Table Of Content

Fundamentals of SMALL ANIMAL SURGERY Fundamentals of SMALL ANIMAL SURGERY Fred Anthony Mann Gheorghe M. Constantinescu Hun-Young Yoon A John Wiley & Sons, Ltd., Publication Thiseditionfirstpublished2011(cid:1)C 2011byBlackwellPublishingLtd. BlackwellPublishingwasacquiredbyJohnWiley&SonsinFebruary2007.Blackwell’spublishingprogram hasbeenmergedwithWiley’sglobalScientific,TechnicalandMedicalbusinesstoformWiley-Blackwell. Registeredoffice: JohnWiley&SonsLtd,TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK Editorialoffices: 2121StateAvenue,Ames,Iowa50014-8300,USA TheAtrium,SouthernGate,Chichester,WestSussex,PO198SQ,UK 9600GarsingtonRoad,Oxford,OX42DQ,UK Fordetailsofourglobaleditorialoffices,forcustomerservicesandforinformationabouthowtoapplyfor permissiontoreusethecopyrightmaterialinthisbookpleaseseeourwebsiteat www.wiley.com/wiley-blackwell. Authorizationtophotocopyitemsforinternalorpersonaluse,ortheinternalorpersonaluseofspecific clients,isgrantedbyBlackwellPublishing,providedthatthebasefeeispaiddirectlytotheCopyright ClearanceCenter,222RosewoodDrive,Danvers,MA01923.Forthoseorganizationsthathavebeengranted aphotocopylicensebyCCC,aseparatesystemofpaymentshasbeenarranged.Thefeecodesforusersofthe TransactionalReportingServiceareISBN-13:978-0-7817-6118-5/2011. Designationsusedbycompaniestodistinguishtheirproductsareoftenclaimedastrademarks.Allbrand namesandproductnamesusedinthisbookaretradenames,servicemarks,trademarksorregistered trademarksoftheirrespectiveowners.Thepublisherisnotassociatedwithanyproductorvendor mentionedinthisbook.Thispublicationisdesignedtoprovideaccurateandauthoritativeinformationin regardtothesubjectmattercovered.Itissoldontheunderstandingthatthepublisherisnotengagedin renderingprofessionalservices.Ifprofessionaladviceorotherexpertassistanceisrequired,theservicesofa competentprofessionalshouldbesought. LibraryofCongressCataloging-in-PublicationData Mann,FredAnthony. Fundamentalsofsmallanimalsurgery/FredAnthonyMann,GheorgheM.Constantinescu,Hun-Young Yoon. p.;cm. Includesbibliographicalreferencesandindex. Summary:“FundamentalsofSmallAnimalSurgeryoffersathoroughintroductiontothesurgical principlesessentialtogoodveterinarypractice.Withmanyhigh-qualitylinedrawingsandclinical photographstocomplementthedetaileddescriptions,thebookisausefulresourceforbuildingbasic surgeryskills.Coveringtopicsrangingfromassessmentandsurgicalpackpreparationtoaseptictechniques andpostoperativepainmanagement,thebookisavaluablereferenceforsurgicalproceduretrainingin veterinaryorveterinarytechnicianschools,andservesasarefresherforveterinariansandtechniciansin practice.”–Providedbypublisher. ISBN978-0-7817-6118-5(pbk.:alk.paper) 1.Veterinarysurgery. 2.Petmedicine. I.Constantinescu, GheorgheM.,1932- II.Yoon,Hun-Young. III.Title. [DNLM:1.AnimalDiseases–surgery. 2.Animals,Domestic–surgery. 3.SurgicalProcedures, Operative–veterinary. SF911] SF981.M2572011 636.089(cid:2)7–dc22 2010042173 AcataloguerecordforthisbookisavailablefromtheBritishLibrary. (cid:1) Setin10/12ptNewBaskervillebyAptaraR Inc.,NewDelhi,India 1 2011 DEDICATIONS We,theauthors,dedicatethistextbooktoallofthestudentswhowehavehadthepleasureoftrain- ingintheartandscienceofsmallanimalsurgeryandtoallofthosecompanionanimalswhohave benefittedfromtheirsurgicalskills.Theauthorsalsostatethefollowingindividualdedications. I dedicate this textbook to my loving wife, Dr. Colette Wagner-Mann, my son, Lucas Mann, and mydaughter,DanielleMann.Ithankthemfortheirlove,understanding,andpatienceasIhave dedicatedenormousamountsoftimetoveterinarystudenteducation,includingtheproduction ofthistextbook. My contribution to this book as an anatomist and medical illustrator started long ago and was encouragedbymywife,Dr.IleanaConstantinescu,whomIthankwarmlyforherunlimitedsupport, understanding, and sacrifice. I dedicate this book to her, to my son Dr. Ra˘zvan Constantinescu anddaughterAdinaKlima,andtheirfamilies. Iwouldliketothankmywonderfulfamily,mywife,KyunghwaKim,andmyson,DongbinYoon, fortheirsupportandencouragementduringproductionofthistextbook. v ∗ CONTENTS Contributors ix 7 Operating Room Protocol 45 Preface xi FredAnthonyMann Acknowledgments xii 8 Surgical Attire 56 1 Preoperative Patient Assessment 3 FredAnthonyMann ElizabethA.Swansonand 9 Scrubbing, Gowning, and FredAnthonyMann Gloving 63 2 Basic Small Animal Anesthesia 8 Hun-YoungYoonand JohnR.DodamandFredAnthonyMann FredAnthonyMann 3 Asepsis in Small Animal Surgery 17 10 Surgical Preparation and Animal FredAnthonyMann Positioning 83 Hun-YoungYoonand 4 Antibiotic Use in Small Animal FredAnthonyMann Surgery 21 ElizabethA.Swansonand 11 Surgical Draping 107 FredAnthonyMann Hun-YoungYoonand FredAnthonyMann 5 Basic Surgical Instruments 25 FredAnthonyMann 12 Instrument Handling 128 Hun-YoungYoonand 6 Pack Preparation for Sterilization 35 FredAnthonyMann FredAnthonyMann ∗Allpencildrawings(seeChapters5through14,16,17,and20)areoriginalandareillustratedbyDr.GheorgheM.Constantinescu. vii viii CONTENTS 13 Surgical Knot Tying 143 17 Surgical Tubes and Drains 208 Hun-YoungYoonand FredAnthonyMann FredAnthonyMann 18 Canine Ovariohysterectomy 277 14 Suture Materials and Basic Suture FredAnthonyMann Patterns 155 19 Postoperative Pain CarlosH.deM.SouzaandFredAnthony Management 391 Mann JohnP.PunkeandFredAnthonyMann 15 Basic Wound Healing and Wound 20 Patient Aftercare and Followup 406 Closure 176 ElizabethA.Swansonand CarlosH.deM.SouzaandFredAnthony FredAnthonyMann Mann 16 Surgical Hemostasis 187 Index 420 ElizabethA.Swansonand FredAnthonyMann