Small Animal Surgical Emergencies

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Small Animal Surgical Emergencies <p><b>A comprehensive and up-to-date guide in emergency surgical intervention for veterinary professionals </b> <p><i>Small Animal Surgical Emergencies, Second Edition</i> continues to be an important resource focusing on surgical emergencies, combining the work of surgical specialists and critical care specialists, and filling a void in educating and informing veterinarians. <p>The new edition of this book provides updated information on an array of topics such as preoperative stabilization, new and innovative treatment options, and aftercare. Each chapter covers step-by-step information on emergency stabilization, diagnostic approach, operative techniques, postoperative care, common complications encountered in each case, and how to troubleshoot any such complication should they occur. It also offers simplified surgical techniques to ensure success and describes new and novel procedures throughout. <p>The Second Edition of <i>Small Animal Surgical Emergencies</i> features: <ul><li>Nine new chapters covering operating room nursing tips, rectal prolapse, colonic torsion, surgical intervention post celiotomy, assisted enteral feeding tubes, open chest CPR, managing complications of skin flaps and grafts, incisional infection, and joint luxations</li> <li>Many chapters are written in collaboration by experts in small animal surgery and critical care, combining these practices in one important resource</li> <li>Relevant anatomy, imaging, and full-color illustrations and drawings incorporated into each chapter</li> <li>Inclusion of case presentations, when relevant</li></ul> <p>An important tool for small animal general practitioners, veterinary surgeons, critical care specialists, as well as veterinary nurses and operating room technicians, <i>Small Animal Surgical Emergencies, Second Edition</i> is a crucial resource for this constantly evolving branch of veterinary medicine.

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8 Chapter 9 Figure 9.1 Diagram of the visceral branches of the aorta with their principa... Figure 9.2 Intraoperative photograph illustrating the classic appearance of ... Figure 9.3 Decision‐making algorithm for a patient with an acute abdomen. Case Figure 9.1 Lateral abdominal radiograph of a Great Dane with severe, ge... Figure 9.4 Postmortem photograph of a dog with complete mesenteric torsion. ... Figure 9.5 Intraoperative photograph of a dog with intestinal volvulus invol...

9 Chapter 10 Figure 10.1 Blood supply to the colon. The majority of the colon receives it... Figure 10.2 Right lateral abdominal radiograph following barium enema. Conin... Figure 10.3 Intraoperative photograph of a colonic torsion. A 180‐degree tor...

10 Chapter 11 Figure 11.1 Severe generalized septic peritonitis in a dog due to leakage of... Figure 11.2 (a) Marked pneumoperitoneum in a cat with gastric perforation se... Figure 11.3 Cytology of peritoneal effusion from a dog with suspected septic... Case Figure 11.1 Open peritoneal drainage modified by the addition of a clos... Figure 11.4 Open peritoneal drainage is established by leaving a gap between...Figure 11.5 Components of the vacuum‐assisted closure bandage include a foam...Figure 11.6 (a) An incisional infection/dehiscence and focal peritonitis in ...Figure 11.7 Components of a closed‐suction drain include a bulb reservoir co...

11 Chapter 12Figure 12.1 Septic peritonitis caused by an infected chromic gut suture used...Figure 12.2 An abdominal exploratory on a cat five days after an intestinal ...Figure 12.3 The use of an omental patch following intestinal resection and a...Figure 12.4 Enterotomy closure following foreign body removal in a dog. (a) ...Figure 12.5 The use of Surgicel ®to address continued parenchymal bleed...

12 Chapter 13Figure 13.1 The gallbladder has been dissected from the liver to increase vi...Figure 13.2 A necrotic gallbladder secondary to infarction.Figure 13.3 (a) A gallbladder containing a mucocele. The gallbladder is dist...Figure 13.4 Algorithm for the diagnosis of jaundice. CT, computed tomography...Figure 13.5 Cytology of bile peritonitis: Note the extracellular bile pigmen...Case Figure 13.1 Ruptured gallbladder mucocele with localized bile peritonit...Figure 13.6 The calcified density in the right cranial quadrant is a large s...Figure 13.7 Classic ultrasonographic appearance of a gallbladder mucocele wi...Figure 13.8 Ultrasonographic image of a distended gallbladder and bile duct ...Figure 13.9 Computed tomography of a gallbladder mucocele and liver mass. Th...Figure 13.10 Surgical options available for treatment of extrahepatic biliar...Figure 13.11 An incision has been made in the duodenum and a catheter has be...Figure 13.12 The gallbladder is being freed from the liver with a combinatio...Figure 13.13 The cystic duct and artery are ligated with vascular clips. A h...Figure 13.14 (a) Cholecystoenterostomy two‐layer closure. The gallbladder (G...Figure 13.15 (a) Severe bile duct dilation is noted resulting from multiple ...

