Small Animal Surgery

Speaker: Jonathan Bell

Details

Key learning objectives:

• Revise asepsis, sterilisation and appropriate antibiosis for surgical cases
• Expand your knowledge of instrumentation and instrument handling
• Become more familiar with the uses of suture, needles,staples and clips
• Understand the principles of wound healing and how this applies to your clinical cases
• Re-visit the principles of wound management and get up-to-date with what is available now

Speaker: Ian Nicholson

Details

Key learning objectives:

• Become familiar with the surgical approaches to salivary gland disease
• Consider oesophageal disease and when surgery may be appropriate
• Gastrotomy and gastrectomy: there is more to surgery of the stomach than just GDV
• Advance your knowledge of small intestinal disease and how your decision-making can reduce complications
• Review and revise ruptures and hernias

Speaker: Ian Nicholson

Details

Key learning objectives:

• Improve your knowledge of large intestinal surgery and the differences between cats and dogs
• Familiarise yourself with surgical approaches to the rectum and anus
• Explore the options for liver surgery – suture, staples or electrosurgery
• Review biliary tract surgery – anatomy and surgical options
• Consolidate your knowledge of pancreatic surgery
• Splenectomy – does it need removing and if so, which technique and what are the alternatives to removal?

Speaker: Jane Ladlow

Details

Key learning objectives:

• Develop your skills in managing renal surgery
• Extend your knowledge of obstructive diseases of the urinary tract from ureters to urethra to enhance your day-to-day management of urolithiasis
• Improve your awareness of the myriad of surgical options for urinary incontinence that are available now including colposuspension, TVT and urethral occluders
• Advance your familiarity of surgery of the male reproductive system – from prostatic omentalisation to penile and preputial procedures
• Extend the range of procedures you can offer for the female reproductive system beyond ovariectomy and ovariohysterectomy

Speaker: Laura Owen

Details

You will practise the following surgical procedures under supervision by the speaker.

Key Learning Objectives:

• Wound closure
  • Increase your options for skin reconstruction through tension relieving techniques
• Pedicle flaps
  • Become braver with pedicle flaps: advancement, rotational and transposition to help close the larger or trickier defects
• Muscle and omental flaps
  • Develop your familiarity with using muscle in defects by practising the external abdominal oblique muscle flap
  • Become familiar with the role of omental transposition in wound healing
• Skin grafts
  • Understand skin grafts: full thickness and stamp and how to maximise their chances of success

Speaker: Laura Owen

Details

You will practise the following surgical procedures under supervision by the speaker.

Key Learning Objectives:

• Oesophageal foreign bodies
  • Maximise good outcomes for oesophageal foreign bodies by minimising the risks and complications through appropriate knowledge of anatomy, surgical technique and peri-operative care
• Gastric dilation volvulus
  • Investigate which gastropexy you might choose
• Nephrectomy and nephrotomy
  • Perform a ureteronephrectomy for when the whole kidney needs removing
  • Develop your familiarity with partial nephrectomy for saving every precious nephron
  • Investigate possible indications for nephrotomy
• Urethrostomy
  • Practise urethrostomies at a variety of anatomical locations so you can select the right one for your patient

Speaker: Samantha Woods

Details

Key learning objectives:

• Become secure doing surgery of the lips, cheeks and tongue
• Improve your approach to surgical treatment of palatal abnormalities
• Maxillectomy and mandibulectomy: when and where to cut
• Become more familiar with pharyngeal surgery and your options for tonsillar surgery
• Make a considered choice for your patients between lateral wall resection, vertical canal ablation, ventral bulla osteotomy and total canal ablation/lateral bulla osteotomy
• Revise the options for surgical treatment of aural haematoma

Speaker: Kate Forster

Details

Key learning objectives:

• Revise conditions of the nasal planum of the young and old to guide you when to operate
• The nasal sinuses – when does surgical access become necessary?
• Brachycephalic airway disease - a myriad of abnormalities
• Perfect your knowledge of the larynx to allow you to successfully treat a wide variety of surgical conditions - paralysis, collapse, trauma, stenosis and neoplasia
• Familiarise yourself with tracheotomy, tracheostomy, tracheal avulsion, collapse, resection/anastomosis, trauma, foreign bodies and neoplasia

Speaker: Kelly Blacklock

Details

Key learning objectives:

• Perfect your approach to peritonitis by going into the detail of the pathophysiology, clinical signs, diagnosis and treatment options
• By the end of this module you will have discovered the thrills of thoracic surgery and maybe even have answered some big questions:
  • Big dog / little dog: who wins?
  • Thoracostomy for pneumothorax, pyothorax and chylothorax – which tube?
  • Thoracotomy – which side and which rib space?
  • Lung Lobectomy – how many lobes can you take?
  • PDA –is this still a surgical condition?
  • Pericardectomy – how much should you take?
  • PRAA – why does a regurgitating patient need a thoracotomy?
  • Chylothorax – can you find the thoracic duct?
  • Chest wall diseases – how far can you advance the diaphragm?

Speaker: Pieter Nelissen

Details

Key learning objectives:

• Revise the underlying principles of oncologic surgery to inform your surgical approaches to the most common tumours seen in practice
• Bring yourself up-to-date on all the treatment options for mast cell tumours
• Become comfortable with maxillectomy and mandibulectomy so you can approach oral tumours with more confidence
• Familiarise yourself with gastrointestinal tumours so you can optimise your patient’s outcome
• Recognise the differences between dogs and cats by learning about feline-specific tumours

Speaker: Jane Ladlow

Details

Key Learning Objectives:

• Total ear canal ablation and lateral bulla osteotomy
  • Explore the anatomy of the external ear canal
  • Choose and practise how to use your instruments
  • Identify top tips to avoid complications intraoperatively and post-operatively
• Ventral bulla osteotomy
  • Revise the approach to the bulla
  • Identify which surgical methods maximize your success
• Thyroid surgery
  • Thyroidectomy in the dog for carcinoma can be an exercise in dissection – become more familiar with potential pitfalls
  • Thyroidectomy in the cat is a common procedure in small animal practice – minimise complications by improving your technique
• Unilateral arytenoid lateralisation
  • These cases can decompensate suddenly – ensure your knowledge of the surgical anatomy is perfected during this wet lab.

