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Surgical Conditions

  • Blepharitis (inflammation of the eyelid) can affect one or both eyes. The affected eyelid will usually be red, swollen, and itchy. Any condition that can cause irritation of the eyelids can lead to blepharitis. The numerous potential causes of this condition, along with the clinical signs, diagnosis, treatment, and prognosis are outlined in this handout.

  • Gastric Dilatation and Volvulus (GDV) is an acute life-threatening condition where the stomach fills with large amounts of air and then twists around effectively cutting off the outputs to the esophagus and intestine. It then continues to expand putting pressure on the mucosa, major vessels and diaphragm. Because of the constriction of major vessels returning to the heart, a dog will collapse from lack of oxygen and nutrients to vital organs. Underlying causes are still a mystery but most dogs affected are large breed, deep chested male dogs although any dog can experience GDV. There is a definite risk in dogs that have eaten large meals and then exercise. Bloat may be diagnosed by physical exam but radiographs and other testing is needed to show volvulus. Treatment involves decompressing the stomach with a stomach tube or a percutaneous catheter, shock treatment with IV fluids and emergency medications, surgery to correct the volvulus and identify and remove any necrotic areas of stomach or spleen. Mortality rate ranges from 15-40% in treated cases. There is no guaranteed prevention for GDV but gastropexy can reduce the risk. Attention to diet, feeding and exercise may also prevent gastric dilation.

  • This handout summarizes the most common forms of lameness in growing dogs. Included are osteochondritis dissecans (OCD), panosteitis, hypertrophic osteodystrophy (HOD), elbow dysplasia, ununited anconeal process (UAP), fragmented coronoid process (FCP), patellar luxation, and hip dysplasia. Clinical signs for each of these conditions, along with treatment options, is discussed.

  • Bowel incontinence refers to the loss of the ability to control bowel movements. There are two broad causes of fecal incontinence: reservoir incontinence and sphincter incontinence. In reservoir incontinence, intestinal disease interferes with the rectum’s ability to store normal volumes of feces. In sphincter incontinence, a structural or neurologic lesion prevents the anal sphincter from closing normally. Clinical signs, diagnostic testing, and treatment vary based upon the underlying cause.

  • Bowel incontinence refers to the loss of the ability to control bowel movements. There are two broad causes of fecal incontinence: reservoir incontinence and sphincter incontinence. In reservoir incontinence, intestinal disease interferes with the rectum’s ability to store normal volumes of feces. In sphincter incontinence, a structural or neurologic lesion prevents the anal sphincter from closing normally. Clinical signs, diagnostic testing, and treatment vary based upon the underlying cause.

  • Brachycephalic airway syndrome refers to a particular set of upper airway abnormalities that affect brachycephalic cats. The most common sign of the condition is mouth breathing and, in the long term, the increased effort associated with breathing can put a strain on the cat's heart. Surgery is the treatment of choice whenever the anatomical abnormalities interfere with a cat’s breathing.

  • Brachycephalic airway syndrome refers to a particular set of upper airway abnormalities that affect brachycephalic dogs. The most common sign of the condition is mouth breathing and, in the long term, the increased effort associated with breathing can put a strain on the dog’s heart. Surgery is the treatment of choice whenever the anatomical abnormalities interfere with a dog’s breathing.

  • Brain injuries are devastating and, unfortunately, often fatal. The typical signs of brain injury in a cat include altered consciousness that may signal bleeding in the skull, decreased blood flow to the brain, or fluid causing swelling within the brain itself. There are many potential causes of brain injury and treatment will always be determined by the underlying problem that led to the injury.

  • Burr tongue is the common name for burdock tongue (also called granular stomatitis or granulomatous glossitis) caused by ingestion of the burrs from the burdock plant. Burr tongue is most commonly seen in long-haired dogs when they accidentally traumatize their tongue and mouth on the burrs during grooming. The hooked scales of the burrs become embedded in the tongue and gums and cause an intense foreign body reaction. Affected dogs often have small red bumps on the tip and edges of their tongue, front of the lips and gums, and occasionally the base of the nose. Based on the severity of the condition, treatment ranges from letting the injuries heal on their own to administering antibiotics and pain medications, to surgical intervention.

  • A caesarean section is a major surgery usually performed in an emergency to help deliver puppies. As with any anesthesia, the dog may be sleepy but should be able to eat a high quality diet and nurse puppies within a few hours. The dog should be monitored for fever, abnormal vulvar discharge, and abnormalities at her incision. It is important to ensure that puppies are able to nurse well. If not, or if the dog can not produce enough milk, then commercial milk replacer is recommended. Colostrum ingestion is important for immune protection. If puppies are not nursing within the first 24 hours, then they will need additional veterinary care. Ambient temperature is important in the first 2-4 weeks after birth as puppies cannot regulate their temperature well.