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The policy pulls together current research on potential long-term health and welfare impacts of neutering and ways these may be reduced, including different methods, delaying the procedure, or not neutering.
It recommends assessing male dog castration on an individual basis, taking factors such as age, breed and lifestyle into account.
Advice for cats is unchanged, with male and female cats still recommended for neutering at around four months of age, before sexual maturity.
The Associations say the general consensus is that male and female dogs should be neutered at around 12–24 months, when many breeds are considered to have reached skeletal maturity, to reduce the risk of developing orthopaedic conditions.
A joint FAQs resource has also been produced to summarise the conclusions and recommendations for practice teams.
BVA Senior Vice President Dr Elizabeth Mullineaux said: "The updated policy position brings together the latest evidence to support small animal vets with making context-based decisions on a case-by-case basis and what that might mean for discussing neutering options with clients."
BSAVA President Julian Hoad added: "The evidence base underpinning decision-making continues to evolve and although the policy position covers many key research outputs, ambiguities still exist.
"BVA and BSAVA have made recommendations based on existing knowledge and how best this can be applied in practical scenarios.
"The resulting aim of the policy is to support veterinary professionals in clinical practice by equipping them with the tools that help them in offering tailored neutering advice to pet owners."
https://www.bva.co.uk/take-action/our-policies/neutering-of-cats-and-dogs/
SkinBond Multi contains n-butyl cyanoacrylate, with the product’s differentiation lying in its single-use packaging rather than the adhesive itself.
SkinBond is suitable for both the final closure of surgical incisions and for adhesing the edges of minor skin lacerations.
Nick Butcher MRCVS, the owner of Animus Surgical, said: “From my own years in both small animal and equine practice, I understand the need for a fuss-free solution for those final touches in surgery and minor wounds.
“SkinBond Multi is designed for precisely this.
"The single-use pipettes offer unparalleled convenience whilst eliminating cross-contamination risk and reducing waste.”
Animus highlights that the new product is also transparently billable, in line with CMA guidelines
https://animussurgical.com/products/animus-skinbond-multi-10-x-0-25ml
HaemoVet haemostats are individually sterile packed in a variety of forms ranging from dental cubes, flex dressings and flowable powder.
Invicta says the range is affordably priced with dental cubes costing £1 each, packaged in 24 individual blistered packs with a three-year shelf life.
Rob Watkins, Managing Director of Invicta, said: “Most practice staff are familiar with using absorbable haemostats in routine and emergency surgery.
"However, statistics show that just 17% use them regularly1.
"Many staff cited price as a reason and this coupled with the rising costs of consumables spurred us to bring an affordable option to practices.”
The HaemoVet range comprises of sponges, powders or flowable syringes of gelatin matrix designed to provide rapid and safe haemostasis2.
For dental applications, there is also a sponge impregnated with colloidal silver.
Rob added: “The HaemoVet range provides practices with a much more affordable option and are carefully packaged in individual sachets to avoid waste to make it the economic and environmental product of choice.”
HaemoVet is available from Invicta Animal Health, which will also give training and information on its use.
T: 01403 791313Email: mail@invictavet.comW: invictavet.com/haemovet
References
The authors say that measuring the severity of pterygoid bone medialisation before surgery may therefore be useful as a guide to the likely prognosis.
The study, funded by BSAVA PetSavers, is the first to investigate the effect of pterygoid bone medialisation and nasopharyngeal narrowing on BOAS surgical outcomes in brachycephalic and non-brachycephalic dogs.
Researchers at the University of Cambridge Department of Veterinary Medicine analysed computed tomography (CT) images of the head and neck of 144 brachycephalic dogs (French Bulldogs, Pugs and English Bulldogs) and compared with 30 non-brachycephalic control dogs.
A BOAS index was determined both pre-operatively and post-operatively.
Medialisation of the pterygoid bones was more severe in brachycephalic breeds compared to non-brachycephalic breeds and was associated with nasopharyngeal narrowing.
French Bulldogs were particularly affected, and those with more severe pterygoid bone medialisation were far more likely to have a poor BOAS surgical outcome.
There are currently no effective surgical interventions to correct the deformities of the pterygoid bones in BOAS-affected dogs.
