Pet of the month

Pet of the month

Meet October pet of the month - Vito

Vito 2 edit

When this two year old Birman presented with vomiting he had been off his food for a couple of days and it would of been easy to assume that he'd simply developed a hairball.  He was a Birman after all! But the signs were more worrying than this because he had been sick repeatedly, vomited blood and displayed pain when we examined his abdomen.  This made it fairly easy to spot the need for further investigation.

We admitted him and took some radiographs which showed his stomach to be empty but with a very thickened wall that concered us even more.  Based on this appearance we progressed to gastroduodenoscopy.

Our video-gastroscope yielded the attached images, which show a necrotising gastric ulcer of the gastric body surrounded by haemorrhagic mucosa.  The dark center of the ulcer is at the point where it is at risk of rupture.  These changes represent severe pathology and would be completely unexpected in a cat especially of this age.  We were able to investigate the underlying cause by taking biopsies using flexible cup forceps via the endoscope.  The detailed pathology report ruled out cancer and infection but listed possible traumatic and toxic causes that we worked through by discussion with the owner.  In all likeihood this ulcer actually was the result of simply developing a hairball which had passed! Which makes you think!!!!

Vito recovered and the ulcer healed very quickly with medication.  He is now fed on a special hairball control diet and free to groom as often as he pleases.

 

Meet September pet of the month - Oscar

Oscar Chaplin 2 editedOscar came in to see us because he had developed a lump near his bottom.  It had appeared quite quickly, it was quite red and sore and he had started licking it.

He was admitted for a general anaesthetic so that investigations could be carried out.  We found that the lump had multiple tracts.  These were explored with forceps and extensive flushing with saline.  We were certain that there was some foreign material that was causing this reaction but despite following all the tracts nothing could be found.  We then used our small rigid endoscope (a very small camera) to visually inspect all the tracts and to our (and Oscar's) delight a grass seed was visualised embedded in inflammatory tissue and fully removed (see video of procedure).  By using our specialist endoscopic equipment we were able to avoid referral for specialist imaging.  He has now fully recovered and the area has healed well.

We see problems with grass seeds every year.  The majority of problems arise from the seeds getting caught in the fur on the paws, they are very sharp and can easily penetrate the skin between the toes and enter the paw where they produce a foreign body reaction of inflammation and pus.  If not removed they can then continue to track along the limb and sometimes into the body.  They can be extremely difficult to locate and sometimes specialist imaging such as a CT scan is needed to locate them.

We recommend clipping the fur very short on the paws and especially between the toes during grass seed season.  Ensure you check all paws and ears thoroughly after every walk.  The seeds also often enter the ear canals where they cause sudden onset irritation which is usually seen as frantic head shaking.  Sedation is often required to manually remove seeds.  It is unusual to find seeds that have entered around the bottom area but this year we have had three separate cases!

 

Meet our 500th Laparoscopic spay - Mia

Mia 1We performed our five hundredth laparoscopic [keyhole] spay on 16th May 2017.  Five hundred happy dogs and a celebratory cake coming our way.  Mia's spay was typical of the procedure that we now perform and this photo was taken about half an hour after her anaesthetic.  What a beautiful dog!

Its been a bit of a journey, starting in 2011 with a years post graduate training, including practical sessions and lectures concluding with practical assessments and written examinations.  Patrick became a certified veterinary endosurgeon and endoscopist in 2012.  To enable the full range of minimally invasive techniques to be accessed, Springwell veterinary surgery bought a whole new Karl Storz endosurgical suite at this time. Patrick also holds a post graduate certificate in small animal surgery which gives us the options to perform most types of surgery in the kindest way that we can.

 Cake 2

 

Meet May pet of the month - Reily

Reily Tindal 1At our last audit, we found that one quarter of our procedures performed under anaesthetic are minimally invasive.  This is a huge saving for our patients in terms of pain, fear and anxiety and massively reduces recovery times and drug use.  Perhaps the greatest benefit we can achieve however is when a dog like Reily comes in.  Born with a retained testicle castration becomes essential for medical reasons.

The difficulty with performing the operation to remove retained testes by open surgery is in locating them.  A study showed that Vets correctly identified the position of retained inguinal testicles 49 percent of the time, which is ALMOST as good as guessing.  Testes may lie under the skin, in the abdomen or even between the muscle layers of the body wall.  Open surgery requires a large incision usually along side the penis and through the body wall to look for the lost testicle, often to find that it is not within reach.  The wound has thus been made unnecessarily and another made to look elsewhere.  This surgical challenge may then become destructive, time consuming and expensive.

Performed "keyhole" the testicles are located simply by peeping in with a 2.7mm or 5mm wide camera.  The attached video shows how quick and easy it can be to see the offending gland and remove it through a tiny incision in the body wall.  If the testicle is elsewhere we can simply follow the spermatic cord to locate it.

The net result is a simple, cost effective procedure which has all the benefits of keyhole surgery but specifically avoids open surgery which in awkward cases can get out of hand.

Reily is a very happy dog and we feel very happy to have been able to help him remain so.

 

Meet April pet of the month - Bonnie

Bonnie Joyce 1At six o'clock in the evening we received a call from a local practice requesting help following another episode of canine greediness. The chicken satay, with skewer embedded, when merely waved within the vicinity of Bonnie dog was simply gone in flash, swallowed whole! Tricky!  An attempt to encourage vomiting could lead to the stomach being perforated and leaving the skewer in place could likewise lead to perforation of the gut somewhere lower down the intestines.  A perforated gastrointestinal tract will often lead to peritonitis which under these circumstances has a 50% mortality rate, even with surgery.

We swung straight into action and Bonnie came down for a general anaesthetic and gastroscopy.  The video attached shows the retrieval of the satay stick [its not always easy!] and the photographs show both the "foreign body" after removal and a rather pleased looking post-operative patient.  The crisis was averted and Bonnie went home for [another] tea in less than an hour.

No surgery, no hassle and no complications.

Chicken satay 2

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RCVS Accredited PracticeSpringwell Veterinary Surgery is Accredited by the Royal College of Veterinary Surgeons. The Practice Standards Scheme is a voluntary initiative - not all practices are part of it yet. As a client of the Springwell Veterinary Surgery, an RCVS accredited practice, you can rest assured of a high quality of care throughout the practice. Click HERE to read how this benefits you.

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