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Small Animal Endoscopy - E-Book

Small Animal Endoscopy - E-Book

Todd R. Tams | Clarence A. Rawlings

(2010)

Additional Information

Book Details

Abstract

The latest edition of the critically acclaimed Small Animal Endoscopy presents informative, practical, and up-to-date guidance on endoscopic indications, instrumentation, patient preparation, and techniques. Todd R. Tams and Clarence A. Rawlings, the foremost experts in veterinary endoscopy, provide the novice as well as the advanced practitioner with the information needed to deliver the safest, high-quality endoscopic services for small animals, including avian and exotics. Chapters are organized consistently and lavishly illustrated to help you easily find and understand key concepts and procedures. This edition includes a companion website with expert demonstrations of techniques.

  • Enables you to deliver the safest, high quality care and a wider range of services to the pets of increasingly concerned and savvy owners.
  • Features cutting-edge information on minimally invasive procedures to improve diagnostic accuracy, reduce operating time, improve success, minimize post-operative stress and pain, and promote faster healing.
  • Helps you recognize the many indications for endoscopy in everyday practice.
  • Covers a vast range of topics in a clear, concise and readable style.
  • Describes instrumentation, examination, and sample procurement techniques in detail.
  • Shows both normal and abnormal findings you may encounter during a procedure in an atlas of images in relevant chapters.
  • Provides minimally invasive examination and surgical options for veterinarians treating uniquely sensitive avian and exotic patients.
  • Provides step-by-step instructions on specific techniques.
  • Helps beginners master endoscopic diagnosis and treatment and more experienced endoscopists utilize their endoscopic equipment to its fullest capacity.

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC IFC
Small Animal Endoscopy iii
Copyright\r iv
Contributors v
Preface vii
Acknowledgments xi
Contents xiii
Part One - Flexible Endoscopy\r 1
Chapter 1 - Endoscopic Instrumentation and Documentation for Flexible and Rigid Endoscopy 3
ENDOSCOPE SYSTEM 3
FLEXIBLE ENDOSCOPES 3
RIGID AND SEMIRIGID ENDOSCOPES 9
LIGHT SOURCES 13
ENDOSCOPIC IMAGING SYSTEMS 15
HIGH-DEFINITION VIDEO 17
ENDOSCOPIC PHOTO AND VIDEO DOCUMENTATION 18
PUMPS AND INSUFFLATORS 19
FLEXIBLE ENDOSCOPY 19
RIGID ENDOSCOPY 19
CLEANING, DISINFECTION, AND STERILIZATION 20