The authors say medialisation of the pterygoid bones can be easily identified via CT scans, or alternatively, simple palpation of the pterygoid bone during surgery from the oral cavity can give an indication of how medialised the pterygoid bones are.
Dr. Sze Lynn Yuen, lead author of the study, said: “BOAS is a complex disease which encompasses breed-specific anatomical lesions.
"The medialisation index will be useful for vets in practice to guide them on the likely prognosis prior to surgery.
"It would be beneficial to identify the significance of the medialisation index on a larger dataset of BOAS-affected patients as the next step.”
https://onlinelibrary.wiley.com/doi/10.1111/jsap.70028
According to the researchers, who came from the University of Nottingham School of Veterinary Medicine and Science, Guide Dogs and Feldon Veterinary Centre, this was the first study to compare peri- and postoperative complications, behaviour after surgery, and surgery duration, for the two most common neutering procedures for female dogs; laparoscopic ovariectomy (LAP-OVE) and open ovariohysterectomy (celiotomy) (OVH-CEL).
For the study, the researchers analysed data from 519 bitches neutered by either LAP-OVE or OVH-CEL at four UK veterinary practices.
Fewer bitches developed wound redness or swelling at the surgical site following LAP-OVE (16%), compared to those that underwent OVH-CEL (36%).
Intraoperative complications were reported for 2% of dogs neutered by LAP-OVE and 3% of those neutered by OVH-CEL.
Postoperative complications were reported for 0.5% of the LAP-OVE group and 1% of the OVH-CEL group.
Unusual behaviours (inappetence, discomfort, licking or chewing) in the postoperative period were less common in dogs neutered by laparoscopic ovariectomy.
There was no significant difference in surgical duration between the two techniques.
The researchers say that their findings add to a growing body of evidence suggesting that postoperative complications, including those related to wound healing and those requiring further veterinary intervention, are lower for laparoscopic than open surgeries for bitches neutered by experienced veterinarians.
Lead author, Dr Rachel Moxon, said: “While there is already evidence from other studies relating to complications following neutering surgeries in bitches, this is the first time that the outcomes have been compared between what are anecdotally reported to be the two most frequently performed neutering surgeries for female dogs in the UK.
"The results will be of interest not only to vets, but for pet owners and others that have to make choices about neutering their dogs. Understanding the surgical risks is an important factor to consider, and decision making is made easier when it can be informed by evidence”.
https://onlinelibrary.wiley.com/doi/10.1111/jsap.70013
The procedure has already been performed in the US and Germany, where it is reported to have had a success rate of 70-80% in around 250 cases, many of which were show jumpers, eventers and dressage horses.
The team at Liphook, led by European Specialist Rachel Tucker (pictured), has now performed the procedure on six horses.
Rachel said: “Enlargement of the articular process joints of the lower neck is a relatively common finding in horses, but occasionally this can cause compression and irritation of the spinal nerves.
"The foraminotomy procedure means horses experiencing nerve pain can be made comfortable and have a good chance of returning to ridden work and a competition career.
“The surgery is minimally invasive but it is a very delicate procedure to perform because you are working very close to the spinal cord.
"Due to the location, the surgery is performed down a single portal under direct visualisation using a camera, guided by ultrasound and X-ray.
"What has been remarkable so far has been the rapid recovery of the horses, who have been home and out in a small paddock within a few days of surgery with some showing rapid signs of improved comfort and movement.
“We are very pleased with how the procedures at Liphook went.
"Our patients are continuing to recover well and we are looking forward to following their progress in the future.
Vita Referrals has been set up by Rob Quinn, an RCVS and EBVS Specialist in Small Animal Surgery, and Nick Blackburn and Stuart Cooke, both RCVS Advanced Practitioners in Small Animal Surgery.
They say that their aim is to ensure every pet owner has access to reasonably priced surgical care.
To that end, the clinic lists fixed costs for all of its major surgical specialities on its website, where it says clients should notice a significant reduction compared to other providers.
It also offers a 12-month post-surgical complications warranty.
Rob said: “Many pet-owners are unaware that there are three major companies which own the vast majority of veterinary practices in the UK.
