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Current Techiniques in Small Animal Sugery

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0% found this document useful (0 votes)
2K views115 pages

Current Techiniques in Small Animal Sugery

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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BOJRAB

Waldron
Toombs

Current Techniques

In Small Animal Surgery


Current Techniques
In Small Animal Surgery
5th Edition

M. Joseph Bojrab
5th Edition Don Ray Waldron
James P. Toombs
Teton NewMedia
Current Techniques
In Small Animal Surgery
5th Edition
Current Techniques
In Small Animal Surgery
5th Edition
Editor:
M. Joseph Bojrab, DVM, MS, PhD
Diplomate, American College of Veterinary Surgeons
Private Consulting Practitioner
Las Vegas, Nevada

Associate Editors:
Don Waldron, DVM, DACVS
Chief Veterinary Medical Officer
Western Veterinary Conference
Las Vegas, Nevada

James P. Toombs, DVM, DACVS


Professor of Small Animal Medicine and Surgery
Department of Veterinary Clinical Sciences
Iowa State University
College of Veterinary Medicine
Ames, Iowa
Teton NewMedia
Teton NewMedia
90 East Simpson, Suite 110
Jackson, WY 83001
© 2014 by Tenton NewMedia
Exclusive worldwide distribution by CRC Press an imprint of Taylor & Francis Group, an Informa business
Version Date: 20141020

International Standard Book Number-13: 978-1-4987-1656-7 (eBook - PDF)

This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable
data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made.
The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them
and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical,
scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of
the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medi-
cal science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the
drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This book does not indicate
whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to
make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace
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Preface
This book has been a long time coming and has taken many hours of sweat and tears to finish. It has been anticipated for several
years and has been delayed because of the extensive amount of new and refurbished art work which was required. The book is
designed to be a concise, comprehensive and highly graphic presentation of small animal surgery for the practicing veterinarian. It
represents the viewpoints and surgical approaches of distinguished leaders in the various surgical fields and is therefore a valuable
reference and review of the procedures that the veterinary practitioner is often called upon to perform. I have had innumerable
veterinarians call me and say that they use this book daily and could not do the surgery they do without it. I instructed the authors
to make each procedure accurate and current. Detailed but clear artwork accompanies each procedure and continues to be an
important feature of this book for both students and practitioners. In this day and age the general small animal practitioner is asked
to do more and more complicated procedures since many clients cannot afford a specialist. This book makes it possible for them to
safely and accurately perform a broader range of procedures, and I have had many veterinarians tell me that they consider this the
“bible” and that they could not practice without it. This new edition has been highly anticipated and is finally completed. I must thank
each and every author for their hard work, dedication and patience throughout the revision process. My special thanks go to Drs.
Waldron and Toombs, consulting soft tissue and orthopedic editors. Their untiring dedication made this book finally become a reality.

M. Joseph Bojrab DVM, MS, PhD.


Dedication
I am dedicating this book to my brother Dr. Donald Charles Bojrab, an outstanding veterinarian in St. Louis MO. Don’s not only an
excellent small animal practitioner, he is a wonderful human being. He is intelligent, compassionate, unselfish and loving. When our
98 year old mother developed Osteoporosis and was in severe pain for over a year, he flew to Fort Wayne, IN every other week to
care for her. At the end he spent 3 months there caring for her before she died, leaving his St. Louis practice on auto pilot. I love him
and my sister Darlene dearly.

M. Joseph Bojrab DVM, MS, PhD.


Trevor N. Bebchuck, DVM, DACVS
Contributors Great Plains Veterinary Surgery
Winnipeg, Canada
Jonathan Abbott, DVM, DACVIM (Cardiology)
Associate Professor Neal L. Beeber, DVM, DABVP
VA-MD Regional College of Veterinary Medicine Little Falls Animal Hospital
Department of Small Animal Clinical Sciences Little Falls, NJ
Blacksburg, VA
Jamie R. Bellah, DVM. DACVS
Stacey A. Andrew, DVM, DACVO Professor and Head
Georgia Veterinary Specialists Department of Small Animal Clinical Sciences
Sandy Springs, GA Auburn University
Auburn, AL
Mark A. Anderson, DVM, MS, DACVS
Veterinary Specialty Services R. Avery Bennett, DVM, MS, DACVS
Manchester, MO Lauderdale Veterinary Specialists
Ft. Lauderdale, FL
Steven P. Arnoczky, DVM, DACVS
Wade O. Brinker Endowed Professor of Surgery John Berg, DVM, MS, DACVS
Michigan State University, College of Veterinary Medicine Professor and Chair, Department of Clinical Sciences
Laboratory of Comparative Orthopedic Research Tufts University, Cummings School of Veterinary Medicine
East Lansing, MI North Grafton, MA

Dennis N. Aron, DVM, DACVS Stephanie H. Berry, DVM, MS, DACVA


Fidos Coach Assistant Professor
Escondido, CA Atlantic Veterinary College
University of Prince Edward Island
Lillian R. Aronson, VMD, DACVS Prince Edward Island CA
Associate Professor of Surgery
University of Pennsylvania, School of Veterinary Medicine James F. Biggart, III, DVM, MS, DACVS
Department of Clinical Studies Research Associate, Department of Orthopedics
Philadelphia, PA University of California at San Francisco
President, Veterinary Surgery, Inc.
James E. Bailey, DVM, MS, DACVA University Veterinary Hospital, Berkeley
Clinical Assistant Professor& Chief, Small and Large Animal Berkeley, CA
Anesthesiology and Pain Management
University of Florida Stephen J. Birchard, DVM, MS, DACVS
College of Veterinary Medicine Circle City Veterinary Hospital
Department of Large Animal Clinical Sciences McCordsville, IN
Gainesville, FL
Dale E. Bjorling, DVM, MS, DACVS
Roy F. Barnes, DVM, DACVS Professor of Surgery
Virginia Veterinary Surgical Associates University of Wisconsin, School of Veterinary Medicine
Richmond, VA Department of Surgical Science
Madison, WI
Kenneth E. Bartels, DVM, MS
McCasland Professor of Laser Surgery Charles E. Blass, DVM, DACVS (Deceased)
Cohn Chair for Animal Care
02F Veterinary Teaching Hospital Mark W. Bohling, DVM, PhD, DACVS
Department of Veterinary Clinical Sciences Staff Surgeon
Center for Veterinary Health Sciences Regional Institute for Veterinary Emergencies and Referrals
Oklahoma State University Chattanooga, TN
Stillwater, OK
M. Joseph Bojrab, DVM, MS, PhD, DACVS
Brian S. Beale, DVM, DACVS Private Consulting Practice
Gulf Coast Veterinary Surgery Las Vegas, NV
Houston, TX
viii Contributors

Harry W. Booth, Jr., DVM, MS, DACVS James L. Cook, DVM, PhD, DACVS
Professor, Department of Clinical Sciences Professor of Orthopedic Surgery and William C. Allen Endowed
Auburn University Scholar for Orthopedic Research
College of Veterinary Medicine University of Missouri
Hoerlein Hall Columbia, MO
Auburn, AL
Stephen W. Crane, DVM, DACVS
Terry D. Braden, DVM, DACVS Colorado Springs, CO
Michigan State University
Veterinary Teaching Hospital James A. Creed, DVM, MS, DACVS
East Lansing, MI Professor Emeritus
University of MO-Columbia
Daniel Brehm, VMD, DACVS Department of Veterinary Medicine and Surgery
Department of Surgery Columbia, MO
South Paws Veterinary Specialists and Emergency Center
Fairfax, VA Dennis T. Crowe, Jr., DVM, DACVS
Veterinary Emergency and Critical Care Consulting
Ronald M. Bright, DVM, MS, DACVS Bogart, GA
Staff Surgeon, VCA-Veterinary Specialists of Northern Colorado
Loveland, CO William T. N. Culp, VMD, DACVS
Assistant Professor
Richard V. Broadstone, DVM, PhD, DACVA University of California - Davis
Hospital Director School of Veterinary Medicine
Iams Pet Imaging Center Department of Veterinary Surgical and Radiological Sciences
Raleigh, NC Davis, CA

Kenneth A. Bruecker, DVM, MS, DACVS William R. Daly, DVM, DACVS


Medical Director/Chief of Surgery Veterinary Surgical Group LLP
Veterinary Medical and Surgical Group Houston, TX
Ventura, CA
Charisse D. Davidson, DVM, MS, DACVS
Earl F. Calfee, III (Trey), DVM, MS, DACVS Staff Surgeon, VCA Metroplex Small Animal Hospital
Nashville Veterinary Specialists, Nashville Irving, TX
Nashville, TN
Jacqueline R. Davidson, DVM, MS, DACVS
Paul E. Cechner,DVM, DACVS Clinical Professor
Los Alamitos, CA Texas A & M University
College of Veterinary Medicine
Georghe M. Constantinescu, DVM, PhD, Dr.h.c. Department of Veterinary Small Animal Clinical Sciences
American Association of Veterinary Anatomists College Station, TX
World Association of Veterinary Anatomists
European Association of Veterinary Anatomists Ellen B. Davidson-Domnick, DVM, DACVS
Federation of American Societies for Experimental Biology Neel Veterinary Hospital
(FASEB) Oklahoma City, OK
International Committee of Veterinary Gross Anatomical
Charles E. DeCamp, DVM, DACVS
Nomenclature
Professor and Chairperson
National Computer Graphics Association
Department of Small Animal Clinical Sciences
Professor of Veterinary Anatomy
Michigan State University, College of Veterinary Medicine
University of Missouri-Columbia
Veterinary Medical Center
College of Veterinary Medicine
East Lansing, MI
Columbia, MO
Paul W. Dean, DVM, DACVS
Michael G. Conzemius, DVM, PhD, DACVS
Veterinary Surgical Referral Center
Professor of Surgery
Tulsa, OK
University of Minnesota
College of Veterinary Medicine
Jon F. Dee, DVM, MS, DACVS
Department of Veterinary Clinical Sciences
Partner and Surgeon
Saint Paul, MN
Hollywood Animal Hospital
Hollywood, FL
Contributors ix

Daniel A. Degner, DVM, DACVS Mark H. Engen, DVM, DACVS


Michigan Veterinary Specialists Chief of Staff
Auburn Hills, MI Puget Sound Animal Hospital for Surgery
Kirkland, WA
Cathy A. Johnson-Delaney, DVM, DABVP-Avian
Eastside Avian & Exotic Animal Medical Center, PLLC Maria A. Fahie, DVM, MS, DACVS
Kirkland, WA Professor, Small Animal Surgery
AND Western University of Health Sciences
Medical Director, Washington Ferret Rescue Shelter College of Veterinary Medicine
Bothell, WA Pomona, CA

William S. Dernell, DVM, MS, DACVS James P. Farese, DVM, Diplomate ACVS
Washington State University Associate Professor of Small Animal Surgery
Department of Veterinary Clinical Sciences University of Florida, College of Veterinary Medicine
Pullman, WA Department of Small Animal Clinical Sciences
Gainesville, FL
Jennifer Devey, DVM, DAVECC
Bozeman, MT Jennifer Fick, DVM, DACVS
Front Range Mobile Surgical Specialists
Chad M. Devitt, DVM, MS, DACVS Englewood, CO
Veterinary Referral Center of Colorado
Engelwood, CO Dean Filipowicz, DVM, DACVS
Bay Area Veterinary Specialists
Mauricio Dujowich, DVM, DACVS San Leandro, CA
Solana Beach, CA
James M. Fingeroth, DVM, DACVS
Dianne Dunning, DVM, MS, DACVS Orchard Park Veterinary Medical Center
Assistant Dean, College Relations Orchard Park, NY
Clinical Associate Professor
North Carolina State University Roger B. Fingland, DVM, MS, DACVS
College of Veterinary Medicine Professor of Surgery
Department of Small Animal Clinical Sciences Director of Veterinary Medical Teaching Hospital
Raleigh, NC University of Kansas, College of Veterinary Medicine
Manhattan, KS
Laura D. Dvorak, DVM, MS, DACVS
Carolina Veterinary Specialists Randall B. Fitch, DVM, DACVS
Mathews, NC VCA Veterinary Specialists of Northern Colorado
Loveland, CO
Nicole Ehrhart, VMD, MS, DACVS
Associate Professor, Colorado State University J. David Fowler, DVM, MVSc. DACVS
Animal Cancer Center Guardian Veterinary Centre
Fort Collins, CO Edmonton, CANADA

Erick L. Egger, DVM, DACVS Derek B. Fox, DVM, PhD, DACVS


Professor of Small Animal Orthopedic Surgery Assistant Professor of Small Animal Surgery
Colorado State University, College of Veterinary Medicine Associate Director, Comparative Orthopedic Laboratory
Fort Collins, CO University of Missouri-Columbia
Veterinary Medical Teaching Hospital
A.D. Elkins, DVM, DACVS Columbia, MO
Veterinary Surgical Center of Indiana
Indianapolis, IN Lynetta J. Freeman,DVM, MS, DACVS
Associate Professor of Small Animal Surgery & Biomedical
Gary W. Ellison, DVM, MS, DACVS Engineering
Professor of Small Animal Surgery Purdue University
University of Florida VCS Lynn Hall
College of Veterinary Medicine W. Lafayette, IN
Gainesville, FL
x Contributors

Dean R. Gahring, DVM, DACVS H. Phil Hobson, BS, DVM, MS, DACVS
Chief of Surgery Professor of Small Animal Surgery
San Carlos Veterinary Hospital Texas A & M University, College of Veterinary Medicine and
San Diego, CA Biomedical Sciences
Department of Small Animal Clinical Sciences
Dougald R. Gilmore, BVSc, DACVS College Station, TX
International Veterinary Seminars
Santa Cruz, CA David Holt, BVSc, DACVS
Professor of Surgery
Stephen D. Gilson, DVM, DACVS University of Pennsylvania School of Veterinary Medicine
Sonora Veterinary Surgery and Oncology Philadelphia, PA
Phoenix, AZ
Giselle Hosgood, B.V.Sc, M.S, Ph.D., DACVS
Dominique J. Griffon, DMV, MS, PhD, DACVS Murdoch University
Western University of Health Sciences School of Veterinary and Biomedical Sciences
College of Veterinary Medicine Western Australia AUSTRALIA
Pompona, CA
Lisa M. Howe, DVM, PhD, DACVS
Joseph G. Hauptman, DVM, MS, DACVS Professor and Co-Chief, Surgical Sciences Section
Professor of Small Animal Surgery Department of Veterinary Small Animal Clinical Sciences
Michigan State University College of Veterinary Medicine and Biomedical Sciences
College of Veterinary Medicine Texas A & M University
Small Animal Clinical Sciences College Station, TX
G-336 Veterinary Medical Center
East Lansing, MI Donald A. Hulse, DVM, DACVS
Texas A & M University
Robert B. Hancock, DVM, MS, DACVS College of Veterinary Medicine and Biomedical Sciences
South Paws Veterinary Surgical Specialists College Station, TX
Mandeville, LA
Geraldine B. Hunt,B.V.Sc
Joseph Harari, MS, DVM, DACVS Professor of Small Animal Surgery
Veterinary Surgical Specialists University of California-Davis
Spokane, WA Davis, CA

Elizabeth M. Hardie, DVM, PhD, ACVS Brian T. Huss, DVM, MS, DACVS
Professor of Surgery Chief of Staff, Vetcision, LLC
Department of Clinical Sciences Co-Chief of Staff Veterinary Emergency & Specialty Center of
North Carolina State University New England, LLC
Raleigh, NC Waltham, MA

H. Jay Harvey, DVM, DACVS Dennis A. Jackson, DVM, MS, DACVS (deceased)
Associate Professor of Surgery, and Head, Companion Animal Staff Surgeon, Granville Island Veterinary Hospital
Hospital Vancouver, British Columbia, CANADA
Cornell University, New York State College of Veterinary Medicine
Ithaca, NY Ann L. Johnson, DVM, MS, DACVS
Professor of Small Animal Surgery
Cheryl S. Hedlund, DVM, MS, DACVS University of Illinois, College of Veterinary Medicine
Professor of Surgery Department of Veterinary Clinical Medicine
Iowa State University Urbana, IL
Ames, Iowa
Kenneth A. Johnson, MVSc, PhD, FACVSc, DACVS and ECVS
Ian P. Herring, DVM, MS, DACVO Professor of Orthopedics
Associate Professor of Ophthalmology The University of Sydney
Virginia-Maryland Regional College of Veterinary Medicine University Teaching Hospital
Blacksburg, VA Sydney, AUSTRALIA
Contributors xi

Sharon C. Kerwin, DVM, MS, DACVS Douglas N. Lange, DVM, DACVS


Professor of Orthopedic Surgery Dallas Veterinary Surgery Center
Texas A & M University Dallas, TX
College of Veterinary Medicine
Department of Small Animal Clinical Sciences Susan M. LaRue, DVM, PhD, DACVS
College Station, TX Animal Cancer Center
Environmental and Radiological Health Sciences
Michael D. King, BVSc, DACVS-SA Fort Collins, CO
Canada West Veterinary Specialists
Vancouver BC Michael S. Leib, DVM, MS, DACVIM
Canada Virginia-Maryland Regional College of Veterinary Medicine
C.R. Roberts Professor of Small Animal Medicine
John A. Kirsch, DVM, DACVS Blacksburg, VA
Coastal Veterinary Surgical Specialists, Inc
Sarasota, FL Timothy M. Lenehan, DVM, DACVS
TLVS, Incl.
Karen L. Kline, DVM, MS, DACVIM (Neurology) Escondido, CA
VCA Veterinary Specialty Center of Seattle
Lynwood, WA Otto L. Lanz, DVM, DACVS
Virginia-Maryland Regional College of Veterinary Medicine
David W. Knapp, DVM, DACVS Department of Small Animal Clinical Sciences
Clinical Instructor of Small Animal Surgery Blacksburg, VA
Staff Surgeon, Angell Memorial Animal Hospital
Boston, MA Arnold S. Lesser, VMD, DACVS
Owner/Surgeon, New York Veterinary Specialty Center
Daniel A. Koch, Dr.med.vet, ECVS Farmingdale, NY
Koch & Bass referral clinic for small animal surgery
Dissenhofen, SWITZERLAND Daniel D. Lewis, DVM, DACVS
Professor of Small Animal Surgery
Karl H. Kraus, DVM, MS, DACVS Jerry and Lola Collins Eminent Scholar in Canine Sports
Professor of Orthopedic and Neurosurgery, Section Head, Small Medicine and Comparative Orthopedics
Animal Surgery University of Florida, College of Veterinary Medicine
Iowa State University, College of Veterinary Medicine Department of Small Animal Clinical Sciences
Department of Clinical Sciences Gainesville, FL
Ames, Iowa
F. A. Mann, DVM, MS, DACVS, DACVECC
D. J. Krahwinkel, Jr., DVM, MS, DACVS Associate Professor, Department of Veterinary Medicine and
Professor of Surgery Surgery
Department of Small Animal Clinical Sciences University of Missouri-Columbia, College of Veterinary Medicine
The University of Tennessee, College of Veterinary Medicine Columbia, MO
Knoxville, TN
Sandra Manfra Marretta, DVM, DACVS, DAVDC
Ursula Krotscheck, DVM, DACVS Professor, Small Animal Surgery and Dentistry
Lecturer, Department of Clinical Sciences University of Illinois, College of Veterinary Medicine
Cornell University College of Veterinary Medicine Urbana, IL
Ithaca, NY
Mary A. McLoughlin, DVM, MS, DACVS
Andrew E, Kyles, BVMS, PhD, MRCVS Associate Professor
New York, NY The Ohio State University, College of Veterinary Medicine
Department of Veterinary Clinical Sciences
Thomas R. Lahue, DVM, DACVS Columbus, OH
Pacific Veterinary Specialists
Capitola, CA Douglas M. MacCoy, DVM, DACVS
Veterinary Surgical Associates,Inc.
India F. Lane, DVM, MS, DACVIM (Small Animal Internal Parkland, FL
Medicine)
The University of Tennessee College of Veterinary Medicine William G. Marshall, BVMS, MRCVS, DECVS
Department of Small Animal Clinical Sciences Kentdale Veterinary Orthopaedics
Knoxville, TN Crooklands, Milnthorpe, Cumbria, ENGLAND
xii Contributors

Robert A. Martin, DVM, DACVS Michael M. Pavletic, DVM, DACVS


Southern Regional Veterinary Specialists Director of Surgical Services
Dothan, AL Angell Animal Medical Center
Boston, MA
Steve J. Mehler, DVM
Chief of Surgery Ghery D. Pettit, DVM, DACVS (Deceased)
Hope Veterinary Specialists
Malvern, PA J.Phillip Pickett, DVM, DACVO
Professor of Ophthalmology
Jonathon M. Miller DVM, MS, DACVS Section Chief, Ophthalmology
Oradell Animal Hospital Virginia-Maryland Regional College of Veterinary Medicine
Paramus, NJ Department of Small Animal Clinical Sciences
Blacksburg, VA
Akiko Mitsui, DVM, DACVS-SA
California Veterinary Specialists Donald L. Piermattei, DVM, PhD, DACVS
Carlsbad, CA Professor Emeritus
Colorado State University, College of Veterinary Medicine
Eric Monnet, DVM, PhD, FAHA, ACVS, ECVS Department of Clinical Sciences
Professor, Small Animal Surgery Surgical Consultant, VCA Veterinary Specialists of Northern
Colorado State University, College of Veterinary Medicine Colorado
Department of Clinical Sciences Loveland, CO
Fort Collins, CO
Alessandro Piras, DVM, MRCVS, ISVS
Ron Montgomery, DVM, MS, DACVS Head Surgeon, Oakland Small Animal Veterinary Clinic
Professor, Department of Clinical Sciences Northern Ireland
Auburn University, College of Veterinary Medicine
Hoerlein Hall Eric R. Pope, DVM, MS, DACVS
Auburn University, AL Professor of Small Animal Surgery
Ross University Veterinary School
Holly S. Mullen, DVM, DACVS Basseterre, St. Kitts
Chief of Surgery, VCA Emergency Animal Hospital and West Indies
Referral Center
The Emergency Animal Hospital and Referral Center of San Diego Dr. W. Dieter Prieur
San Diego, CA Altenwegs Muhle D-56858
Liesenich, Germany
Malcolm G. Ness, BVetMed, Cert. SAO, DECVS, FRCVS
Senior Surgeon, Croft Veterinary Hospital Curtis W. Probst , DVM, DACVS
Blyth, Northumberland, United Kingdom Professor of Orthopedic Surgery
Michigan State University
Marvin L. Olmstead, DVM, MS, DACVS G-206 Veterinary Medical Center
Department of Small Animal Clinical Sciences
Veterinary Orthopedic Surgeon
East Lansing, MI
Oregon Veterinary Referral Associates
Springfield, OR
Joseph M. Prostredny, DVM, MS, DACVS
Chesapeake Veterinary Surgical Specialists
Dennis Olsen, DVM, MS, DACVS
Annapolis, MD
Program Director, Veterinary Technology
Community College of Southern Nevada
Robert M. Radasch, DVM, MS, DACVS
Las Vegas, NV
Dallas Veterinary Surgical Center
Dallas, TX
Ross H. Palmer, DVM, MS, DACVS
Associate Professor, Orthopedics
Clarence A. Rawlings, DVM, PhD, DACVS
Colorado State University
University of Georgia
College of Veterinary Medicine & Biomedical Sciences
College of Veterinary Medicine
Department of Clinical Sciences
Department of Small Animal Clinical Sciences
Fort Collins, CO
Athens, GA
Robert B. Parker, DVM, DACVS (Deceased)
Lillian Brady Rizzo, DVM, DACVS
Veterinary Surgical Center of Arizona
Phoenix, AZ
Contributors xiii

Mary Ann Radlinsky, DVM, MS, DACVS Amelia M. Simpson, DVM, DACVS
Associate Professor Veterinary Surgical Center of Portland
University of Georgia Portland, OR
College of Veterinary Medicine
Department of Small Animal Medicine and Surgery Barclay Slocum, DVM (Deceased)
Athens, GA Slocum Veterinary Clinic
Private Practice
Eberhard Rosin, DVM, PhD, DACVS (Deceased) Eugene, OR