Chapter 2 - Gastrointestinal Endoscopy: Instrumentation, Handling Technique, Training, and Implementation in Practice 27
THE DECISION TO PURCHASE AN ENDOSCOPE 27
TRAINING 28
SUCCESSFUL IMPLEMENTATION AND MARKETING OF ENDOSCOPY SERVICES 29
SELECTION OF ENDOSCOPIC INSTRUMENTS: MAKING THE CORRECT CHOICE 30
THE SIDE-VIEWING ENDOSCOPE 32
ANCILLARY EQUIPMENT 32
PURCHASE OF USED EQUIPMENT 32
CARE, HANDLING, AND PREPARATION FOR PROCEDURES 33
THE ENDOSCOPY ASSISTANT 35
HANDLING THE ENDOSCOPE 36
THE ENDOSCOPE–BODY POSITION RELATIONSHIP 38
CONVENTIONAL TERMINOLOGY 38
CLEANING 40
EQUIPMENT STORAGE 40
Chapter 3 - Esophagoscopy 41
INDICATIONS 41
INSTRUMENTATION 42
PATIENT PREPARATION AND RESTRAINT 42
ESOPHAGOSCOPY PROCEDURE 43
SAMPLE PROCUREMENT 44
POSTOPERATIVE CARE AND COMPLICATIONS 44
Atlas pages 46-94 45
Atlas pages 46-94 46
ATLAS FOR APPEARANCE OF THE NORMAL ESOPHAGUS 46
ATLAS FOR MEGAESOPHAGUS 50
ATLAS FOR DIVERTICULA 53
ATLAS FOR VASCULAR RING ANOMALIES 55
ATLAS FOR ESOPHAGITIS 60
ETIOLOGY 60
CLINICAL SIGNS 64
DIAGNOSIS AND ENDOSCOPIC FINDINGS 65
ATLAS FOR ESOPHAGEAL STRICTURE 66
ETIOLOGY 66
CLINICAL SIGNS 66
RADIOGRAPHY 67
ESOPHAGOSCOPY 67
ENDOSCOPIC TREATMENT OF STRICTURES 69
ATLAS FOR ESOPHAGEAL PERFORATION 80
ATLAS FOR ESOPHAGEAL FISTULA 81
ATLAS FOR HIATAL HERNIA 82
ATLAS FOR GASTROESOPHAGEAL INTUSSUSCEPTION 87
ATLAS FOR ESOPHAGEAL NEOPLASIA 90
ATLAS FOR PERIESOPHAGEAL MASSES 94
REFERENCES 95
Chapter 4 - Gastroscopy 97
INDICATIONS 97
INSTRUMENTATION 98
PATIENT PREPARATION 98
ANESTHESIA AND POSITIONING 98
PROCEDURE 99
GASTROESOPHAGEAL JUNCTION 99
PROXIMAL STOMACH AND GASTRIC BODY 99
RETROVERSION (J MANEUVER) 102
PARADOXIC MOTION AND INADVERTENT RETROVERSION 103
ANTRUM 105
PYLORUS 105
FELINE GASTROSCOPY: SPECIAL CONSIDERATIONS 107
GASTRIC BIOPSY TECHNIQUES 108
CYTOLOGY 112
COMPLICATIONS OF GASTROSCOPY 113
ATLAS PAGES 115-172 113
Atlas pages 115-172 114
ATLAS FOR NORMAL APPEARANCES: CANINE STOMACH 115
ATLAS FOR RUGAL APPEARANCES 116
ATLAS FOR RESIDUAL GASTRIC JUICE 117
ATLAS FOR ANGULUS AND RETROVERSION (J MANEUVER) 118
ATLAS FOR ANTRAL CONTRACTIONS 122
ATLAS FOR CANINE ANTRUM AND PYLORUS: NORMAL APPEARANCES 123
ATLAS FOR PYLORUS: DIFFICULT CASES 125
ATLAS FOR PYLORUS: OBSTRUCTED VIEW 129
ATLAS FOR NORMAL APPEARANCES: FELINE STOMACH 131
ATLAS FOR FELINE ANTRUM AND PYLORUS: NORMAL APPEARANCES 134
ATLAS FOR ENTERING THE PYLORUS 136
ATLAS FOR CHRONIC GASTRITIS: VARIOUS APPEARANCES (CANINE) 137
ATLAS FOR HELICOBACTER-ASSOCIATED GASTRITIS 142
ATLAS FOR GASTRITIS: VARIOUS APPEARANCES (FELINE) 145
ATLAS FOR CHRONIC FELINE HISTIOCYTIC GASTRITIS 148
ATLAS FOR EROSIONS AND HEMORRHAGES 150
