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Ovariohysterectomy

QuestionAnswer
Ovariohysterectomy removal of ovaries, uterine horns, uterine body
Dog OHE Indication neoplasia of repro tract, spay before first heat- 0.5% incidence, after first heat- 8%, after second- 26%, about 50% of mammary tumors are malignant
OHE Indications dystocia, psuedocyesis, pyometra, mucometra, stablization of other systemic diseases, seizures
Common Misconceptions animals must have one litter first, obesity, too old for surgery-- older more susceptible to pyometra and mucometra
Age at Time of Surgery surgeon preference, early- delays bone maturation, dogs may be slightly larger, before first heat, waiting until 3-4 mos reduces estrogen dependent urinary incontinence
OHE Benefits prevent pregnancy, decrease pet overpopulation, decrease risk of mammary tumors when before first heat, eliminate repro cancers and infections
Procedure clip ventral abdomen- xyphoid-pubis, scrub, incision, ligatures- ovarian pedicles, uterine body, mesometrium,/broad ligament, uterine vessels
Canine vs Feline Incision canine- cranial 1/3 because kidneys tightly anchored, uterus more loosely connected to body wall Feline- middle 1/3- kidneys less anchored, uterus more tightly connected to body wall, smaller incision when spay hook used
Post OHE and Sutures count sponges and instruments, body wall (linea alba), SQ or subcuticular, skin
Post Op limit excercise, analgesics, e collar, bandaging, antibiotics if needed
Complications hemorrhage, dehiscence, anesthetic complications, delayed wound healing, suture reaction, self-inflicted trauma
Created by: cheshirecat