BOOK
Standing Surgery, An Issue of Veterinary Clinics of North America: Equine Practice, E-Book
(2014)
Additional Information
Book Details
Abstract
This issue explores the latest techniques and advances in standing surgery. Articles will cover topics such as anethesia and analgesia, laparoscopic techniques and instrumentation, ophthalmic surgery, dental surgery, sinus surgery, upper airway surgery, urogenital surgery, orthopedic surgery, and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Standing Surgery | i | ||
| copyright\r | ii | ||
| Contributors | iii | ||
| Contents | vii | ||
| Veterinary Clinics Of\rNorth America: Equine Practice\r | xi | ||
| Preface | xiii | ||
| Anesthesia and Analgesia for Standing Equine Surgery | 1 | ||
| Key points | 1 | ||
| Introduction | 1 | ||
| Patient assessment and preparation | 2 | ||
| Pharmacology | 4 | ||
| Acepromazine | 4 | ||
| α2-Agonists | 4 | ||
| α2-antagonists | 7 | ||
| Opioids | 7 | ||
| Butorphanol | 7 | ||
| Morphine and methadone | 8 | ||
| Buprenorphine | 8 | ||
| Ketamine | 9 | ||
| Lidocaine | 9 | ||
| Sedative combinations | 10 | ||
| Epidural anesthesia/analgesia | 10 | ||
| References | 13 | ||
| Advances in Laparoscopic Techniques and Instrumentation in Standing Equine Surgery | 19 | ||
| Key points | 19 | ||
| Introduction | 19 | ||
| Advances in human and veterinary laparoscopy | 20 | ||
| Endoscopic Imaging System | 20 | ||
| Access and Trocar Instruments | 22 | ||
| Stapling Devices | 24 | ||
| Energy Sources for Coagulation and Dissection | 26 | ||
| Intracorporeal Knot-tying and Tacking Devices | 28 | ||
| Wristed Instrumentation for Intracorporeal Suturing | 31 | ||
| Natural Orifice Transluminal Endoscopic Surgery | 32 | ||
| Laparoendoscopic Single-Site Surgery | 33 | ||
| Retrieval Devices | 34 | ||
| Portal Closure | 40 | ||
| Summary | 41 | ||
| References | 41 | ||
| Standing Equine Sinus Surgery | 45 | ||
| Key points | 45 | ||
| Indications for standing sinus surgery | 45 | ||
| Endoscopy Per Nasum | 46 | ||
| Radiography | 48 | ||
| Computed Tomography | 49 | ||
| Oral Examination | 51 | ||
| Preoperative preparation | 51 | ||
| Surgical techniques | 53 | ||
| Sinus trephination | 53 | ||
| Trephination Sites | 53 | ||
| Standing Sinus Flap Surgery | 55 | ||
| Minimally invasive techniques for enlarging the sinonasal ostium | 56 | ||
| Balloon Sinuplasty | 56 | ||
| Laser Vaporization of Dorsal Turbinate | 56 | ||
| Postoperative care | 57 | ||
| Complications of standing sinus surgery | 57 | ||
| Hemorrhage | 57 | ||
| Patient Noncompliance | 59 | ||
| Postoperative Incisional Infections | 60 | ||
| Poor Cosmetic Result | 60 | ||
| Trephination | 60 | ||
| Sinus flap surgery | 60 | ||
| Recurrence of Sinusitis | 61 | ||
| References | 61 | ||
| Standing Equine Dental Surgery | 63 | ||
| Key points | 63 | ||
| Introduction | 63 | ||
| Orthograde endodontic therapy of molariform teeth | 64 | ||
| Introduction: Nature of the Problem | 64 | ||
| Preoperative Planning | 65 | ||
| Preparation and Patient Positioning | 66 | ||
| Surgical Approach | 67 | ||
| Surgical Procedure | 67 | ||
| Immediate Postoperative Care | 70 | ||
| Rehabilitation and Recovery | 70 | ||
| Clinical Results | 70 | ||
| Summary | 70 | ||
| Minimally invasive buccotomy and transbuccal screw extraction techniques | 72 | ||
| Introduction: Nature of the Problem | 72 | ||
| Preoperative Planning | 72 | ||
| Preoperative Preparation and Patient Positioning | 73 | ||
| Surgical Approach | 75 | ||
| Surgical Procedure | 76 | ||
| Complications | 79 | ||
| Immediate Postoperative Care | 80 | ||
| Rehabilitation and Recovery | 80 | ||
| Clinical Results | 81 | ||
| Summary | 81 | ||
