Case 1:
Procedures were recorded accordingly and some photographs are included.
Cat early pregnancy spay (3kg)
Start time: 9.45am
Start of surgery
9.59am
Cut the skin
10.02am
Left ovary hook out
10.07am
Scapel blade was used to cut off left ovary
10.08am
Front paws were untied and body lifted up, cat started meowing
10.09am
Right ovary cut out
10.10am
Scapel blade was used to cut off Right ovary
10.13am
Extend incision bleeding
10.16am
Slow breathing observed
10.17am
Ligate individual uterine twine
10.18am
Check breathing again
Extend incision around 5mm
Clamp Uterine body
Check bleeding
10.20am
Bleeding controlled
Suspect torn uterine blood vessel
10.23am
Transfixing ligature uterine body to control bleeding
10.27am
(Cat on heat)
Bleeding again from ovarian fat
10.28am
Swab blood
Cut off uterine body
10.30am
Simple interrupted suture
Bleeding stop
Linear alba 3 stitches 3cm
10.32am
Check linear alba for hole
Stitch skin using horizontal mattress 2 stitches
Skin incision estimated to be around 3cm
10.33am
End of suture
 |
| Excised organ |
Surgical time: First skin incision –> last stitch = 9:59- 10:33= 32mins
Operation time: Sedation-> Last stitch = 9:45- 10:33= 47mins
Suture used: 3/0
Amount used: 1 packet
Sedation dose: Isoflurorane gas 2%
Shetland was brought into the clinic wrapped up with towel. Vet was presented with a shetland that have shedding skin just like humans with dandruffs. When asked about history of the pet, found that the skin problem was present since 4-5 years ago. The problem arises and disappears occassionally. Vet then noticed its swollen vulva and next ask about its menstrual cycle. Shetland had its menses few months ago (September 2011) but vulva is still swollen, which is unusual.
Although the owners brought the dog in to treat its skin problem, vet was suggesting that the primary cause might be due to hormonal imbalance, specifically a disorder known as hyperestrogenism. Hyperestrogenism is the overproduction of Estrogen, which is a type of hormone present in female dogs responsible for normal sexual behavior and development.
Advice was to sterilize the dog to get rid of the hormonal issues, which may indirectly lead to the recovery of it's skin problem.
 |
| Pink patchy skin |
 |
| White flaky skin shedding |
 |
| Swollen vulva |
Admin stuffs completed:
- Bank statements for September and October 2011
-All vet's consult balance spreadsheet
Working hours:
10am- 5.15pm
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