By Stephen D. Gilson, F. Ascaso, A. Bennett, B. Bouvy
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Additional info for Small Animal Soft Tissue Surgery
27-29: Questions 27 i. Identify this instrument (27). ii . What is its use? iii . What precautions should be taken in using this instrument? 28a 28 This is an oral view showing a chronic oronasal fistula in a dog (28a). i. What are expected clinical signs associated w ith this lesion? ii. How could this problem have been prevented ? iii. What are the surgical principles that maximize the incidence of a s uccessful outcome? 29 The structures accessible through an intercostal thoracotomy vary with the intercostal space through which the approach is made.
She has vomited occasionally over the last week. On palpation of the abdomen you feel the intestines bunched and crowded into the cranial abdomen. You examine the base of the tongue and can see what appears to be a thin ridge of granulation tissue on the ventral aspect (see also 194) . i. What condition is being described and what is the most likely reason for the depression, anorexia and fever? How would you confirm or deny your suspicions? ii. What contaminating organisms are likely to be associated with this condition?
How should this condition be managed? 47 52-54: Answers 52 The advantage of feeding soon after surgery (even fo r ani mals undergoing gastrointestinal tract surgery) is that it promotes metabolic anabolism and a healthy intestinal mucosa. It is important to prevent systemic catabolism because calories and amino acids in an unfed animal are soon derived from endogenous sources. g. immune and visceral proteins) are used, resulting in reduced immune defense, metabolism and wound hea ling . In humans, nutritional support is documented to reduce postoperative mo rb idity and mortality for many procedures.