ATLAS FOR GASTRIC ULCERS 152
ATLAS FOR ABNORMAL GASTRIC MOTILITY 155
ATLAS FOR GASTRIC POLYPS 159
ATLAS FOR GASTRIC NEOPLASIA 162
ATLAS FOR MISCELLANEOUS FINDINGS 170
ATLAS FOR HAIRBALLS IN CATS 171
ATLAS FOR PHYSALOPTERA 172
Chapter 5 - Endoscopic Examination of the Small Intestine 173
INDICATIONS 174
INSTRUMENTATION 176
PATIENT PREPARATION 177
RESTRAINT 177
PROCEDURE 177
PYLORUS TO PROXIMAL DUODENUM 177
EXAMINATION OF DESCENDING DUODENUM 178
ASCENDING DUODENUM AND JEJUNUM 179
NORMAL APPEARANCE OF THE UPPER SMALL INTESTINE 179
EXAMINATION OF THE TERMINAL ILEUM 180
SMALL INTESTINE BIOPSY TECHNIQUES 181
SMALL INTESTINAL ENDOSCOPY: FUTURE DIRECTIONS 185
ATLAS FOR NORMAL CANINE UPPER SMALL INTESTINE: VARIOUS APPEARANCES 187
ATLAS FOR DUODENAL CONTRACTIONS 190
ATLAS FOR DUODENAL FROTH 191
ATLAS FOR BARIUM RESIDUE 191
ATLAS FOR NORMAL FELINE SMALL INTESTINE: VARIOUS APPEARANCES 192
ATLAS FOR HAIR IN THE DUODENUM 194
ATLAS FOR DUODENAL PAPILLAE: VARIOUS APPEARANCES 195
ATLAS FOR CANINE ILEOCECOCOLIC JUNCTION AND ILEUM: NORMAL APPEARANCES 197
ATLAS FOR CANINE INFLAMMATORY BOWEL DISEASE: VARIOUS APPEARANCES 200
ATLAS FOR FELINE INFLAMMATORY BOWEL DISEASE: VARIOUS APPEARANCES 204
ATLAS FOR INTESTINAL LYMPHANGIECTASIA 206
ATLAS FOR ENDOSCOPE-INDUCED MUCOSAL TRAUMA 208
ATLAS FOR INTESTINAL PARASITES 210
ATLAS FOR SMALL INTESTINAL NEOPLASIA 211
Chapter 6 - Colonoscopy 217
INDICATIONS 217
INSTRUMENTATION 218
PATIENT PREPARATION 219
PROCEDURE 221
NORMAL APPEARANCE 230
COMPLICATIONS 230
ATLAS PAGES 234-244 233
ATLAS FOR CANINE AND FELINE INFLAMMATORY BOWEL DISEASE 234
ATLAS FOR HISTIOCYTIC ULCERATIVE COLITIS 236
ATLAS FOR MISCELLANEOUS COLITIDES 237
ATLAS FOR WHIPWORMS 238
ATLAS FOR ADENOCARCINOMA 239
ATLAS FOR LYMPHOMA 241
ATLAS FOR MISCELLANEOUS NEOPLASIA 242
ATLAS FOR MISCELLANEOUS DISORDERS 243
Chapter 7 - Endoscopic Removal of Gastrointestinal Foreign Bodies 245
ANATOMIC CONSIDERATIONS 245
TYPES OF FOREIGN BODIES 246
PATIENT PROFILES 246
CLINICAL SIGNS 247
DIAGNOSTIC EVALUATION 247
OVERVIEW OF TREATMENT OF INGESTED FOREIGN BODIES 248
CLIENT EDUCATION 249
INSTRUMENTATION 249
ENDOSCOPIC REMOVAL OF ESOPHAGEAL FOREIGN BODIES 253
GASTRIC FOREIGN BODIES 258
DUODENAL FOREIGN BODIES 261
RECTAL FOREIGN BODIES 262
COMPLICATIONS OF ENDOSCOPIC FOREIGN BODY REMOVAL 262
ATLAS PAGES 264-292 263
ATLAS FOR ESOPHAGEAL FOREIGN BODIES 264
ATLAS FOR GASTRIC FOREIGN BODIES 274
ATLAS FOR DUODENAL FOREIGN BODIES 290
Chapter 8 - Endoscopic Biopsy Specimen Collection and Histopathologic Considerations 293
PRACTICAL CONSIDERATIONS FOR ENDOSCOPIC BIOPSY 293