John S. Rosmeisl, Jr., DVM, MS. DACIM (Internal Medicine Theresa Devine Slocum
and Neurology) Animal Foundation, Inc.
Associate Professor, Neurology and Neurosurgery Eugene, OR
Virginia-Maryland Regional College of Veterinary Medicine
Department of Small Animal Clinical Sciences Daniel D. Smeak, DVM, DACVS
Blacksburg, VA Professor of Small Animal Surgery
Colorado State University
S. Kathleen Salisbury, DVM, MS, DACVS College of Veterinary Medicine and Biomedical Sciences
Professor, Small Animal Surgery Department of Clinical Sciences
Purdue University Fort Collins, CO
School of Veterinary Medicine
Department of Veterinary Clinical Sciences Julie D. Smith, DVM, CCRT, MBA, DACVS
West Lafayette, IN Sage Centers for Veterinary Specialty and Emergency Care
Campbell, CA
Jill E. Sackman, DVM, PhD, DACVS
Healthcare Consultant, Formerly Director, Preclinical Research Mark M. Smith, DACVS, DAVDC
and Development Center for Veterinary Dentistry and Oral Surgery
Ethicon Endo-Surgery, Inc., a Johnson & Johnson Company Gaithersburg, MD
Saint Louis, MO
Elizabeth Arnold Stone, DVM, MS, DACVS
Susan L. Schaefer, MS, DVM, DACVS Dean, Ontario Veterinary College
Clinical Assistant Professor of Small Animal Orthopedic Surgery Office of the Dean
University of Wisconsin, School of Veterinary Medicine University of Guelph
Madison, WI Ontario Veterinary College
Guelph, CANADA
Jamie J. Schorling, DVM, DACVO
The Eye Clinic for Animals Rod Straw, BVSc, MS, DACVS
San Diego, CA Brisbane Veterinary Specialist Centre
Corner Old Northern Road and Keong Road
Kurt S. Schultz, DVM, MS, DACVS Albany Creek, AUSTRALIA
Peak Veterinary Referrals
Steven F. Swaim, DVM, MS
Williston, VT
Professor, Small Animal Surgery
Department of Small Animal Surgery & Medicine
Peter D. Schwarz, DVM, DACVS
Director, Scott-Ritchey Research Center
Veterinary Surgical Specialists of New Mexico
Auburn University College of Veterinary Medicine
Albuquerque, NM
Auburn, AL
Howard B. Seim, III, DVM, DACVS
Kent Talcott, DVM, Diplomate ACVS
Professor of Small Animal Surgery
PetCare Veterinary Hospital
Colorado State University
Santa Rosa, CA
College of Veterinary Medicine
Fort Collins, CO
Guy B. Tarvin, DVM, Diplomate ACVS
Staff Surgeon Veterinary Surgical Specialists
Colin W. Sereda, DVM, MS, DACVS-SA
San Diego, CA
Guardian Veterinary Center
Edmonton, CANADA
Robert Taylor, DVM, MS , DACVS
Director, Bel- Rea Institute of Animal Technology
Kenneth R. Sinibaldi, DVM, DACVS Adjunct Associate Professor, University of Denver
Animal Surgical Clinic of Seattle Staff Surgeon, Alameda East Veterinary Hospital
Seattle, WA Denver, CO
xiv Contributors

Karen M. Tobias, DVM, MS, DACVS Daniel J. Yturraspe, DVM, PhD (Deceased)
Professor, Small Animal Surgery
University of Tennessee, College of Veterinary Medicine Nancy Zimmerman-Pope, DVM, MS, DACVS
Department of Small Animal Clinical Sciences Gentle Hands Veterinary Specialists LLC
C247 Veterinary Teaching Hospital Arena, WI
Knoxville, TN

James P. Toombs, DVM, MS, DACVS


Professor of Small Animal Surgery
Iowa State University, College of Veterinary Medicine
Department of Veterinary Clinical Sciences
Ames, IA

James L. Tomlinson, DVM, MVSci, DACVS


Professor of Veterinary Orthopedic Surgery
University of Missouri, College of Veterinary Medicine
Department of Veterinary Medicine
Columbia, MO

Eric J. Trotter, DVM, MS, DACVS


Chief of Surgery (Orthopedics and Neurosurgery)
Cornell University, College of Veterinary Medicine
Ithaca, NY

Thomas E. Van Gundy, DVM, MS


Staff Surgeon, Animal Surgical Practice of Portland
Portland, OR

Don R. Waldron, DVM, DACVS


Chief Veterinary Medical Officer
Western Veterinary Conference
Las Vegas, NV

John M. Weh, DVM, DACVS


Staff Surgeon
Veterinary Emergency and Specialty Center of Santa Fe
Santa Fe, NM

Charles Chick W. C. Weisse, VMD, DACVS


The Animal Medical Center
New York, NY

Richard A. S. White, Bvetmed, PhD, DSAS, DVR, FRCVS


Dick White Referrals
The Six Mile Bottom Veterinary Specialists Centre
Station Farm, London Road, Six Mile Bottom
Newmarket, ENGLAND

Randy L. Willer, DVM, MS, MBA, DACVS


Front Range Mobile Surgical Specialists
Englewood, CO

Stephen J. Withrow, DVM, DACVS, DACVIM (Oncology)


Stuart Professor in Oncology
Animal Cancer Center, Veterinary Teaching Hospital
Colorado State University
Fort Collins, CO
Contents Section B. Nervous System and Organs
of Special Sense
10: Nervous System
Part I: Soft Tissue Peripheral Nerve Sheath Tumors . . . . . . . . . . . . . . . . . . . . . 131
Section A. Surgical Principles Daniel M. Brehm
1: Selection and Use of Currently Available Suture Materials Peripheral Nerve Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
John H. Rossmeisl, Jr.
and Needles
Suture Materials and Needles . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Daniel D. Smeak 11: Muscle Biopsy
Skeletal Muscle Biopsy Techniques . . . . . . . . . . . . . . . . . . . 137
John H. Rossmeisl, Jr.
2: Bandaging and Drainage Techniques
Bandaging Open Wounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Mark W. Bohling and Steven F. Swaim 12: Eye
Wound Drainage Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Surgery of the Eyelids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Mark W. Bohling and Steven F. Swaim Phillip Pickett
Surgery of the Conjunctiva and Cornea . . . . . . . . . . . . . . . . 154
Jamie J. Schorling
3: Electrosurgery and Laser Surgery
Imbrication Technique for Replacement of Prolapsed
Electrosurgical Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Robert B. Parker 3rd Eyelid Gland, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162
Stacey Andrew
Electrosurgery–Radiosurgery . . . . . . . . . . . . . . . . . . . . . . . . . . 30
A.D. Elkins Enucleation and Orbital Exenteration . . . . . . . . . . . . . . . . . . 165
Ian P. Herring
Lasers in Veterinary Medicine–An Introduction
to Surgical Lasers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Kenneth E. Bartels
13: Ear
Pinna
4: Oncologic Surgery Suture Technique for Repair of Aural Hematoma . . . . . . . 169
Paul E. Cechner
The Role of the Surgeon in Veterinary Oncology . . . . . . . . . . 44
Earl Calfee
Sutureless Technique for Repair of Aural Hematoma . . . . 171
M. Joseph Bojrab and Georghe M. Constantinescu
5: Tumor Biopsy Principles and Techniques . . . . . . . . . . . . . . . . 47 External Ear Canal
Nicole Ehrhart, Steven J. Withrow, and Susan M. Larue Treatment of Otitis Externa . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
M. Joseph Bojrab and Georghe M. Constantinescu
6: Supplemental Oxygen Delivery and Feeding Tube Techniques Modified Ablation Technique . . . . . . . . . . . . . . . . . . . . . . . . . 174
Nasal, Nasopharyngeal, Nasoesophageal, Nasotracheal, M. Joseph Bojrab and Georghe M. Constantinescu
Nasogastric, and Nasoenteric Tubes: Insertion and Use . . . 54 Total Ear Canal Ablation and
Dennis T. Crowe, Jr. and Jennifer Devey
Subtotal Bulla Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176
Daniel D. Smeak
Esophagostomy Tube Placement and Use for
Ventral Bulla Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Feeding and Decompression . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
David E. Holt
Dennis T. Crowe, Jr. and Jennifer Devey
Use of Jejunostomy and Enterostomy Tubes . . . . . . . . . . . . . 67
Chad Devitt and Howard B. Seim, III Section C. Digestive System
14: Oral Cavity
7: Minimally Invasive Surgery Exodontic Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190
Endosurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Mark M. Smith
James E. Bailey and Lynnetta J. Freeman Repair of Cleft Palate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Thoracoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Eric R. Pope and Georghe M. Constantinescu
Eric Monnet Repair of Oronasal Fistulas . . . . . . . . . . . . . . . . . . . . . . . . . . 201
Small Animal Arthroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Eric R. Pope and Georghe M. Constantinescu
Kurt S. Schultz Maxillectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
William Culp, William S. Dernell, and Stephen J. Withrow
8: Microvascular Surgical Instrumentation Mandibulectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214
and Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 William Culp, William S. Dernell, and Stephen J. Withrow
Otto L. Lanz and Daniel A. Degner Tongue, Lip, and Cheek Surgery . . . . . . . . . . . . . . . . . . . . . . 224
Laura D.Dvorak and Earl F. Calfee III
9: Pain Management in the Surgical Patient
Pain Management in the Small Animal Patient . . . . . . . . . . 112 15: Pharynx
Stephanie H. Berry and Richard V. Broadstone Cricopharyngeal Dysphagia . . . . . . . . . . . . . . . . . . . . . . . . . . 231
Eberhard Rosin (Deceased)
Oropharyngeal/Otic Polyps in Cats . . . . . . . . . . . . . . . . . . . . 232
Jacqueline R. Davidson
xvi Contents

16: Salivary Glands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235 Pancreatic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341


Michael D. King and Don R. Waldron Elizabeth M. Hardie
Surgery of Pancreatic Neoplasia . . . . . . . . . . . . . . . . . . . . . 345
17: Esophagus James M. Fingeroth
Management of Esophageal Foreign Bodies . . . . . . . . . . . 239
Michael S. Leib 22: Diaphragm
Hiatal Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242 Traumatic Diaphragmatic Hernia . . . . . . . . . . . . . . . . . . . . . 352
Ronald M. Bright Jamie R. Bellah
Congenital Diaphragmatic Hernia . . . . . . . . . . . . . . . . . . . . . 357
18: Exploratory Celiotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246 Jamie R. Bellah
Harry W. Booth, Jr.
23: Peritoneum and Abdominal Wall
19: Stomach Closure of Abdominal Incisions . . . . . . . . . . . . . . . . . . . . . . . 361
Principles of Gastric and Pyloric Surgery . . . . . . . . . . . . . . 251 Eberhard Rosin (Deceased)
Maria A. Fahie Closed Peritoneal Drainage . . . . . . . . . . . . . . . . . . . . . . . . . . 364
Gastrotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255 Giselle Hosgood
Maria A. Fahie Omentum as a Surgical Tool . . . . . . . . . . . . . . . . . . . . . . . . . 367
Partial Gastrectomy (Full Thickness) . . . . . . . . . . . . . . . . . . 257 Giselle Hosgood
Maria A. Fahie
Partial-Thickness Resection via Gastrotomy Incision . . . . 258
Maria A. Fahie Section D. Respiratory System
Y – U Antral Flap Pyloroplasty . . . . . . . . . . . . . . . . . . . . . . . . 259 24: Nasal Cavity
Maria A. Fahie Resection of the Nasal Planum . . . . . . . . . . . . . . . . . . . . . . . 371
Billroth 1 (Gastroduodenostomy) . . . . . . . . . . . . . . . . . . . . . 260 Rodney C. Straw
Maria A. Fahie Rhinotomy Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375
Gastric Dilatation-Volvulus . . . . . . . . . . . . . . . . . . . . . . . . . . . 263 Cheryl S. Hedlund
Jacqueline R. Davidson
Gastric Dilatation-Volvulus: Surgical Treatment . . . . . . . . 267 25: Larynx
Amelia M. Simpson Brachycephalic Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . 383
Incisional Gastropexy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271 Cheryl S. Hedlund
Douglas M. MacCoy Treatment of Laryngeal Paralysis with Unilateral
Circumcostal Gastropexy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272 Cricoarytenoid Laryngoplasty (A Form of Arytenoid
Gary W. Ellison Laterlization) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 388
Laparoscopic Assisted Gastropexy . . . . . . . . . . . . . . . . . . . 274 Thomas R. LaHue
Don R. Waldron
26: Trachea
20: Intestines Treatment of Tracheal Collapse:
Enterotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276 Ring Prosthesis Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . 394
Gary W. Ellison H. Phil Hobson
Intestinal Resection and Anastomosis . . . . . . . . . . . . . . . . . 280 Intra-Luminal Tracheal Stenting . . . . . . . . . . . . . . . . . . . . . . 398
Gary W. Ellison Charles Chick W. C. Weisse
Subtotal Colectomy in the Cat and Dog . . . . . . . . . . . . . . . . 285 Tracheal Resection and Anastomosis . . . . . . . . . . . . . . . . . 405
Ron M. Bright Roger B. Fingland
Surgery of the Colon and Rectum . . . . . . . . . . . . . . . . . . . . . 289 Permanent Tracheostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . 408
Brian T. Huss Cheryl S. Hedlund
Management of Rectal Prolapse . . . . . . . . . . . . . . . . . . . . . 303
Mark H. Engen 27: Lung and Thoracic Cavity
Anal Sac Disease and Removal . . . . . . . . . . . . . . . . . . . . . . 306 Thoracic Approaches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411
Roy F. Barnes and Sandra Manfra Marretta Dianne Dunning
Nonsurgical Management of Perianal Fistulas . . . . . . . . . 309 Pulmonary Surgical Techniques . . . . . . . . . . . . . . . . . . . . . . 417
Dean Fillipowicz Dianne Dunning
Excisional Techniques for Perianal Fistulas . . . . . . . . . . . . 315 Thoracic Drainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419
Gary W. Ellison Dennis T. Crowe and Jennifer Devey

21: Liver, Biliary System, Pancreas 28: Thoracic Wall


Hepatobiliary Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318 Thoracic Wall Neoplasia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 433
Robert A. Martin and Michael D. King Dennis E. Olsen
Congenital Portosystemic Shunts in Dogs and Cats . . . . . 331 Management of Flail Chest . . . . . . . . . . . . . . . . . . . . . . . . . . 437
Karen M. Tobias Dennis E. Olsen
Cellophane Banding of Portosystemic Shunts . . . . . . . . . . 337
Geraldine B. Hunt
Contents xvii

Section E. Urogenital System Episioplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 532


Dale E. Bjorling
29: Kidney and Ureter
Episiotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 534
Nephrectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 443 Roy F. Barnes and Sandra Manfra Maretta
Eberhard Rosin (Deceased)
Nephrotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 444 35: Testicles
Nancy Zimmerman-Pope and Michael D. King
Prepubertal Castration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 536
Nephroliths and Ureteroliths in Cats . . . . . . . . . . . . . . . . . . 448 Lisa M. Howe
S. Kathleen Salisbury
Orchiectomy of Descended and Retained
Extracorporeal Shock-Wave Lithotripsy . . . . . . . . . . . . . . . 453
Testicles in the Dog and Cat . . . . . . . . . . . . . . . . . . . . . . . . . . 540
India F. Lane
Stephen W. Crane
Laser Lithotripsy for Treatment of Canine Urolithiasis . . . 459
Ellen B. Davidson-Dominick
36: Penis and Prepuce
Renal Transplantation in Companion Animals . . . . . . . . . . 465
Lillian R. Aronson Surgical Procedures of the Penis . . . . . . . . . . . . . . . . . . . . . 546
H. Phil Hobson
Management of Ureteral Ectopia . . . . . . . . . . . . . . . . . . . . . 477
Mary A. McLoughlin
Section F. Endocrine System
30: Urinary Bladder 37: Endocrine System
Cystotomy and Partial Cystectomy . . . . . . . . . . . . . . . . . . . . 481 Adrenalectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 553
Elizabeth Arnold Stone and Andrew E. Kyles Stephen D. Gilson, Lillian Brady Rizzo and Akito Mitsui
Cystostomy Tube Placement . . . . . . . . . . . . . . . . . . . . . . . . . 482 Thyroidectomy in the Dog and Cat . . . . . . . . . . . . . . . . . . . . 558
Julie D. Smith Stephen J. Birchard
Colposuspension for Urinary Incontinence . . . . . . . . . . . . . 484
David E. Holt and Elizabeth Arnold Stone
Section G. Hernias
31: Urethra 38: Hernias
Surgical Management of Urethral Calculi in the Dog . . . . 489 Incisional Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 564
Don R. Waldron Daniel D. Smeak
Scrotal Urethrostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 490 Inguinal Hernia Repair in the Dog . . . . . . . . . . . . . . . . . . . . . 567
Daniel D. Smeak Paul W. Dean, M. Joseph Bojrab and Georghe M. Constantinescu
Perineal Urethrostomy in the Cat . . . . . . . . . . . . . . . . . . . . . 494 Surgical Techniques for Treatment of Perineal Hernia . . . 569
M. Joseph Bojrab and Georghe M. Constatinescu F. A. Mann, Georghe M. Constantinescu and Mark A. Anderson
Prepubic Urethrostomy in the Cat . . . . . . . . . . . . . . . . . . . . . 499 Prepubic Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 584
Richard A. S. White Daniel D. Smeak
Management of Urethral Trauma . . . . . . . . . . . . . . . . . . . . . 501
Jamie R. Bellah
Urethral Prolapse in Dogs . . . . . . . . . . . . . . . . . . . . . . . . . . . 503 Section H. Integument
John A. Kirsch and J. G. Hauptman 39: Feline Onychectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 588
Jonathon M. Miller and Don R. Waldron
32: Prostate
Surgery of the Prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 505 40: Mammary Glands
Clarence A. Rawlings Mastectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 590
Use of Omentum in Prostatic Drainage . . . . . . . . . . . . . . . . 509 H. J. Harvey and Jonathon M. Miller
Richard A. S. White
41: Skin Grafting and Reconstruction Techniques
33: Uterus Skin Grafting Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . 595
Prepubertal Ovariohysterectomy . . . . . . . . . . . . . . . . . . . . . 512 Michael M. Pavletic
Lisa M. Howe Mesh Skin Grafting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 612
Ovariohysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 516 Eric R. Pope
Roger B. Fingland and Don R.Waldron Reconstructive Microsurgical Applications . . . . . . . . . . . . 615
Harmonic Scalpel Assisted J. David Fowler
Laparoscopic Ovariohysterectomy . . . . . . . . . . . . . . . . . . . . 522 Paw and Distal Limb Salvage and
Robert Hancock Reconstructive Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . 628
Cesarean Section: Traditional Technique . . . . . . . . . . . . . . 524 Mark W. Bohling and Stephen F. Swaim
Curtis W. Probst and Trevor N. Bebchuck
Cesarean Section by Ovariohysterectomy . . . . . . . . . . . . . 527
Holly S. Mullen Section I. Cardiovascular and Lymphatic
42: Heart and Great Vessels
34: Vagina and Vulva Conventional Ligation of Patent Ductus
Surgical Treatment of Vaginal and Vulvar Masses . . . . . . 529 Arteriosus in Dogs and Cats . . . . . . . . . . . . . . . . . . . . . . . . . 642
Ghery D. Pettit Eric Monnet
xviii Contents

Surgical Management of Pulmonic Stenosis . . . . . . . . . . . 643 48: Thoracolumbar and Sacral Spine
Jill E. Sackman and D. J. Krahwinkel,Jr. Intervertebral Disc Fenestration . . . . . . . . . . . . . . . . . . . . . . 743
Interventional Catheterization for James A. Creed and Daniel J. Yturraspe
Congenital Heart Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . 649 Prophylactic Thoracolumbar Disc Fenestration . . . . . . . . . 746
Jonathan Abbott M. Joseph Bojrab and Gheorghe M. Constantinescu
Surgical Correction of Persistent Right Aortic Arch . . . . . 661 Hemilaminectomy of the Cranial Thoracic Region . . . . . . . 748
Gary W. Ellison James F. Biggart, III
Surgical Treatment of Pericardial Disease Hemilaminectomy of the Caudal Thoracic and
and Cardiac Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 664 Lumbar Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 750
John Berg Karl H. Kraus and John M. Weh
Modified Dorsal Laminectomy . . . . . . . . . . . . . . . . . . . . . . . . 756
43: Lymphatics and Lymph Nodes Eric J. Trotter
Management of Chylothorax . . . . . . . . . . . . . . . . . . . . . . . . . 671 Surgical Treatment of Cauda Equina Syndrome . . . . . . . . . 760
MaryAnn Radlinsky Guy B. Tarvin and Timothy M. Lenehan
Transdiaphragmatic Approach to Thoracic Surgical Treatment of Fractures, Luxations and
Duct Ligation in Cats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 677 Subluxations of the Thoracolumbar and Sacral Spine . . . 762
Robert A. Martin Karen L. Kline and Kenneth A. Bruecker
Lymph Node Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 679
MaryAnn Radlinsky
Section L. Fracture Fixation Techniques and
44: Spleen
Surgery of the Spleen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 682
Bone Grafting
Dale E. Bjorling 49: Fixation with Pins and Wires
Application of Cerclage and Hemi-cerclage Wires . . . . . . 769
Sharon C. Kerwin
Section J. Exotic Species Intramedullary Pins and Kirschner Wires . . . . . . . . . . . . . . 775
45: Surgical Techniques in Small Exotic Animals Sharon C. Kerwin
Surgery of Pet Ferrets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 686 Tension Band Wiring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 780
Neal L. Beeber Karl H. Kraus
Anal Sac Resection in the Ferret . . . . . . . . . . . . . . . . . . . . . 691
James E. Creed 50: Interlocking Nailing of Canine and Feline Fractures
Soft Tissue Surgery in Reptiles . . . . . . . . . . . . . . . . . . . . . . . 692 Interlocking Nailing of Canine and Feline Fractures . . . . . 782
Steve J. Mehler and R. Avery Bennett Kenneth A. Johnson
Abdominal Surgery of Pet Rabbits . . . . . . . . . . . . . . . . . . . . 700
Cathy A. Johnson-Delaney 51: Fixation with Screws and Bone Plates
Screw Fixation: Cortical, Cancellous,
Part II: Bones and Joints Lag, and Gliding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 787
Brian Beale
Section K. Axial Skeleton Application of Bone Plates in Compression,
46: Skull and Mandible Neutralization, or Buttress Mode . . . . . . . . . . . . . . . . . . . . . 788
Surgical Repair of Fractures Involving Daniel A. Koch
the Mandible and Maxilla . . . . . . . . . . . . . . . . . . . . . . . . . . . . 716 The SOP Locking Plate System . . . . . . . . . . . . . . . . . . . . . . . 792
Mauricio Dujowich Karl H. Kraus and Malcolm G. Ness
Acrylic Pin Splint External Skeletal Fixators for
Mandibular Fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 725 52: Plate-Rod Fixation
Dennis N. Aron Application of Plate-Rod Constructs for
Fixation of Complex Shaft Fractures . . . . . . . . . . . . . . . . . . . 797
47: Cervical Spine Donald A. Hulse
Cervical Disc Fenestration . . . . . . . . . . . . . . . . . . . . . . . . . . . 728
M. Joseph Bojrab and Gheorghe M. Constantinescu 53: External Skeletal Fixation
Ventral Slot for Decompression of the Basic Principles of External Skeletal Fixation . . . . . . . . . . 800
Herniated Cervical Disk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 729 James P. Toombs
Karen L. Kline and Kenneth A. Bruecker Application of the Acrylic and Pin External Fixator
Surgical Treatment of Caudal Cervical (APEF) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 811
Spondylomyelopathy in Large Breed Dogs . . . . . . . . . . . . . 732 James P. Toombs and Erik L. Egger
Karen L. Kline and Kenneth A. Bruecker Application of the Securos External Fixator . . . . . . . . . . . . 815
Surgical Treatment of Atlantoaxial Instability . . . . . . . . . . . 737 Karl H. Kraus
K. S. Schultz Application of the IMEX-SK External Fixator . . . . . . . . . . . 819
Surgical Treatment of Fractures of the Cervical Spine . . . 740 James P. Toombs
Karen L. Kline and Kenneth A. Bruecker Circular External Skeletal Fixation . . . . . . . . . . . . . . . . . . . . 828
Daniel D. Lewis and James P. Farese
Contents xix