"That is not necessarily of benefit to those using the services, as prices can rise when competition is low.
"Myself, Nick and Stuart felt very strongly that there was a different way to do things.
“No one becomes a vet to see animals suffer or pet-owners struggle to make tough financial decisions.
"We knew it was possible to offer a top quality service, with the best facilities and equipment available, whilst also keeping prices at a realistic level – and that is where the vision for Vita Referrals came from.
"We also wanted the freedom to offer collaborative decision-making, the removal of complex forms and bureaucracy and what we believe is an industry-leading 12-month complications guarantee on routine surgeries.
"It’s time there was more disruption and competition in the sector – and that will, ultimately, only be a good thing for pets, owners and vets.”
www.vitareferrals.co.uk
Phovia is a two-part FLE system consisting of a chromophore gel that is applied to the affected skin and a blue light LED lamp.
When used together they produce light of varying wavelengths that penetrates the skin to different depths, which Vetoquinol says helps to control bacteria and reduce inflammation on the surface of the skin and stimulates regeneration in the epidermal and dermal layers.
The unit is portable, and applications take four minutes once a week.
After diagnosis and subsequent recommendation by a veterinary surgeon, any trained member of the clinical team can use Phovia.
For the study, which was led by Dr. Andrea Marchegiani, nine female dogs that had undergone unilateral or bilateral mastectomy for mammary neoplasia had half their wounds treated with FLE, whilst the other half served as the control and received no FLE.
To assess the potential benefits of FLE in reducing infection risk, swabs were taken for culture and sensitivity three, five and seven days after surgery.
The swabs from all FLE-managed wound portions showed no bacterial growth, in contrast to the control wounds, in which three dogs had positive culture results.
Andrea said: “For many reasons healing of surgical wounds can become challenging, especially after removal of mammary gland lumps.
"Veterinary clinicians have to face the three-fold challenge of meeting owner expectations of prompt and trouble-free wound healing, recognising those wounds in which healing may be prolonged or impaired and also following the principles of antibiotic stewardship.”
The study concluded that the research underscores the value of Phovia as a significant adjunct to conventional postoperative care in veterinary medicine, offering the dual benefits of reducing potential infection risks and lessening the home care burden for pet owners.
FLE’s application could potentially replace certain topical treatments and improve overall compliance by simplifying the administration of home therapies, thereby relieving pet owners of some responsibilities associated with postoperative care.
https://www.mdpi.com/2076-2615/14/8/1250
Reference
In addition to the UK, Vetigel will be marketed and distributed to veterinary surgeons throughout Europe and elsewhere via Veterinary Instrumentation's global distribution network.
Matt Lewis, Vice President of Sales at Cresilon said: "Our partnership with Veterinary Instrumentation will help us provide more veterinary surgeons with a revolutionary hemostatic gel that significantly improves the standard of care for pets and animals.
"Vetigel has been used by thousands of veterinarians thus far and helps veterinary clinics and animal hospitals save time, reduce operating costs, and improve patient outcomes."
https://vetigel.comhttps://veterinary-instrumentation.co.uk
The procedure was performed on a 13-year-old Siberian Husky called Marigold, which was diagnosed with a malignant mammary tumour last year.
Unfortunately, despite £20,000 worth of radiotherapy, Marigold failed to respond to treatment, and the tumour spread.
Marigold’s owner, Mrs Norma Pophosherti from Derby said: “We couldn’t bear to part with Marigold, she’s one of the family, so when we heard about the groundbreaking work being done at the University of Bromsgrove Veterinary School, we had to give it a go.
Unfortunately there was no realistic prospect of a donor from a matching breed of dog.
Thankfully, though, a local man with a 4-year-old Labrador stepped forward to help.
Hit by the cost of living crisis, he’d been unable to afford to keep his dog and was about to have it put to sleep when he heard about the Phophosherti family’s search for a donor.
Although he wished to remain anonymous, he said: “It gives me great comfort to think that Buddy will be able to live on, and spare the Phophoshertis from the pain of losing their beloved Marigold”
Professor Flora Olip MRCVS led a team of 6 veterinary surgeons who undertook the 28 hour procedure, which is estimated to have cost over £100,000.