EXAMINATION AND DESCRIPTION OF THE MUCOSA 294
INSTRUMENTATION FOR SPECIMEN COLLECTION 295
TECHNICAL CONSIDERATIONS FOR ENDOSCOPIC BIOPSY 298
CORRELATION OF ENDOSCOPIC AND PATHOLOGIC FINDINGS 302
DIAGNOSTIC UTILITY OF ENDOSCOPIC BIOPSY 303
THE FUTURE 308
Chapter 9 - Endoscopic Placement of Gastrostomy and Jejunostomy Tubes 311
INDICATIONS 311
EQUIPMENT 314
TECHNIQUES FOR TUBE PLACEMENT 318
TUBE MAINTENANCE AND USE 326
COMPLICATIONS 327
CONCLUSION 329
REFERENCES 329
Chapter 10 - Laryngoscopy and Tracheobronchoscopy of the Dog and Cat 331
Endoscopy of the Laryngeal Vault of the Dog and Cat 331
INSTRUMENTATION 331
PATIENT PREPARATION 331
PATIENT RESTRAINT AND POSITIONING 331
PROCEDURE 332
ANCILLARY TOOLS AND PROCEDURES 333
COMPLICATIONS 333
DIFFERENCES BETWEEN FELINE AND CANINE LARYNGOSCOPY 333
ATLAS FOR LARYNGEAL EDEMA 334
ATLAS FOR FOREIGN BODIES 335
ATLAS FOR LARYNGEAL SACCULITIS 335
ATLAS FOR LARYNGEAL COLLAPSE 336
ATLAS FOR NONNEOPLASTIC GROWTHS 337
ATLAS FOR LARYNGEAL NEOPLASIA 338
Tracheobronchoscopy of the Dog and Cat 339
INDICATIONS 339
INSTRUMENTATION 339
PATIENT PREPARATION 340
SPECIFIC ANESTHETIC RECOMMENDATIONS 341
PATIENT RESTRAINT AND POSITIONING 341
PROCEDURE WHEN INFECTION IS NOT A SIGNIFICANT CONCERN 342
PROCEDURE WHEN INFECTION IS A CONCERN 342
NORMAL APPEARANCE 342
ABNORMAL APPEARANCE 343
ANCILLARY TOOLS AND PROCEDURES 344
ATLAS FOR NORMAL CANINE AND FELINE TRACHEA AND BRONCHI 350
ATLAS FOR PRIMARY TRACHEAL COLLAPSE 351
ATLAS FOR TRACHEAL NARROWING 352
ATLAS FOR PARASITIC TRACHEOBRONCHITIS 353
ATLAS FOR CHRONIC BRONCHITIS AND ASTHMA 354
ATLAS FOR ENLARGED TRACHEOBRONCHIAL LYMPH NODES 355
ATLAS FOR LEFT ATRIAL COMPRESSION OF LEFT MAINSTEM BRONCHUS 356
ATLAS FOR TRACHEOBRONCHIAL FOREIGN BODIES 356
ATLAS FOR TRACHEOBRONCHIAL NEOPLASIA 359
Part Two\r - Rigid Endoscopy 361
Chapter 11 - Stapling and Energy Devices for Endoscopic Surgery 363
ENDOSURGICAL CLIPS AND STAPLERS 363
ELECTROSURGICAL GENERATORS 364
FORCE TRIAD ELECTROSURGICAL SYSTEM 370
RADIO WAVE RADIOSURGERY 371
ULTRASONIC (HARMONIC) SCALPEL 371
Chapter 12 - Application of Laser Energy with Endoscopic Visualization 373
LASER–TISSUE INTERACTION 373
DIODE WAVELENGTH ENERGY 374
RIGID ENDOSCOPE (CYSTOSCOPY, ARTHROSCOPY, OTOSCOPY, RHINOSCOPY) 375
FLEXIBLE AND RIGID ABDOMINAL LAPAROSCOPIC ENDOSCOPY 376
CONCLUSION 377
Chapter 13 - Endoscopic Knot Tying and Suturing 379
INDICATIONS 379
PRACTICE TIP 1: COMMIT TO LEARNING 379
PRACTICE TIP 2: INVEST IN LAPAROSCOPIC NEEDLE HOLDERS 379
PRACTICE TIP 3: PLAN THE OPERATIVE APPROACH 381
PRACTICE TIP 4: SELECT AN APPROPRIATE SUTURE MATERIAL AND SUTURE LENGTH 381