Application of Hybrid Constructs . . . . . . . . . . . . . . . . . . . . . 843 Surgical Treatment of Injuries to the Antebrachial


Robert M. Radasch Carpal Joint and Carpus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 955
Alesandro Piras and Jon F. Dee
54: Bone Grafts and Implants Partial Carpal Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . 963
Harvesting and Application of Thomas Van Gundy
Cancellous Bone Autografts . . . . . . . . . . . . . . . . . . . . . . . . . 858 Pancarpal Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 964
James P. Toombs Arnold S. Lesser
Corticocanceallous Bone Graft Harvested from Repair of Fractures Involving Metabones
the Wing of the Ilium with an Acetabular Reamer . . . . . . . 862 and Phalanges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 965
Colin W. Sereda and Daniel D. Lewis Alesandro Piras and Jon F. Dee
Harvesting, Storage, and Application
of Cortical Allografts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 864 59: Amputation of the Forelimb . . . . . . . . . . . . . . . . . . . . . . . . . . 972
Kenneth R. Sinibaldi William R. Daly
Distraction Osteogenesis as an Alternative to
Bone Grafting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866
Nicole Ehrhart
Section N. Appendicular Skeleton –
Pelvic Limb
Section M. Appendicular Skeleton – 60: Sacroiliac Joint, Pelvis, and Hip Joint
Repair of Sacroiliac Dislocation . . . . . . . . . . . . . . . . . . . . . . 977
Thoracic Limb Charles E. DeCamp
55: Scapula and Shoulder Joint Trans-ilial/Trans-sacral Pinning of Sacral Fractures . . . . . 980
Repair of Scapular Fractures . . . . . . . . . . . . . . . . . . . . . . . . . 871 Randall B. Fitch
Randy Willer and Jennifer Fick Repair of Ilial Fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 984
Surgical Treatment of Shoulder Luxation . . . . . . . . . . . . . . 876 Charisse D. Davidson, Timothy M. Lenehan, and Guy B. Tarvin
Kent Talcott Surgical Repair of Acetabular Fractures . . . . . . . . . . . . . . . 988
Caudal Approach to the Shoulder Joint for Marvin L. Olmstead
Treatment of Osteochondritis Dissecans . . . . . . . . . . . . . . . 882 Treatment of Coxofemoral Luxations . . . . . . . . . . . . . . . . . . 991
Dean R. Gahring James L. Tomlinson
Surgical Treatment of Biceps Brachii Tendon Injury . . . . . 887 Hip Dysplasia
James L. Cook Algorithms for Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . 997
Excision Arthroplasty of the Shoulder Joint . . . . . . . . . . . . 891 Barclay Slocum and Theresa Devine Slocum
Donald L. Piermattei and Charles E. Blass Diagnostic Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1003
Shoulder Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 893 Barclay Slocum and Theresa Devine Slocum
Arnold S. Lesser Radiographic Characteristics of Hip Dysplasia . . . . . . . . 1014
Theresa Devine Slocum and Barclay Slocum
56: Humerus and Elbow Joint Definitions of Hip Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1020
Repair of Fractures of the Humerus . . . . . . . . . . . . . . . . . . . 895 Barclay Slocum and Theresa Devine Slocum
Dennis A. Jackson
Treatment of Hip Dysplasia
Treatment of Elbow Luxations . . . . . . . . . . . . . . . . . . . . . . . . 908
Robert A. Taylor Femoral Neck Lengthening . . . . . . . . . . . . . . . . . . . . . . . . . 1022
Barclay Slocum and Theresa Devine Slocum
Surgical Treatment of Ununited Anconeal Process of
Pelvic Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1027
the Elbow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 909
Barclay Slocum and Theresa Devine Slocum
Ursula Krotscheck
Three Plane Intertrochanteric Osteotomy . . . . . . . . . . . . . 1032
Surgical Treatment of Fragmented Coronoid Process . . . 917
Ursula Krotscheck Terry D. Braden and W. Dieter Prieur
Total Elbow Replacement in the Dog . . . . . . . . . . . . . . . . . . 924 DARthroplasty: Another Treatment
Michael G. Conzemius for Hip Dysplasia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1041
Elbow Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 931 Dean R. Gahring and Theresa Devine Slocum
Arnold S. Lesser Total Hip Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1043
Marvin L. Olmstead
57: Radius and Ulna Excision Arthroplasty of the
Repair of Fractures of the Radius and Ulna . . . . . . . . . . . . 933 Femoral Head and Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1048
Curtis W. Probst Joseph M. Prostredny
Correction of Radial and Ulnar Growth Deformities
Resulting from Premature Physeal Closure . . . . . . . . . . . . 943 61: Femur and Stifle Joint
Dominique J. Griffon and Ann L. Johnson Internal Fixation of Femoral Fractures . . . . . . . . . . . . . . . . 1052
Dougald R. Gilmore
58: Carpus, Metacarpus, and Phalanges Repair of Patellar Fractures . . . . . . . . . . . . . . . . . . . . . . . . . 1061
Classification and Treatment of Injuries to the Derek B. Fox
Accessory Carpal Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 952 Surgical Repair of Patellar Luxations . . . . . . . . . . . . . . . . . 1064
Kenneth A. Johnson Guy B. Tarvin and Steven P. Arnoczky
xx Contents

Fabellar Suture Stabilization Technique for Treatment of


Cranial Cruciate Ligament Rupture . . . . . . . . . . . . . . . . . . . 1070
Susan L. Schaefer
Tibial Plateau Leveling Osteotomy for Treatment of Cranial
Cruciate Ligament Rupture . . . . . . . . . . . . . . . . . . . . . . . . . 1074
Ross H. Palmer
“Over-the-Top” Patellar Tendon Graft for Treatment of
Cranial Cruciate Ligament Rupture . . . . . . . . . . . . . . . . . . . 1082
Guy B. Tarvin and Steven P. Arnoczky
Treatment of Caudal Cruciate Ligament Rupture
by Lateral and Medial Imbrication . . . . . . . . . . . . . . . . . . . 1086
Joseph Harari
Treatment of Collateral Ligament Injuries . . . . . . . . . . . . . 1088
Erick L. Egger
Osteochondritis Dissecans of the Canine Stifle . . . . . . . . 1090
Ron Montgomery

62: Tibia and Tarsus


Repair of Tibial Fractures . . . . . . . . . . . . . . . . . . . . . . . . . . . 1092
Ann L. Johnson
Surgical Treatment of Malleolar Fractures . . . . . . . . . . . . 1099
Brian Beale
Prosthetic Ligament Repair for Severe
Tarsocrural Joint Instability . . . . . . . . . . . . . . . . . . . . . . . . . 1100
Dennis N. Aron
Repair of Fractures of the Tarsus . . . . . . . . . . . . . . . . . . . . 1104
William G. Marshall and Jon F. Dee
Osteochondritis Dissecans of the Hock . . . . . . . . . . . . . . . 1113
Brian Beale
Tibiotarsal Arthrodesis and
other Tarsal Arthrodesis Procedures . . . . . . . . . . . . . . . . . 1114
Arnold S. Lesser

Section O. Orthopedic Bandaging and


Splinting Techniques
63: Commonly Used Bandages and Slings
Application of a Robert Jones Bandage . . . . . . . . . . . . . . 1119
David W. Knapp
Ehmer Sling (Figure-of-Eight Sling) . . . . . . . . . . . . . . . . . . . 1120
Paul W. Dean
90°-90° Flexion Splint for Femoral Fractures . . . . . . . . . . 1121
Dennis N. Aron

64: Commonly Used Splinting and Casting Techniques


Splinting Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1123
Douglas N. Lange and Kenneth E. Bartels
Principles and Application of Synthetic and
Plaster Casts in Small Animals . . . . . . . . . . . . . . . . . . . . . . 1129
Douglas N. Lange and Kenneth E. Bartels

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1135
Part I
Soft Tissue
2 Soft Tissue

Suture Classification and Definitions

Section A
Suture materials are classified as absorbable or nonabsorbable,
natural or synthetic, monofilament or multifilament, according to
their structure and composition (Table 1-1).

Surgical Principles Absorbable suture materials undergo degradation and rapid


loss of tensile strength within 60 days, whereas nonabsorbable
suture materials retain significant strength past 60 days. This
definition can be misleading with respect to silk, cotton, linen,
and multifilament nylon sutures because these materials are
Chapter 1 considered nonabsorbable, yet they lose a portion of their
tensile strength within 4 to 6 weeks after implantation. Natural
materials (chromic gut, silk) are absorbed by enzymatic degra-
Selection and use of currently dation and phagocytosis, while the newer synthetic sutures
are more predictably absorbed through nonenzymatic hydro-
available Suture Materials and lysis. In addition, synthetic sutures generally cause less tissue
reaction than natural ones. Monofilament sutures are made of a
Needles single strand so they resist harboring of bacteria. Multifilament
or braided sutures are woven or twisted from many smaller
Suture Materials and Needles strands. In general, multifilament suture materials are easier
to handle than monofilaments. Multifilament sutures (particu-
Daniel D. Smeak larly uncoated ones) often create more friction (chatter) as they
are passed through tissues when compared to the smoother
Introduction monofilaments. Excess friction can cause suture-tissue sawing
and cutout, especially when suturing friable tissues with a
Surgeons rely on suture materials to provide critical support
continuous pattern. Multifilament sutures can be capillary, or
of healing tissues during wound repair. A wide variety of
act as a wick. This quality is undesirable since fluid and bacteria
suture material types have been developed, each with their
can travel along the suture and contaminate adjacent areas. The
own advantages and limitations. The general performance of
chemical composition and coating influence the capillary nature
suture materials is based on their distinct physical properties,
of a suture. For example, coated caprolactam transports nearly
handling characteristics, and biological properties. An ideal
twice as much fluid as uncoated polyester of the same suture
suture should have acceptable handling characteristics, knot
size. Waxed silk is not capillary, in contrast to the highly capillary
security, and tensile strength. Besides predictable performance,
nature of uncoated virgin silk. Capillary suture materials are
sutures should remain strong enough to prevent disruption of the
not recommended when sutures could penetrate or become
wound until healing is complete and, ideally, the suture should
exposed to contaminated or infected areas.
undergo complete resorption over time. The suture should be
sterile, nonallergenic, noncarcinogenic, stable in a contami-
nated environment, and it should elicit minimal reaction when Suture Selection and Use
buried in tissue. In most cases, there are many suture material When choosing a suture material, certain general principles
choices that would be acceptable for wound repair because based on the strength of the tissue being closed, the rate of
many have similar general characteristics but are developed gain in wound strength after closure, and various biological
by separate manufacturers. However, there is no ideal suture and mechanical suture characteristics should be considered.
for every procedure, largely because each wound is different After considering these factors, the surgeon may have several
and must be considered individually. An otherwise identical choices of appropriate suture material that would be acceptable
wound created in a similar body region may require different for use in the wound. Selection can then be made on the basis
suture considerations due to such factors as degree of bacterial of familiarity with the material, its ease in handling, and other
contamination, whether there is a local or systemic factor which subjective preferences, such as color, or needle selection.
would delay healing, and even how active the patient may be
after surgery. The most critical factors related to the choice
of suture include how long the suture is needed to support the Strength of Tissue
wound, and the mechanical and healing properties of the tissue A suture should be at least as strong as the tissue through
undergoing repair. The surgeon must understand the nature of which it passes. A tissue’s ability to hold sutures without tearing
the suture material, the biological forces in the healing wound, depends on its collagen content and on the orientation of
and the interaction of suture and tissues when selecting suture collagen fibrils. This explains why ligaments, tendons, fascia, and
material. This chapter reviews the characteristics of commonly skin are strongest, muscle is relatively weak, and fat is weakest.
used and newer suture materials, and needles in small animal Muscle has little suture-holding capability across its fibers and
surgery. Various wound related factors are discussed, which even less in the direction of the fibers. Visceral tissue, in general,
provide the rationale for choosing appropriate suture materials ranks between fat and muscle in strength. Bladder and colon are
and needles. the weakest hollow organs of the body, and stomach and small
Selection and use of currently available Suture Materials and Needles 3

intestine are among the strongest. Tissue strength varies within example, catgut in the presence of infection or gastric secretions,
the same organ and with the age and size of the animal. or when placed in a catabolic patient can be degraded within
days, rendering the wound closure susceptible to dehiscence.
The choice of suture size is based on the tensile strength of the When healing is expected to be delayed, prolonged absorbable
tissue as well as of the suture material. Catgut and synthetic sutures or nonabsorbable sutures are better choices.
suture materials are sized according to either United States
Pharmacopeia (USP) or metric gauge (Table 1-2). A larger numeric
USP value means a larger-diameter suture. Stated numerically,
Healing Considerations
the more zeros (0s) in the number, the smaller the strand. (e.g., Surgeons must consider how the suture alters the biologic
2 polypropylene is larger than 0, and 2-0 is larger than 4-0). The processes in a healing wound environment. Regardless of
metric gauge is the actual suture diameter expressed in milli- its composition, suture material is a foreign body to tissues in
meters multiplied by 10. Stainless steel suture can be sized by which it is implanted, and to a greater or lesser degree will elicit
USP, metric gauge, or Brown and Sharpe wire gauge. Ranges a foreign body reaction. The amount of reaction depends on the
of suture size recommendations for various tissues and surgical nature of the suture implanted (e.g., surgical gut versus inert,
applications are provided in Table 1-3. These guidelines are stainless steel), the amount of surface area and coating of the
general and are based on currently available literature and my suture, the type and location of tissue closed (intestinal viscera
experience. Larger sizes are used in heavier animals, in critical and skin react strongly to silk, whereas fascia reacts minimally
suture lines such as the abdominal fascia, or in tissues closed to silk), the length of implantation (polyglycolic acid, or Dexon II®,
under excessive tension. The surgeon should strive to use the is moderately reactive early but within months is relatively inert),
smallest suture size possible for wound closure since this will and the technique of suture placement (excessive suture tight-
result in less tissue trauma, allow smaller knots to be tied, and ening causes tissue strangulation). Excessive suture-induced
encourage the surgeon to handle the sutures and tissue more tissue reaction increases the likelihood of suture-tissue cutout
carefully. Oversized sutures can actually weaken the wound by softening surrounding tissues, increases the risk of infection,
through excessive tissue reaction and tissue strangulation. To and delays the onset of fibroplasia. Sutures causing excessive
maintain maximum suture strength once the suture is removed tissue reaction are contraindicated in areas in which exuberant
from the packet, certain suture handling rules are suggested scar formation can cause a functional problem (e.g., for vascular
(Table 1-4). repair or ureteral anastomosis) or a cosmetic problem (e.g., in
skin). The surgeon should strive to inflict the least amount of
trauma necessary for the operation, to reduce contamination,
Loss of Suture Strength and Gain and to use sutures that cause the least tissue reaction to avoid
of Wound Strength excessive inflammation and delayed wound healing. Relatively
To use absorbable sutures safely, the loss of suture strength speaking, it is not the suture material but the surgeon that causes
should be proportional to the anticipated gain in wound inflammation within a wound, since most reaction is induced
strength. The relative rates of suture strength loss and simul- during tissue manipulation and the act of suturing.
taneous wound strength gain are important to consider. Fascia,
tendons, and ligaments heal slowly (50% strength gain in 40-50 All suture materials are capable of increasing wound suscep-
days) and are under constant tensile force. For these tissues, tibility to infection. The suture’s filamentous nature, capillarity,
nonabsorbable sutures or the prolonged-degrading, synthetic chemical structure, bioinertness, and ability to adhere to bacteria
absorbable sutures are indicated. Maxon® and PDS II® sutures all play a role in suture related infection. In a classic experiment,
can be used whenever an absorbable suture is needed, but these a single silk suture reduced the total contaminating dose of
should be considered especially in wounds that are expected to Staphylococcus required to induce wound infection 10,000 fold.
require suture support for more than 3 weeks (such as abdominal On the other hand, the byproducts of nylon and polyglycolic
wall fascia). Because visceral wounds heal relatively fast, often acid suture degradation in tissues may have beneficial bacte-
achieving most of their strength in 21 days, rapid to intermediate- ricidal effects. A newer synthetic absorbable suture with an
degrading absorbable sutures (Table 1-1) are good choices. antibacterial coating has been developed specifically for use in
Rapidly-degrading synthetic sutures (Caprosyn®, Monocryl®, contaminated wounds (see discussion under newly developed
Vicryl Rapide®) are indicated in rapidly healing tissues such as sutures). In general, sutures that induce the least foreign body
the mucosal lining of the mouth or urogenital tract where suture reaction in tissues, such as monofilament synthetic absorbable
removal is not possible or undesirable. The more intermediate- and nonabsorbable sutures, produce the lowest incidence of
degrading sutures such as (Vicryl®, Dexon®, and Biosyn®) are infection in contaminated wounds. If possible, suture should not
often chosen to close wounds that are expected to heal within be implanted in highly contaminated wounds or wounds with a
3 weeks, such as the subcutaneous tissue and muscle. Monofil- high risk of infection.
ament nonabsorbable sutures are suggested for skin closure
because they induce little foreign body response and skin Multifilament nonabsorbable suture materials induce chronic
sutures should remain strong since they are subject to chewing sinus formation more often than absorbable or monofilament
and wear. These sutures also provide long-term stability in sutures. Multifilament nonabsorbable sutures harbor bacteria
procedures involving fascia, tendons, and vascular prostheses. within the suture interstices, creating an effective barrier to
Systemic and local factors affecting wound healing must also phagocytosis. These sutures should never be used in contami-
be considered before an appropriate suture is selected. For nated wounds. Wound infection also increases the rate of loss of
4 Soft Tissue

Table 1-1. Common Sutures and their Salient Characteristics


Classification Suture Trade Origin Filament Absorption Completion of
Name Type Absorption
Absorbable Rapid

Surgical gut suture collagen derived multi (variable) (variable)


Chromic gut suture from beef and sheep 33% loss - 7 days 60 - 90 days
67% loss - 28 days
Vicryl Rapide copolymer of multi 50% loss- 5 days 42 days
(polyglactin 910) lactide and glycolide 100% loss -14 days

Caprosyn glycolide, caprolactone, mono 50% loss - 7 days 56 days


(polyglytone 6211) trimethylene carbonate, 100% loss - 21 days
lactide

Monocryl copolymer glycolide mono 40-50% loss - 7 days 91- 119 days
(poliglecaprone 25) and epsilon-capro- 100% loss - 21 days
lactone

Absorbable
Intermediate

Coated Vicryl and copolymer of lactide multi 25% loss -14 days 56 - 70 days
Vicryl PlusAntibac- and glycolide 50% loss - 21 days
terial (polyglactin
910, triclosan
coating-Plus)
Dexon S Dexon II homopolymer of multi 35% loss -14 days 60 - 90 days
(coated and uncoated glycolic acid II - 65% loss - 21 days
polyglycolic acid) polycaprolate coating
Polysorb (lactomer) glycolide/lactide multi 20% loss -14 days 56-70 days
copolymer 70% loss - 21 days

Biosyn (glycomer 631) glycolide dioxanone mono 25% loss -14 days 90-110 days
trimethylene carbonate 60% loss - 21 days
Absorbable
Prolonged

PDS II polydioxanene polymer mono 30% loss -14 days 180 - 210 days
(polydioxanone) 50% loss - 28 days
Maxon glycolic acid, polytrim- mono 25% loss - 14 days 180 days
(polyglyconate) ethylene carbonate 50% loss - 28 days
Selection and use of currently available Suture Materials and Needles 5

Foreign Body Relative Knot Relative Tensile Handling Ease Comments


Response Security Strength
Rapidly absorbing sutures should not be used
where extended approximation of tissue
under stress is required.
moderate fair poor fair Unpredictable absorption particularly in
highly vascular or inflamed tissue, or in
presence of gastric secretions.

mild fair to good fair good Provides about 70% of initial strength
of coated Vicryl. Less reactive than gut;
indicated for superficial closure of mucous
membranes.
mild good good good Designed to be an attractive alternative to
chromic gut. Similar suture characteristics
and applications as Monocryl. Excellent
choice for bladder closure.
mild good good to excellent good Minimal tissue drag; handling qualities
are very good for monofilaments. Ideal for
mucosal suturing and subcutaneous tissue
closure.
General soft tissue approximation; use in
visceral tissue where healing is mostly
complete in 21 days. Intermediate absorbing
suture should not be used where extended
approximation of tissue under stress is
required.
mild fair to good good good Plus-Triclosan coating added to provide
antibacterial effect. This suture is not to be
used close to the eye.

mild fair to good good to excellent good Smooth coating allows easier knot formation
without flaking.

mild fair to good good good Improvements in braid construction and


coating provide better flow through tissue
and more knot security.
mild good good to excellent good Nice handling monofilament absorbable, very
strong suture.
These sutures are indicated when suture
strength is needed well beyond 3 weeks; ideal
for fascial closure.
mild fair to good excellent good Excellent general use absorbable material.

mild fair to good excellent good Similar to PDS II; tends to have more memory
and less knot security in larger sizes.
6 Soft Tissue

Table 1-1. Common Sutures and their Salient Characteristics (continued)


Classification Suture Trade Origin Filament Absorption Completion of
Name Type Absorption
Nonabsorbable
Monofilament

DermaIon Monosof extruded polyamide mono — Slow chemical


filament degradation over
years
Novafil Vascufil copolymer butylene mono — —
(polybutester) polytetramethylene

Prolene Surgipro II polymerized polyolefin mono — —


Fluorofil hydrocarbons

Pronova polyvinylidine polymer mono — —

Surgical steel suture chromium nickel molyb- mono — —


(steel) denum alloy

Nonabsorbable
Multifilament

Surgilon polyamide filaments multi slow chemical —


degradation over
years

Vetafil Braunamide coated polyamide multi — —


Supramid filaments

Ticron Surgidac polyester fibers (+/- multi — —


Ethibond excel coating)

Sofsilk Permabond silkworm cocoon fibers multi 30% loss - 14 days greater than
50% loss - 365 days 720 days
Selection and use of currently available Suture Materials and Needles 7

Foreign Body Relative Knot Relative Tensile Handling Ease Comments


Response Security Strength
Use when long term suture strength is
needed. These sutures are more stable in
contaminated environments than the multi-
filament nonabsorbables; less reactive in
tissue.
minimal fair to poor good fair to good Careful knot tying technique with appropriate
number of throws during use is suggested.

minimal fair to good good very good Soft pliable monofilament suture; excellent for
plastic surgery.

minimal good good fair Greater knot security than many monofila-
ments; least thrombogenic. Fluorofil glows
under blacklight for easy location.
minimal good to very excellent good Good alternative to polypropylene. Better
good strength and handling; less fraying.
minimal to none excellent excellent poor Knot ends can cause severe irritation. Tends
to fragment and cut into tissue; must secure
knots.
Do not use multifilament nonabsorbable
suture in contaminated environments.
Use when long term suture strength is
needed. Overall better handling than the
monofilaments.
minimal fair good good Should not be used when permanent
retention of suture strength is required.

minimal to good good to excellent good Inexpensive suture material often supplied in
moderate (if reels. For external use only.
coating breaks)
moderate fair to poor excellent good to excellent Uncoated sutures have excessive tissue drag.
Careful knot tying technique and additional
throws may be needed with coated sutures.
moderate fair to poor fair excellent Best handling multifilament suture.
8 Soft Tissue

Table 1-2. Metric Measures, and U.S.P. Suture Table 1-3. General Suture Size and Usage
Diameter Equivalents Recommendations in Small Animal Surgery
Suture Material Sizes Tissue Suture Size Suture Material:
Actual Size USP Size Brown and Sharpe (USP) Classes
(mm) Catgut Synthetic Wire Gauge Skin 3-0 to 4-0 Monofilament
nonabsorbable
0.02 10-0
Subcutaneous tissue 2-0 to 4-0 Absorbable
0.03 9-0
Fascia 1 to 3-0 Synthetic
0.04 8-0
(prolonged
0.05 8-0 7-0 41 degrading)
0.07 7-0 6-0 38-40 absorbable, or
synthetic nonab-
0.1 6-0 5-0 35
sorbable
0.15 5-0 4-0 32-34
Muscle 0 to 3-0 Skeletal: synthetic
0.2 4-0 3-0 30 (prolonged
0.3 3-0 2-0 28 degrading)
absorbable
0.35 2-0 0 26
Cardiac: synthetic
0.4 0 1 25 nonabsorbable
0.5 I 2 24 Parenchymal organ 2-0 to 4-0 Intermediate
0.6 2 3; 4 22 degrading
0.7 3 5 20 absorbable
0.8 4 6 19 Hollow viscus organ 3-0 to 5-0 Monofilament
absorbable
0.9 7 18
Tendon, ligament 0 to 3-0 Monofilament
To obtain metric gauge, multiply actual size (mm) by 10; for example,
USP 0 catgut 0.4 mm in diameter is metric size 4. nonabsorbable
Nerve 5-0 to 7-0 Monofilament
strength of suture material. If wound contamination is suspected, nonabsorbable
synthetic absorbable sutures should be chosen because these Cornea 8-0 to 10-0 Synthetic
sutures are more stable and have predictable absorption rates absorbable.
in contaminated tissue, when compared to chromic catgut. nonmetallic
If long-term wound support is required of the suture material, nonabsorbable
synthetic monofilament nonabsorbables or synthetic (prolonged-
degrading) absorbable sutures such as PDS II® or Maxon® are Vascular ligation 0 to 4-0 Small vessels-
indicated. absorbable; larger
vessels- prolonged
The presence of any suture material within the lumen of the absorbable or
biliary or urinary tract can act as a nidus and induce calculus nonabsorbable
formation or chronic infection. Thus, more rapidly absorbable Vascular repair 5-0 to 7-0 Monofilament
sutures are recommended in these areas, since they will not nonabsorbable
persist indefinitely in tissue. Silk and nonabsorbable polyester
material, because of their documented calculogenic effects, for joint imbrication. Similarly, inelastic suture material such as
should never be placed in contact with urine or bile. General stainless steel should not be used in tissues that stretch or are
guidelines to avoid suture-related complications in surgery are under constant motion because premature suture-tissue cutout
listed in Table 1-5. or suture breakage could occur.