| Application of an AO pinless external fixator for mandibular fracture stabilization | 81 | ||
| Introduction: Nature of the Problem | 81 | ||
| Surgical Technique | 83 | ||
| Preoperative planning | 83 | ||
| Patient preparation and positioning | 84 | ||
| Surgical Approach | 85 | ||
| Surgical Procedure | 85 | ||
| Immediate Postoperative Care | 86 | ||
| Rehabilitation and Recovery | 86 | ||
| Clinical Results in the Literature | 87 | ||
| Summary | 87 | ||
| Acknowledgments | 87 | ||
| References | 87 | ||
| Standing Ophthalmic Surgeries in Horses | 91 | ||
| Key points | 91 | ||
| Introduction | 91 | ||
| Analgesia and blocks | 92 | ||
| Surgical instruments used for ophthalmic surgeries on standing horses | 96 | ||
| Eyelid | 96 | ||
| Third eyelid | 98 | ||
| Conjunctival | 99 | ||
| Cornea | 101 | ||
| Anterior chamber | 104 | ||
| Intravitreal injection | 105 | ||
| Standing enucleation | 105 | ||
| References | 108 | ||
| Standing Equine Surgery of the Upper Respiratory Tract | 111 | ||
| Key points | 111 | ||
| Introduction | 111 | ||
| Nasal surgeries | 112 | ||
| Surgical Extirpation of Nasal Atheromas (Epidermal Inclusion Cysts of the Nasal Diverticulum) | 112 | ||
| Dissection and en bloc removal | 112 | ||
| Removal with a laryngeal burr | 112 | ||
| Chemical ablation | 112 | ||
| Advantages and disadvantages | 113 | ||
| Complications | 113 | ||
| Guttural pouch surgeries | 113 | ||
| Transendoscopic Laser Fenestration of the Median Septum of the Guttural Pouches | 113 | ||
| Disease treated | 113 | ||
| Procedure | 113 | ||
| Standing Diagnostic and Therapeutic Equine Abdominal Surgery | 143 | ||
| Key points | 143 | ||
| Standing flank laparotomy | 143 | ||
| Indications | 143 | ||
| Anatomy/Landmarks | 144 | ||
| Patient Preparation | 144 | ||
| Abdominal Exploration Through Standing Flank Approach | 144 | ||
| Standing flank incision | 145 | ||
| Standing flank laparoscopy | 146 | ||
| Indications | 146 | ||
| Patient Preparation | 146 | ||
| Biopsy techniques | 147 | ||
| Rectal tears | 147 | ||
| Colostomy | 148 | ||
| Rectal prolapse | 149 | ||
| Surgery | 150 | ||
| Uterine torsion | 150 | ||
| Treatment | 151 | ||
| Flank Approach | 151 | ||
| Prognosis | 152 | ||
| NSS closure | 152 | ||
| Case Selection | 152 | ||
| Surgical Preparation | 153 | ||
| Surgery | 153 | ||
| Outcomes and Comments | 155 | ||
| Other Methods for NSS Closure | 155 | ||
| Standing laparoscopic nephrectomy | 156 | ||
| Outcomes and Comments | 157 | ||
| Other standing laparoscopic procedures | 158 | ||
| Standing flank approach to remove ureteroliths | 159 | ||
| Surgery | 160 | ||
| Aftercare | 162 | ||
| Outcomes and Comments | 163 | ||
| Surgical removal of cystic calculi | 163 | ||
| Surgery | 164 | ||
| References | 165 | ||
| Standing Male Equine Urogenital Surgery | 169 | ||
| Key points | 169 | ||
| Standing laparoscopic cryptorchidectomy | 169 | ||
| Diagnosis | 170 | ||
| Diagnostic techniques | 170 | ||
| Preoperative Preparation | 171 | ||
| Surgical Considerations | 172 | ||
| Insufflation techniques | 172 | ||
| Insertion of the trocar cannula before insufflation | 172 | ||
| Insufflation using a trocar catheter or Veress needle | 172 | ||
| Insertion of an optical trocar | 173 | ||
| Laparoscopic exploration of the inguinal region | 174 | ||
| Techniques for ligation and removal of the abdominal testicle | 176 | ||
| Loop ligation technique | 176 | ||
| Extracorporeal emasculation | 177 | ||
| Electrosurgical | 178 | ||
| Laparoscopic removal of the inguinal testicle | 178 | ||
| Removal of bilateral abdominally retained testicles | 179 | ||
| Postoperative Care | 179 | ||
| Standing laparoscopic castration | 179 | ||
| Standing laparoscopic inguinal hernioplasty | 179 | ||