PRACTICE TIP 5: PROTECT TROCAR GASKETS AND FLAPPER VALVES 381
PRACTICE TIP 6: TAKE TIME TO LOAD THE NEEDLE HOLDER PROPERLY 382
PRACTICE TIP 7: ENSURE PRECISE SUTURE PLACEMENT AND GENTLE TISSUE HANDLING 383
PRACTICE TIP 8: TIE SQUARE KNOTS 383
PRACTICE TIP 9: LEARN HOW TO TIE AN EXTRACORPOREAL SUTURE 383
PRACTICE TIP 10: CONSIDER ALTERNATIVES 383
REFERENCES 392
Chapter 14 - Psychomotor Training and Virtual Reality 393
REFERENCES 396
Chapter 15 - Laparoscopy 397
Laparoscopic Surgery Introduction: Indications, Instrumentation, Techniques, and Complications 397
INDICATIONS FOR LAPAROSCOPY 397
CONTRAINDICATIONS 399
BASIC LAPAROSCOPIC INSTRUMENTATION 399
ACCESSORY ENDOSCOPIC INSTRUMENTS 403
PATIENT EVALUATION AND PREPARATION 403
ANESTHESIA AND MONITORING 404
LAPAROSCOPIC TECHNIQUES 405
INSUFFLATION AND OPTICAL SPACE 410
TECHNIQUES FOR PATIENT POSITIONING 411
LAPAROSCOPIC EXPLORATION 413
COMMON LAPAROSCOPIC PROBLEMS 415
DECIDING TO CONVERT TO TRADITIONAL SURGERY 416
CARE AND POTENTIAL PROBLEMS AFTER ENDOSCOPIC SURGERY 417
ATLAS FOR LAPAROSCOPIC SURGERY 418
ATLAS pages 418-419 418
Diagnostic Laparoscopy 419
LIVER BIOPSY 419
ATLAS FOR LAPAROSSCOPIC SURGERY 419
PANCREATIC BIOPSY 423
KIDNEY BIOPSY 427
SPLEEN BIOPSY 428
LYMPH NODE BIOPSY 430
Laparoscopic-Assisted Gastropexy 431
PATIENT INDICATIONS AND CONTRAINDICATIONS 431
INSTRUMENTATION 431
PATIENT EVALUATION AND PREPARATION 431
POTENTIAL INTRAOPERATIVE COMPLICATIONS 433
POSTOPERATIVE CARE 434
FOLLOW-UP MONITORING 434
REFERENCES 434
Laparoscopic-Assisted Placement of Enterostomy Feeding Tubes 435
PATIENT INDICATIONS AND CONTRAINDICATIONS 435
INSTRUMENTATION 435
PATIENT EVALUATION AND PREPARATION 436
POTENTIAL INTRAOPERATIVE COMPLICATIONS 436
POSTOPERATIVE CARE 437
FOLLOW-UP MONITORING 438
REFERENCES 438
Laparoscopic Cryptorchid Castration 438
PATIENT INDICATIONS 439
PATIENT EVALUATION 439
PATIENT PREPARATION 439
POTENTIAL INTRAOPERATIVE COMPLICATIONS 441
CARE AND POTENTIAL PROBLEMS AFTER THE PROCEDURE 441
Laparoscopic-Assisted Cystopexy 442
PATIENT INDICATIONS AND CONTRAINDICATIONS 442
INSTRUMENTATION 442
PATIENT EVALUATION AND PREPARATION 442
POTENTIAL COMPLICATIONS 445
POSTOPERATIVE CARE 445
FOLLOW-UP MONITORING 445
Laparoscopic Extrahepatic Portosystemic Shunt Attenuation 446
PATIENT INDICATIONS AND CONTRAINDICATIONS 446
PATIENT EVALUATION 446
PATIENT PREPARATION 446
POTENTIAL COMPLICATIONS DURING AND AFTER SURGERY 449
FOLLOW-UP MONITORING OF PROCEDURE EFFECT 450
REFERENCES 450
Laparoscopic-Assisted Gastric ForeignBody Removal 450
INDICATIONS AND CONTRAINDICATIONS 451
INSTRUMENTATION 451
