Atlas of Surgical Approaches to Soft Tissue and Oncologic Diseases in the Dog and Cat

Marije Risselada

• Publisher: Wiley-Blackwell
• Year: 2020
• Print ISBN:
  9781119370130
• eBook ISBN:
  9781119370192
• Edition: 1
• Topic: Medicine
• Subtopic: Veterinary Medicine

This book offers practical guidance to making approaches for surgery to treat soft tissue and oncologic conditions in canine and feline patients. Every approach is outlined with step-by-step descriptions on how to handle the incision and covers indications and patient positioning. Detailed, high-quality medical illustrations are also included for each, and topics are logically laid out with images on the left and text on the right. 

Atlas of Surgical Approaches to Soft Tissue and Oncologic Diseases in the Dog and Cat starts with a chapter on oromaxillofacial approaches, followed by chapters covering the cervical area and ear, forelimb, hindlimb, thorax, and abdomen. The book finishes with complete coverage of the approaches to the perineal area and pelvic canal and digits and tail, making it an excellent guide for surgeons to plan and execute their approach to soft tissue and oncologic diseases. 

• Describes the complete approach to surgical incisions for soft tissue and oncologic disease, with alternative positions or approaches where appropriate
• Provides a high-quality medical line drawing depicting each approach
• Offers practical guidance for surgeons to direct their approach during surgery
• Covers indications, patient positioning, and step-by-step summaries of each approach
• Follows a logical two-page layout with text on one side and illustrations on the other

Atlas of Surgical Approaches to Soft Tissue and Oncologic Diseases in the Dog and Cat is an essential reference for any veterinary surgeon or clinician treating soft tissue and oncologic diseases surgically.

Section 1
Oromaxillofacial

• Approach to the Rostral Mandible
• Ventral Approach to the Ramus of the Mandible
• Intraoral Approach to the Ramus of the Mandible
• Lateral Approach to the Mandible
• Nasal Planectomy and Premaxillectomy in the Dog
• Nasal Planectomy in the Cat
• Approach to the Rostral Maxilla
• Intraoral Approach to the Maxilla
• Combined Dorsolateral and Intraoral Approach to the Caudal Maxilla
• Approach to the Zygomatic Arch
• Approach to the Temporomandibular Joint
• Dorsal Rhinotomy in the Dog
• Dorsal Rhinotomy in the Cat
• Dorsal Approach to the Sinuses in the Dog
• Dorsal Approach to the Sinuses in the Cat

Approach to the Rostral Mandible¹

INDICATIONS

• Partial mandibulectomy
• Rostral mandibulectomy
• Lip avulsion repair

PATIENT POSITIONING AND DESCRIPTION OF THE PROCEDURE

1. The lips are clipped and the skin is aseptically prepped and the oral cavity prepared for surgery. The patient is placed in ventral/sternal recumbency with the maxilla suspended by surgical tape, allowing the mandible to hang down in a natural position with the entire mandible draped in.
2. The margins around the neoplastic lesion are measured and marked with a sterile marker. The labial and oral mucosa are incised along the preplanned line using a blade. Stay sutures, skin hooks, or retractors can be used to elevate the lip away from the surgical field. A periosteal elevator is used to free the bone from muscular and fibrous attachments.
   A stab incision is made caudal to the symphysis. The defect is enlarged by blunt elevation and sharp dissection with a periosteal elevator and/or scissors to allow the caudal osteotomies to be made without soft tissue trauma.
   Bone wax or a hemoclip can be used to stop the bleeding from the mandibular alveolar artery after completing the caudal cut.
   I)

   

   II)

   

3. The excess rostral lip is trimmed in a triangle with the base oriented rostrally. The edges of the lip are moved towards the dorsal midline (A to A and B to B) to start the closure.

CLOSURE

The closure is started by assessing if excess lip needs to be trimmed; it is continued by approximating the deeper layers if possible and performing a simple interrupted or simple continuous closure of the mucosa (labial mucosa to the gingiva on each side of midline). The lip (the defect left from the triangle removed at the rostral aspect) is closed in three layers: mucosa, muscle/connective tissue, skin.

If the cut was through the symphysis, bone tunnels can be drilled to anchor the soft tissues of the lip to the bone with suture.

ALTERNATE POSITIONING AND APPROACHES

• An alternative to a hanging drape is to place the dog in dorsal recumbency with the head and neck elevated on a sandbag/towel with the entire mandible draped in.

III)

Ventral Approach to the Ramus of the Mandible²

INDICATIONS

• Ventral approach to the mandibular bone

PATIENT POSITIONING AND DESCRIPTION OF THE PROCEDURE

1. The patient is placed in dorsal recumbency with the neck extended. The mandibular area, extending as needed into the cervical area, is clipped and prepped. A sandbag or towel can be placed under the neck of the patient to stabilize the head....

Table of contents

• Cover
• Table of Contents
• Preface
• Section 1: Oromaxillofacial
• Section 2: Cervical Area and Ear
• Section 3: Forelimb
• Section 4: Hindlimb
• Section 5: Thorax
• Section 6: Abdomen
• Section 7: Perineal Area and Pelvic Canal
• Section 8: Digits and Tail
• References
• Index
• End User License Agreement