Speaker: Jane Ladlow

Details

Key Learning Objectives:

• Thoracotomy
  • A successful thoracotomy is all in the planning : pre-operative assessment and preparation, intra-operative anatomy and surgical technique and post-operative care all work together to optimise outcomes
• Lung lobectomy
  • Partial and complete lobectomy: choosing which technique to perform and reducing the risk of air leakage post-operatively
• Pericardectomy
  • Understand the pros and cons of subtotal and total pericardectomy
• Patent ductus arteriosus (PDA)
  • These young patients require careful pre-operative management, controlled anaesthesia, precise surgical anatomical knowledge and technique, as well as appropriate post-operative care.

Speaker: Richard Meeson

Details

Key learning objectives:

• Consider the conditions of the shoulder including luxation, osteochondrosis and dysplasia and excision arthroplasty surgery
• Revise the conditions of the elbow including luxations, IOHC, elbow dysplasia, developmental disease and ununited anconeal process
• Understand developmental carpal disease, carpal hyperextension and arthrodesis and luxations of the carpus and foot
• Discuss growth plate disorders

Speaker: Hannes Bergmann

Details

Key learning objectives:

• Discuss the pros and cons of the myriad of surgical options for the ruptured cruciate
• Consider alternative causes of stifle dysfunction than the cranial cruciate ligament
• Revise the underlying causes of patellar luxation when choosing a surgical approach
• Perfect your knowledge of hock anatomy and the conditions that affect the joint including osteochondrosis and luxation
• Review the conditions that affect the hip including dysplasia & luxation and familiarise yourself with a variety of procedures described to treat them
• Understand the pros and cons of total hip replacement

Speaker: Nicolas Barthelemy

Details

During this practical session you will perform the following surgical procedures

Key Learning Objectives:

• Shoulder Joint
  • Revise the surgical approaches to the joint and perform a bicipital tenotomy
• Elbow Joint
  • Elbow dysplasia is a widespread and complex disease – review which surgical approaches to the joint are most appropriate for your individual cases
• Carpus
  • Sometimes a salvage procedure is the only option – meticulous technique will enhance your ability to perform carpal arthrodesis

Speaker: Nicolas Barthelemy

Details

You will practise the following surgical procedures under supervision by the speaker.

Key Learning Objectives:

• Hip joint
  • Sometimes the best option is to perform a femoral head and neck ostectomy and good technique should allow a quick return to weight bearing
• Stifle joint I
  • Extracapsular repair of cranial cruciate ligament disease can still be a valid treatment provided you prioritise thorough meniscal inspection
• Stifle joint II
  • Surgical correction of a luxating patella by tibial tuberosity transposition will benefit many of your small dog patients
• Tarsus
  • Arthrodesis of the hock can be the only option – choose whether to perform a partial or pantarsal arthrodesis

Speaker: Kevin Parsons

Details

Key learning objectives:

• Understand how to perform the initial assessment of the fracture patient
• Be familiar with the descriptions and applications of fracture classification
• Apply the principles of fracture repair and decision making in fracture repair to your cases
• Appreciate the variety of methods available for fracture fixation and implants, including plating and external fixation devices

Speaker: Kevin Parsons

Details

Key learning objectives:

• Understand the principles of fracture reduction, including both closed and open techniques
• Be familiar with the options for bone grafting including both cancellous and cortical grafts
• Describe the stabilisation of specific fractures of the fore and hindlimb
• Discuss the clinical approach to the following complications: Delayed union/Non-union/Mal-union/Osteomyelitis

Speaker: Kevin Parsons

Details

You will practise the following surgical procedures under supervision by the speaker.

Key Learning Objectives:

• Radial Fracture
  • Surgical repair using a bone plate and screws
• Humeral Fracture
  • Surgical repair using an intramedullary pin and a bone plate and screws
• Femoral Fracture
  • Surgical repair using an intramedullary pin and a bone plate and screws

Speaker: Kevin Parsons

Details

You will practise the following surgical procedures under supervision by the speaker.

Key Learning Objectives:

• Cancellous bone grafting
  • Harvest cancellous bone from the proximal humerus
• Review external fixation equipment
  • Familiarise yourself with the pins, bars and clamps
• Tibial Fracture
  • Surgical repair with a type II linear frame
• Comminuted Radial Fracture
  • Surgical repair with a type Ib linear frame

Speaker: Sebastien Behr

Details

Key learning objectives:

• Integrate the principles of lesion localisation to your spinal cases via a systematic neurological examination and its’ interpretation
• Understand the application of neurodiagnostics
• Appreciate the approach to and management of paraplegia and tetraplegia
• Be familiar with the clinical approach to neurological emergencies, including cranial trauma and status epilepticus

Speaker: Sebastien Behr

Details

Key learning objectives:

• Revise the surgical options for spinal surgery according to site
• Cervical spine
  • Ventral slot procedure
• Thoracolumbar spine
  • Hemilaminectomy
• Lumbosacral spine
  • Dorsal laminectomy
• CSF tap and Myelography
  • Identify the appropriate landmarks for acquiring CSF samples and obtaining diagnostic myelograms

Observe a demonstration of the above procedures performed by the speaker in the wet lab.