PATIENT EVALUATION AND PREPARATION 451
POSTOPERATIVE CARE 454
Laparoscopic Cholecystectomy 455
PATIENT INDICATIONS 455
PATIENT CONTRAINDICATIONS 455
INSTRUMENTATION FOR THE PROCEDURE 456
PATIENT PREPARATION 457
POTENTIAL INTRAOPERATIVECOMPLICATIONS 459
CARE AND POTENTIAL PROBLEMS AFTER THE PROCEDURE 459
FOLLOW-UP MONITORING OF PROCEDURE EFFECT 460
REFERENCES 460
Laparoscopic Adrenalectomy 461
PATIENT INDICATIONS 461
PATIENT CONTRAINDICATIONS 461
PATIENT PREPARATION 461
INSTRUMENTATION FOR THE PROCEDURE 462
PROCEDURE 463
POSSIBLE INTRAOPERATIVE COMPLICATIONS 465
CARE AND POTENTIAL PROBLEMS AFTER THE PROCEDURE 465
FOLLOW-UP MONITORING OF PROCEDURE EFFECT 465
REFERENCES 465
Laparoscopic Spay of the Female Canine and Feline 466
PATIENT INDICATION 467
PATIENT CONTRAINDICATIONS 467
PREOPERATIVE PATIENT EVALUATION 468
PATIENT PREPARATION 468
SURGICAL ROOM SETUP 468
CHOOSING BETWEEN AN OVARIECTOMY AND OVARIOHYSTERECTOMY 469
ANESTHESIA AND SURGICAL PREPARATION 470
SURGICAL TECHNIQUES 471
COMPLICATIONS 476
CONVERSION TO LAPAROTOMY 477
POSTOPERATIVE CARE 477
Chapter 16 - Thoracoscopy 479
Thoracoscopy Introduction: Indications, Instrumentation, Techniques, Biopsy Procedures, and Complications 479
INDICATIONS 479
INSTRUMENTATION 479
DIAGNOSTIC PROCEDURES 481
THERAPEUTIC PROCEDURES 481
PATIENT PREPARATION AND POSITIONING 482
PREOPERATIVE DIAGNOSTIC EVALUATION 482
ANESTHESIA 482
EXPLORATORY THORACOSCOPY 483
THERAPEUTIC PROCEDURES 483
ESTABLISHING A PNEUMOTHORAX 484
PORT PLACEMENT 484
BIOPSY TECHNIQUES 485
Pericardectomy 490
INDICATIONS 490
INSTRUMENTATION 490
PATIENT EVALUATION 490
PREPARATION 490
PROCEDURE 490
POTENTIAL INTRAOPERATIVE COMPLICATIONS 492
POSTOPERATIVE CARE 492
Occlusion of a Patent Ductus Arteriosus 492
INSTRUMENTATION 492
PATIENT EVALUATION 492
PATIENT PREPARATION 492
PROCEDURE 492
POTENTIAL INTRAOPERATIVE COMPLICATIONS 493
POSTOPERATIVE CARE 493
Thoracic Duct Occlusion 493
INDICATIONS 493
INSTRUMENTATION 493
PATIENT EVALUATION 493
PATIENT PREPARATION 493
PROCEDURE 493
POTENTIAL INTRAOPERATIVE COMPLICATIONS 494
POSTOPERATIVE CARE 495
REFERENCE 495
Thoracoscopic and Thoracoscopically Assisted Lung Lobectomy 496
PATIENT INDICATIONS 496
PATIENT CONTRAINDICATIONS 496
PATIENT EVALUATION AND PREPARATION 496
ANESTHESIA 497
PARTIAL LUNG LOBECTOMY 497
THORACOSCOPIC PARTIAL LUNG LOBECTOMY 497
THORACOSCOPICALLY ASSISTED PARTIAL LUNG LOBECTOMY 497
COMPLETE LUNG LOBECTOMY 498
THORACOSCOPIC LUNG LOBECTOMY 498
THORACOSCOPICALLY ASSISTED LUNG LOBECTOMY 499
POTENTIAL INTRAOPERATIVE COMPLICATIONS 499
REFERENCES 501
Thoracoscopic Correction of Persistent Right Aortic Arch 501
