Procedures
-Sedate and Halter
-NSAID (ketoprofen, meloxicam)
-Palpebral block (procaine licensed, lidocaine off license)
-Local into 3rd eyelid +/- topical
-Pull out
-Clamp; cut along the clamp
-Done
Notes: Can be done in field
Typically following ocular SCC
Standing sedation with Ketamine and Xylazine
Nerve block to the eye; bent spinal needle
Suture the eye closed
Eliptical incise
Blunt dissect around with curved scisors
Cut the optic nerve with scissors
Suture eyelid watertight with a simple continuous pattern and then a simple interrupted.
NSAID: Meloxicam 1ml/40kg
Topical spray
Systemic amoxicillin minimum 5 days
The sutures may be removed once adequately healed (15-20 days)
Sedation prefered over GA due ot ease when stading.
Left hand side.
Stabilise pre-op if necessary
Sedation typically with Xylazine IM (1 day meat withdrawal)
Local typically with Procaine (0 withdrawal)
NSAID: Carpofen (0 Milk, 21 Meat) or Meloxicam (4 Milk, 15 Meat)
Oxytocin to help milk letdown. Amoxicillin pre op
Epidural and Paravertebral
In crush
Incise the uterus down towards foot, not too close to uterus
Utrecht closure from cervis out
Incision from bttom up (1 layer simple interrupted)
Skin closed with ford interlocking
Ewe: alpha2 + clenbutarol
Ping on 11-13th rib on the left hand side and succussion
8th to 13th rin on the right hand side
Laparotomy RHS (standing right flank laparotomy)
Pre-operative NSAID (meloxicam or ketoprof) and Antimicrobial (Amoxicillin, Pen Strep 3-5 days)
Clip
Local +/- sedate
Prep equipment necessary
Deflate the abdomen (pipe stab incision with purse and string suture)
Correct the position (if torsion then untwist in the opposite direction)
Tack the abomasum in place to prevent recurrence (omentopexy/plyoropexy)
Surgical closure
Aluminium spray
Oral fluids (40L with electrolytes), asssess for concurrent (ketoacidosis(propylene glycol oral, or 50% dextrose IV if BHB over 5))
RDtA: + 3ltr hyperonic saline IV pre op
First aid: grab ends of vessels/pack with a clean towel
Vet: artery forceps to the artery and leave for 3 days, blood transfusion if mroe than 10L of blood lost, IV hypertonic fluid and then 40L oral fluid.
Done when: deep digital sepsis DIP, Non healing claw horn lesion, toe necrosis, or severe non healing wound.
Methods:
Disarticulate at the pastern joint: clip, cut up the ID skin to the level of the joint, cut around the joint at the interdigital space , scrapre cartilage to avoid delay in granulation and cyst like lesions.
Amputate through proximal phalanx, when swelling makes disarticulation difficult: cut up the interdigital skin to approximately 1/3rd up the P1, cheesewire through p1 at that level.
Antibioptics pre-op (Amoxicillin)
NSAID pre-op (carpofen/meloxicam)
Dress the wound
Straw in the pen, easy access to food and water, recheck in a couple days
Reduce standing times