Tuesday, September 23, 2014

First cat spey

First cat spey, also my first recovery surgery! Finally a surgery where a patient doesn't get put to sleep after!
The whole thing went really well, without any surgical complications. Gotta say, I was quite stressed throughout the surgery since our group was supervised by the head of surgery department, and he kept asking us questions - which I should be thankful i suppose, since it made the surgery quite interactive while encouraging us to recall important bits of must-knows

Some points I took home from this session:
1. Abdominal layer(external rectus sheath) can be closed using simple continuous sutures (all these while i thought only simple interrupted was to be used), making sure to tie more knots at both ends for extra security.

2. Ketamine and buprenorphine(analgesia) can be sprayed directly into a cat's mouth for it to work. So next time i get a cranky, hissing cat that needs to be sedated, draw up some ketamine and aim! ^^

3. To find the uterus, look undernath the bladder. The simplest thing to remember yet i keep forgetting pft!

4. Ovaries resected but the uterus can't be fully exteriorize. So, extend the skin incision?? Well, it's not needed. Just remove part of the uterus or simply remove both horns. According to Dr.Bruce, the risk of pyometra (stump in this case) is very low due to the medication we are using now. And he thinks that more vets will choose to perform partial oviariohysterectomy (removing ovaries and horns but not uterus) compared to total ovariohysterectomy 

No comments:

Post a Comment