Mechanical Properties of Suture and Tissue Newly Developed Sutures


The mechanical properties or functions of the suture should Newer synthetic sutures have been developed to improve suture
be similar to those of the tissue being closed. For example, strength profiles without negatively affecting suture handling or
polybutester (Novafil®), is a suture material that is very pliable knot security. The newer synthetic monofilament absorbable
and elongates and is most suitable for skin closure because it sutures are more pliable and better handling. Multifilament
remains flexible and stretches with movement. More inelastic sutures may convert a contaminated wound into an infected
suture materials, such as those composed of polyester or nylon one, so antibacterial coatings have been developed to inhibit
fibers, are more applicable for anchoring prosthetic materials or bacterial growth in and around multifilament suture.
Selection and use of currently available Suture Materials and Needles 9

Table 1-4. Suture Handling and Storage Rules Table 1-5. General Rules to Avoid Most
1. Protect all sutures from heat and moisture. Suture-Related Complications
2. Never autoclave absorbable sutures. 1. Avoid multifilament nonabsorbable suture material use in
3. Refrain from soaking absorbable sutures, particularly in contaminated or infected wounds. Multifilament suture
hot water. harbors bacteria and may cause persistent sinus formation,
4. Use strands directly from the packet; avoid excessive or local infection.
handling of suture strands before use. 2. Avoid nonabsorbable suture exposure within the lumen of
5. Avoid suture kinking, or crushing suture with instruments. hollow organs, such as the urinary bladder or gall bladder, in
which calculus formation at a suture nidus is possible.
6. Suture strands with “memory” may be straightened with
a gentle tug. 3. Avoid burying nonabsorbable suture that has been taken
from a used open cassette. Consider all suture from an open
7. Periodically check suture strands for evidence of fraying or
cassette contaminated.
defects, particularly when using a continuous suture pattern.
4. If continued suture strength is important, avoid chromic gut in
inflamed or infected tissue, and in wounds with delayed
Polyvinylidine Pronova® (Ethicon) healing (catabolic conditions, radiation wounds, etc). Gut in
This unique synthetic nonabsorbable monofilament suture is made contact with proteolytic enzymes such as in the stomach
of two polyvinylidine polymers, with a special extrusion process. lumen or pancreas loses most of its strength within days
This produces an optimal balance between suture strength and of implantation.
handling characteristics throughout the range of suture sizes. 5. Avoid rapidly absorbable suture material use in critical areas
Pronova® suture sizes, 10-0 through 4-0, are composed of an 80/20 such as tendons or ligaments that are known to heal slowly
polymer blend, that emphasizes tensile strength without compro- and are under continual tensile force, or in wounds with
mising handing in smaller sizes. Pronova® suture sizes, 2-0 through delayed healing.
#2, are composed of a 50/50 polymer blend that improves handling
6. Use suture materials that cause less inflammation in wounds
in these larger sizes, without compromising tensile strength. This
that are predisposed to stricture (such as tracheostomies or
suture will remain secure in critical surgical procedures where
urethrostomies) or excessive scar formation (such as skin)
life-long strength is desired, particularly in delicate applica-
tions where fine sutures are used. Tensile and knot strengths of 7. Avoid capillary/multifilament suture material penetration
Pronova® suture meet or exceed those of polypropylene suture in through known contaminated areas such as the bowel
all sizes. The suture has excellent resistance to breakage, fraying, lumen or skin. Bacteria are “wicked” or may be transported
and instrument damage, and has reduced package memory. It to adjacent sterile tissues to form microabscesses around
is an excellent alternate choice when polypropylene suture is sutures.
indicated. The suture is best for general soft tissue approximation
and ligation including cardiovascular, ophthalmic, and neurologic reaction in tissues. Like other synthetic absorbable sutures,
applications. [Ethicon, Product Information; http://jnjgateway. eventual absorption is predictable by means of hydrolysis.
com/home] Biosyn® sutures are available in sizes #1 through 6-0. The suture
maintains 75% strength at two weeks and approximately 40% at
three weeks after implantation. Similar to Dexon® and Vicryl®,
Polyglactin 910 and Triclosan Coated Vicryl Plus this suture should not be used where extended approximation of
Antibacterial® (Ethicon) tissue is required.
This synthetic multifilament absorbable suture has an antiseptic
coating (Triclosan) that creates a zone of inhibition around the Polyglytone 6211 Caprosyn® (Syneture)
suture site that decreases bacterial colonization of the suture
This absorbable monofilament suture is prepared from a synthetic
or tissue. The suture performs and handles similarly to Coated
polyester composed of glycolide, caprolactone, trimethylene
Vicryl® suture. Vicryl Plus® is available in suture sizes, 5-0
carbonate, and lactide. It has very good handling and knot tying
through 0. It elicits a similar tissue reaction as other synthetic
characteristics due to its excellent pliability, and has low tissue
absorbable sutures, and considerably less inflammation than
reactivity. Caprosyn®, similar to Monocryl®, is useful for general
chromic gut sutures, but it should not be used close to the
subcutaneous tissue closure, urogenital surgery particularly in
eye (Triclosan may be irritating to the eye). The manufacturer
the urinary bladder, and where the benefits and rapid absorption
suggests using the suture in procedures that have a higher
may play a role in postoperative success.
risk of infection. Few clinical studies have been conducted to
substantiate the beneficial effects of this suture.
Suture Knots
Glycomer 631 Biosyn (Syneture)
® A knot consists of a minimum of 2 throws (sometimes termed
simple knots). As a knot is created, the material is deformed, and
This absorbable monofilament suture is prepared from a
depending on the properties of the material, this deformation may
synthetic polyester composed of glycolide, dioxanone, and
weaken the suture by as much as 50% of its original strength.
trimethylene carbonate. The advanced extrusion process
Therefore, the knot is the weakest part of a suture. The technical
gives the suture excellent initial strength and knot security and
performance of the knot is critical to the security of the wound
minimal memory. This suture elicits minimal acute inflammatory
10 Soft Tissue

closure as well as the strength of the stitch. A square knot is with high coefficients of friction and minimal tension. When
least likely to untie or loosen so it is the knot of choice for most using monofilament sutures (such as nylon or polydioxanone),
suture lines. Depending on how the throws are placed, three or coated multifilament sutures, four or more throws should be
different knots can be formed (square knot, granny knot, or a half applied. In a continuous suture line, the final knot (consisting of a
hitch shown in Figure 1-1). The latter two knots tend to slip and loop and single strand) should have a minimum of 5 throws to be
are generally avoided. Square knots are produced by reversing secure. General knot tying rules are included in Table 1-6.
direction on each successive throw while maintaining equal
tension on both strands as they are held parallel to the plane Table 1-6. Knot Tying Principles
of the tissue. Failure to reverse direction of successive throws 1. The primary objective in knot tying is to ensure knot security.
will result in granny knots. If one strand is pulled under more The square knot is almost exclusively used since it is the
tension away from the plane of the knot than the other strand, simplest, most secure knot.
with successive throws, a half hitch (or slip knot) is formed.
2. Use appropriate sized suture to keep the knot as small as
Sometimes surgeons using monofilament sutures intentionally
possible. Knots in smaller sized material generally are more
apply half hitch knots (especially if the wound is under tension)
secure.
and this allows precise control of intrinsic suture tension. All
half hitch knots must be completed with several square knots to 3. Avoid friction as the knot throws are tightened. Attempt to
prevent loosening. A surgeon’s knot is similar to the square knot tighten throws by pulling in opposite directions, in a
except one strand is fed through the loop twice on the first throw. horizontal plane, with similar rate and tension.
The additional pass of suture in the loop produces increased 4. Do not crush or kink suture with surgical instruments while
friction. This knot is especially useful when attempting to knot a knot tying. Grasp suture only on the end that will be
stitch when tissues are under tension. Multifilament absorbable discarded.
sutures such as polyglycolic acid or polyglactin 910 may require 5. Avoid excessive intrinsic suture tension to reduce tissue
surgeon’s knots when used to close abdominal fascia. This knot cutting and strangulation.
is avoided when using gut since the increased friction tends to 6. Avoid cutting knot ends too short particularly when using
fray the material and excessively weakens it. Caution should be suture with known knot security problems. If ends are left
exercised with using surgeon’s knots during vessel ligation, since too long, however, irritation from the suture ends may create
the bulk of the first throw may not allow complete occlusion of unwanted tissue inflammation.
the vessel, and the knot is less reliable than the standard square 7. With instrument ties, hold the needle holder parallel to the
knot. Surgeon’s knots have increased bulk and are asymmetric, wound. Move the needle holder back and forth perpendicular
so this knot is used only when necessary. to it.
8. Use a surgeon’s knot only when suture tension is such that
use of a standard square knot would result in poor tissue
apposition. Surgeon’s knots take longer to tie and place
more suture in the wound than does the square knot. It may
not permit proper tension on blood vessel ligations (resulting
in partial occlusion) because of the bulk of suture material
involved in the first throw.

Suture Needles
Surgical needles are manufactured in a variety of sizes, shapes,
and types. Needles are selected to ensure that the tissues being
sutured are altered as little as possible by the needle. The needle
chosen should allow tissue passage without excessive force and
without disruption of tissue architecture. The hole created by
the needle should be just large enough to allow passage of the
Figure 1-1. Surgical Knots. suture material. The needle should be rigid enough to prevent
bending, yet flexible enough to bend before breaking.
Additional factors that influence knot security are the material
coefficient, the length of the suture ends (ears), as well as the Regardless of their intended use, all surgical needles have three
structural configuration of the knot, mentioned previously. Knots basic components: the eye (or suture attachment), the body
that swell (chromic catgut) or knots formed from stiff suture (ones (or shaft), and the point. There are two types of needle eyes
with memory), require longer knot ears in general. Multifilament commonly used in practice, the economical closed eye (suture
sutures possess a higher coefficient of friction, and have better is fed through the eye) and swaged (eyeless). Needles perma-
knot-holding properties than the monofilaments in general; nently connected to suture (swaged needles) produce signifi-
however, coating the strands to reduce friction or chatter in cantly less tissue trauma and are easier to handle compared to
tissue also reduces knot security. Three single reversed throws eyed needles; sutures supplied with needles, expectedly, are
are generally sufficient to secure knots in suture materials more expensive.
Selection and use of currently available Suture Materials and Needles 11

The bodies or shafts of needles vary in shape and size. The body round needles have no edges to cut through tissue. The point
should be as close as possible to the diameter of the suture pierces and spreads tissue without cutting. They are used for
material. The cross-sectional configuration of the body may suturing easily penetrated soft tissues such as muscle, viscera,
be round, side-flattened rectangular, triangular, or trapezoidal. or subcutaneous tissue. Blunt pointed taper needles have a
Some needle bodies are ribbed to prevent rotation and provide rounded point so they are most useful for suturing friable paren-
better stability of the needle in the jaws of needle holders. chymal organs such as the liver or kidney. General principles of
Easily accessible tissues such as the skin may be sutured by needle use are list in Table 1-7.
hand with straight needles but most surgeons prefer curved
needles because they are easier to use with instruments. Curved
needles are supplied in 1/4, 3/8, 1/2, and 5/8 circle configura-
tions (Figure 1-2). Choice of length, width, and curvature of the
needle is dependent on the size and depth of the area to be
sutured. Quarter circle needles have limited use, primarily for
eye surgery. Three-eighths circle needles are most commonly
used in veterinary surgery and are suitable for most superficial
wounds. Half circle needles are preferred for deeper wounds
and in body cavities. Five-eighths circle needles are applicable
for suturing wounds in confined areas such as the oral, nasal,
and pelvic cavities.

Figure 1-2. Suture Needle Configurations.

The needlepoint extends from the extreme tip of the needle to


the maximum cross-section of the body. Three general types of
needlepoints include: cutting, tapercut, and taper (or round point)
(Figure 1-3). Cutting needles provide edges that will cut through
dense connective tissue. They are most suitable for skin, tendon,
and fascial closure. Like the conventional cutting needle, the
reverse cutting needle has a triangular shaped cross-sectional
area; however, rather than possessing a sharp edge on the inner
curvature that is weaker and tends to cut tissue as the needle
is passed, it has a flat inner curvature with an edge along the
outer curvature of the needle point and shaft. Spatula point (side Figure 1-3. Types of Needle Points.
cutting) needles are flat on the top and bottom. They are used
primarily in special ophthalmic operations. A tapercut needle
combines a cutting point with a round shaft. The cutting point
readily penetrates tough tissue but the shaft will not cut through
or enlarge the needle hole when inserted. This needle is indicated
when ease of penetration is important (vascular grafts, intestine)
or when a delicate tissue is sutured to a more dense one (such
as urethra to skin closure for a urethrostomy). Taper point or
12 Soft Tissue

Table 1-7. Principles of Suture Needle Use Pineros-Fernandez A, Drake DB, Rodeheaver PA, et al.: CAPROSYN*,
another major advance in synthetic monofilament absorbable suture. J
1. Swaged needles are less traumatic and always preferred.
Long Term Eff Med Implants 14:359, 2004.
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larly the skin. Schubert DC, Unger JB, Mukherjee D, et al.: Mechanical performance
3. For general use, needle holders are used to grasp the needle of knots using braided and monofilament absorbable sutures. Am J
1/3 to 1/2 the way down from the suture attachment to the Obstet Gynecol 187:1438; discussion 1441, 2002.
point. Grasp the needle closer to the point if tissue is Smeak DO, Wendelberg KL: Choosing suture materials for use in
especially difficult to penetrate. contaminated or infected wounds. Compend Contin Educ Pract Vet
4. Hold needles in the narrow tips of the jaws of the needle 11:467, 1989.
holders. Stashak TS, Yturraspe OJ: Considerations for selection of suture
5. Use taper needles wherever possible; they should not be materials. Vet Surg 7:48, 1978.
used if it becomes difficult to pass through tissues. Taylor, TL: Suture material: a comprehensive review of the literature. J
Am Podiatr Assoc 65:649, 1975.
6. With increasing tissue density, taper-cut or reverse cutting
Van Winkle W, Hastings JC: Considerations in the choice of suture
needles are required to penetrate tissue without excessive
material for various tissues. Surg Gynecol Obstet 135:113, 1972.
trauma.
7. Needles should be the smallest size to penetrate the tissue
but long enough to penetrate both sides of the incision.
8. Do not grasp the needlepoint with the needle holders or
gloved fingers.

Suggested Readings
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Bezwada RS, Jamiolkowski DD, Lee IY, et al.: Monocryl a new ultra-
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ament synthetic absorbable suture. Surg Gynecol Obstet 153:497, 1981.
Selection and use of currently available Suture Materials and Needles
Beardsley SL, Smeak DO, et al.: Histologic evaluation of tissue reactivity and absorption in response to a new synthetic fluorescent-pigmented
polypropylene suture material in rats. Am J Vet Res 56:1246, 1995.
Bellenger CR: Sutures. Part 1. The purpose of sutures and available suture materials. Compend Contin Educ Pract Vet 4:507, 1982.
Bellenger CR: Sutures. Part 2. The use of sutures and alternative methods of closure. Compend Contin Educ Pract Vet 4:587, 1982.
Bezwada RS, Jamiolkowski DD, Lee IY, et al.: Monocryl a new ultrapliable absorbable monofilament suture. Biomaterials 16:1141, 1995. Boothe HW:
Suture materials and tissue adhesives. In: Slatter DH, ed. Textbook of Small Animal Surgery. Philadelphia: WB Saunders, 1985, p 334.
Bourne RB: In vivo comparison of four absorbable sutures: Vicryl, Dexon Plus, Maxon and PDS. Can J Surg 31:43, 1988.
Canarelli JP, Ricard J, Collet LM, et al.: Use of fast absorption material for skin closure in young children. Int Surg 73: 151, 1988.
Chu CC: Mechanical properties of suture materials: an important characterization. Ann Surg 193:365, 1981.
Crane SW: Characteristics and selection of currently available suture materials. In: Bojrab MJ, ed. Current Techniques in Small Animal Surgery. 2nd
ed. Philadelphia: Lea & Febiger. 1983, p 3.
Edlich RF, Panek PH, Rodeheaver GT, et al.: Physical and chemical configuration of sutures in the development of surgical infection. Ann Surg
177:679, 1973.
Ford HR, Jones P, Gaines B, et al.: Intraoperative handling and wound healing: controlled clinical trial comparing coated VICRYL plus antibacterial
suture (coated polyglactin 910 suture with triclosan) with coated VICRYL suture (coated polyglactin 910 suture). Surg Infect (Larchmt) 6:313, 2005.
Katz AR, Mukherjee DP, Kaganov AI, et al.: A new synthetic monofilament absorbable suture material from polytrimethylene carbonate. Surg
Gynecol Obstet 161:213, 1985.
Peacock EE: Wound Repair. 3rd ed. Philadelphia: WB Saunders, 1984. Ray JA. Doddi N, Regula O, et al.: Polydioxanone (PDS), a novel
monofilament synthetic absorbable suture. Surg Gynecol Obstet 153:497, 1981.

Bandaging and Drainage Techniques


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Electrosurgery and Laser Surgery


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Oncologic Surgery
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23. Kuntz CA, Dernell WS, Powers BE, et al: Prognostic Factors for Surgical Treatment of Soft Tissue Sarcomas in Dogs: 75 Cases (1986-1996)
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24. Molander-McCrary H, Henry CJ, Potter, et al: Cutaneous Mast Cell Tumors in Cats: 32 Cases (1991-1994). JAAHA. 34:281, 1998.
25. Weisse CW, Shofer FS, Sorenmo K: Recurrence Rates and Sites for Grade 2 Canine Cutaneous Mast Cell Tumors Following Complete Surgical
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26. Seguin B, Leibman NF, Bregazzi VS, et al: Clinical Outcome of Dogs with Grade-II Mast Cell Tumors Treated with Surgery Alone: 55 Cases
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27. Simpson AM, Ludwig LL, Newman SJ, et al: Evaluation of Surgical Margins Required for Complete Excision of Cutaneous Mast Cell Tumors in
Dogs. JAVMA. 224:236, 2004.
28. Lemarie RJ, Lemarie SJ, Hedlund CS: Mast Cell Tumors: Clinical Management. Compendium For Continuing Education. 17:9, 1085, 1995.
29. Klein MK, Powers BE, Withrow SJ, et al. Treatment of Thyroid Carinoma in Dogs by Surgical Resection Alone: 20 Cases (1981-1989). JAVMA.
207:7: 1007, 1995.
30. Thomson MJ, Withrow SJ, Dernell WS, et al: Intramuscular Lipomas of the Thigh Region in Dogs: 11 Cases. JAAHA. 35:165, 1999.
31. London CA, Dubilzeig RR, Vail DM, et al: Evaluation of dogs and Cats with Tumors of the Ear Canal: 145 Cases (1978-1992). JAVMA.
208:9:1413, 1996.
32. Liptak JM, Dernell WS, Withrow SJ: Liver Tumors in Cats and Dogs. Compendium for Continuing Education. 50, 2004.
33. Gores BR, Berg J, Carpenter JL, et al: Surgical Treatment of Thymoma in Cats:12 Cases (1987-1992). JAVMA. 204:11:1782, 1994.
34. Remedios AM, Fowler JD: Axial Pattern Flaps in the Cutaneous Reconstruction of Lower Limb Wounds. Compendium for Continuing Education.
17:11:1356, 1995.
35. Hunt GB, Tisdall PL, Liptak JM, et al: Skin-Fold Advancement Flaps for Closing Large Proximal Limb and Trunk Defects in Dogs and Cats. Vet
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37. Fowler JD, Degner DA, Walshaw R, et al: Microvascular Free Tissue Transfer: Results in 57 Consecutive Cases. Vet Surg. 27:406, 1998.
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39. Watson CL, Lucroy MD: Primary Appendicular Bone Tumors in Dogs. Compendium for Continuing Education. 128, 2002.
40. Chun R, Kurzman ID, Couto CG, et al: Cisplatin and Doxorubicin Combination Chemotherapy for the Treatment of Canine Osteosarcoma: A Pilot
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41. Bailey D, Erb H, Williams L, et al: Carboplatin and Doxorubicin Combination Chemotherapy for the Treatment of Appendicular Osteosarcoma in
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42. Berg J, Weinstein MJ, Springfield DS, et al: Results of Surgery and Doxorubicin Chemotherapy in dogs with Osteosarcoma. JAVMA.
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43. McEntee MC, Page RL: Feline Vaccine Associated Sarcomas. J Vet Int Med. 15:176, 2001.
44. Hershey AE, Sorenmo KU, Hendrick MJ, et al: Prognosis for Presumed Feline Vaccine-Associated Sarcoma after Excision: 61 Cases (1986 -
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45. Cohen M, Wright JC, Brawner WR, et al: Use of Surgery and Electron Beam Irradiation, with and without Chemotherapy, for Treatment of
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Tumor Biopsy Principles and Techniques


1. Withrow SJ, MacEwen EC. Small animal clinical oncology. 2nd ed. Philadelphia: WB Saunders, 1996.
2. Whitebait JG, Griffey SM, Olander HJ, et al. The accuracy of intraoperative diagnoses based on examination of frozen sections: a prospective
comparison with paraffin embedded sections. Vet Surg 1993;22:255 259.
3. Jamshidi K, Swain WR. Bone marrow biopsy with unaltered architecture: a new biopsy device. J Lab Clin Med 1971;77:335.
4. Wykes PM, Withrow SJ, Powers BE, et al. Closed biopsy for diagnoses of long bone tumors: accuracy and results. J Am Anim Hosp Assoc
1985;21:489.
5. Withrow SJ, Susaneck SJ, Macy DW, et al. Aspiration and punch biopsy techniques for nasal tumors. J Am Anim Hosp Assoc 1985;21:55 1.

