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Congress on Demand 2021: Surgery
Selected lectures from BSAVA virtual congress 2021
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We are pleased to present a selection of lectures from BSAVA virtual Congress 2021 that cover surgery. This collection can be purchased as a standalone item, with a discount for BSAVA members. Visit our Congress on Demand information page for information about how to access the rest of our 2021 congress lectures.
Collection Contents
2 results
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Laparoscopy and the acute abdomen
BSAVA Congress Proceedings 2021Author Philip LhermetteLaparoscopy is most commonly used in small animal general practice for routine ovariectomy/ovariohysterectomy in bitches. However, it is far from a ‘one trick pony’ and the potential to utilise laparoscopic techniques for a wide variety of abdominal procedures has been largely overlooked. The excellent visualisation afforded through a small 5mm incision, coupled with the ability to perform biopsies or operative surgery provides the clinician with the tools to diagnose and treat many cases of acute abdominal disease with greatly reduced morbidity and minimal tissue trauma in both dogs and cats. Many clients are reluctant to allow their pet to undergo exploratory laparotomy or invasive surgery “just to get a biopsy”. However, they are much more open to a keyhole approach which enables collection of excellent, diagnostic biopsies from multiple tissues with excellent haemostasis. Many, if not most procedures currently carried out by open laparotomy can be performed laparoscopically or lap assisted with lower morbidity and quicker recovery. Even seemingly unlikely candidates for laparoscopy, such as splenectomy, can be carried out lap assisted with some advantages for the patient. This lecture discusses the use of laparoscopic techniques for diagnosis and treatment of acute and chronic abdominal conditions in the dog and cat.
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The leaking tap: what’s new?
BSAVA Congress Proceedings 2021Authors: Laura Owen and Alasdair Hotston MooreIdentifying ectopic ureters – tips and tricks: Ureteral ectopia (EU) is a congenital abnormality, in which one or both ureteral openings form with their termination located distal to the bladder trigone. Intramural and extramural phenotypes are recognised, with >95% of canine cases identified as intramural, whilst the majority of feline EU are extramural. Diagnosis may be straightforward in patients presenting with significant urinary incontinence at a young age, but may be challenging in patients with a more atypical presentation, or in those with only subtle abnormalities of their urinary tracts. This session covers the variable clinical presentation of patients with ectopic ureters, explains ultrasound findings that may increase your index of suspicion for this condition, how to optimise contrast imaging to highlight an abnormal ureter and more about our current gold standard of diagnosis, cystoscopy. This information should enable you to more confidently recommend additional diagnostic tests in the correct animals and avoid unnecessary testing in those patients unlikely to have this condition. More patients can then in turn receive appropriate treatment.
USMI when medicine fails: what next? Urethral sphincter mechanism incompetence (USMI) is the commonest cause of urinary incontinence in the bitch. Medical management is the first line treatment (usually with either an adrenergic agent (e.g. phenylpronolamine) or an oestrogenic agent (e.g. estriol). The majority of bitches have a good response to these, but other treatments need consideration in a minority of cases. Before surgery is planned, the clinician should review the diagnosis and consider underlying or secondary factors (such as obesity and urinary tract infection). If the diagnosis is confirmed and these have been considered, surgical management can be offered to the owners. There are several established surgical options (colposuspension, Artificial Urethral Sphincter placement, urethral sling), endoscopic management with urethral bulking agents and some less well established procedures (vaginectomy, vaginal septum transection). The session looks at each of these and make suggestions as to their application.
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