PATIENT INDICATIONS 501
PATIENT CONTRAINDICATIONS 501
PATIENT EVALUATION AND PREPARATION 501
ANESTHESIA 502
SURGICAL PROCEDURE 502
POTENTIAL INTRAOPERATIVE COMPLICATIONS 503
REFERENCES 504
Thoracoscopic Evaluation and Treatment of Pyothorax 504
PATIENT INDICATIONS 504
PATIENT CONTRAINDICATIONS 504
PATIENT EVALUATION AND PREPARATION 504
ANESTHESIA 504
SURGICAL PROCEDURE 505
POTENTIAL INTRAOPERATIVE COMPLICATIONS 506
REFERENCES 506
Chapter 17 - Cystoscopy 507
Cystoscopy Introduction: Indications, Instrumentation, Techniques, and Complications 507
INDICATIONS FOR CYSTOSCOPY 507
CONTRAINDICATIONS 514
INSTRUMENTATION 514
PATIENT EVALUATION AND PREPARATION 515
ANESTHESIA AND MONITORING 515
CYSTOSCOPIC TECHNIQUES 515
TRANSURETHRAL CYSTOSCOPY IN FEMALE DOGS AND CATS 516
TRANSURETHRAL CYSTOSCOPY IN MALE DOGS 517
LAPAROSCOPIC-ASSISTED CYSTOSCOPY 518
INTRAOPERATIVE NEPHROSCOPY AND CYSTOSCOPY 520
POTENTIAL CYSTOSCOPIC PROBLEMS 520
DECIDING TO CONVERT OR DISCONTINUE CYSTOSCOPY 521
PATIENT CARE AFTER CYSTOSCOPY 521
FOLLOW-UP MONITORING OF PROCEDURAL EFFECTS 521
REFERENCES 521
Minimally Invasive Options for Urinary Obstructions, Including Calculi 522
INTERVENTIONAL RADIOLOGY AND INTERVENTIONAL ENDOSCOPY OF THE URINARY TRACT 522
INTERVENTIONAL APPROACH TO NEPHROLITHIASIS 527
PERCUTANEOUS NEPHROLITHOTOMY 529
RETROGRADE URETERAL CATHETERIZATION FOR SEVERE PYELONEPHRITIS 529
INTERVENTIONAL APPROACH TO URETEROLITHiASIS AND URETERAL OBSTRUCTIONS 532
URETERAL STENTING 533
PERCUTANEOUS NEPHROURETEROLITHOTOMY 536
EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY FOR URETEROLITHIASIS 536
PERCUTANEOUS NEPHROSTOMY TUBE PLACEMENT 537
DISEASES OF THE LOWER URINARY COLLECTION SYSTEM: URINARY BLADDER AND URETHRA 540
STONE BASKETING 542
PERCUTANEOUS CYSTOLITHOTOMY/KEYHOLE TRANSVESICULAR CYSTOURETHROSCOPY 542
URETHRAL BALLOON DILATION OR METALLIC STENTING FOR BENIGN AND MALIGNANT OBSTRUCTIONS 544
PERCUTANEOUS CYSTOSTOMY TUBE PLACEMENT 546
ANTEGRADE URETHRAL CATHETERIZATION 546
CONCLUSION 547
REFERENCES 548
Cystoscopic Diagnosis and Treatment of Ectopic Ureter 550
INSTRUMENTATION 551
PATIENT EVALUATION AND PREPARATION 551
POTENTIAL INTRAOPERATIVE COMPLICATIONS 554
POSTOPERATIVE CARE 554
FOLLOW-UP MONITORING 554
REFERENCES 554
Chapter 18 - Vaginoscopy and Transcervical Catheterization in the Bitch 555
PATIENT INDICATIONS 555
INSTRUMENTATION 555
PATIENT PREPARATION 557
RESTRAINT 557
PROCEDURE 558
SAMPLE PROCUREMENT 560
POTENTIAL COMPLICATIONS AFTER THE PROCEDURE 560
REFERENCES 561
Chapter 19 - Rhinoscopy 563