Supplemental Oxygen Delivery and Feeding Tube Techniques


Crowe DT. Clinical use of an indwelling nasogastric tube for enteral nutrition and fluid therapy in the dog and cat. J Am Anim Hosp Assoc
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Crowe DT. Use of a nasogastric tube for gastric and esophageal de compression in the dog and cat. J Am Vet Med Assoc 1986; 188:1178 1182.
Crowe DT. Enteral nutrition for critically ill or injured patients. Part I. Compend Contin Educ Pract Vet 1986;8:603.
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Esophagostomy Tube Placement and Use for Feeding and Decompression


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2. Crowe DT. Feeding the sick patient. In: Proceedings of the Eastern States Veterinary Conference. Orlando, FL. 1988;3:95-96.
3. Crowe DT, Downs MO. Pharyngostomy complications in dogs and cats and recommended technical modifications: experimental and clinical
investigations. J Ain Anim Hosp Assoc 1986; 22:493-496.
4. Crowe DT. Nutritional support for the hospitalized patient: an introduction to tube feeding. Compend Contin Educ Pract Vet 1990; 12:17111721.
5. Moss G. Maintenance of gastrointestinal function after bowel surgery and immediate enteral full nutrition. ll. Clinical experience, with objective
demonstration of intestinal absorption and motility. JPEN J Parenter Enteral Nutr 1981;5:215-220.

Use of Jejunostomy and Enterostomy Tubes


1. Carnevale JM, et al. Nutritional assessment: guidelines to selecting patients for nutritional support. Compend Contin Educ Pract Vet 1991;13:255-
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2. Orton EC. Needle catheter jejunostomy. In: Bojrab MJ, ed. Current techniques of small animal surgery. Philadelphia: Lea & Febiger, 1990:257.
3. Moore EE, Moore FA. Immediate enteral nutrition following multisys-temic trauma: a decade perspective. J Am Coll Nutr 1995;10:633 648.
4. Marulenda S, Kirby DF. Nutrition support in pancreatitis. NutrClin Pract 1995;10:45-53.
5. Freeman LM, et al. Nutritional support in pancreatitis: a retrospective study. J Vet Emerg Crit Care 1995;5:32-41.
6. Bodoky G, et al. Effect of enteral nutrition on exocrine pancreatic function. Am J Surg 1991;161:144-148.
7. Simpson WG, Marsino L, Gates L. Enteral nutritional support in acute alcoholic pancreatitis. J Am Coll Nutr 1995;14:662-665.
8. Guan D, Ohta H, Green GM. Rat pancreatic secretory response to intraduodenal infusion of elemental vs. polymeric defined formula diet. JPEN J
Parenter Enteral Nutr 1994;18:335-339.
9. Justin RB, Hohenhaus AE. Hypophosphotemia associated with enteral alimentation in cats. J Vet Intern Med 1995;9:228-233.

Minimally Invasive Surgery


1. Culp WT, Mayhew PD, Brown DC. The effect of laparoscopic versus open ovariectomy on postsurgical activity in small dogs. Vet Surg 2009;
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4. Stoloff DR. Laparoscoic suturing and knot tying techniques. In Freeman LJ (ed). Veterinary Endosurgery. St. Louis: Mosby, 1999.
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edition. St. Louis: Elsevier-Mosby, 2011.
6. Freeman LJ. Laparoscopic liver biopsy. Clinician's Brief, May 2010.
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compared with median celiotomy and ligation in dogs. Vet Surg 2005; 34:273-282.
8. Rawlings CA, Foutz TL, Mahaffey MB, Howerth EW, Bement S, Canalis C. A rapid and strong laparoscopic-assisted gastropexy in dogs. Am J Vet
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9. Mayhew PD, Brown DC. Prospective evaluation of two intracorporeally sutured prophylactic laparoscopic gastropexy techniques compared with
laparoscopic-assisted gastropexy in dogs. Vet Surg 2009; 38:738-746.
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12. Devitt CM, Cox RE, Hailey JJ. Duration, complications, stress, and pain of open ovariohysterectomy versus a simple method of laparoscopic-
assisted ovariohysterectomy in dogs. J Am Vet Med Assoc. 2005 Sep 15;227(6):921-7.

Thoracoscopy
1. Borenstein N, Behr L, Chetboul V, et al. Minimally invasive patent ductus ateriosus occlusion in 5 dogs. Vet Surg 2004; 33:309-313.
2. MacPhail CM, Monnet E, Twedt DC. Thoracoscopic correction of persistent right aortic arch in a dog. J Am Anim Hosp Assoc 2001;37:577-581.
3. Radlinsky MG, Mason DE, Biller DS, et al. Thoracoscopic visualization and ligation of the thoracic duct in dogs. Vet Surge 2002;31:138-146.
4. Dupré GP, Corlouer JP, Bouvy B. Thoracoscopic pericardiectomy performed without pulmonary exclusion in 9 dogs. Vet Surge 2001;30:21-27.
5. Kovak JR, Ludwig LL, Bergman PJ, et al. Use of thoacoscopy to determine the etiology of pleural effusion in dogs and cats: 18 cases (1998-2001).
J Am Vet Med Assoc 2002;221:990-994.
6. McCarthy T. Diagnostic thoracoscopy. Clinical Techniques in Small Animal Practice 1999;14:213-219.
7. Remedios AM, Ferguson J. Minimally invasive surgery: Laparoscopy and thoracoscopy in small animals. Compend Cont Ed Pract Vet
1996;18:1191-1199.
8. Freeman LJ. Veterinary Endosurgery. 1st ed. St. Louis: Mosby 1999.
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11. Kudnig ST, Monnet E, Riquelme M, et al. Effect of one-lung ventilation on oxygen delivery in anesthetized dogs with and open thoracic cavity. Am
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12. Potter L, Hendrickson DA. Therapeutic video assisted thoracic surgery. 1998;169-191.
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Microvascular Surgical Instrumentation and Application
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2. Zhong-wei C, Dong-yue, Y., De-sheng, C.: Microsurgery. New York, Shanghai Scientific and Technical Publisher, 1982.
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Pain Management in the Surgical Patient


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Nervous System
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Peripheral Nerve Biopsy


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Surgery of the Conjunctiva and Cornea


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Enucleation and Orbital Exenteration


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Ear Pinna
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External Ear
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Total Ear Canal Ablation and Subtotal Bulla Osteotomy


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cases (1986-1994). J Am Vet Med Assoc 209:937-942, 1996.
5. Mason, LK, Harvey CE, Orsher, RJ: Total ear canal ablation combined with lateral bulla osteotomy for end-stage otitis in dogs-results in thirty
dogs. Vet Surg 17:263-268, 1988.
6. Ba con NJ, Gilbert, RL, Bostock DE, et al.: Total ear ablation in the cat: indications, morbidity, and long-term survival. J Small Anim Pract 44:430-4,
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Srug 33:435-9, 2004.
8. Krahwinkel DJ, Pardo AD, Sims MH, Bubb WJ: Effects of total ablation of the external acoustic meatus and bulla osteotomy on auditory function in
dogs. J Am Vet Med Assoc 202:949-52, 1993.
9. McAnulty JF, Hattel A, Harvey CE: Wound healing and brain stem audtory evoked potentials after experimental total ear canal ablation with lateral
tympanic bulla osteotomy in dogs. Vet Surg 24:1-8, 1995.
10. Geary CJ: Radiographic aspects of otitis media. Auburn Vet 21: 71-3, 1965.
11. Remedios AM, Fowler JD, Pharr JW: A comparison of radiographic versus surgical diagnosis of otitis media. J Am Anim Hosp Assoc 27:183-8,
1991.
12. Garosi LS, Dennis R, Schwarz T: Review of diagnostic imaging of ear diseases in the dog and cat. Vet Radiol Ultrasound 44: 137-46. 2003.
13. Smeak DD, Inpanbutr: Lateral approach to subtotal bulla osteotomy in dogs: pertinent anatomy and procedural details. Compend Contin Educ
Pract Vet 27:377-385, 2005.
14. Lesinskas, E, Lesinskas R, Vainutiene V: Middle ear cholesteatoma: present-day concepts of etiology and pathogenesis. Medicina (Kaunas) 38:
1066-71, 2002.
15. Davidson EB, Brodie Ha, Breznoch EM: Removal of a Cholesteatoma in a Dog, Using a Caudal Auricular Approach. J Am Vet Med Assoc
211:1549-1553, 1997.
16. Devitt CM, Seim HB, Willer R, McPherro M, Neel, M: Passive drainage versus primary closure after total ear canal ablation-lateral bulla
osteotomy in dogs: 59 dogs(1985-1995) Vet Surg 26:210-216, 1997.
17. Smeak DD, Dehoff WD: Total ear canal ablation-clinical results in the dog and cat. Vet Surg 16:161-170.
18. Mason LK, Harvey CE, Orsher RJ: Total ear canal ablation combined with lateral bulla osteotomy for end-stage otitis in dogs-results from thirty
dogs. Vet Surg 17: 263-268, 1988.
19. Matthieson DT, Scavelli T: Total ear canal ablation and laeral bulla osteotomy in 38 dogs. J Am Anim Hosp Assoc 26:257-267, 1990.
20. Beckman, SL, Henry WB, Cechner P: Toal ear canal ablation combining osteotmy and curettage in dogs with chronic otitits externa and media. J
Am Vet Med Assoc 196:84-90, 1990.
21. Sharp NJH: Chronic otitis externa and otitis media treated by total ear ablation and ventral bulla osteotomy in thirteen dogs. Vet Surg 19:162-166.
1990.
22. Holt D, Brockman, DJ, Sylvestre AM, Sadanaga KK: Lateral exploration of fistuals developing after total ear ablation: 10 cases (19891993). J Am
Anim Hosp Assoc 32:527-30. 1996.
Ventral Bulla Osteotomy
Fraser, G., Gregor, W.W., Mackenzie, C.P., et al. Canine ear disease.J Small anima Pract 1970; 10:725-754.
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C.E.: Diseases of the middle ear. In Slatter, D.H., ed.: Textbook of Samll Animal Surgery, ed. 1. Philadelphia: WB Saunders, 1985, pp 1919-1923.
Kapatkin, A.S., Mathiesen, D.T., Noone, K.E. et al. Results of surgery and long-term follow-up in 31 cats with nasophyngeal polyps. J Am Anim Hosp
Assoc 1990; 26:387-392.
Little, C.J.L., Lange J.G. The surgical anatomy of the feline bulla tympanic. J Small Anim Pract 1986; 27:371-378.
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complication of otitis media. Veterinary Record. 199. 128:14, 319-322. Lucroy, M.D., Vernau, K.M., Samii, V.F. et al. Middle ear tumours with
brainstem extension treated by ventral bulla osteotomy and craniectomy in two cats. Vet Comp Oncol 2004; 2:234-242.
Smeak, D.D., Crocker, C.B., Birchard, S.J. Treatment of recurrent otitis media that developed after total ear canal ablation and lateral bulla osteotomy
in dogs: Nine cases (1986-1994). J Am Vet Med Assoc 1996. 209:5, 937-942.

Oral Cavity
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Febiger, 1985, p 105.
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Saunders, 1992, p 185.
5. Tholen MA. Oral surgery. In: Tholen MA, ed. Concepts in Veterinary Dentistry. Edwardsville, KS, Veterinary Medicine Publishing, 1983, pp 90-96.
6. Smith MM. Lingual approach for surgical extraction of the mandibular canine tooth in dogs and cats. J Am Anim Hosp Assoc 32: 359-364, 1996.

Repair of Cleft Palate


Griffiths LG, Sullivan M: Bilateral overlapping mucosal single-pedicle flaps for correction of soft palate defects. J Am Anim Hosp Assoc.2001;37:183-
6.
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Radlinsky MG: Congenital ornonasal fistula (cleft palate). In: Fossum TW (ed). Small animal surgery 4th ed. St Louis: Mosby-Elsevier, 2013.
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Salisbury SK. Surgery of the palate. In: Bojrab MJ, ed. Current techniques in small animal surgery. 3rd ed. Philadelphia: Lea & Febiger. 1990.

Repair of Oronasal Fistulas


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Apr;32(2):113-9.
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1986;22:803.
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Smith MM, Rockhill AD: Prosthodontic appliance for repair of an oronasal fistula in a cat. J Am Vet Med Assoc. 1996; 208:1410-2.

Maxillectomy
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Am Anim Hosp Assoc 1997;33:25-31.
2. Withrow SJ, Nelson AW, Manley PA, et al. Premaxillectomy in the dog. J Am Anim Hosp Assoc 1985;21:49 55.
3. Salisbury SK, Richardson DC. Partial maxillectomy for oronasal fistula repair in the dog. J Am Anim Hosp Assoc 1986;22:185 192.
4. Salisbury SK, Richardson DC, Lantz GC. Partial maxillectomy and premaxillectomy in the treatment of oral neoplasia in the dog and cat. Vet Surg
l986;15:16 26.
5. Dorn CR, Taylor DO, Frye FL, et al. Survey of animal neoplasms in Alameda and Contra Costa Counties, California. I. Methodology and descrip-
tion of cases. J Natl Cancer Inst 1968;40:295-305.
6. Theilen GH, Madewell BR. Tumors of the digestive tract. In: Theilen GH, Madewell BR, eds. Veterinary Cancer Medicine. Philadelphia: Lea &
Febiger, 1987:499 534.
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1990:347 428.
8.Norris AM, Withrow SJ, Dubielzig RR. Oropharyngeal neoplasms. In: Harvey CE, ed. Veterinary Dentistry. Philadelphia: WB Saunders, 1985:123
139.
9. Cotter SM. Oral pharyngeal neoplasms in the cat. J Am Anim Hosp Assoc 1981;17:917 920.
10. Dernell WS, Rullinger GH. Surgical management of ameloblastic fibroma in the cat. J Small Anim Pract 1994;35:35 38.
11. Carpenter LG, Withrow SJ, Powers BE, et al. Squamous cell carcinoma of the tongue in ten dogs. J Am Anim Hosp Assoc 1993;29:17 24.
12. Rassnick KM, Ruslander DM, Cotter SM, et al. Use of carboplatin for treatment of dogs with malignant melanoma: 27 cases (1989-2000). J Am
Vet Med Assoc 2001;218:1444-1448.
13. Kirpensteijn J, Withrow SJ, Straw RC. Combined resection of the nasal planum and premaxilla in three dogs. Vet Surg 1994;23:341 346.
14. Lascelles BDX, Henderson RA, Seguin B, et al. Bilateral rostral maxillectomy and nasal planectomy for large rostral maxillofacial neoplasms in six
dogs and one cat. J Am Anim Hosp Assoc 2004;40:137-146.
15. O'Brien MG, Withrow SJ, Straw RC, et al. Total and partial orbit-ectomy for the treatment of periorbital tumors in 24 dogs and 6 cats: A
retrospective study. Vet Surg 1996;25:471-479.
16. Smith MM. Surgical approach for lymph node staging of oral and maxillofacial neoplasms in dogs. J Am Anim Hosp Assoc 1995;31:514-517.
17. Herring ES, Smith MM, Robertson JL. Lymph node staging of oral and maxillofacial neoplasms in 31 dogs and cats. J Vet Dent 2002;19:122-126.
18. Kafka UC, Carstens A, Steenkamp G, et al. Diagnostic value of magnetic resonance imaging and computed tomography for oral masses in dogs.
J S Afr Vet Assoc 2004;75:163-168.
19. Owen L, ed. TNM classification of tumors in domestic animals. Geneva: World Health organization, 1980.
20. Beck JA, Strizek AA. Full-thickness resection of the hard palate for treatment of osteosarcoma in a dog. Aust Vet J. 1999;77:163-5
21. Smith MM. Island palatal mucoperiosteal flap for repair of oronasal fistual in a dog. J Vet Dent 2001;18:127-129.
22. Bryant KJ, Moore K, McAnulty JF. Angularis oris axial pattern buccal flap for reconstruction of recurrent fistulae of the palate. Vet Surg
2003;32:113-119.
23. Sager M, Nefen S. Use of buccal mucosal flaps for the correction of congenital soft palate defects in three dogs. Vet Surg 1998;27:358-363.
24. Griffiths LG, Sullivan M. Bilateral overlapping mucosal single-pedicle flaps for correction of soft palate defects. J Am Anim Hosp Assoc
2001;37:183-186.
25. Dundas JM, Fowler JD, Shmon CL, et al. Modification of the superficial cervical axial pattern skin flap for oral reconstruction. Vet Surg
2005;34:206-213.
26. Prescott JF, Baggot JD. Principles of antimicrobial drug selection and use. In: Prescott JF and Baggot JD, eds. Antimicrobial Ther-apy in
Veterinary Medicine. Boston: Blackwell Scientific Publi-cations, 1988:55 70.
27. DeNardo GA, Brown NO, Trenka-Benthin S, et al. Comparison of seven different suture materials in the feline oral cavity. J Am Anim Hosp Assoc
1996;32:164-172.
28. Dernell WS, Harari J. Surgical devices and wound healing. In: Harari J, ed. Surgical Complications and Wound Healing in Small Animal Practice.
Philadelphia: WB Saunders, 1993:249 376.
29. Salisbury SK, Thacker HL, Pantzer EE, et al. Partial maxillectomy: comparison of suture materials and closure techniques. Vet Surg 1985;14:265
276.
30. Beckman B, Legendre L. Regional nerve blocks for oral surgery in companion animals. Comp Cont Ed Pract Vet 2002;24:439-442.
31. Gross ME, Pope ER, O'Brien D, et al. Regional anesthesia of the infraorbital and inferior alveolar nerves during noninvasive tooth pulp stimulation
in halothane-anesthetized dogs. J Am Vet Med Assoc 1997;11:1403-1405.
32. Lascelles BDX, Thomson MJ, Dernell WS, et al. Combined dorsolateral and intraoral approach for the resection of tumors of the maxilla in dogs.
J Am Anim Hosp Assoc 2003;39:294-305.
33. Hedlund CS, Tangner CH, Elkins AD, et al. Temporary bilateral carotid artery occlusion during surgical exploration of the nasal cavity of the dog.
Vet Surg 1983;12:83 85.
34. Clendenin MA, Conrad MC. Collateral vessel development after chronic bilateral common carotid artery occlusion in the dog. Am J Vet Res
1979;40:1244 1248.
35. Gillian LA. Extra and intracranial blood supply to brains in the dog and cat. Am J Anat 1976;146:237-253.
36. Mouatt JG, Straw RS. Use of mandibular symphysiotomy to allow extensive caudal maxillectomy in a dog. Aust Vet J 2002;80:272-276.
37. Schwarz PD, Withrow SJ, Curtis CR, et al. Partial maxillary resection as a treatment for oral cancer in 61 dogs. J Am Anim Hosp Assoc
1991;27:617 624.
38. Clarke BS, L'Eplattenier HF. Zygomatic salivary mucocele as a postoperative complication following caudal hemimaxillectomy in a dog. J Small
Anim Pract 2010;51:495-498.
39. Matthiesen DT, Manfra Marretta S. Results and complications associated with partial mandibulectomy and maxillectomy techniques. Probl Vet
Med 1990;2:248-275.
40. Wallace J, Matthiesen DT, Patnaik AK. Hemimaxillectomy for the treatment of oral tumors in 69 dogs. Vet Surg 1992; 21:337 341.
41. White RAS, Gorman NT, Watkins SB, et al. The surgical man-agement of bone involved oral tumours in the dog. J Small Anim Pract 1985;26:693
708.
42. White RAS. Mandibulectomy and maxillectomy in the dog: re-sults of 75 cases. Presented at the 22nd Annual Meeting of the American College of
Veterinary Surgeons, San Antonio, 1987.

Mandibulectomy
1. Fox LE, Geoghegan SL, Davis LH, et al. Owner satisfaction with partial mandibulectomy or maxillectomy for treatment of oral tumors in 27 dogs. J
Am Anim Hosp Assoc 1997;33:25-31.
2. Withrow SJ, Holmberg DL. Mandibulectomy in the treatment of oral cancer. J Am Anim Hosp Assoc 1983;19:273 286.
3. Bradley RL, MacEwen EG, Loar AS. Mandibular resection for removal of oral tumors in 30 dogs and 6 cats. J Am Vet Med Assoc 1984;184:460
463.
4. O'Brien MG, Withrow SJ, Straw RC, et al. Total and partial orbit-ectomy for the treatment of periorbital tumors in 24 dogs and 6 cats: a
retrospective study. Vet Surg 1996;25:471-479.
5. Dorn CR, Taylor DO, Frye FL, et al. Survey of animal neoplasms in Alameda and Contra Costa Counties, California. I. Methodology and descrip-
tion of cases. J Natl Cancer Inst 1968;40:295-305.
6. Theilen GH, Madewell BR. Tumors of the digestive tract. In: Theilen GH, Madewell BR, eds. Veterinary Cancer Medicine. Philadelphia: Lea &
Febiger, 1987:499 534.
7. Head KW. Tumors of the alimentary tract. In: Molten JE, ed. Tumors in Domestic Animals. 3rd ed. Berkeley: University of California Press,
1990:347 428.
8. Norris AM, Withrow SJ, Dubielzig RR. Oropharyngeal neoplasms. In: Harvey CE, ed. Veterinary Dentistry. Philadelphia: WB Saunders, 1985:123
139.
9. Cotter SM. Oral pharyngeal neoplasms in the cat. J Am Anim Hosp Assoc 1981;17:9l7 920.
10. Dernell WS, Rullinger GH. Surgical management of ameloblastic fibroma in the cat. J Small Anim Pract 1994;35:35 38.
11. Carpenter LG, Withrow SJ, Powers BE, et al. Squamous cell carcinoma of the tongue in ten dogs. J Am Anim Hosp Assoc 1993;29:17 24.
12. Hutson CA, Willauer CC, Walder EJ, et al. Treatment of mandibular squamous cell carcinoma in cats by use of mandibulectomy and
radiotherapy: seven cases (1987-1989). J Am Vet Med Assoc 1992;201:777-781.
13. Owen L, ed. TNM classification of tumors in domestic animals. Geneva: World Health Organization, 1980.
14. Tuohy JL, Milgram J, Worley DR, et al. A review of sentinel lymph node evaluation and the need for its incorporation into veterinary oncology. Vet
Comp Oncol 2009;7:81-91.
15. Kafka UC, Carstens A, Steenkamp G, et al. Diagnostic value of magnetic resonance imaging and computed tomography for oral masses in dogs.
J S Afr Vet Assoc 2004;75:163-168.
16. Dundas JM, Fowler JD, Shmon CL, et al. Modification of the superficial cervical axial pattern skin flap for oral reconstruction. Vet Surg
2005;34:206-213.
17. Prescott JF, Baggot JD. Principles of antimicrobial drug selection and use. In: Prescott JF, Baggot JD, eds. Antimicrobial Therapy in Veterinary
Medicine. Boston: Blackwell Scientific Publications, 1988:55 70.
18. DeNardo GA, Brown NO, Trenka-Benthin S, et al. Comparison of seven different suture materials in the feline oral cavity. J Am Anim Hosp Assoc
1996;32:164-172.
19. Dernell WS, Harari J. Surgical devices and wound healing. In: Harari J, ed. Surgical Complications and Wound Healing in Small Animal Practice.
Philadelphia: WB Saunders, 1993:349 376.
20. Salisbury SK, Thacker HL, Pantzer EE, et al. Partial maxillectomy: comparison of suture materials and closure techniques. Vet Surg 1985;14:265
276.
21. Beckman B, Legendre L. Regional nerve blocks for oral surgery in companion animals. Comp Cont Ed Pract Vet 2002;24:439-442.
22. Gross ME, Pope ER, O'Brien D, et al. Regional anesthesia of the infraorbital and inferior alveolar nerves during noninvasive tooth pulp stimulation
in halothane-anesthetized dogs. J Am Vet Med Assoc 1997;11:1403-1405.
23. Felizzola CR, Stopiglia JS, de Arújo VC, et al. Evaluation of a modified hemimandibulectomy for treatment of oral neoplasms in dogs. J Vent Dent
2002;19:127-135.
24. Bracher KE, Trout NJ. Use of a free cortical ulnar autograft following en bloc resection of a mandibular tumor. J Am Anim Hosp Assoc
2000;36:76-79.
25. Rubio-Bueno P, Sanroman F, Garcia P, et al. Experimental mandibular regeneration by distraction osteogenesis with submerged devices:
preliminary results of a canine model. J Craniofac Surg 2002;13:224-230.
26. Peled M, Machtei EE, Rachmiel A. Osseous reconstruction using a membrane barrier following marginal mandibulectomy: an animal pilot study. J
Periodontol 2002;73:1451-1456.
27. Arzi B, Verstraete FJM. Mandibular rim excision in seven dogs. Vet Surg 2010;39:226-231.
28. Schwarz PD, Withrow SJ, Curtis CR, et al. Mandibular resection as a treatment for oral cancer in 81 dogs. J Am Anim Hosp Assoc 1991;27:60l
610.
29. Northrup NC, Selting KA, Rassnick KM, et al. Outcomes of cats with oral tumors treated with mandibulectomy: 42 cases. J Am Anim Hosp Assoc
2006;42:350-360.
30. Matthiesen DT, Manfra Marretta S. Results and complications associated with partial mandibulectomy and maxillectomy techniques. Probl Vet
Med 1990;2:248-275.
31. Salisbury SK, Lantz GC. Long term results of partial mandibulectomy for the treatment of oral tumors in dogs. J Am Anim Hosp Assoc
1988;24:285 294.
32. Kosovsky JK, Matthiesen DT, Manfra Marretta S, et al. Results of partial mandibulectomy for the treatment of oral tumors in 142 dogs. Vet Surg
1991;20:397 401.
33. White RAS, Gorman NT. Wide local excision of acanthomatous epulides in the dog. Vet Surg 1989;18:12 14.
34. White RAS. Mandibulectomy and maxillectomy in the dog: results of 75 cases. Presented at the 22nd Annual Meeting of the American College of
Veterinary Surgeons, San Antonio, 1987.
35. Vernon FF, Helphrey M. Rostral mandibulectomy: 3 case reports in dogs. Vet Surg 1983;12:26 29.
36. Penwick RC, Nunamaker DM. Rostral mandibulectomy: a treatment for oral neoplasia in the dog and cat. J Am Anim Hosp Assoc 1987;23:19 25.
37. White RAS, Gorman NT, Watkins SB, et al. The surgical management of bone involved oral tumours in the dog. J Small Anim Pract 1985;26:693
708.
38. Bjorling DE, Chambers IN, Mahaffey EA. Surgical treatment of epulides in dogs: 25 cases (1974 1984). J Am Vet Med Assoc 1987;190:1315
1318.
39. Straw RC, Powers BE, Klausner J, et al. Canine mandibular osteosarcoma: 51 cases (1980-1992). J Am Anim Hosp Assoc 1996;32:257-262.

