RESUMEN
The diversity implicit in exotic animal surgery requires a tailored approach to optimize successful outcomes. Outlined is information on patient preparation, instrumentation, hemostatic techniques, and magnification as it pertains to the exotic animal. Application of topical antiseptic solutions and judicious removal of pelage and feathers will decrease bacterial load during patient preparation. The use of specific barrier protection ensures proper aseptic technique and enables optimal patient monitoring. Magnification combined with a focal light source enhances visual acuity, allowing for better use of delicate instrumentation and identification of anatomic structures.
Asunto(s)
Animales Exóticos , Cirugía Veterinaria/tendencias , Animales , Antiinfecciosos Locales/normas , Hemostasis Quirúrgica/métodos , Hemostasis Quirúrgica/veterinaria , Cirugía Veterinaria/instrumentación , Cirugía Veterinaria/normas , Paños Quirúrgicos/veterinaria , Equipo Quirúrgico/veterinaria , Instrumentos Quirúrgicos/veterinaria , Suturas/veterinariaRESUMEN
Amphibian surgery has been especially described in research. Since the last decade, interest for captive amphibians has increased, so have the indications for surgical intervention. Clinicians should not hesitate to advocate such manipulations. Amphibian surgeries have no overwhelming obstacles. These patients heal well and tolerate blood loss more than higher vertebrates. Most procedures described in reptiles (mostly lizards) can be undertaken in most amphibians if equipment can be matched to the patients' size. In general, the most difficult aspect would be the provision of adequate anesthesia.
Asunto(s)
Anfibios/cirugía , Analgesia/veterinaria , Anestesia/veterinaria , Animales , Cloaca/cirugía , Procedimientos Quirúrgicos Dermatologicos/veterinaria , Intestinos/cirugía , Masculino , Procedimientos Quirúrgicos Mínimamente Invasivos/veterinaria , Monitoreo Intraoperatorio/veterinaria , Procedimientos Quirúrgicos Oftalmológicos/veterinaria , Ortopedia/veterinaria , Ovariectomía/veterinaria , Cuidados Posoperatorios/veterinaria , Cuidados Preoperatorios/veterinaria , Estómago/cirugía , Paños Quirúrgicos/veterinaria , Testículo/cirugía , Vejiga Urinaria/cirugía , Prolapso Visceral/cirugía , Prolapso Visceral/veterinariaRESUMEN
This pilot study determined the rate of bacterial contamination on surgical drapes of small animal patients warmed intra-operatively with the Bair Hugger(®) forced air warming system compared to a control method. Surgical drapes of 100 patients undergoing clean surgical procedures were swabbed with aerobic culturettes at the beginning and end of surgery. Samples were cultured on Trypticase soy agar. Contamination of the surgical drapes was identified in 6/98 cases (6.1%). There was no significant difference in the number of contaminated surgical drapes between the Bair Hugger(®) and control groups (P = 0.47).
Évaluation de la contamination bactérienne des champs opératoires après l'utilisation du système de chauffage à air pulsé Bair HuggerMD . Cette étude pilote a déterminé le taux de contamination bactérienne des champs opératoires de patients petits animaux réchauffés lors du processus peropératoire à l'aide du système de chauffage à air pulsé Bair HuggerMD comparativement à une méthode témoin. Les champs opératoires de 100 patients subissant des interventions chirurgicales propres ont été écouvillonnés avec des Culturettes aérobies au début et à la fin de la chirurgie. Les échantillons ont été cultivés sur gélose Trypticase soja. La contamination des champs opératoires a été identifiée dans 6/98 cas (6,1 %). Il n'y avait aucune différence significative dans le nombre de champs opératoires contaminés entre le groupe Bair HuggerMD et le groupe témoin (P = 0,47).(Traduit par Isabelle Vallières).