Rhinoscopic Diagnosis and Treatment of Nasal Diseases, Transnares Curettage for Palliation of Malignant Nasal Obstruction 563
INDICATIONS 563
CONTRAINDICATIONS 563
EQUIPMENT 563
EVALUATION OF THE PATIENT WITH NASAL DISEASE 564
PRERHINOSCOPIC CLINICAL PATHOLOGY 566
RADIOGRAPHY 566
ANESTHESIA FOR RHINOSCOPY 567
TECHNIQUE: RIGID ANTEGRADE RHINOSCOPY 568
RHINOSCOPY COMPLICATIONS 570
SPECIFIC RHINOSCOPIC DIAGNOSES 570
NEOPLASIA 572
REFERENCES 576
Palliative Treatment of Nasal Tumors Using Rhinoscopic-Assisted Transnares Curettage 577
Chapter 20 - Otoscopy 587
Video Otoscopy 587
INDICATIONS 587
INSTRUMENTATION 589
INSTRUMENT DISINFECTION 589
PATIENT PREPARATION 590
OTIC ANATOMY 590
COMPLICATIONS OF DEEP EAR FLUSHING AND MYRINGOTOMY 594
ATLAS PAGES 595-597 595
Conservative Management of Chronic Otitis Media in Dogs 597
INSTRUMENTATION 597
PATIENT EVALUATION AND ANESTHESIA 598
POTENTIAL COMPLICATIONS AND CARE AFTER TREATMENT 599
REFERENCES 601
Conservative Management of Feline Inflammatory Polyps 601
FELINE MIDDLE EAR ANATOMY 602
PROCEDURE 602
POTENTIAL COMPLICATIONS AND CARE AFTER TREATMENT 604
Chapter 21 - Arthroscopy 607
PATIENT INDICATIONS 607
PATIENT CONTRAINDICATIONS 607
EQUIPMENT FOR SMALL ANIMAL ARTHROSCOPY 608
FLUID MANAGEMENT 609
SHAVERS 609
CANNULAS, TROCARS, AND OBTURATORS 610
HAND INSTRUMENTS 610
RADIOFREQUENCY AND ELECTROCAUTERY 611
GENERAL ARTHROSCOPIC TECHNIQUE 612
ARTHROSCOPY OF THE ELBOW 613
ARTHROSCOPY OF THE SHOULDER 616
ARTHROSCOPIC SURGERY OF THE STIFLE 618
ARTHROSCOPIC EVALUATION OF THE OTHER JOINTS 620
POTENTIAL INTRAOPERATIVE COMPLICATIONS 620
CARE AND POTENTIAL PROBLEMS AFTER THE PROCEDURE 621
FOLLOW-UP MONITORING OF PROCEDURAL EFFECTS 621
Chapter 22 - Exotic Pets\r 623
INSTRUMENTATION 623
Selected Endoscopy Procedures for Exotic Mammals (Ferrets, Rabbits, and Rodents) 627
INSTRUMENTATION 628
PROCEDURES 628
Selected Endoscopy Procedures for Birds (Psittacines, Passerines, and Raptors) 633
INSTRUMENTATION 633
PROCEDURES 633
Selected Endoscopy Procedures for Fish 641
INSTRUMENTATION 641
PROCEDURES 641
Selected Endoscopy Procedures for Reptiles (Lizards, Snakes, Turtles, and Tortoises) 646
INSTRUMENTATION 646
PROCEDURES 646
REFERENCES 654
Chapter 23 - Marketing Endoscopic Services in the Clinic 655
PHILOSOPHY OF PRACTICE 655
MAKING A COMMITMENT TO ENDOSCOPY 656
THE KEY TO ENDOSCOPY SUCCESS 656
MARKETING 657
UTILIZING YOUR IMAGE CAPTURING SYSTEM 658
PRICING AND PROFITABILITY 658
Chapter 24 - New Technologies on the Horizon 659
IMPROVED DIAGNOSIS 659
TRANSITION TO THERAPEUTIC PROCEDURES 659
NOTES PROCEDURE DESCRIPTION 661
BENEFITS AND RISKS 662
CONCLUSION 664
REFERENCES 664
Index\r 667