Tongue, Lip, and Cheek Surgery


1. Dorn CR, Priester WA: Epidemiologic analysis of oral and pharyngeal cancer in dogs, cats, horses, and cattle. J Am Vet Med Assoc 169(11): 1202,
1976.
2. Dvorak LD, Beaver DP, Ellison GW, et al.: Major glossectomy in dogs: a case series and proposed classification system. J Am Anim Hosp Assoc
40(4):331, 2004.
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2003, 553-561.
4. Harvey CE: Small Animal Denistry. St Louis: Mosby Yearbook, 1993, 301-303.
5. Neverlien PO, Sorumshagen L, Eriksen T, et al.: Glycopyrrolate treatment of drooling in an adult male patient with cerebral palsy. Clin Exp
Pharmacol Physiol27(4): 320, 2000.
6. Olsen AK, Sjorgren P: Oral glycopyrrolate alleviates drooling in a patient with tongue cancer. J Pain Symptom Manage 18(4): 300, 1999.
7. Luskin IR: Reconstruction of Oral Defects using Mucogingival Pedical Flaps. Clin Tech Small An Prac 15(4):251, 2000.
8. Pavletic MM: Reconstructive surgery of the lips and cheek. Vet Clin North Am 20: 201, 1990.
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499.
10. Pavletic MM: Plastic surgery of the head. Proc Am Anim Hosp Assoc 1987, pp.392397.
11. Smeak DD: Lower labial pedicle rotation flap for reconstruction of large upper lip defects. J Am Anim Hosp Assoc 28: 565, 1992.
12. McCoy DE: Surgical treatment of the tight lip syndrome in the Shar-Pei dog. J Vet Dent 14: 95, 1997.
13. Smeak DD: Anti-drool cheiloplasty: Clinical results in six dogs. J Am Anim Hosp Assoc 25: 181, 1989.
14. Hunt GB: Use of Lip-to-Lid Flap for Replacement of the Lower Eyelid in Five Cats. Vet Surg 35: 284, 2006.
15. Pavletic MM, Nafe LA, Confer AW: Mucocutaneous subdermal plexus flap from the lip for lower eyelid restoration in the dog. J Am Vet Med
Assoc 180: 921, 1982.

Pharynx
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pathogenesis and treatment. Am J Digest Dis 1978;23:275.
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Pearson H. The differential diagnosis of persistent vomiting in the young dog. J Small Anim Pract 1970; 11:403.
Rosin E, Hanlon GF. Canine cricopharyngeal achalasia. J Am Vet Med Assoc 1972:160:1496.
Seaman WB. Functional disorders of the pharyngoesophageal junction. Radiol Clin North Am 1969,11:113.
Sokolovsky V. Cricopharyngeal achalasia in a dog. J Am Vet Med Assoc 1967:150:281.
Suter PF, Watrous BJ. Oropharyngeal dysphagias in the dog: a cine-fluorographic analysis of experimentally induced and spontaneously occurring
swallowing disorders. I. Oral stage and pharyngeal stage dysphagias. Vet Radiol 1980:21:24.
Warnock JJ, Marks SL, Pollard R, et al: Surgical management of cricopharyngeal dyspahgia in dogs: 14 cases (1989-2001), J Amer Anim Hosp
Assoc 223 (10): 1462-1468,2003.

Otopharyngeal/Otic Polyps in Cats


1. Bradley RL, Noone KE, Saunders GK, et al. Nasopharyngeal and middle ear polypoid masses in five cats. Veterinary Surgery 1985;14:141-144.
2. Kapatkin AS, Matthiesen DT, Noone KE, et al. Results of surgery and long-term follow-up in 31 cats with nasopharyngeal polyps. Journal of the
American Animal Hospital Association 1990;26:387-392.
3. Lane JG, Orr CM, Lucke VM, et al. Nasopharyngeal polyps arising in the middle ear of the cat. Journal of Small Animal Practice 1981;22:511-522.
4. Klose TC, MacPhail CM, Schultheiss PC, et al. Prevalence of select infectious agents in inflammatory aural and nasopharyngeal polyps from
client-owned cats. Journal of Feline Medicine and Surgery 2010;12:769-774.
5. Brownlie SE, Bedford PGC. Nasopharyngeal polyp in a kitten. Veterinary Record 1985;117:668-669.
6. Stanton ME, Wheaton LG, Render JA, et al. Pharyngeal polyps in two feline siblings. Journal of the American Veterinary Medical Association
1985;186:1311-1313.
7. Parker NR, Binnington AG. Nasopharyngeal polyps in cats: Three case reports and a review of the literature. Journal of the American Animal
Hospital Association 1985;21:473-478.
8. Trevor PB, Martin RA. Tympanic bulla osteotomy for treatment of middle-ear disease in cats: 19 cases (1984-1991). Journal of the American
Veterinary Medical Association 1993;202:123-128.
9. Fingland RB, Gratzek A, Vorhies MW, et al. Nasopharyngeal polyp in a dog. Journal of the American Animal Hospital Association 1993;29:311-
314.
10. Pratschke KM. Inflammatory polyps of the middle ear in 5 dogs. Veterinary Surgery 2003;32:292-296.
11. London CA, Dubilzeig RR, Vail DM, et al. Evaluation of dogs and cats with tumors of the ear canal: 145 cases (1978-1992). Journal of the
American Veterinary Medical Association 1996;208:1413-1418.
12. Harvey CE, Goldschmidt MH. Inflammatory polypoid growths in the ear canal of cats. Journal of Small Animal Practice 1978;19:669-677.
13. Anders BB, Hoelzler MG, Scavelli TD, et al. Analysis of auditory and neurologic effects associated with ventral bulla osteotomy for removal of
inflammatory polyps or nasopharyngeal masses in cats. Journal of the American Veterinary Medical Association 2008;233:580-585.
14. Remedios AM, Fowler JD, Pharr JW. A comparison of radoigraphic versus surgical diagnosis of otitis media. Journal of the American Animal
Hospital Association 1991;27:183-188.
15. Ader PL, Boothe HW. Ventral bulla osteotomy in the cat. Journal of the American Animal Hospital Association 1979;15:757-762.
16. Little CJL, Lane JG. The surgical anatomy of the feline bulla tympanica. Journal of Small Animal Practice 1986;27:371-378.
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Salivary Glands
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Esophagus
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Hiatal Hernia Repair


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Exploratory Celiotomy
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23. Crowe DT, Jr: The serosal patch: Clinical use in 12 animals. Vet Surg 13:29, 1984.
24. Burkhard MJ, Meyer DL: Invasive cytology of internal organs: Cytology of the thorax and abdomen. Vet Clin North Am Small Anim Pract 26:1203,
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25. Langenbach A, McManus PM, Hendrick MJ, et al.: Sensitivity and specificity of methods of assessing the regional lymph nodes for evidence of
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29. Schein M, Saadia R, Decker G: Intraoperative peritoneal lavage. Surg Gynecol Obstet 166:187, 1988.
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Stomach
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Gastrotomy
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Partial Gastrectomy (Full-Thickness)


Tobias KM. Surgical stapling devices in veterinary medicine: A review. Vet Surg 36 (2007) 341-349.

Partial-Thickness Resection via Gastrotomy Incision


Kerpsack SJ, Birchard SJ. Removal of leiomyomas and other noninvasive masses from the cardiac region of the stomach. J Am Anim Hosp Assoc.
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Y-U Antral Flap Pyloroplasty


Allen FJ, Guilford WG, Robertson IG, Jones BR. Gastric emptying of solid radiopaque markers in healthy dogs. Veterinary Radiology and Ultrasound
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Arnbjerg J. Gastric emptying time in the dog and cat. J Am Anim Hosp Assoc 1992: Jan-Feb(28):77-81.
Bright RM, Toal R, Denovo RC, McCracken M, McLauren JB. Effects of the Y-U pyloroplasty on gastric emptying and duodenogastric reflux in the
dog. Vet 16 (1987) 392-397.
Burns J, Fox SM. The use of a barium meal to evaluate total gastric emptying time in the Dog. Vet Radiol 1986:27(6):169-72.
Matthiesen DT, Walter MC. Surgical Treatment of chronic hypertrophic pyloric gastropathy in 45 dogs. J Am Anim Hosp Assoc 1986:Mar/ Apr:22:241-
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Miyabayashi T, Morgan JP. Gastric emptying in the normal dog. A contrast radiographic Technique. Vet Radio 1984;25(4):187-91.
Rivers BJ, Walter PA, Johnston GR, Feeney DA, Hardy RM. Canine gastric neoplasia: Utility of ultrasonography in diagnosis. J Am Anim Hosp Assoc
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Stanton ME, Bright RM, Toal R, DeNovo RC, McCracken M, McLauren JB. Effects of the Y-U pyloroplasty on gastric emptying and duodenogastric
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Sanchez-Margallo FM, Soria-Galvez F, Ezquerra-Calvo LJ, Uson-Gargallo J. Comparison of ultrasonographic characteristics of the gastroduodenal
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Wyse CA, McLellan J, Dickie AM, et al. A review of methods for assessment of the rate of gastric emptying in the dog and cat: 1898-2002. J Vet
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Billroth I (Gastroduodenostomy)
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Gastric Dilatation-Volvulus
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5. Adamik KN, Burgener IA, Kovacevic A, et al. Myoglobin as a prognostic indicator for outcome in dogs with gastric dilatation-volvulus. Journal of
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6. Winkler KP, Greenfield CL, Schaeffer DJ. Bacteremia and bacterial translocation in the naturally occuring canine gastric dilatation-volvulus patient.
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10. Hathcock JT. Radiographic view of choice for the diagnosis of gastric volvulus: The right lateral recumbent view. Journal of the American Animal
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Gastric Dilatation-Volvulus (GDV): Surgical Treatment


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Incisional Gastropexy
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4. Parks JL, Greene RW. Tube gastrostomy for the treatment of gastric volvulus. J Am Anim Hosp Assoc 1976;12:168-172.
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Circumcostal Gastropexy
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of 30 cases. J Am Vet Med Assoc 1985; 187:245-248.
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Laparoscopic Assisted Gastropexy
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4. Rawlings CA. Laparoscopic-assisted gastropexy. J Am Anim Hosp Assoc 2002; 38: 15-19.

Intestines Enterotomy
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Bebchuck TN: Feline gastrointestinal foreign bodies. Vet Clin N Am Sm Anim Pract32(4):861, 2002.
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8):290, 2001.
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Intestinal Resection and Anastomosis


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Subtotal Colectomy in the Cat and Dog


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Surgery of the Colon and Rectum


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Management of Rectal Prolapse


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Anal Sac Disease and Removal


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Nonsurgical Management of Perianal Fistulae


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28. Daigle, J.C., More economical use of cyclosporine through combination drug therapy. Journal of the American Animal Hospital Association, 2002.
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Excisional Techniques for Perianal Fistulas


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Liver, Biliary System, Pancreas


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diaphragmatic hernia: 66 cases (1987-2002). J Amer Vet Med Assoc 2003:224: 728-732.
21. Thomas WP. Pericardial Disorders. In: Ettinger SJ, ed. Textbook of veterinary internal medicine: diseases of the dog and cat. 3rd ed.
Philadelphia: WB Saudners, 1989.
22. Bellah JR. Diaphragmatic Hernias. Compendium's Standard of Care in Emergency Medicine and Critical Care. June 2005:7.5:1-7.
23. Bednarski RM. Diaphragmatic hernia: anesthetic considerations. Semin Vet Med Surg (Small Anim) 1986:1:256-258.
24. Johnson KA. Diaphragmatic, pericardial, and hiatal hernia. In: Slatter DH, ed. Textbook of small animal surgery. 2nd ed. Philadelphia: WB
Saunder, 1985:485.
25. Bellah JR. Traumatic Diaphragmatic Hernia. In Bojrab MJ (Ed), Current Techniques in Small Animal Surgery, 4th Edition, Williams and Wilkins,
Baltimore, 1998: 315-321.

Peritoneum and Abdominal Wall


1. Evans HE, Christensen GC. Miller's anatomy of the dog. 2nd ed. Philadelphia: WB Saunders, 1979.
2. Ellis H, Ashby EC, Mott TJ. Studies in peritoneal healing: a review. J Abdom Surg 1969,11:110.
3. Hubbard TB, et al. The pathology of peritoneal repair: its relation to the formation of adhesions. Ann Surg 1967; 165: 908.
4. Ellis H. The cause and prevention of postoperative intraperitoneal adhesions. Surg Gynecol Obstet 1971;133:497.
5. Karipineni RC, Wilk PJ, Danese CA. The role of the peritoneum in the healing of abdominal incisions. Surg Gynecol Obstet 1976:142:729.
6. Swanwick RA, Milne FJ. The non-suturing of parietal peritoneum in abdominal surgery of the horse. Vet Rec 1973:93:328.
7. Ellis H, Heddle R. Does the peritoneum need to be closed at laparotomy? Br J Surg 1977;64:733.
8. Rosin E, Richardson S. Effect of fascial closure technique on strength of healing abdominal incisions in the dog: a biomechanical study. Vet Surg
1987; 16:269.
9. Fagniez P, Hay JM, Lacaine F, et al. Abdominal midline incision closure: a multicentric randomized prospective trial of 3,135 patients, comparing
continuous vs interrupted polyglycolic acid sutures. Arch Surg 1985:120:1351.
10. Rosin E, Robinson GM. Knot security of suture materials. Vet Surg 1989:18:269.
11. Stone KI, vonFraunhofer JA, Masterson BJ. The biochemical effects of tight suture closure upon fascia. Surg Gynecol Obstet 1986,163:448.

Closed Peritoneal Drainage


1. Donner GS, Ellison GW. The use and misuse of abdominal drains in small animal surgery. Compend Contin Educ Pract Vet 1986;8:705-715.
2. Hosgood G. Drainage of the peritoneal cavity. Compend Contin Educ Pract Vet 1993;15:1605-1617.
3. Staatz AJ, Monnet E, Seim HB 3rd. Open peritoneal drainage versus primary closure for the treatment of septic peritonitis in dogs and cats: 42
cases (1993-1999). Vet Surg 2002;31(2):174-80.
4. Lanz OI, Ellison GW, Bellah JR, Weichman G, VanGilder J. Surgical treatment of septic peritonitis without abdominal drainage in 28 dogs. J Am
Anim Hosp Assoc 2001;37(1):87-92.
5. Hunt CA. Diagnostic peritoneal paracentesis and lavage. Compend Contin Ed Pract Vet 1980;11:449-453.
6. Hampel NL, Johnson RG. Principles of surgical drains and drainage. J Am Anim Hosp Assoc 1985;21:21-28.
7. Raves JJ, Slitkin M, Diamond DL. A bacteriologic study comparing closed suction and simple conduit drainage. Am J Surg 1984;148:618-620.
8. Gold E. The physics of the abdominal cavity and the problem of peritoneal drainage. Am J Surg 1956;91:415-416.
9. Tenta LT, Maddalozzo, Friedman CD, et al. Suction drainage of wounds of the head and neck. Surg Gynecol Obstet 1989;169:558.
10. Kern KA. Technique for high volume drainage beneath large tissue flaps. Surg Gynecol Obstet 1990;170:70.
11. Garcia-Rinaldi R, Defore WW, Green ZD, et al. Improving the efficiency of wound drainage catheters. Am J Surg 1975;130: 372-373.
12. Moss JP. Historical and current perspectives on surgical drainage. Surg Gynecol Obstet 1981;152:517-527.
13. Formeister JF, Elias EG. Safe intra-abdominal and efficient wound drainage. Surg Gynecol Obstet 1976;142;415-416.
14. Hanna EA. Efficiency of peritoneal drainage. Surg Gynecol Obstet 1970,131:983-985.
15. Paton RW, Powell ES. Which drain? A comparison of the tensile strengths of vacuum drainage tubes. J R Coll Surg Edinb 1988;33:127-129.
16. Arnstein PM. Custom tube drains. Lancet 1988;1:215.
17. Hosgood G, Salisbury SK, Cantwell HD, et al. Intraperitoneal circulation and drainage in the dog. Vet Surg 1989;18:261-268.
18. Smeak DD. The Chinese finger trap suture technique for fastening tubes and catheters. J Am Anim Hosp Assoc 1990;26:215-218.
19. Cioffi KM, Schmiedt CW, Cornell KK, Radlinsky MG. Retrospective evaluation of vacuum-assisted peritoneal drainage for the treatment of septic
peritonitis in dogs and cats: 8 cases (2003-2010). J Vet Emerg Crit Care 2012: 22: 601-609.
20. Buote NJ, Havig ME. The use of vacuum-assisted closure in the management of septic peritonitis in six dogs. J Am Anim Hosp Assoc
2012;48:164-171.

Omentum as a Surgical Tool


1. Ross WE, Pardo AD. Evaluation of an omental pedicle extension techinque in the dog. Vet Surg 1993;22:37-43.
2. Evans HE. The abdomen. Millers Anatomy of the Dog. Philadelphia: W.B. Saunders Co; 1993:425.
3. Gravenstein H. Uber die arterien des grossen netzes beim hunde. Morph Jahrb 1938;82:1-26.
4. Nylander G, Tjernberg B. The lymphatics of the greater omentum: An experiemental study in the dog. Lymphology 1969;1:3-7.
5. Roa DM, Bright RM, Daniel GB, McEntee MF, Sackman JE, Moyers TD. Microvascular transplantation of a free omental graft to the distal
extremity in dogs. Vet Surg 1999;28:456-465.
6. Bray JP, White RAS, Williams JM. Resection and omentalization: A new technique for management of prostatic retention cysts in dogs. Vet Surg
1997;26:202-209.
7. Campbell BG. Omentalization of a nonresectabe uterine stump abscess in a dog. J Am Vet Med Assoc 2004;224:1799-1803.
8. Friend EJ, Niles JD, Williams JM. Omentalisation of congenital liver cysts in a cat. Vet Rec 2001:149:275-276.
9. Hill TP, Odesnik BJ. Omentalisation of perinephric pseudocysts in a cat. J Sm Anim Pract 2000;41:115.
10. White RAS, Williams JM. Intracapsular prostatic omentalization: A new techinque for management of prostatic abscesses in dogs. Vet Surg
1995;24:390-395.
11. Hoelzler MG, Bellah JR. Omentalization of cystic sublumbar lymph node metstases for long-term palliation of tenesmus and dysuria in adog with
anal sac carcinoma. J Am Vet Med Assoc 2001;219:1729-1731.
12. Johnson MD, Mann FA. Treatment for pancreatic abscesses via omentalization with abdominal closure versus open peritoneal drainage in dogs:
15 cases (1994-2004). J Am Vet Med Assoc 2006;228:397-402.
13. Jerram RM, Warman CG, Davies ES, Robson MC, Walker AM. Successful treatment of a pancreatic pseudocyst by omentalisation in a dog. N Z
Vet J. 2004;52:197-201.
14. Franklin AD, Fearnside SM, Brain PH. Omentalisation of a caudal mediastinal abscess in a dog. Aust Vet J 2011;89:217-220.
15. Williams JM, Niles JD. Use of omentum as a physiologic drain for treatment of chylothorax in a dog. Vet Surg 1999;28:61-65.
16. LaFond E, Weirich WE, Salisbury SK. Omentalization of the thorax for treamment of idiopathic chylothorax with constrictive pleuritis in a cat. J Am
An Hosp Assoc 2002;38:74-78.
17. Sicard GK, Waller KR, McAnulty JF. The effect of cisterna chyli ablation combined with thoracic duct ligation on abdominal lymphatic drainage.
Vet Surg 2005;34:64-70.
18. Brockman DJ, Pardo AD, Conzemius MG, Cabell LM, Trout NJ. Omentum-enhanced reconstruction of chronic nonhealing wounds in cats:
Techniques and clinical use. Vet Surg 1996;25:99-104.
19. Lascelles BDX, White RAS. Combined omental pedicle grafts and thoracodorsal axial pattern flaps for the reconstruction of chronic, nonhealing
axillary wounds in cats. Vet Surg 2001;30:380-385.
20. Smith BA, Hosgood G, Hedland CS. Omental pedicle used to manage a large dorsal wound in a dog. J Sm Anim Pract 1995;36:267-270.
21. Gray MJ. Chronic axillary wound repair in a cat with omentalisation and omocervical skin flap. J Small Anim Pract. 2005;46:499-503.
22. Roa DM, Bright RM, Daniel GB, McEntee MF, Sackman JE, Moyers TD. Microvascular transplantation of a free omental graft to the distal
extremity in dogs. J Small Anim Pract. 1998;39:475-480.
23. Bright RM, Thacker LH. The formation of an omental pedicle flap and its experimental use in the repair of a diaphragmatic rent in the dog. J Am
An Hosp Assoc 1982;18:283-289.
24. Liptak JM, Dernell WS, Rizzo SA, Monteith GJ, Kamstock DA, Withrow SJ. Reconstruction of chest wall defects after rib tumor resection: a
comparison of autogenous, prosthetic, and composite techniques in 44 dogs. Vet Surg 2008;37:479-487.
25. Saifzadeh S, Pourreza B, Hobbenaghi R, Naghadeh BD, Kazemi S. Autogenous greater omentum, as a free nonvascularized graft, enhances
bone healing: an experimental nonunion model. J Invest Surg. 2009;22:129-137.
26. Bigham-Sadegh A, Mirshokraei P, Karimi I, Oryan A, Aparviz A, Shafiei-Sarvestani Z. Effects of adipose tissue stem cell concurrent with greater
omentum on experimental long-bone healing in dog. Connect Tissue Res. 2012;53:334-342.