She said: “This was a very tricky procedure which probably only had a 30% chance of success.
"But I’m delighted to say that Marigold’s new body has taken well, and she can now look forward to perhaps a whole more year with Phophosherti family, albeit as less of a Siberian Husky, and more of what you might call a Huskador"
Flora added: “More importantly, this heralds the way for similar procedures in humans, which I think are probably just a few years away now.”
Photo: Marigold, now one-third Siberian Husky, two-thirds Labrador.
The course covers wound management, making decisions on dressings, drain management, how to complete biopsies and fine needle samples, how to complete a number of suture patterns and how to remove cutaneous masses and complete other surgeries under Schedule 3 legislation.
The course includes eight hours of practical skills training on cadavers as well as 2 hours online training, covering suture selection and legislation.
On completion of the course, CVS nurses are able to recognise what nurses can complete under Schedule 3 legislation, identify the correct dressing for each stage of wound healing, identify the equipment and correct technique for a range of biopsies, complete a number of different suture patterns, and remove cutaneous masses and complete other surgeries under Schedule 3 legislation.
Each nurse has a skills checklist to inform their ongoing training needs and is encouraged to have regular, informal meetings with a local mentor – who is able to support their learning.
The next Surgical Schedule 3 Course is scheduled for 21st March 2024.
Karen Learmonth, LED Nursing Lead at CVS said: “I am excited about the opportunity that Surgical Schedule 3 provides for nurses within CVS to further their skills and knowledge.
"Advocating nurses’ involvement in Schedule 3 procedures supports improved patient care and provides nurses with rewarding careers.
“It’s fantastic to see so many nurses completing the course to date and we’ll further develop nurse utilisation in 2024 where we’ll rollout both ultrasound and lab skills training.
"We hope this will encourage nurses to utilise all aspects of their role in line with Schedule 3 guidelines.”
Fran Wood, an RVN at Albavet - Rogers, Brock & Barker said: “I have been loving doing surgery and felt the course was the best CPD I have ever been on!
"It has given me the confidence to complete stitch ups, tail amputations and many other procedures.”
One of the critical factors in allowing vet nurses to use all their skills is having vets who are comfortable delegating.
To that end, CVS has vets who have pledged to support nurses to achieve this work.
The group has also published guidelines for its vets to provide clarity around effective delegation under Schedule 3.
The dog presented to the Neurology and Neurosurgery Service at Pride after the dog's GP vet had diagnosed a tumour.
The neurological examination was consistent with a thoracolumbar lesion and the X-rays showed a radiopaque mass with bony lysis on the third lumbar vertebral body.
Annette Wessmann, an EBVS European Specialist in Veterinary Neurology at Pride said: “We chose to do a CT scan based on examination and the X-rays.
“It confirmed the suspicion of a neoplastic lesion and ruled out other tumoral focus along the rest of the spine and other organs."
A customised titanium implant was designed for the dog's spine in collaboration with BETA Implants.
Rosario Vallefuoco, an RCVS and EBVS Small Animal Surgery Specialist and Head of Small Animal Surgery at Pride said: “It was a case of combining our experience with that of the engineers.
“The original implants had been designed for humans, and we had to imagine what would be required for a dog and work out at every step what changes we would have to make.”
The surgery took place in three different stages, the first being L3 vertebra skeletonization and dorsal lamina removal.
The second step was vertebral body removal.
Finally, the third step was vertebral reconstruction using the designed implants.
The whole procedure took six hours, and the dog was up and walking again within 12 hours.
Subsequent histopathology assessment of the mass confirmed osteosarcoma, so the surgery is being followed up with chemotherapy.
Following the success of the surgery, Pride Veterinary Referrals says it now hopes to help other dogs with similar conditions.
www.prideveterinaryreferrals.com
Membra is a transparent, water-resistant, non-toxic, biodegradable bandage replacement consisting of a hydrogel polymer which can be applied to open wounds.
It is initially applied as a liquid and quickly gels into a thin, flexible layer over the site.
The initial liquid phase of Membra allows it to cover open and irregular spaces as well as suture lines and it dries in minutes to form a barrier that covers and protects the incision site or wound.
