15 April 2018

Large Dog Spay

rolling okay so we've got a medium large

dog I find them to be one of the easier States because things are really easy to reach in them got a sterile drape on hat wanna find my umbilicus and again we're gonna do two fingers from the umbilicus [Laughter] clean off her line yeah so we've got our landing are nice and clean they're gonna pull up make our incision into the body wall and users what are you nervous right here's our uterus and I've got some extra momentum so we're gonna go ahead and put that away don't need that and our ovary using a modified three clamp technique they're gonna put one clamp on the proper ligamentous break down our suspensory we're on Isis venturi I'm using that to watt or this dog shits about and I'm off a few pounds or so place the modified Mariners monarch rush [Music] so we're gonna cut kind of rubbery off make sure we've got the entire game which we do write down our broad ligament I want to make sure that I see my uterine artery I do not want to cut that and then the rest can go chakra pedicle for bleeding look good moving on

to the next side see how you got your bifurcation already popping out I don't know if you have seen our Great Dane say that that was a little bit more difficult to get and here's our other over H so the pebble space tend to be one of the easier big dog space [Music] I don't know if you could hear that but that one might have a nice popping sounds pretty sad spine modified 3 clean-up technique modified rollers again on that brush mfsl free make sure the whole things there find our uterine artery leaving not intact remove the rest of the girls like that and then check our pedicle for bleeding good we're gonna put two clamps on our bifurcation of uterus I don't Isis you put my modified motors in the crush on the uterus because some of these uterus is tend to be very soft and once you put that clamp there they like to break down and it doesn't help putting a suture onto something that's already falling apart so the modified Miller's have a lot of crushing power in and of itself and I find that that tends to be enough so this all looks good and we are good

to close start with this little continuous and our Linea and you really don't want to take big bites of the muscle the muscle doesn't have anything any holding power and if you put that suture through the muscle you're just gonna cause more pain the Linea layer the fibrous layer that's on top of the muscle that's got the holdin power so I'm not really going all the way through the body wall I'm just skimming the top and grabbing that fashion layer just make sure this is nice and snug for sub-q layer alright you want to bury that not so your patterns gonna be deep to superficial superficial to deep and put a couple of throws on that and I'm going to save this for later I'm gonna go through and grab one side and then the middle and then the other side and this was going to hold everything down help prevent seroma formation seroma SAR basically just pockets a fluid the body likes to fill empty space with fluid surgery all those throws will go away on their rounded they're not necessarily dangerous and just I try to avoid them I'm never gonna go right into our intradermal pattern coming out of your

tag is that you were saving that way favori so now all we have to do is pull not nothing down [Laughter]


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