Nasal Cavity
1. Hargis AM. A review of solar-induced lesions in domestic animals. Compend Contin Educ Pract Vet 1981: 3: 287-293.
2. Munday JS, Dunowska M, DeGrey S: Detection of two different papil-lomaviruses within a feline squamous cell carcinoma: case report and review
of the literature, NZ Vet J 57: 248-251, 2009.
3. Withrow SJ. Tumors of the respiratory system. In: Withrow SJ, MacEwen EG, eds. Veterinary oncology 2nd ed. Philadelphia: WB Saunders, 1996:
268-286.
4. Hargis AM, Ihrke PJ, Spangler WL, et al. A retrospective clinic-pathological study of 212 dogs with cutaneous hemangiomas and hemangio-
sarcomas. Vet Pathol 1992: 29: 316-328.
5. Miller MA, Ramos JA, Kreeger JM. Cutaneous vascular neoplasia in 15 cats: clinical, morphologic, and immunohistochemical studies. Vet Pathol
1992: 29: 329-336.
6. Withrow SJ, Straw RC. Resection of the nasal planum in nine cats and five dogs. J Amer Anim Hospt Assoc 1990; 26: 219-222.
7. Kirpensteijn J, Withrow SJ, Straw RC. Combined resection of the nasal planum and premaxilla in three dogs. Vet Surg 1994; 23: 341-346.
8. Carlisle CH, Gould S. Response of squamous cell carcinoma of the nose of the cat to treatment with X rays. Vet Radio 1982; 5: 186-192.
9. VanVechten MK, Theon AP. Strontium-90 plesiothcrapy for treatment of early squamous cell carcinomas of the nasal planum in 30 cats. In:
Proceedings of the 13th Annual Conference of the Veterinary Cancer Society. Columbus, OH 1993: 107-108.
10. Theon AP, Madewell BR, Shearn VI, et al. Prognostic factors associated with radiotherapy of squamous cell carcinomas of the nasal plane in
cats. Am J Vet Assoc 1995; 206: 991 - 996.
11. Theon AP, VanVechten MK, Madewell BR. Intratumoral administration of carboplatin for treatment of squamous cell carcinomas of the nasal
plane in cats. Am J Vet Res 1996; 57: 205-210.
12. Peaston AE, Leach MW, Higgins RJ. Photodynamic therapy for nasal and aural squamous cell carcinoma in cats. J Am Vet Med Assoc 1993;
202: 1261-1265.
13. Fidel JL, Egger E, Blattmann H, et al: Proton irradiation for feline nasal planum squamous cell carcinoma using an accelerated protocol. Vet
Radiol and Ultrasound, 42: 569-575, 2001.
14. Lascelles BDX, Henderson RA, Sequin B, Liptak JM, Withrow SJ. Bilateral rostral maxillectomy and nasal planectomy for large rostral
maxillofacial neoplasms in six dogs and one cat. J Amer Anim Hospt Assoc 2004; 40: 137-146.

Rhinotomy Techniques
1. Gieger T, Northrup N: Clinical approach to patients with epistaxis. Compend Contin Educ 26:30, 2004.
2. Schoenborm WC, Wisner ER, Kass PP, et al: Retrospective assessment of computed tomographic imaging of feline sinonasal disease in 62 cats.
Veterinary Radiology & Ultrasound44:185, 2003.
3. De Rycke LM, Saunders JH, Gielen IM, et al: Magnetic resonance imaging, computed tomography and cross-sectional view of the anatomy of
normal nasal cavities and paranasal sinuses in mesatice-phalic dogs. Am J Vet Res 64:1093, 2003.
4. Noone K: Rhinoscopy, pharyngoscopy, and laryngoscopy. Vet Clin N Am Sm Anim Pract31 (4):671, 2001.
5. McCarthy TC, McDermaid SL: Rhinoscopy. Vet Clin N Am Sm Anim Pract 20 (5):1265, 1990.
6. Lent SE, Hawkins EC: Evaluation of rhnoscopy and rhinoscopy-assisted mucosal biopsy in diagnosis of nasal disease in dogs: 119 cases
(19851989). J Am Vet Med Assoc 201: 1425, 1992.
7. Hedlund, C.S., Tangner, C.H., Elkins AD, et al: Temporary bilateral carotid artery occlusion during surgical exploration of the nasal cavity of the
dog. Vet Surg 12:83, 1983.
8. Hedlund CS : Rhinotomy techniques. In Bojrab, M.J.,ed: Current Techniques in Small Animal Surgery. 4th ed. Baltimore: Williams & Wilkins, 1998.
9. Holmberg DL: Sequelae of ventral rhinotomy in dogs and cats with inflammatory and neoplastic nasal pathology: A retrospective study. Can Vet J
37:483, 1996.
10. Pavletic MM, Clark GN: Open nasal cavity and frontal sinus treatment of chronic canine aspergillosis. Vet Surg 20:43, 1991.
11. Moore AH: Use of topical povidone-iodine dressings in the managment of mycotic rhinitis in three dogs. J Sm Anim Pract 44:326, 2003.
12. Priddy, NH, Pope ER, Cohn LA, et al: Alveolar mucosal approach to the canine nasal cavity. J Am Anim Hosp Assoc 37: 79, 2001.

Larynx
Bright RM, Wheaton LG: A modified surgical technique for elongated soft palate surgery. J Am Anim Hosp Assoc 19:288-292, 1983.
Clark GN, Sinibaldi KR: Use of a carbon dioxide laser for treatment of elongated soft palate in dogs. J Am Anim Hosp Assoc 204:1779-1785, 1994.
Ellison GW: Alapexy: An alternative technique for repair of stenotic nares in dogs. J Am Anim Hosp Assoc 40: 484-489, 2004.
Harvey CE: Upper airway obstruction surgery 1: Stenotic nares surgery in brachycephalic dogs. J Am Anim Hosp Assoc 18:535-537, 1982.
Harvey CE: Upper airway obstruction surgery 2: Soft palate resection in brachycephalic dogs. J Am Anim Hosp Assoc 18:538-544, 1982.
Harvey CE: Upper airway obstruction surgery 3: Everted laryngeal saccule surgery in brachycephalic dogs. J Am Anim Hosp Assoc 18:545547, 1982.
Harvey CE: Upper airway obstruction surgery 4: Partial laryngectomy in brachycephalic dogs. J Am Anim Hosp Assoc 18:548-550, 1982.
Hendricks JC: Brachycephalic airway syndrome. Vet Clinics North Am: Small Anim Pract 22:1145-1153, 1992.
Poncet CM, Dupre GP, Freiche VG, Bouvy BM: Long-term results of upper respiratory syndrome surgery and gastrointestinal tract medical treatment
in 51 brachycephalic dogs. J Sm Anim Pract47: 137-142, 2006.
Rudorf H: ltrasonographic imaging of the tongue and larynx in normal dogs. J Sm Anim Pract 38: 439-444, 1997.
Wykes PM: Brachycephalic airway obstructive syndrome. Problems in Veterinary Medicine: Head & Neck Surgery 3:188-197, 1991.

Treatment of Laryngeal Paralysis with Unilateral Cricoarytenoid Laryngoplasty (A form of Arytenoid


Lateralization)
1. Gaber CE, Amis TC, LeCouteur RA: Laryngeal paralysis in dogs: A review of 23 cases. J Am Vet Med Assoc 186:377-380, 1985.
2. Harvey CE, Venker van Haagen AJ: Surgical management of pharyngeal and laryngeal airway obstruction in the dog. Vet Clin North Am (Small
Anim Pract) 5:515-535, 1975.
3. Braund KG, Shores A, Cochrane S, et al: Laryngeal paralysis-polyneu-ropathy complex in young dalmatians. Am J Vet Res 55:534-542, 1994.
4. Smith MM, Child G, Cardinet GH, et al: Muscle and nerve abnormalities associated with canine laryngeal paralysis. Vet Surg 21:239, 1992 (abstr).
5. Braund KG, Steinberg HS, Shores A, et al: Laryngeal paralysis in immature and mature dogs as one sign of a more diffuse polyneuropathy. J Am
Vet Med Assoc 194:1735-1740, 1989.
6. LaHue TR: Laryngeal surgery: Lateralization techniques: 1994 Scientific Proceedings, 22nd Annual Surgical Forum, Washington, D.C., American
College of Veterinary Surgeons, 1994, pp 255-257.
7. Harvey HJ, Irby NL, Watrous BJ: Laryngeal paralysis in hypothyroid dogs,in Kirk RW, (ed): Current Veterinary therapy VIII, Small Animal Practice.
Philadelphia, PA, Saunders, 1983, pp 694-697.
8. LaHue, TR: Treatment of laryngeal paralysis in dogs by unilateral cricoarytenoid laryngoplasty. JAAHA 25:317-324, 1989.
9. Lane JG: ENT and Oral Surgery of the Dog and Cat. Bristol, England, Wright, 1982, pp 113-118.
10. Lane JG: Diseases and surgery of the larynx, in: 1986 Scientific Proceedings, 53rd Annual Meeting of the American Animal Hospital Association,
Denver CO, American Animal Hospital Association, 1986, pp 620-623.
11. Greenfield CL: Canine laryngeal paralysis. Comp Cont Ed 9:1011-1020, 1987.
12. Peterson SW, Rosin E, Bjorling DE: Surgical options for laryngeal paralysis in dogs: a consideration of partial laryngectomy. Comp Cont Ed
13:1531-1540, 1991.
13. Payne JT, Martin RA, Rigg DL: Abductor muscle prosthesis for correction of laryngeal paralysis in 10 dogs and one cat. JAAHA 26:599604, 1990
.
14. Lozier S, Pope E: Effects of arytenoid abduction and modified castellated laryngofissure on the rima glottidis in canine cadavers. Vet Surg
21:195-200, 1992.
15. White RAS: Unilateral lateralization: an assessment of technique and long term results in 62 dogs with laryngeal paralysis. J Small Anim Pract
30:543-549, 1989.
16. Venker van Haagen AJ: Laryngeal diseases of dogs and cats, in Kirk RW, (ed): Current Veterinary therapy IX, Small Animal Practice.
Philadelphia, PA, Saunders, 1986, pp 265-269.
17. Harvey CE, O'Brien JA: Treatment of laryngeal paralysis in dogs by partial laryngectomy. JAAHA 18:551-556, 1982.
18. Ross JT, Matthiesen DT, Noone KE, et al: Complications and long-term results after partial laryngectomy for the treatment of idiopathic laryngeal
paralysis in 45 dogs. Vet Surg 20:169-173, 1991.
19. Gourley IM, Paul H, Gregory C: Castellated laryngofissure and vocal fold resection for the treatment of laryngeal paralysis in the dog. J Am Vet
Med Assoc 182:1084-1086, 1983.
20. Smith MM, Gourley IM, Kurperschoek MS, et al: Evaluation of a modified castellated laryngofissure for alleviation of upper airway obstruction in
dogs with laryngeal paralysis. J Am Vet Med Assoc 188:1279-1283, 1986.
21. Tobias KM, Jackson AM, Harvey RC: Effects of doxapram HCl on laryngeal function of normal dogs and dogs with naturally occurring laryngeal
paralysis. Vet Anaesth Analg 31(4): 258-263, 2004.
22. Hammel SP, Hottinger HA, Novo RE: Postoperative results of unilateral arytenoid lateralization for treatment of idiopathic laryngeal paralysis in
dogs: 39 cases (1996-2002). J Am Vet Med Assoc 228(8): 1215-20, 2006.
23. Snelling SR, Edwards GA: A retrospective study of unilateral arytenoid lateralisation in the treatment of laryngeal paralysis in 100 dogs
(19922000). Aust Vet J 81(8):464-8, 20.
24. Stanley BJ, Hauptman JG, Fritz MC,et al: Esophageal dysfunction in dogs with idiopathic laryngeal paralysis: a controlled cohort study. Vet Surg
39:139, 2010
25. Thieman KM, Krahwinkel DJ, Sims MH, et al: Histopathological confirmation of polyneuropathy in 11 dogs with laryngeal paralysis J Am Anim
Hops Assoc 46:161,2010

Trachea
Anderson GR. Surgical correction of tracheal collapse using Teflon rings. Okia Vet 1971; 23:6.
Buback JL, Boothe HW, Hobson HP. Surgical treatment of tracheal collapse in dogs: 90 cases (1983-1993). J Am Vet Med Assoc 1996; 208:308.
Dallman MJ, Brown EM. Structural considerations in tracheal disease. Am J Vet Res 1979; 40:555.
Dallman MJ, McClure RC, Brown EM. Histochemical study of normal and collapsed trachea in dogs. Am J Vet Res 1988; 49:2l17. Delehanty DD,
Georgi JR. A tracheal deformity in a pony. J Am Vet Med Assoc 1954;125:42.
Fingland RB, Dehoff WD, Birchard SJ. Surgical management of cervical and thoracic tracheal collapse in dogs using extraluminal spiral prosthesis:
results in seven cases. J Am Anim Hosp Assoc 1987;23:163.
Hobson HP. Total ring prosthesis for the surgical correction of collapsed trachea. J Am Anim Hosp Assoc 1976; 12:822
Knowles RP, Snyder CC. Chondrotomy for congenital tracheal stenosis. In: Proceedings of the American Animal Hospital Association. 1967:246.
Leonard HC. Surgical correction of collapsed trachea in dogs. J Am Vet Med Assoc 1971; 158:598.
Leonard HC, Wright JJ. An intraluminal prosthetic dilator for tracheal collapse in the dog. J Am Anim Hosp Assoc 1978;14:464.
Radlinsky MG, Fossum TW Walken MA. Evaluation of Palmaz stents in the trachea and bronchi of normal dogs. In: Proceedings of the American
College of Veterinary Surgery. Chicago, IL 1995:19.
Rubin GJ, Neal TM, Bojrab MJ. Surgical reconstruction for collapsed tracheal rings. J Sm Anim Pract 1973; 14:607.
Schiller AG, Helper LC, Small E. Treatment of tracheal collapse in the dog. J Am Vet Med Assoc 1964; 145:669.
Slatter DH. A surgical method for correction of collapsed trachea in the dog. Aust Vet 1974; 50:41.
Tangner CH, Hobson HP. A retrospective study of 20 surgically managed cases of collapsed trachea. Vet Surg 1992-11-146.
1. Fingland RB, DeHoff WD, Birchard SJ. Surgical management of cervical and thoracic tracheal collapse in dogs using extraluminal spiral
prostheses. J Am Anim Hosp Assoc 1987;23:163

Intra-Luminal Tracheal Stenting


1. Buback JL, Boothe HW, and Hobson HP. Surgical treatment of tracheal collapse in dogs: 90 cases (1983-1993) Journal of the American
Veterinary Medical Association 1996; 208(3):380-384.
2. Radlinsky MG, Fossum TW, Waler MA, et al. Evaluation of the palmaz stent in the trachea and mainstem bronchi of normal dogs. Veterinary
Surgery 1997; 26(2):99-107.
3. Norris JL, Boulay JP, Beck KA, et al. Intraluminal self-expanding stent placement for the treatment of tracheal collapse in dogs (abstr), in
Proceedings, 10th Annual Meeting of the American College of Veterinary Surgeons 2000.
4. Moritz A, Schneider M, and Bauer N. Management of advanced tracheal collapse in dogs using intraluminal self-expanding biliary wallstents.
Journal of Veterinary Internal Medicine 2004; 18:31-42.
5. Krahwinkel DJ. Tracheal collapse: Is surgery an option?, in Proceedings, 15th Annual Meeting of the American College of Veterinary Surgeons,
San Diego, CA, 2005.

Tracheal Resection and Anastomosis


1. Hedlund CS. Tracheal anastomosis in the dog: comparison of two end-to-end techniques. Vet Surg 1984;13:135.
2. Lau RE, Schwartz A, Buergelt CD. Tracheal resection and anastomosis in dogs. J Am Vet Med Assoc 1980; 176:134.
3. Fingland RB, Layton CE, Kennedy GA, et al. A comparison of simple continuous versus simple interrupted suture patterns for tracheal
anastomosis after large-segment tracheal resection in dogs. Vet Surg 1995,24:320.
4. Cantrell JR, Folse JR. The repair of circumferential defects of the trachea by direct anastomosis: experimental evaluation. J Thorac Cardiovasc
Surg 1961,42:589.
5. Vasseur PB, Morgan JP. The trachea. In: Gourley IM, Vasseur PB, eds. General small animal surgery. Philadelphia: JB Lippin-cott, 1985.
6. Maeda M, Grillo HC. Effects of tension on tracheal growth after resection and anastomosis in puppies. J Thorac Cardiovasc Surg 1973;65:658.
7. McKeown PP, Tsuboi H, Togo T, et al. Growth of tracheal anastomoses: advantages of absorbable interrupted sutures. Ann Thorac Surg
1991;51:636.

Permanent Tracheostomy
1. Hedlund CS, Tangner CH, Montgomery DL, et al: A procedure for permanent tracheostomy and its effects on tracheal mucosa. Vet Surg 11:13,
1982.
2. Dalgard DW, Marshall PM, Fitzgerald GH, et al: Surgical technique for permanent tracheostomy in Beagle dogs. Lab Anim Sci29: 367, 1979.
3. Hedlund CS: Tracheostomies in the management of canine and feline upper respiratory disease. Vet Clin North Am Small Anim Pract 24:873,
1994.
4. Hedlund CS, Tangner CH, Waldron DR, et al: Permanent tracheostomy: Perioperative and long-term data from 34 cases. J Am Anim Hosp Assoc
24:585, 1988.
5. Block G, Clarke K, Salisbury SK, et al: Total laryngectomy and permanent tracheostomy for treatment of laryngeal rhabdomyosarcoma in a dog. J
Am Anim Hosp Assoc 31:510-513, 1995.
6. Dahm JD, Paniello C: Tracheostomy for long-term laryngeal experimentation. Otolaryngol Head Neck Surg 118:376-380, 1998.
7. Mutoh T, Kanamaru A, Suzuki H, et al: Effects of permanent tracheostomy on respiratory reflexes to lung inflation and casaicin in sevoflurane
anaesthetized dogs. J Vet Med A 46:335-343, 1999.

Lung and Thoracic Cavity


Burton CA, White RN. Review of the technique and complications of median sternotomy in the dog and cat. J Small Anim Pract 1996;37:516-522.
Pelsue DH, Monnet E, Gaynor JS, et al. Closure of median sternotomy in dogs: suture versus wire. J Am Anim Hosp Assoc 2002;38:569-576.
Rooney MB, Mehl M, Monnet E. Intercostal thoracotomy closure: transcostal sutures as a less painful alternative to circumcostal suture placement.
Vet Surg 2004;33:209-213.
Berg RJ, Orton EC. Pulmonary function in dogs after intercostal thoracotomy: comparison of morphine, oxymorphone, and selective intercostal nerve
block. Am J Vet Res 1986;47:471-474.
Conzemius MG, Brockman DJ, King LG, et al. Analgesia in dogs after intercostal thoracotomy: a clinical trial comparing intravenous buprenorphine
and interpleural bupivacaine. Vet Surg 1994;23:291-298.
Orton EC. Small animal thoracic surgery. Baltimore: Williams & Wilkins, 1995:33-40, 55-72.
Pascoe PJ, Dyson DH. Analgesia after lateral thoracotomy in dogs: epidural morphine vs. intercostal bupivacaine. Vet Surg 1993;22:141-147.
Stobie D, Caywood DD, Rozanski EA, et al. Evaluation of pulmonary function and analgesia in dogs after intercostal thoracotomy and use of
morphine administered intramuscularly or intrapleurally and bupivacaine administered intrapleurally. Am J Vet Res 1995;56:1098-1109.
Thompson SE, Johnson JM. Analgesia in dogs after intercostal thoracotomy: a comparison of morphine, selective intercostal nerve block, and
interpleural regional analgesia with bupivacaine. Vet Surg 1991;20:73-77.
Walsh PJ, Remedios AM, Ferguson JF, et al. Thoracoscopic versus open partial pericardectomy in dogs: comparison of postoperative pain and
morbidity. Vet Surg 1999;28:472-479.

Pulmonary Surgical Techniques


Garcia F, Prandi D, Pena T, et al. Examination of the thoracic cavity and lung lobectomy by means of thoracoscopy in dogs. Can Vet J 1998:39:285-
291.
Lansdowne JL, Monnet E, Twedt DC, et al. Thoracoscopic lung lobectomy for treatment of lung tumors in dogs. Vet Surg 2005:34:530-535.
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Thoracic Drainage
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Management of Flail Chest


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Kidney and Ureter


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Nephrotomy
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Nephroliths and Ureteroliths in Cats


1. Lekcharoensuk C, Osborne CA, Lulich JP, et al: Trends in the frequency of calcium oxalate uroliths in the upper urinary tract of cats. J Am Anim
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35:297, 1999.
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12. Berent AC, Weisse CW, Todd KL, Bagley DH: Use of locking-loop pigtail nephrostomy catheters in dogs and cats: 20 cases (2004-2009). J Am
Vet Med Assoc 241:348, 2012.
13. Roberts SF, Aronson LR, Brown DC: Postoperative mortality in cats after ureterolithotomy. Vet Surg 40:438, 2011.
14. Zaid MS, Berent AC, Weisse C, Caceres A: Feline ureteral strictures: 10 cases (2007-2009). J Vet Intern Med 25:222, 2011.