Being transparent, Membra allows the wound to be seen by the veterinary team and pet owners.
Membra lasts for up to 14 days and naturally biodegrades over time.
Animus says that Membra lowers the risk of infection or dehiscence.
The company also says that hydrogel polymer has been shown to replace the need for adhesive bandaging on suture lines following major TPLO surgery.
A study concluded that the polymer did not appear to raise the prevalence of incisional complications after TPLO surgery and lasts for 14 days, rather than 24-48 hours with traditional bandaging1.
Nick Butcher MRCVS, owner of Animus Surgical in the UK, said: “Regular bandaging of open wounds can be costly, time-consuming and stressful for owners and their pets, requiring frequent visits to the practice.
"The bandaging of some open wounds can be impossible because of the location of the lesion or the affected species (e.g. exotic or aquatic animals) and more aggressive or nervous patients may require sedation.
"Used bandages also add to the volume of clinical waste generated by the practice which requires incineration
“We are therefore delighted to launch Membra to veterinary teams in the UK.
"It has been very successful in the U.S. and we already have a number of UK vets using the product as Membra can positively affect the outcome of open wound management across a range of species, without the need for regular bandage changes.”
To find out how to apply Membra, a range of YouTube videos are available showing a selection of case examples: https://youtube.com/@sutureseal5917.
www.animussurgical.com.
Vetigel is a plant based gel which was first introduced to the UK for orthodontic surgeries last year.
It is supplied in a pre-filled syringe and applied directly to the site of bleeding where it creates an initial mechanical seal and then supports the formation of the platelet plug below.
VetPlus says it can be used in many situations where bleeding is an issue and the gel can be applied directly to the site of bleeding, including liver biopsies, mass removals, amputations and enucleations.
Jackie Marshall, VetPlus Technical Advisor, said: “This innovative product is already transforming the way vets perform both dental and surgical procedures, and we have had really positive feedback from those practices where it is being used already.
"Vetigel isn’t intended to replace a surgeon’s technique, but it is designed to stop bleeding where pressure or other methods are ineffective or impractical.
"Because it is a gel, it can conform to a wide range of wound shapes, making it a rapid, effective way of controlling bleeding.
“We believe this product will make a lasting impact on veterinary care, transforming the way surgeries are carried out and assisting haemostasis in animal patients.”
Zak Leavold, a vet based at Calster Vets in Great Yarmouth used Vetigel in an emergency situation, out of hours, on a dog with a bleed due to a kidney laceration.
He said: ‘I genuinely believe the product saved the dog’s life that night.
"I will certainly be keeping Vetigel on hand for any future soft surgeries – just in case!’
Links
The webinar will look at what VNs can do to minimise and, in some cases, prevent surgical site infections and antibiotic resistance.
The lecture, which is presented by RVNs Rosina Lilywhite and Rosie Heath, will include discussion and top tip-sharing time.
It will also consolidate the role of the theatre nurse and provide updates on biosecurity, instrument care and how to run a theatre.
Rosina said: “We will be taking it back to basics and looking at where improvements can be made, often in areas that are so routine that we forget about their importance.
"It’s a great opportunity to see inside Liphook Equine Hospital, which is one of the largest equine hospitals in the UK and discover how to make your own set-up more gold standard.”
The course is free to BEVA Nurse members.
To register, visit https://www.beva.org.uk/Education/CPD/Event-Details/eventDateId/1707
If you are not a BEVA VN member you can join this CPD session and get a one-year BEVA membership for £49.
Photo: Safia Barakzai, Equine Surgeon
His most recent case was five-year-old bulldog called Jesse.
Guillaume said: "Jesse was suffering from both atlantoaxial instability and a spinal arachnoid diverticulum in the thoracic spine.
“As a result of the two conditions, he had lost a lot of mobility and was dragging his hind legs behind him.
“We decided it was best to carry out two separate operations, prioritising the surgery to tackle the atlantoaxial instability as that was potentially life-threatening.
“I used a new technique for this, adopting a dorsal approach, which involves an insertion through the top of the neck when normally this type of surgery is generally performed ventrally, through the bottom of the neck.
“We have had great success with this approach so far.
