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Surgical Services at Cary Grove Animal Hospital
Spay and Neuter
While spay and neuter surgeries may be considered routine, they require several safety measures to be taken. Not all spay and neuter surgeries are created equal. When choosing a veterinarian or facility for your pet's surgery there are several questions to ask, including:
- What type of anesthesia is used? Is it the safest available?
- Is my pet intubated so their airway is controlled?
- Is my pet on a surgical monitor as well as having a veterinary technician available?
- Is pain medication included?
- Is an IV catheter placed and are IV fluids given to help with hydration and blood pressure?
- Are sterile instruments and drapes used?
At Cary Grove Animal hospital, we keep the highest standards at our hospital and want to ensure your pet's spay or neuter surgery is safe and goes smoothly.
All pets are intubated with a breathing tube in their windpipe. This allows us to maintain their airway and deliver anesthetic gas and oxygen. All pets are hooked up to surgical monitors monitoring their heart rate, blood oxygenation levels, EKG, blood pressure and respirations. In addition to the "gadgets" we have a dedicated veterinary technician monitoring your pet's vital signs. All surgeries include balanced pain management before and during surgery, as well as after. All surgeries have IV catheters placed to have vascular access and to deliver fluids. This keeps your pet hydrated and helps keep their blood pressure normal. All surgical instruments and drapes are sterile and new ones are used for each surgery. Our standards and surgical equipment are the best available.
All of these services are included with each surgery and are not extra fees. Feel free to ask our staff for a surgery estimate if needed.
Soft Tissue Surgery
Dr. Fritz Trybus has a special interest in lameness of the dog, in particular cruciate ligament disease. Cruciate ligament ruptures are one of the most common causes for limping of the rear or back leg of dogs. Dr. Fritz Trybus has completed additional training in the form of continuing education seminars and wet labs to become proficient at knee surgeries.
Along with serving our own patients, we accept referrals from other veterinarians for cruciate surgery.
All operations include balanced pain management and recheck progress examinations. Pre-surgical examinations are required where our digital x-ray system will be utilized to make an accurate diagnosis.
Anterior Cruciate Ligament (ACL) rupture is one of the most common orthopedic conditions seen in dogs today. It can occur in any size dog from toy to giant breeds. Breeds such as Labradors, Golden Retrievers, and others are frequently diagnosed. After the ligament has ruptured it results in a swollen, unstable knee (stifle) joint causing the pet to limp and have discomfort.
Diagnosis is made on palpation of the joint to test for instability, as well as taking x-rays.
We are equipped to perform extracapsular joint stabilization surgery on dogs with cruciate ligament ruptures. The goal of surgery is to remove the damaged tissue in the joint and then stabilize it with a heavy gauge monofilament implant with titanium crimps. After a period of recovery, fibrosis of the surrounding tissues occurs and will provide long term support of the knee joint.
Patella luxation, or knee cap dislocation, is another common orthopedic condition in dogs. We commonly see this is small breeds of dogs such as Yorkies, Chihuahuas, and other terriers but it can occur in any breed. It may cause lameness, discomfort, and predisposition to arthritis in the joint. This can be a heritable condition and often involves both hind legs.
One of the surgical procedures to correct this condition is called the Trochelar Wedge Recession. This involves deeping the groove that the knee cap sits in and suturing the joint capsule to support the knee cap in its normal position. Other procedures such as the Tibial Tuberosity Transposition may also be utilized depending on the case.
Hip Dysplasia is a very debilitating disease. It can be seen in both dogs and cats. Smaller breeds of dogs may have a similar condition called Legg-Calve-Perthes Disease or avascular necrosis of the femoral head and neck.
For patients that are not able to be managed with medications, surgery may be necessary. One procedure is the Femoral Head and Neck Ostectomy or FHO. The goal of this surgery is to remove the diseased bone allowing the creation of a pain-free fibrous joint.
Is the anesthetic safe?
Today's modern anesthetic monitors have made surgery much safer than in the past. Here at Cary Grove Animal Hospital, we do a thorough physical exam on your pet before administering anesthetics, to ensure that a fever or other illness won't be a problem. We also adjust the amount and type of anesthetic used depending on the health of your pet. The handout on anesthesia explains this in greater detail.
Preanesthetic blood testing is important in reducing the risk of anesthesia. Every pet needs blood testing before surgery to ensure that the liver and kidneys can handle the anesthetic. Even apparently healthy animals can have serious organ system problems that cannot be detected without blood testing. If there is a problem, it is much better to find it before it causes anesthetic or surgical complications. Animals that have minor dysfunction will handle the anesthetic better if they receive IV fluids during surgery. If serious problems are detected, surgery can be postponed until the problem is corrected.
We offer three levels of in-house blood testing before surgery, which we will go over with you when you bring your pet in. Our doctors prefer the more comprehensive screen, because it gives them the most information to ensure the safety of your pet. For geriatric or ill pets, additional blood tests, electrocardiograms, or x-rays may be required before surgery as well.
It is important that surgery be done on an empty stomach to reduce the risk of vomiting during and after anesthesia. You will need to withhold food for at least 8 to 10 hours before surgery. Water can be left down for the pet until the morning of surgery.
Will my pet have stitches?
For many surgeries, we use absorbable sutures underneath the skin. These will dissolve on their own, and do not need to be removed later. Some surgeries, especially tumor removals, do require skin stitches. With either type of suture, you will need to keep an eye on the incision for swelling or discharge. Most dogs and cats do not lick excessively or chew at the incision, but this is an occasional problem you will also need to watch for. If there are skin sutures, these will usually be removed 10 to 14 days after surgery. You will also need to limit your pet's activity level for a time and no baths are allowed for the first 10 days after surgery.
Will my pet be in pain?
Anything that causes pain in people can be expected to cause pain in animals. Pets may not show the same symptoms of pain as people do; they usually don't whine or cry, but you can be sure they feel it. Pain medications needed will depend on the surgery performed. Major procedures require more pain relief than things like minor lacerations.
For dogs, we may recommend an oral anti-inflammatory the day after surgery and several days after to lessen the risk of discomfort and swelling. We use newer medications, which are less likely to cause stomach upset.
Because cats do not tolerate standard pain medications such as aspirin, ibuprofen, or Tylenol, we are limited in what we can give them. Recent advances in pain medications have allowed for better pain control in cats than ever before. We administer a pain injection 10 minutes prior to surgery. After surgery, pain medication will be dispensed to give orally.
Providing whatever pain relief is appropriate is a humane and caring thing to do for your pet.
What other decisions do I need to make?
While your pet is under anesthesia, it is the ideal time to perform other minor procedures, such as dentistry, ear cleaning, or implanting an identification microchip. If you would like an estimate for these extra services, please call ahead of time. This is especially important if the person dropping the pet off for surgery is not the primary decision maker for the pet's care.
When you bring your pet in for surgery, we will need to 5 to 10 minutes of time to fill out paperwork and make decisions on the blood testing and other options available. When you pick up your pet after surgery you can also plan to spend about 10 minutes to go over your pet's home care needs.
We will call you the night before your scheduled surgery appointment, to confirm the time you will be dropping your pet off and to answer any questions you might have. In the meantime, please don't hesitate to call us with any questions about your pet's health or surgery.