13 Chapter 14Figure 14.1 A three‐year‐old male castrated Pomeranian that was hit by a car...Figure 14.2 Ultrasound image of a dog with a ruptured splenic mass and hemop...Figure 14.3 (a) Dual‐phase postcontrast abdominal computed tomography (CT), ...Figure 14.4 (a) Intraoperative image of preparation for liver lobectomy usin...Figure 14.5 Intraoperative image depicting splenic torsion. (a) The spleen i...Figure 14.6 Intraoperative image depicting a ruptured splenic osteosarcoma. ...Figure 14.7 Intraoperative image depicting a hilar splenectomy. Note the ind...Figure 14.8 (a) Intraoperative image depicting retroperitoneal hemorrhage se...

14 Chapter 15Figure 15.1 Appearance of an umbilical hernia containing a large volume of i...Figure 15.2 Diagnostic and therapeutic algorithm for umbilical and inguinal/...Case Figure 15.1 Appearance of expanding mass on the ventral abdomen.Case Figure 15.2 Radiographic appearance of abdomen on ventral dorsal view s...Case Figure 15.3 Skin incisions around mass.Case Figure 15.4 Removal of elliptical segment of skin with hernia sac expos...Case Figure 15.5 The hernia sac is carefully opened with Metzenbaum scissors...Case Figure 15.6 Intraoperative image of umbilical hernia after hernia ring ...Case Figure 15.7 Completed closure of umbilical defect with interrupted sutu...Figure 15.3 Releasing incisions in the external rectus fascia to reduce tens...Figure 15.4 Diagram of the inguinal ring anatomy. (a) Internal inguinal ring...Figure 15.5 Incarcerated intestines within a complicated inguinal hernia in ...Figure 15.6 External appearance of bilateral inguinal hernias in an adult Be...Figure 15.7 Lateral abdominal radiograph showing loss of the caudal abdomina...Figure 15.8 External appearance of a right scrotal hernia. Note the tube‐lik...Figure 15.9 Midline approach to inguinal hernia repair. (a) Proposed skin in...Figure 15.10 Intraoperative image showing preplaced monofilament sutures clo...Figure 15.11 Midline approach showing bilateral inguinal hernia repair with ...Figure 15.12 Right paramedian approach to a scrotal hernia. Intestines have ...Figure 15.13 Repair of scrotal hernia with castration. (a) Skin incision, th...

15 Chapter 16Figure 16.1 Abdominal wall in ventral view with transections at three levels...Figure 16.2 Muscles of abdominal wall, ventral view.Figure 16.3 Left lateral abdominal radiograph of a mixed‐breed dog suffering...Figure 16.4 Ventrodorsal radiograph of a one‐year‐old Yorkshire Terrier with...Figure 16.5 Major abdominal evisceration secondary to incisional dehiscence ...Figure 16.6 Decision making and timing for surgical repair of abdominal hern...Figure 16.7 Patient suffering from penetrating bite wounds is prepared for s...Figure 16.8 Ventral midline laparotomy of the dog presented in Figure 16.4. ...Figure 16.9 Middle‐aged male castrated Labrador presented with a body wall h...

16 Chapter 17Figure 17.1 Anatomy of the right perineal region. R, rectum; L, levator ani;...Figure 17.2 Extensive perineal swelling in an intact male Dachshund with bil...Figure 17.3 Laxity of the pelvic diaphragm is evident of digital rectal exam...Figure 17.4 Diagnostic images from an eight‐year‐old, mixed‐breed, intact ma...Figure 17.5 Computed tomographic images of an 11‐year‐old male castrated Dob...Figure 17.6 To perform concurrent abdominal and perineal approaches, the dog...Figure 17.7 In a dog in ventral recumbency, exposure of the internal obturat...Figure 17.8 Non‐incisional colopexy. Interrupted sutures are placed between ...Figure 17.9 Algorithm for diagnosis and treatment of perineal hernia with an...Figure 17.10 Contrast cystogram of a 13‐year‐old, mixed‐breed, intact male d...Case Figure 17.1 Lateral abdominal radiograph of a seven‐year‐old, male inta...Case Figure 17.2 Perineal ultrasound of the dog in Case Figure 17.1. The per...Figure 17.11 Lateral (a) and ventrodorsal (b) survey radiographs of the dog ...Figure 17.12 Herniation of the bladder and small intestine was diagnosed dur...

17 Chapter 18Figure 18.1 Normal canine pancreas showing the right and left lobes and body...Figure 18.2 Ventrodorsal (a) and lateral (b) abdominal radiographs of a five...Figure 18.3 Abdominal ultrasound image of a 3.0 cm fluid‐filled pancreatic m...Figure 18.4 Abdominal ultrasound image of a 2.5 × 3.0 cm heterogeneous pancr...Case Figure 18.1 Intraoperative photograph of a pancreatic abscess (white ar...Case Figure 18.2 Intraoperative photographs during debridement (a) of a panc...Case Figure 18.3 Intraoperative photograph during omentalization of a pancre...Figure 18.5 Intraoperative photograph of pancreatic abscessation in a Yorksh...Figure 18.6 Intraoperative photographs of pancreatic abscess surgery in a tw...Figure 18.7 Intraoperative photographs (a, b) of pancreatic abscess debridem...Figure 18.8 Intraoperative photographs of pancreatic abscess omentalization ...

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