| Inguinal Hernia Overview | 180 | ||
| Standing Laparoscopic Testicle-Sparing Hernioplasty Techniques | 180 | ||
| Preoperative Preparation | 180 | ||
| Factors to consider when choosing a laparoscopic hernioplasty technique | 180 | ||
| Surgical Considerations | 181 | ||
| Standing peritoneal flap hernioplasty | 181 | ||
| Standing cylindrical mesh prosthesis technique | 182 | ||
| Standing hernioplasty with barbed suture | 182 | ||
| Standing hernioplasty with cyanoacrylate glue | 182 | ||
| Standing routine castration | 183 | ||
| Surgical Considerations | 183 | ||
| Complications | 184 | ||
| Perineal Urethrotomy | 184 | ||
| Surgical Considerations | 184 | ||
| Complications | 186 | ||
| Standing partial phallectomy | 186 | ||
| Surgical Considerations | 186 | ||
| Two possible surgical scenarios for standing modified Vinsot partial phallectomy | 186 | ||
| Complications | 187 | ||
| References | 187 | ||
| Urogenital Surgery Performed with the Mare Standing | 191 | ||
| Key points | 191 | ||
| Sedation and local anesthesia | 191 | ||
| Perioperative medications | 192 | ||
| Ovariectomy | 193 | ||
| Ovariectomy via Colpotomy | 193 | ||
| Flank Ovariectomy | 194 | ||
| Laparoscopic Ovariectomy | 194 | ||
| Natural Orifice Transluminal Endoscopic Surgery | 196 | ||
| Uteropexy | 197 | ||
| Clearing an obstructed oviduct | 199 | ||
| Caudal Urogenital Tract | 200 | ||
| Cervical lacerations | 200 | ||
| Rectovestibular lacerations and fistulae | 202 | ||
| Treatments for pneumovagina | 206 | ||
| Treatments for urovagina | 206 | ||
| Removal of uterine cysts | 207 | ||
| Removal of cystic calculi | 207 | ||
| References | 208 | ||
| Diagnostic and Therapeutic Arthroscopy in the Standing Horse | 211 | ||
| Key points | 211 | ||
| Introduction | 211 | ||
| Indications | 212 | ||
| The Metacarpophalangeal Joint | 212 | ||
| The Radiocarpal Joint | 212 | ||
| The Femoropatellar and Femorotibial Joints | 212 | ||
| Other Synovial Structures | 212 | ||
| Restraint | 212 | ||
| Physical | 212 | ||
| Chemical | 212 | ||
| Equipment | 213 | ||
| Recent Advances in Standing Equine Orthopedic Surgery | 221 | ||
| Key points | 221 | ||
| Introduction | 221 | ||
| Fracture repair | 222 | ||
| Transphyseal screw implantation and removal | 226 | ||
| Implant removal | 227 | ||
| Dorsal spinous process impingement, fracture, and osteomyelitis | 228 | ||
| Pedal osteitis/sequestration | 231 | ||
| Harvesting bone marrow–derived mesenchymal stem cells | 233 | ||
| Summary | 235 | ||
| Acknowledgments | 235 | ||
| References | 235 | ||
| New Concepts in Standing Advanced Diagnostic Equine Imaging | 239 | ||
| Key points | 239 | ||
| Introduction | 239 | ||
| Benefits of advanced diagnostic imaging in the standing horse | 239 | ||
| Standing MRI in the horse | 240 | ||
| Magnetic Field Strength and Magnet Configuration | 240 | ||
| Procedure | 243 | ||
| Clinical Applications | 244 | ||
| Tendons and ligaments | 244 | ||
| Synovial structures | 246 | ||
| Penetrating wounds | 248 | ||
| Osseous structures | 248 | ||
| Treatment and Recheck Examinations | 251 | ||
| MR Artifacts | 251 | ||
| Motion | 251 | ||
| Magic angle | 252 | ||
| Magnetic susceptibility | 253 | ||
| Standing CT in the horse | 253 | ||
| Basic CT Technology | 253 | ||
| Procedure | 254 | ||
| Clinical Applications | 256 | ||
| Dental structures | 256 | ||
| Sinonasal region | 257 | ||
| Calvarium | 259 | ||
| Guttural pouch and hyoid apparatus | 259 | ||
| Orthopedic | 259 | ||
| CT Artifacts | 261 | ||
| Motion | 261 | ||
| Photon starvation | 262 | ||
| Metal | 262 | ||
| Limitations of Standing CT | 262 | ||
| The Future of Standing CT | 262 | ||
| Summary | 262 | ||
| References | 263 | ||
| Index | 269 |