Bellevue Animal Hospital

1. Surgery 420 Routine Surgical Procedures Bellevue Animal Hospital

2. Surgery Surgery: “The treatment of disease, injury, or deformity by manual or instrumental operations, as the removal of diseased parts or tissue by cutting.” Webster’s New World Dictionary 2nd Edition

3. D = Dog C = Cat and 1o = Primarily Cat or Dog Surgery

4. Spay: D & C The procedure is a complete ovariohysterectomy (OHE) (removal of both the uterus and the ovaries). This is done to avoid the pet going into any more heat cycles. An incision is made in the abdomen close to the belly button. Surgery

5. Surgery

6. Spay Incision in the center of the abdomen for a spay procedure.

7. A normal uterus and ovaries from a dog that has not gone through a heat cycle. Spay

8. Absorbable sutures (stitches) are generally used and thus do not have to be removed. Animals generally go home the same day as the surgery. Patient needs to be 6 months of age or older. Spay

9. Spay

10. Pain medication is recommended IV fluids are recommended Pre-anesthetic blood work is recommended. A pre-anesthetic exam is REQUIRED if the patient has not had an exam within the last 4 months. Spay

11. Pyometra: D & C This is when the uterus fills with mucous and pus. The female is generally ill, and this can be life threatening. The procedure of choice is an emergency OHE (Spay). Pyometra

12. Pyometra The ovary is being clamped off and the associated uterine horn is full of pus indicating a severe infection.

13. Intact, older females are most prone for this condition. In addition to pyometra, mammary tumors (breast cancer) is more common in older, intact females that have gone through multiple heat cycles. Spaying them prior to any heat cycles decreases the chances of both conditions greatly. Pyometra

14. Pain medication is recommended IV fluids are recommended Pre-anesthetic blood work is recommended. A pre-anesthetic exam is REQUIRED if the patient has not had an exam within the last 4 months (generally they are seen for illness just prior to surgery). Pyometra

15. Neuter: D & C This procedure is the removal of both testicles. An incision is made over the scrotum in cats and just in front of it in dogs. Neuter

16. Neuter The doctor is making an incision in the tunic (tissue surrounding the testicle). The first testicle has already been removed.

17. Absorbable suture is generally used in dogs, and no suture is used in cats. Pet needs to be at least 6 months old. Neuter

18. Cryptorchid: (monorchid) This is when one testicle is retained in a place other than the scrotum, either inguinally (groin-between midline and the animals inner thigh), or in the abdomen. This many times requires two surgical incisions and may cost more. Neuter

19. Bilateral Cryptorchid: Both testicles are retained outside of the scotum, in either the inguinal area or abdomen. They generally go home the same day as surgery. Neuter

20. Neuter Pain medication is recommended IV fluids are recommended in dogs, but cats are generally not given fluids for this procedure due to the short duration of anesthesia. Pre-anesthetic blood work is recommended. A pre-anesthetic exam is REQUIRED if the patient has not had an exam within the last 4 months.

21. This picture illustrates a normal healthy testicle and a smaller irregular testicle which is common from a cryptorchid neuter. Neuter

22. Neuter

23. Neuter

24. Declaw: 1o – C The procedure is performed by sharply (with a scapel) removing the claws, and the dewclaws. A laser procedure can be done, but we do not do this at our hospital. The part that is removed is the same bone as your finger from tip to the first joint. Declaw

25. Declaw

26. By removing the entire bone we an eliminate the chances of re-growth of the nails. We do not crush the primary claws, because of the increased incidence of pain and re-growth of the nail. Sutures are left in the toes and will dissolve on their own. Declaw

27. People may notice some tenderness to lameness in 4 to 6 weeks after the procedure. This is when the suture hits the peak of it’s absorption and can cause irritation. If the lameness is severe, or lasts longer than 1 week, we should see them. Declaw

28. An incision is made at the first joint to effectively remove all of the nail bed. Declaw

29. Pain medication is recommended IV fluids are recommended, but fluids may be elected with a catheter or a butterfly catheter. Pre-anesthetic blood work is recommended. A pre-anesthetic exam is REQUIRED if the patient has not had an exam within the last 4 months. Declaw