"The normal mortality rate is between 5 to 10%, however, we have now done 20 of these procedures together with colleagues, all of which have been successful.
“The main advantage of the technique is it likely reduces the risk of complications, which is why I prefer it.
“With the ventral approach you go through the soft tissue and nerves in the neck which brings the risk of vomiting, regurgitation, megaesophagus, swelling and even tracheal injury.” =
Guillaume has co-authored a publication on the dorsal surgical technique which can be found at: https://doi.org/10.3390/life11101039
BSAVA’s client information leaflets are designed to be used as part of the veterinary consultation and provide information to help owners understand what is involved in a procedure or examination, including the reasons for it, the preparation required, any associated risks and what happens during and after the procedure.
They are available in a PDF format which can be printed and stamped with the veterinary practice details or emailed to clients.
Elise Robertson, ABVS American Board-Certified Diplomate Feline Practice and author of the endoscopic Client Information Leaflets, said: ‘The client information leaflets were created due to the need for accurate and reliable information from reputable sources."
BSAVA’s Head of Publishing, Ian Mellor, said: "This new factsheet brings our total number of client leaflets to 178. Our client leaflets have been downloaded more than 10,000 times in the past year and are an important part of our drive to improve the health and welfare of small animals by providing practical resources to the veterinary profession.’
The new leaflet is available via the BSAVA Library (https://www.bsavalibrary.com/content/cilgroupprocedures).
Access to the entire range of client information leaflets (including canine and feline behaviour, exotic pets and medicines) is available for an annual subscription of £40; BSAVA members have access to these leaflets as one of their membership benefits.
BSAVA welcomes suggestions for new topics to cover in its client information leaflets.
Send your ideas to publications@bsava.com.
David, who was assisted by Dan Kenny and Kat Grzywa MsRCVS, said: “Penny presented with suspected ascites, given a large volume of peritoneal effusion. Her abdomen was very swollen and taut
“We performed a contrast-enhanced CT scan with an iodine-based contrast to help highlight the areas of the body we needed to examine and the results were startling.
“The mass was enormous. It almost completely filled the abdomen.”
CT images showed that the mass had originated in the right kidney, which had been displaced into the left side of the abdomen, and also compressed the rest of Penny’s internal organs.
There was no evidence of metastatic disease.
David added: “A right ureteronephrectomy was performed and the large cystic parts of the tumour were dissected free from the omentum, the peritoneum and the retroperitoneal vasculature.
“The surgery was really difficult because the mass was so large and heavy, and it required extra surgeons to hold and manipulate the mass, while its vasculature was dissected and ligated.
“The weight of the mass on the diaphragm also made the anaesthesia challenging but surgery went very well.
"Once the surgery was over, the weight of the mass was confirmed at nearly 5kg.
“Penny made a good recovery from the anaesthesia, her blood renal parameters remained normal throughout her recovery, and she was discharged 48 hours later. Histopathology later confirmed the mass to be renal carcinoma.”
The NASAN is an audit for practices to share their data anonymously, to establish UK benchmarks in post-operative complications rates for small animal neutering.
Each year, RCVS Knowledge releases the national routine neutering benchmark to enable veterinary teams to compare their figures against the national average and use this data as part of a benchmarking exercise towards continuous improvements for neutering outcomes.
In 2020, 72% of neuters were complication-free, 13% lost to follow, and 15% of animals suffered an abnormality related to the operation, mostly requiring medical treatment.
Chris Gush, Executive Director of RCVS Knowledge, said, “Data submitted to the NASAN last year, and so far this year, has been lower than expected – likely due to the strain put on the professions by the pandemic.
"We believe many practices have neutering data that they have not been able to submit yet. We would be grateful for any unsubmitted neutering data for 2020 and 2021 to be sent to the NASAN, when practices are able, so that it can contribute to the national picture and allow us to gain the most accurate representation of the benchmarks for neutering in the UK.”
RCVS Knowledge is asking that practices submit their data for 2020 and 2021 by the 15th of October.
