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Onychectomy
Question | Answer |
---|---|
Reasons for scratching | mark territory, remove old nail tissue, maintain nail, stretch muscles |
Reasons to declaw | avoid damage to property, people, other pets, keep cats in homes, human health risk |
Methods | CO2 laser, resco nail trimmers, scalpel blade |
Declaw | complete removal of 3rd phalanx, or adequate removal of germinal epithelium (ungual crest) |
Prep | range from no prep to clip/shave/scrub, tourniquet- less than ten minutes, above or below elbow |
Closure | none, one absorbable- cruciate, mattress, glue- incision must be dry, one drop, before releasing tourniquet |
Bandaging | protection, +/- hemostasis, may not need with laser, tube gauze, not bulky, compression but not too tight, even, 24+ hours, 1-2 days hospitalization standard |
Go Home Instructions | indoor for life, no regular kitty litter for a week or so, try to limit jumping |
Analgesics | Nerve Blocks- lidocaine, bupivicain Opioids- buprenorphine, fentanyl NSAIDs- metacam, carprofen- one time, or a combo |
Complications | nail regrowth, excessive pain, excessive hemorrhage, swelling/infection, paralysis/ischemia |
Alternatives | nail trimming, pedi paws, deep digital flexor tenectomy- not recommended, behavior modification |
Age Controversy | young cats handle well, older cats have more recovery time, increased pain, and more psychological stress, unnecessary |