Overview: Abdominal surgery in which the uterus and ovaries are completely removed.
At Townsend Veterinary Hospital our basic procedure is the following:
üA thorough presurgical examination is performed, paying particular attention to heart rate, rhythm, lung sounds and overall body condition. They must current on their vaccinations. We also require dogs to have a current heartworm test and all cats must have a test for Leukemia and FIV.
üPresurgical blood tests are performed to check the function of vital organs and the health of the dog or cat. This ensures that we can choose appropriate medications and anesthetics for her.
üA presurgical injection is administered to sedate the patient, to reduce her anxiety, and to allow us to use less general anesthetic.
üIntravenous (IV) fluids are given during and following surgery, to promote a faster recovery, prevent shock, and to allow us to give your dog medication injections painlessly.
üDepending on the size and anxiety level of the patient, anesthesia may be induced by inhalation or by intravenous anesthetic.
üAn endotracheal tube is placed in the trachea or windpipe to administer inhalant anesthetic, and to ensure an open and patent airway.
üThe patient is connected to the anesthetic machine and monitors. The inhalant anesthetic we use is isoflurane, which is considered to be a very safe anesthetic. A pulse oximeter is attached to the patient's tongue with a soft rubber clip, which measures heart rate, pulse quality and blood oxygen saturation. An electrocardiograph can also be employed to monitor the patient’s heart rhythm.
üThe patient is positioned and the surgical site is clipped and scrubbed to make the area sterile.
üThe patient is transferred to the surgery room along with connected monitoring equipment.
üThe assistant continues to monitor the patient's vital signs throughout the anesthetic.
üAn incision is made on the midline of the abdomen using a scalpel.
üThe ovary is identified and surgical clamps are applied to the ovarian blood vessels. The vessels are then ligated (tied with sutures) to prevent bleeding and the pedicle is replaced into the body. This procedure is repeated for the other side.
üThe uterus and its blood vessels are ligated just above the cervix.
üThe uterus and ovaries are removed from the abdomen.
üThe abdomen is sutured closed in three layers: the abdominal wall, the subcutaneous tissue (tissue underneath the skin) and the skin itself.
üSometimes the stitches are placed under the skin and will dissolve on their own, but there are times sutures are placed in the skin and must be removed.
üPain medication is given as part of the premedication. An additional injection of pain medication is given at the end of the surgical procedure. Pain medication is repeated in the hospital as needed and will be dispensed for the first few days at home.
Please feel free to ask the veterinarian or veterinary assistant any questions you may have regarding the surgery.