Anonymised data may already be available via the practice’s PMS and can be added to RCVS Knowledge’s spreadsheet. Practices can use the results to carry out their own audits and produce internal benchmarks, guidelines and checklists to help monitor their progress and help reduce complication rates by using RCVS Knowledge’s free Quality Improvement resources. The yearly benchmarks are reported in November each year.
You can submit your data from 2020 and 2021 on the vetAUDIT website: https://vetaudit.rcvsk.org/nasan
RCVS Knowledge has created a ‘How to guide’ for using the NASAN, which can be watched on YouTube: https://youtu.be/otoyYK3heCQ
The case was seen by Tim Charlesworth, head of surgery, who shared details of the case.
The dog was a seven-month-old Jack Russell Terrier which had been referred suffering from urinary incontinence and preputial pruritus.
Tim said: “We believe this is the first reported case of complete unilateral duplication of the urinary tract in a dog presenting with incontinence.
“The dog concerned was born with a duplex or 'double’ left kidney. Each section of the left kidney drained urine via separate ureters into the prostate gland.
“Its urinary bladder was also divided into separate left and right compartments, each of which then drained through separate urethras that coursed through separate penises.
“The two penises were both stuck within a prepuce designed for one which, was causing the dog’s pruritus or ‘itching’ of the penis. The incontinence was caused by the left ectopic ureters.”
Tim was faced with the challenge of devising a surgical strategy that would resolve the dog’s clinical signs. He said: “The left kidney was severely dilated and was deemed to be non-functional and so the dog underwent surgery for the removal of the affected left kidney and ureters; the two halves of the bladder were united by ablation of the septum between these two cavities; the left urethra was transected and the left penis amputated to allow the right penis to have room to fully fit within the prepuce.”
Tim added: “The dog has now made a full recovery with full resolution of his clinical signs and is currently doing very well indeed. We are very pleased to have been involved with such an unusual case and are really happy that he continues to do so well.”
The case was recently written up by one of Eastcott’s interns, Mara Sprocatti, and it has now been published by Wiley Online Library in Veterinary Surgery, highlighting it as the first known case in the history of veterinary surgery.
The service will be run by European and RCVS recognised specialist in Soft Tissue Surgery, Jane Ladlow, and will begin taking referrals from October 28th.
Jane has nearly 20 years’ experience as a specialist clinician, researcher, teacher and lecturer.
Her main focus for the last 10 years has been upper airway disease in dogs. As the clinical lead of the Cambridge Brachycephalic Obstructive Airway Syndrome (BOAS) Research Group, she has been instrumental in the introduction of objective, non-invasive assessments of airway function, identifying risk factors for BOAS, clinical diagnosis, breeding guidelines and the development of new surgical techniques (laser turbinectomy and laryngeal surgeries).
She has extensive experience of general surgery, and particularly enjoys oncology surgery, with an emphasis on treatments that are kind to owners and animals. Jane was the 2019 recipient of the BSAVA Simon Award for outstanding contributions in the field of veterinary surgery.
Jane said, “The team at HSR demonstrate a drive for excellence, both clinically and in providing the best experience for clients and their pets. I’m excited to start working as part of the innovative and collaborative team of surgeons, nurses and support staff.”
Director and orthopaedic surgery specialist, Michael Hamilton, said: “We’re absolutely delighted to welcome Jane to the team here. Her work has revolutionised the way we diagnose and manage BOAS. Continual learning and innovation are core to our practice, and we know Jane will be a strong driving force helping us continue providing the best outcomes for clients and their pets.”
For more information, visit: www.hamiltonspecialists.vet
The new Wound Management Expert Help Forum is a completely new social media format through which any veterinary nurse can come and ask a question which is then shared amongst experts in their field for a reply. Importantly, only the nurse who asked question and the experts can take part in the discussion.
For the new forum, VetNurse.co.uk has joined forces with Georgie Hollis from The Veterinary Wound Library and her team of Bandaging Angels, who include Shelly Jefferies RVN, Zara Clephane RVN and Louis Pailor RVN.
The idea was inspired by Sir Tim Berners Lee, the so called 'father of the Internet', who gave a speech last year in which he bemoaned the lack of provenance and transparency for information and opinions shared on Facebook. What’s more, expert opinion is often drowned amongst the opinions of people who are certainly not experts, and who quite often don’t know what they are talking about.