30. This procedure can be done with a spay or neuter if the pet is 6 months of age or older. If the declaw is done by itself the pet can be as young as 4 months of age and 4 pounds of weight. Declaw

31. 2 Foot Declaw: This is performed on any cat, indoor is preferred, but cat can still climb. 4 Foot Declaw: This is performed on indoor ONLY cats. Cats are unable to climb. Declaw

32. Declaw

33. Dewclaw removal: 1o – D If the dog is 3 to 5 days old we can do this as an afternoon appointment without anesthesia. If they are older general anesthesia is required, and not recommended until 6 months of age. Dewclaw Removal

34. Dewclaw Removal The picture illustrates an adult dog’s dewclaw.

35. Puptails and Dewclaw Removal This puppy is getting his front dewclaw removed. Again this can be done at 3 to 5 days of age without anesthesia.

36. Tails and Dewclaw: D The procedure is generally scheduled as an afternoon appointment without anesthesia. If they are older, general anesthesia is required and it is recommended that they wait until 6 months of age. Puptails and Dewclaw Removal

37. The dewclaws are removed and cauterized (heat) and the tails are amputated and absorbable sutures are placed in the skin. Tails are removed according to owner preference or breed standard. They generally go home at the end of their appointment. Puptails and Dewclaw Removal

38. Pain medication is recommended for older pets. IV fluids are recommended on older patients Pre-anesthetic blood work is recommended if they are older. A pre-anesthetic exam is REQUIRED if the patient has not had an exam within the last 4 months if they are older. Puptails and Dewclaw Removal

39. Dental: D & C The patient is admitted as a surgery admit. The procedure is performed under general anesthesia. Questionable teeth are either removed or x-rays are performed. Surgical removal of teeth is occasionally required. Dental

40. Severe defect (cavity) to Molar tooth. Dental

41. Canine, caranasal and molar teeth are either cut out or split then cut out. The patients generally go home the day of surgery. Dental

42. Canine Tooth: Caranasal Tooth: Molar (M1) Tooth: Dental

43. Dental disease can lead to gingivitis and peridontal disease that can shed bacteria to the heart, lungs, kidneys and urinary bladder. Older animals are ok to do dentals on; a doctor may recommend pre-anesthetic blood work or additional diagnostics if they feel it is in the patient’s best interests. Dental

44. Pain medication maybe necessary if severe gingivitis is present or teeth are removed. IV fluids are recommended. Pre-anesthetic blood work is recommended. A pre-anesthetic exam is REQUIRED if the patient has not had an exam within the last 4 months. Dental

45. Dental Before dental on a cat. You can see tarter on the teeth and severe gingivitis. A dog after a dental procedure.

46. Digital Dental X-rays Digital dental x-rays allow us the ability to more effectively diagnosis dental disease and pursue treatment.

47. Dental

48. Tumor Removal Tumor Removal: D & C This procedure varies from animal to animal and type of tumor to type of tumor. Papillomas or warts are generally trimmed and heat cauterized, while lager malignant tumors may require large amounts of tissue to be removed.

49. Large skin tumor that is likely malignant (cancer). Tumor Margin of healthy tissue around it. Tumor Removal

50. Most tumors have skin sutures and are to be removed in 12 to 14 days unless otherwise instructed. Generally, they are home the day of the procedure and can be done with other procedures or dentals if the doctor approves of it. Tumor Removal

51. Pain medication is recommended. IV fluids are recommended. Pre-anesthetic blood work is recommended. A pre-anesthetic exam is REQUIRED if the patient has not had an exam within the last 4 months. Tumor Removal

52. Tumor on a dog’s toe. Amputation of the toe is necessary. Tumor Removal

53. Comb-out/Shave: 1o – C If a cat is too fractious for groomers, we will comb them out, or perform SIMPLE shave procedures. These are done under anesthesia and they go home the same day. They are admitted as a surgery appointment. Cat Shave/Comb-out

54. Cat Shave We are a veterinary hospital, not a grooming facility, but occasionally there is a need to do a shave or comb-out under anesthesia.

55. Cat Shave/Comb-out Pain medication generally not needed. IV fluids are recommended. Pre-anesthetic blood work is recommended. A pre-anesthetic exam is REQUIRED if the patient has not had an exam within the last 4 months.

56. The End