Wire Passer and Wiretwisters. 4) Orchiectomy:Dogs,cats, cows, horses and any livestockHorses: left lateral recumbency (right handedsurgeon), dorsal recumbency, tie the limbs, standing and sedated Dogs: Ventral Dorsal position withall 4 extremities tied up to the table. Cats: Either on Dorsal recumbencywith all four extremities tied up to the table or lateral recumbency.
Bulls: in standing position.Equipment: electric clippers,Sterile surgical gloves, Surgical apparel, Surgical lights, Surgicalstapler/staples, Stapler remover, Surgical Table, Suture material,Emasculators, Neuter surgical pack, LA restraint ropes & halter, ScalpelBlade, surgical gown, caps, masks, sterile gloves. 5) Taildocking: Dogs, Cats or any other species that may need it.
Patients positioned on DorsalVentral recumbency, tie straight out caudal aspect extending to the edge of thetable, surgical gown, caps, masks, sterile gloves.Equipment: electric clippers,Sterile surgical gloves, Surgical apparel, Surgical lights, Surgicalstapler/staples, Stapler remover, Surgical Table, Suture material, Lacerationsurgical pack. 6) Taildocking in large animalsDifferent methodsof tail docking in large animals are used, including cauterizing docking irons,application of elastrator bands, use of emasculators, and surgical excision.The most common method is the elastrator band application. A tight rubber ringis applied to the tail in order to remove 1/3 up to 2/3 of the tail. In dairyindustry it is usually done on preparturient heifers. In The US current AVMApolicy opposes routine tail docking of cattle.
Some benefits of tail docking incattle include reduction in the risk of leptospirosis in milkers, reducesincidence of mastitis, improves cow cleanliness and reduces tail injury. 7) Onychectomy:dogsand catsPatients placed on lateral or dorsal recumbency.Equipment: electric clippers,Sterile surgical gloves, Surgical apparel, Surgical lights, Surgicalstapler/staples, Stapler remover, Surgical Table, Suture material, tourniquet,Laceration surgical pack, Scalpel Blade, surgical gown, caps, masks, sterilegloves.
8) Laparotomies:Dogs,cats, horses, cattle and any other species that may need it.Patient is placed on surgical table on dorsal recumbency,all extremities tied up to the table.Equipment: electric clippers,Sterile surgical gloves, Surgical apparel, Surgical lights, Surgicalstapler/staples, Stapler remover, Surgical Table, Suture material, tourniquet,Exploratory surgical pack, Scalpel Blade, surgical gown, caps, masks, sterilegloves, moistened laparotomy pads. The Exploratory surgical pack contains:Surgical bowl, bulb syringe for irrigation, laparotomy pads, 4 x 4″ gauzesponges, monopolar diathermy cable, suction tube, Poole suction tip, Babcock tissue forceps, Allis tissueforceps, No 15 and 10 scalpel blades,Bard Parker scalpel handle, Backhaustowel clamps, curved and straightMetzenbaum scissors, straight Mayoscissors, Balfour retractors, Debakey tissue forceps, Rat-tooth thumb forceps, Mayo-Hegar needle holders, straight and curved Rochester-Carmalthemostatic forceps, straight and curvedmosquito hemostatic forceps. 9) Dystocias:Dogs,cats, cows, horses and any livestock.Small patients are positioned onDorsal Ventral position. Large animals in standing position.Equipment: electric clippers,Sterile surgical gloves, Surgical apparel, Surgical lights, Surgical Table,Suture material, Spay surgical pack, Scalpel Blade, LA restraint ropes &halter surgical gown, caps, masks, sterile glove, Scalpel blade.
10) Dehorning: Cattle and goatsRestrain calves with a halter tiedto a ring, a post, or the head gate of the chute. On Goats your assistant musthold its head and pull the ear nearest the bud you are going to remove, downand away from the bud. Equipment: dehorning iron, electric clippers. 11) Prolapsedorgans: Dogs, cats, cowsIt is commonly rectal in dogs and uterineprolapsed in cows, usually result of dystocia. Position cats and dogs on ventral dorsal recumbency.Cows will be standing.
Equipment: electric clippers,Sterile surgical gloves, Surgical apparel, Surgical lights, Surgical Table,Suture material, LA restraint ropes & halter, Spay or Laceration surgicalpack, Scalpel Blade, surgical gown, caps, masks, sterile gloves. StudentLog Book (1) – Ovariohysterectomy Name: MimiSpecies: CanineBreed: Yorkshire TerrierSex: FemaleAge: 2 YODate of procedure: 01/12/2018 Student Log Book (2) -Ovariohysterectomy Name: PrincessSpecies: FelineBreed: DSHSex: FemaleAge: 7 months oldDate of procedure: 01/12/2018 Student Log Book (3) -OrchiectomyName: ZeusSpecies: CanineBreed: PoodleSex: MaleAge: 3 YODate of procedure: 01/05/2018 Student Log Book (4) -OrchiectomyName: TobySpecies: FelineBreed: DSHSex: MaleAge: 9 months oldDate of procedure: 01/12/2018 Description of procedure including whatpart student played in the treatment of the animal:Ovariohysterectomy: As soon as I came in the Surgery suite Iopened the oxygen tank, I made a new bag of LRS for the fluid pump and labeledit accordingly, I turned on the heating pad (and covered it with a towel) afterchecking the water level on machine, I checked the oxygen system for anyleakage, I chose breathing bags and endotracheal tubes according to thepatients of the day, I inflated ET tubes to make sure they were good, I madeflushes, I got all my IV catheters, electric clippers, T-Ports, tape, bandagematerial, scrub and alcohol. I calculated all the drugs for each patientaccording to their weight; I logged the drugs in the Doctor’s Log book. I tookthe Spay pack out and placed it on a surgical tray (waited until surgeon wasready, then opened it), placed Sterile gown, a cap and a pair of surgicalgloves on a table outside the surgery suite for the DVM. I pre-meded thepatient 15 minutes prior to taking them into surgery suite, then I placed a 20GA IV catheter in, I induced using Diazepan and them giving Propofol to effect,I intubated, placed them on Dorsal recumbency, positioned the surgical lightsdirect to patient’s abdomen, I inflated the ET cuff, connected them to oxygen,opened Isofluorane at 2, checked for any leakage by squeezing the breathing bagand smelling for gas, placed all EKG leads, put some alcohol on them, tiedtheir 4 limbs down to the table, placed the thermometer line in their mouth,SPO2 on tongue, connected the fluid line to IV catheter and start the fluids,gave them an IV injection of Ampicillin. Shaved abdomen and scrubbed using agermicidal solution. I opened the Spay pack for the surgeon, did not touchthe inner drape.
When surgeon was ready I opened a scalpel blade #10 and suturematerial according to her preference. I monitored the anesthesia the entiretime and recorded the anesthesia-monitoring sheet every 5 minutes. At the end Iturned off the gas anesthesia, I deflated the ET cuff, I turned off fluids, Itook the EKG leads off the patient, the spo2, the thermometer, untied thepatient and positioned them on lateral recumbency until they start to wake up,I disconnected the ET tube from oxygen, and waited for them to start swallowing,after the third time I extubated them.
They were taken to their cage; they hada warming blanket until they fully wake up to get their pain medicationinjection (Buprenorphine for dogs, Buprenorphine SR for cats). Orchiectomy: Same as above,except for the shaving. I shaved the area between the prepuce and thetesticles.
On the canine I also shaved the testicles. On the feline I pluckedthe testicular hair. Took the orchiectomy pack for the surgery.