This new format overcomes this problem because only veterinary experts with a completed profile which shows their qualifications are allowed to reply to questions in the Expert Help Forums on VetNurse.
Furthermore, the forum is a safe NURSE ONLY space to discuss your remit, challenges and responsibilities in a friendly, peer-led environment that can support nurses working in diverse teams.
Aside from giving you the confidence of knowing that you are getting help from someone whose qualifications you can see, there are a number of other benefits of this format. First, because the discussion is kept between someone who is looking for help and someone who is there to help, there is no risk of the discussion becoming hostile, as sometimes happens in less controlled discussion formats.
Second, unlike Facebook, where posts are very much ‘here today, gone today’ your questions will become part of a searchable knowledgebase that others can refer to. By working with the Vet Wound Library team we will be able to ensure the very best evidence-based support is offered alongside the opportunity for further education and telemedicine support if required.
Last but not least, both the question author and the experts can claim time spend in the Expert forums towards their annual CPD requirement. Just click ‘claim CPD' at the top of the thread and then collect a certificate from time to time in your profile.
To encourage our first raft of questions VetNurse.co.uk and The Veterinary Wound Library are offering a £25 Amazon voucher for the best four questions about veterinary wound care submitted to the Wound Management Expert Help Forum by August 20th 2020. Don’t hold back, your question can be a general one about techniques or materials, process or procedure or even a specific case.
To submit your question, login to www.vetnurse.co.uk and visit the Wound Management Expert Help Forum.
And please do share the news about this new resource amongst your fellow nurses.
The charity says that one of the biggest issues it faces with guinea pigs is multi-animal households where breeding has become out of control.
Dr Jane Tyson, the RSPCA’s rodent expert, said: "We would always advise owners to have their male guinea pigs neutered before introducing them to a female. We also find that they can sometimes be mis-sexed by the seller or previous owner which leads to accidental breeding so it’s also important to make sure that guinea pigs see a vet regularly who would be able to spot if they have been identified incorrectly.
“Many of the guinea pigs that come into our care have come from a multi-animal home where there have been large numbers of guinea pigs living in often cramped, dirty and unsuitable conditions. This also means that they may have experienced very little handling and are wary and fearful of human hands and need their confidence building up in RSPCA care.
“This is why, this Guinea Pig Appreciation Day, we wanted to encourage people to neuter their guinea pigs and help tackle the problem of overbreeding.”
For the study, Tim Charlesworth, an RCVS Specialist in Small Animal Surgery from Eastcott Referrals (pictured right), analysed 260 cases where dogs had undergone laparoscopic or open surgical ovariectomy between January 2013 and January 2018 by the same team of similarly experienced surgeons using standard practice anaesthetic, theatre and perioperative protocols. Complications were then compared between the two groups.
44% (46) of the dogs that underwent open ovariectomy developed a complication, compared to 20% (31) of those that underwent laparoscopic ovariectomy.
Whilst the authors acknowledge the limitations of a retrospective study and emphasise that confirmation requires a randomised trial, they say that when considered alongside previously demonstrated improved postoperative comfort and earlier return to normal function, laparoscopy could be considered preferable for ovariectomy in dogs.
The box, which is aimed at both veterinary surgeons and nurses, contains two USB sticks which contain the wound care education sessions, a Bluetooth speaker, product samples, clinical literature, case studies and Time Out wafer bars to enjoy while you learn.
You can also book a timeslot with a representative from Essity to answer any clinical or product related questions raised by the contents of the box.
Richard Barker, Account Sales Executive at Essity said: "Time Out Training allows us to educate vets and vet nurses directly in practices within timescales that we could not previously achieve. We feel this is the future of education in busy veterinary settings, allowing for emergency interruptions, and allowing training of all staff within the convenient setting of their own practice."
Fiona Garrard RVN said: "I found this to be a very easy to follow and very informative webinar. It is full of content that is very useful and aids a good, underpinning knowledge of infections in wounds, and why they happen. It was packed with content and not long-winded or boring at any point."
Time Out Training takes an hour to complete. You can order it for your practice by emailing animalhealthcare@essity.com or dialing 01482 670124.