Extracorporeal Shock-Wave Lithotripsy


1. Chaussy C, W B, E S: Extracorporeally induced destruction of kidney stones by shock waves. Lancet 2:1265, 1980.
2. Preminger G: Shock wave physics. American Journal of Kidney Disease 17:431-435, 1991.
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Vet Med Assoc 208:531-536, 1996.
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Baltimore, Md.
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8. Bailey G, RL B: Dry extracorporeal shock wave lithotripsy for treatment of spontaneous nephrolithiasis and ureterolithiasis in dogs. J Am Vet Med
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10. Lane I, Labato M, Adams LG: Lithotripsy, in JA A (ed): Consultations in Feline Internal Medicine, 5th ed. Philadelphia, Elsevier, 2006, pp 407-414.
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12. Tan Y, Wong M: How significant are clinically insignificant residual fragments following lithotripsy? Current Opinion in Urology 15:127-131, 2005.
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lithotripsy. European Urology 47:860-864, 2005.
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26. Berent AC,Weisse CW,Todd KL, et al: Use of locking-loop pigtail nephrostomy catheters in dogs and cats: 20 cases (2004-2009). J Am Vet Med
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Laser Lithotripsy for Treatment of Canine Urolithiasis


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42. Spore SS, Teichman MH, Corbin NS, et al: Holmium:YAG lithotripsy: optimal power settings. J Endourol 13:559, 1999.
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45. Rawlings CA, Mahaffey MB, Barsanti JA, et al: Use of laparoscopic-assisted cystoscopy for removal of urinary calculi in dogs. J Am Vet Med
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48. Bevan JM, Lulich JP, Albasan H, et al: Comparison of laser lithotripsy and cystotomy for the management of dogs with urolithiasis. J Am Vet Med
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49. Senior DF, Sundstrom DA: Cystoscopy in female dogs. Compend Contin Educ Small Anim Pract 10:890, 1988.
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Renal Transplantation in Companion Animals
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& Ultrasound 44:636, 2003.
14. Lirtzman RA, Gregory CR. Long-term renal and hematological effects of uninephrectomy in healthy feline kidney donors. J Am Vet Med Assoc
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15. Bernsteen L, Gregory CR, Kyles AE, et al. Renal transplantation in cats. Clin Tech in Sm Anim Prac 15:40, 2000.
16. Graham-Mize CA, Rosser EJ. Bioavailability and activity of prednisone and prednisolone in the feline patient. Dermatology Abstracts 2004;15:9.
17. Katayama M, McAnulty JF. Renal transplantation in cats: Techniques, complications, and immunosupression. Comp Cont Educ Pract Vet 24:874,
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18. McAnulty JF, Lensmeyer GL. The effects of ketoconazole on the pharmacokinetics of cyclosporine A in cats. Vet Surg 28:448,1999.
19. McAnulty JF, Lensmeyer GL. Comparison of high performance liquid chromatography and immunoassay methods for measurement of cyclo-
sporine A blood concentrations after feline kidney transplantation. Vet Surg 27:589,1998.
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21. Kyles AE, Gregory CR, Craigmill AL. Comparison of thee in vitro antiproliferative effects of five immunosuppressive drugs on lymphocytes in
whole blood from cats. Am J Vet Res 61:906,2000.
22. Kyles AE, Gregory CR, Craigmill AL. Pharmacokinetics of tacro-limus after multidose oral administration and efficacy in the prevention of allograft
rejection in cats with renal transplants. Am J Vet Res 64:926,2003.
23. Bernsteen L, Gregory CR, Kyles AE, et al. Microemulsified cyclo-sporine based immunosupression for the prevention of acute renal allograft
rejection in unrelated dogs: preliminary experimental study. Vet Surg 32:219,2003.
24. Mathews KA, Holmberg DL, Miller CW. Kidney transplantation in dogs with naturally occurring end stage renal disease. J Am An Hosp Assoc
36:294,2000.
25. Kyles AE, Gregory CR, Griffey SM, et al. An evaluation of combined immunosupression with MNA 715 and microemulsified cyclosporine on renal
allograft rejection in mismatched mongrel dogs. Vet Surg 31:358, 2002.
26. Valverde CR, Gregory CR, Ilkew JE. Anesthetic management in feline renal transplantation. Vet Anaes & Analgesia 29:117,2002.
27. Bernsteen L, Gregory CR, Pollard RE, et al. Comparison of two surgical techniques for renal transplantation in cats. Vet Surg 28:417, 1999.
28. McAnulty JF. Hypothermic storage of feline kidneys for transplantation. Vet Surg 27:312, 1998.
29. Mehl ML, Kyles AE, Pollard R, et al. Comparison of 3 techniques for ureteroneocystostomy in cats. Vet Surg 34:114, 2005.
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31. Gregory CR, Mathews KG, Aronson LR, et al.Central nervous system disorders following renal transplantation in cats. Vet Surg 26:386, 1997.
32. Kyles AE, Gregory CR, Wooldridge JD, et al. Management of hypertension controls postoperative neurological disorders after renal
transplantation in cats. Vet Surg 28:436, 1999.
33. Aronson LR, Gregory CR. Possible hemolytic uremic syndrome in three cats after renal transplantation and cyclosporine therapy. Vet Surg
28:135, 1999.
34. Aronson LR, Preston A, Bhalereo DP, et al. Evaluation of erythro-poiesis and changes in serum erythropoietin concentration in cats after renal
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35. Kyles AE, Gregory CR, Griffey SM, et al.Evaluation of the clinical and histological features of renal allograft rejection in cats. Vet Surg 31:49,
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36. Halling KB, Graham JP, Newell SP, et al. Sonographic and scintigraphic evaluation of acute renal allograft rejection in cats. Vet Rad and
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37. Newell SM, Ellison GW, Graham JP, et al. Scintigraphic, sonographic, and histologic evaluation of renal autotransplantation in cats. Am J Vet Res
60:775, 1999.
38. Pollard R, Nyland TG, Bernsteen L, et al. Ultrasonagraphic evaluation of renal autograpfts in normal cats. Vet Rad and Ultrasound 40:380, 1999.
39. Aronson LR. Retroperitoneal fibrosis in four cats following renal transplantation. J Am Vet Med Assoc 221: 984, 2002.
40. Griffin A, Newton AL, Aronson LR, et al. Disseminated Mycobacterium avium complex infection following renal transplantation in a cat. J Am Vet
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41. Wooldridge J, Gregory CR, Mathews KG, et al. The prevalence of malignant neoplasia in feline renal transplant recipients. Vet Surg 31: 94,
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Management of Ureteral Ectopia
Cannizzo K.A., McLoughlin M.A., Mattoon J., Chew D.J., Samii V.F., DiBartola S.P.; Transurethral cystoscopy and intravenous pyelography for the
diagnosis of ectopic ureters in 25 female dogs. (1992-2000). J Amer Vet Med Assoc 223:475, 2003.
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Mason L.K., Stone E.A., Biery D.N., et al.: Surgery of ectopic ureters: Pre- and postoperative radiographic morphology. J Am Anim Hosp Assoc
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Stone E.A., Mason L.K.: Surgery of ectopic ureters: Types, method of correction, and postoperative results. J Am Anim Hosp Assoc 26:81, 1990.
Samii V.F., McLoughlin M.A., Mattoon J.S., Drost W.T., Chew D.J.: Digital fluoroscopic excretory urography, helical computed tomography and
cystoscopy in 24 dogs with suspected ureteral ectopia. J Vet Int Med 2004:18:271-281.
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Urinary Bladder
1. Desch JP II, Wagner SD. Urinary bladder incisions in dogs: comparison of ventral and dorsal. Vet Surg 1986:15:153-158.
2. Blake EH III, Ellison, GW, Roberts JF, et al. Biomechanical and histologic comparison of single-layer continuous Cushing and simple continuous
appositional cystotomy closure by use of poliglecaprone 25 in rats with experimentally induced inflammation of the urinary bladder. Am J Vet Res
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3. Gilson SD, Stone EA. Surgically induced tumor seeding in eight dogs and two cats. J Am Vet Med Assoc 1990:11:1811-1815.

Cystostomy Tube Placement


Smith JD, Stone EA, Gilson SD: Placement of a permanent cystostomy catheter to relieve urine outflow obstruction in dogs with transitional cell
carcinoma. J Am Vet Med Assoc 206:496, 1995.
Stiffler KS, Stevenson MA, Cornell KK, et al. Clinical use of low-profile cystostomy tubes in four dogs and a cat. J Am Vet Med Assoc 223:325, 2003.
Stone EA, Barsanti JA. Surgical therapy for urethral obstruction in dogs. In: Stone EA, Barsanti JA, eds. Urologic surgery of the dog and cat.
Philadelphia: Lea & Febriger, 1992.
Bray JP, Ronan SD, Burton CA. Minimally invasive inguinal approach for tube cystostomy. Vet Surg 38 (3): 411, 2009.

Colposuspension for Urinary Incontinence


1. Holt PE. Long-term evaluation of colposuspension in the treatment of urinary incontinence due to incompetence of the urethral sphincter
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3. Rawlings CA, Barsanti JA, Mahaffey MB, et al. Evaluation of colposuspension for treatment of incontinence in spayed female dogs. J Am Vet Med
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Gregory SP. Review of developments in the understanding of the pathophysiology of urethral sphincter mechanism incompetence in the bitch. Br Vet
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Holt PE. Urinary incontinence in the bitch due to sphincter mechanism incompetence: surgical treatment. J Small Anim Pract 1985;26:237-246.

Scrotal Urethrostomy
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2. Bellah JR: Problems of the urethra: surgical approaches. Prob Vet Med 1:17-35, 1989.
3. Dean PW, Hedlund CS, Lewis DD, et al: Canine urethrotomy and urethrostomy. Comp Contin Ed Pract Vet 12:1541-1554, 1990.
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6. Bilbrey S, Birchard SJ, Smeak DD: Scrotal urethrostomy: a retrospective review of 38 dogs (1973-1988). J Am Anim Hosp Assoc 27:560564, 1991.
Prepubic Urethrostomy in the Cat
McCully RM: Antepubic urethrostomy for the relief of recurrent urethral obstruction in the male cat. JAm Vet Med Assoc 126: 173-179, 1955.
Ford DC: Antepubic urethrostomy in the male cat. JAm Anim Hosp Assoc 4: 145-149, 1968.
Mendham JH: A description and evaluation of antepubic urethrostomy in the male cat. J small Anim Pract 11: 709-721, 1970.
Snow HN: Surgical transpositions of the feline urethra necessary to ameliorate urolithiasis. J small Anim Pract 13: 193-200, 1972.
Emms SG: Antepubic urethrostomy in a cat. Aust Vet J64: 384-385, 1987.
McLaren IG: Prepubic urethrostomy involving transposition of the prepuce in the cat. Vet Rec 122: 363, 1988.
Bradley RL: Prepubic urethrostomy: An acceptable urinary diversion technique. Prob Vet Med 1: 122-127, 1989.
Menrath V: Repair of a mid-pelvic urethral rupture in the cat using antepubic urethrostomy. Feline Pract 121: 8 ó 11, 1993.
Mahler S, Guillo JY: Antepubic urethrostomy in three cats and a dog: Surgical technique and long-term results. Rev de Med Vet 150: 357-362, 1999.
Baines SJ, Rennie S and White, RAS: Prepubic Urethrostomy: A long-term study in 16 cats. Vet Surg 30: 107-113, 2001.
Ellison GW, Lewis DD and Boren FC: Subpubic urethrostomy to salvage a failed perineal urethrostomy in a cat. Comp Cont Ed 11: 946-951, 1989.

Management of Urethral Trauma


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1972.
6. Messer JS, Chew DJ, McLoughlin MA. Cystocopy: Techniques and clinical applications. Clin Tech Small Anim Pract 2005;20:52-64.
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8. Layton CE, Gerguson HR, Cook JE, Guffy MM. Intrapelvic urethral anastomosis - a comparison of three techniques. Vet Surg 1987;16:175-182.
9. Jens B, Bjorling DE. Suture selection of lower urinary tract surgery in small animals. Comp Cont Educ Small/Exotics 2001;23:524-528.

Urethral Prolapse in Dogs


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4. Boothe HW. Penis, prepuce, and scrotum. In: Slatter D, ed. Textbook of Small Animal Surgery. Philadelphia: Saunders, 1993:1336-1348.
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Prostate
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Basinger RR, Rawlings CA, Barsanti JA, et al. Urodynamic alterations associated with clinical prostatic diseases and prostatic surgery in 23 dogs. J
Am Anim Hosp Assoc 1989;25:385-392.
Cowan LA, Barsanti JA, Crowell W, et al. Effects of castration on chronic bacterial prostatitis in dogs. J Am Vet Med Assoc 1991,199:346-350.
Hardie EM, Barsanti JA, Rawlings CA. Complications of prostatic surgery. J Am Anim Hosp Assoc 1982;20:50-56.
Mullen HS, Mathieson DT, Scavelli TD. Results of surgery and postoperative complications in 92 dogs treated for prostatic abscessation by a multiple
Penrose drain technique. J Am Anim Hosp Assoc 1990;26:369-379.
Rawlings CA, Crowell WA, Barsanti JA, et al. Intracapsular subtotal prostatectomy in normal dogs: use of an ultrasonic surgical aspirator. Vet Surg
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Stone EA, Barsanti JA, eds. Urologic surgery of the dog and cat. Philadelphia: Lea & Febiger, 1992.
White RAS, Williams JM. Intracapsular prostatic omentalization: a new technique for managment of prostatic abscesses in dogs. Vet Surg
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Use of Omentum in Prostatic Drainage


Basinger RR, Rawlings CA, Barsanti JA, et al. Urodynamic alterations associated with clinical prostatic diseases and prostatic surgery in 23 dogs. J
Am Anim Hosp Assoc 1989;25:385-392.
Gourley LG, Osborne CA. Marsupialization: a treatment for prostatic abscess in the dog. J Am Anim Hosp Assoc 1966;2:100-105.
Hardie EM, Barsanti JA, Rawlings CA. Complications of prostatic surgery. J Am Anim Hosp Assoc 1984;20:50-56.
Hardie EM, Stone EA, Spaudling KA, et al. Subtotal canine prostatectomy with neodymium yttrium-aluminium-garnet laser. Vet Surg 1990,19:348-
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Hosgood G. The omentum—the forgotten organ: physiology and potential surgical applications in dogs and cats. Compend Contin Educ Pract Vet
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Mullen HS, Matthiesen DT, Scavelli TD. Results of surgery and postoperative complications in 92 dogs treated for prostatic abscessa-tion by a
multiple Penrose drain technique. J Am Anim Hosp Assoc 1990;26:369-379.
Rawlings CA, Crowell WA, Barsanti JA, et al. Intracapsular subtotal prostatectomy in normal dogs: use of an ultrasonic surgical aspirator. Vet Surg
1994;23:182-189.
White RAS, Williams JM. Intra-capsular prostatic omentalization: a new technique for management of prostatic abscessation. Vet Surg 1995;24:390-
395.
White RAS, Herrtage ME, Dennis R. The diagnosis and management of paraprostatic and prostatic retention cysts in the dog. J Small Anim Pract
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Uterus
1. Lieberman, LL: A case for neutering pups and kittens at two months of age. J Am Vet Med Assoc 191:518, 1987.
2. Spain, CV, Scarlett JM, Houpt KA: Long-term risks and benefits of early-age gonadectomy in dogs. J Am Vet Med Assoc 224:380, 2004.
3. Faggella AM, Aronsohn MG: Evaluation of anesthetic protocols for neutering 6- to 14-week-old pups. J Am Vet Med Assoc 205:308, 1994.
4. Faggella AM, Aronsohn MG: Anesthetic techniques for neutering 6- to 14-week-old kittens. J Am Vet Med Assoc 202:56, 1993.
5. Howe LM: Short-term results and complications of prepubertal gonadectomy in cats and dogs. J Am Vet Med Assoc 211(1):57, 1997.
6. Aronsohn MG, Faggella AM: Surgical techniques for neutering 6- to 14-week-old kittens. J Am Vet Med Assoc 202:53, 1993.
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8. Howe LM, Slater MR, Boothe HW, et al.: Long-term outcome of gonadectomy performed at an early age or traditional age in dogs. J Am Vet Med
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9. Spain CV, Scarlett JM, Houpt KA: Long-term risks and benefits of early-age gonadectomy in cats. J Am Vet Med Assoc 224:372, 2004.
10. Salmeri KR, Bloomberg MS, Scruggs SL, et al.: Gonadectomy in immature dogs: Effects on skeletal, physical, and behavioral development. J Am
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12. Root MV: The effect of prepubertal and postpuberal gonadectomy on the general health and development of obesity in the male and female
domestic cat. PhD Thesis, University ofMinnesota, Saint Paul, MN, 1995.
13. Root MV: Early spay-neuter in the cat: effect on development of obesity and metabolic rate, Veterinary Clinical Nutrition 2:132, 1995.
14. Flynn MF, Hardie EM, Armstrong J: Effects of ovariohysterectomy on maintenance energy requirements in cats. J Am Vet Med Assoc 209:1572,
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15. Edney ATB and Smith PM: Study of obesity in dogs visiting veterinary practices in the United Kingdom. Vet Rec 118:391, 1986.
16. Thrusfield MV: Association between urinary incontinence and spaying in bitches. Vet Rec 116:695, 1985.
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Ovariohysterectomy
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Harmonic Scalpel Assisted Laparoscopic Ovariohysterectomy (HALO)


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Cesarean Section: Traditional Technique


Abitbol MM: Inferior vena cava compression in the pregnant dog. Am J Obstet Gynecol 130:194, 1978.
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Probst CW, Broadstone RV, Evans AT: Postural influence on systemic blood pressure in large full-term pregnant bitches during general anesthesia.
Vet Surg 16:471, 1987.

Cesarean Section by Ovariohysterectomy


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Vagina and Vulva


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Episioplasty
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2. Dorn AS. Biopsy in cases of canine vulvar-fold dermatitis and periv-ulvar pigmentation. Vet Med Small Anim Clin 1978;73:1147.
3. Bellah JR. Intertriginous dermatitis. In Bojrab MJ, ed. Disease Mechanisms in Small Animal Surgery, 2nd ed. Philadelphia: Lea and Febiger. 1993;
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lower urinary tract disease in dogs: 38 cases (1990-1999). J Am Vet Med Assoc 2002;221:995.
6. Hammel SP, Bjorling DE. Results of vulvoplasty for treatment of recessed vulva in dogs. J Am Anim Hosp Assoc 2002;38:79.
7. Lightner BA, McLoughlin MA, ChewDJ, et al. Episoplasty for the treatment of perivulvar dermatitis or recurrent urinary tract infections in dogs with
excessive perivulvar skin folds: 31 cases (1983-2000). J Am Vet Med Assoc 2001;219:1577.

Episiotomy
Hardie EM. Selected surgeries of the male and female reproductive tracts. Vet. Clinics of N. America, Small An. Practice. 1984; 14: 109-122.
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Testicles
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2. Faggella AM, Aronsohn MG: Anesthetic techniques for neutering 6- to 14-week-old kittens. J Am Vet Med Assoc 202:56, 1993.
3. Stubbs WP, Bloomberg MS, Scruggs LS, et a/.: Prepubertal gonad-ectomy in the domestic feline: effects on skeletal, physical, and behavioral
development. Vet Surg 22:401, 1993.
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in the domestic cat. Vet Radiol & Ultrasound 37:363, 1996.
5. Howe LM, Slater MR, Boothe HW, et al.: Long-term outcome of gonadectomy performed at an early age or traditional age in cats. J Am Vet Med
Assoc 217:1661, 2000.
6. Spain CV, Scarlett JM, Houpt KA: Long-term risks and benefits of early-age gonadectomy in cats. J Am Vet Med Assoc 224:372, 2004.
7. Herron MA: A potential consequence of prepubertal feline castration. Feline Pract 1:17, 1971.
8. Stubbs WP, Bloomberg MS, Scruggs SL, et al.: Effects of prepubertal gonadectomy on physical and behavioral development in cats. J Am Vet
Med Assoc 209: 1864, 1996.
9. Root MV: The effect of prepubertal and postpuberal gonadectomy on the general health and development of obesity in the male and female
domestic cat. PhD Thesis, University of Minnesota, Saint Paul, MN, 1995.
10. Root MV: Early spay-neuter in the cat: effect on development of obesity and metabolic rate, Veterinary Clinical Nutrition 2:132, 1995.
11. Salmeri KR, Bloomberg MS, Scruggs SL, et al.: Gonadectomy in immature dogs: Effects on skeletal, physical, and behavioral development. J Am
Vet Med Assoc 198:1193, 1991.
12. Spain, CV, Scarlett JM, Houpt KA: Long-term risks and benefits of early-age gonadectomy in dogs. J Am Vet Med Assoc 224:380, 2004.
13. Root MV, Johnston SD, Olson PN: The effect of prepubertal and postpubertal gonadectomy on radial physeal closure in male and female
domestic cats. Vet Radiol & Ultrasound38:42, 1997.
14. Howe LM, Slater MR, Boothe HW, et al.: Long-term outcome of gonadectomy performed at an early age or traditional age in dogs. J Am Vet Med
Assoc 218:217, 2001.
15. Howe LM: Short-term results and complications of perpubertal gonadectomy in cats and dogs. J Am Vet Med Assoc 211(1):57, 1997.
16. De la Riva GT, Hart BL, Farver TB, et al.: Neutering dogs: effects on joint disorders and cancers in Golden Retrievers. PLOS One 8(2):e55937,
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19. Bryan JN, Keeler MR, Henry CJ, et al.: A population study of neutering status as a risk factor for canine prostate cancer. Prostate 67(11):1174-
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20. Sorenmo KU, Goldschmidt M, Shofer F, et al.: Immunohistochemical characterization of canine prostatic carcinoma and correlation with
castration status and castration time. Vet Comp Oncol 1(1):48-56, 2003.
Orchiectomy of Descended and Retained Testes in the Dog and Cat
Baumans V. Dijkstra G, Hensing CJG. Testicular descent in the dog. Zentralbi Veterinaermed [A] 1981;1O:97.
Evans HE. Miller's anatomy of the dog. 3rd ed. Philadelphia: WB Saunders, 2005.
Hates HM, Wilson GP, Pendergrass TW, et al. Canine cryptorchidism and subsequent testicular neoplasia: case control study with epidemiologic
update. Teratology 1-85;32:51.
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Knecht CD. An alternative approach for castration of the dog. Vet Med Small Arnm Clin 1976;71:469.
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Penis and Prepuce


Ader PL, Hobson HP. Hypospadias: a review of the veterinary literature and a report of three cases in the dog. J Am Anim Hosp Assoc 1978; 14:721.
Bennett D, Baugham J, Murphy F. Wedge osteotomy of the os penis to correct penile deviation. J Small Anim Pract 1986;27:379.
Burger RA, Muller SC, et al. The buccal mucosal graft for urethral reconstruction: a preliminary report. J Urol 1992;147:662.
Chaffee VM, Knecht CD. Canine paraphimosis: sequel to inefficient preputial muscles. Vet Med Small Anim Clin 1975;70:1418.
Hayes AG, Pavletic MM, et al. A preputial splitting technique for surgery of the canine penis. J Am Anim Hosp Assoc 1994; 30:291.
Leighton RL. A simple surgical correction for chronic penile protrusion (dog). J Am Anim Hosp Assoc 1976; 12:667.
Pope ER, Swaim SF. Surgical reconstruction of hypoplastic prepuce. J Am Anim Hosp Assoc 1986,22:73.
Poppas DP, Mininberg LH, et al. Patch graft urethroplasty using dye enhanced laser tissue welding with a human protein solder: a preclinical canine
model. J Urol 1993; 150:648.
Proescholdt TA, DeYoung DW, Evans LE. Preputial reconstruction for phimosis and infantile penis. J Am Anim Hosp Assoc 1977; 13:725. Smith MM,
Gourley IM. Preputial reconstruction in a dog. J Am Vet Med Assoc 1990,196:1493.
Varshney AC, Sharma VK, et al. Surgical management of carcinomatous urethral obstruction in a dog. Indian Vet J 1985; 62:1073.

Endocrine System Adrenalectomy


1. Maher ER, McNiel EA. Pheochromocytoma in dogs and cats. Vet Clin North Am Small Anim Pract 1999; 27:359-380.
2. Evans HE, Christensen GC. Miller's anatomy of the dog. 2nd ed. Philadelphia: WB Saunders, 1993: 578-579.
3. Smith MM, Waldron DR. Atlas of Approaches for General Surgery of the Dog and Cat. Philadelphia: WB Saunders, 1993: 171.
4. Axlund TW, Winkler JT. Surgical Treatment of Canine Hyperadreno-corticism. Compend Contin Educ Pract Vet 2003; 25(5):334-346.
5. Gilson SD, Withrow SJ, Orton C. Surgical Treatment of Pheochromocytoma: Technique, Complications, and Results in Six Dogs. Vet Surg 1994;
23:195-200.
6. Locke-Bohannon LG, Mauldin GE. Canine pheochromocytoma: Diagnosis and management. Compend Contin Educ Pract Vet 2001; 23(9); 807-
814.
7. Scavelli TD, Peterson ME, Matthiesen DT. Results of surgical treatment for hyperadrenocorticism caused by adrenocortical neoplasia in the dog:
25 cases (1980-1984). J Am Vet Med Assoc 1986; 189:1360-1364.
8. Feldman EC, Nelson RW. Canine hyperadrenocorticism (Cushing's syndrome). In: Feldman EC, Nelson RW. Canine and Feline Endocrinology
and Reproduction, Third Edition. Philadelphia: WB Saunders Co., 2004: 252-357.
9. Kirk RW: Current Veterinary Therapy IX. Philadelphia, W. B. Saunders Co, 1986: 972-981.
10. Gilson SD, Withrow SJ, Wheeler SL, et al: Pheochromocytoma in 50 dogs. J Vet Intern Med. 1994: 8; 228-232.
11. Werbel SS, Ober KP: Pheochromocytoma: Update on diagnosis, localization and management. Med Clin North Am. 1995: 79; 131-153.
12. Twedt DC, Wheeler SC: Pheochromocytoma in the dog. Vet Clin North Am Small Anim Pract. 1984: 14; 767-782.
13. Kyles AE, Feldman EC, De Cock HE, et al. Surgical management of adrenal gland tumors with and without associated tumor thrombi in dogs: 40
cases (1994-2001). J Am Vet Med Assoc 2003; 223;654-662.
14. Anderson CR, Birchard SJ, Powers BE, et al. Surgical Treatment of Adrenocortical Tumors: 21 Cases (1990-1996). J Am Anim Hosp Assoc
2001; 37:93-97.

Thyroidectomy in the Dog and Cat


1. Evans HE, Christensen GC: Miller's Anatomy of the Dog, The Endocrine System, WB Saunders, Philadelphia, 1979, pp. 611-618.
2. Nicholas JS, Swingle WW: An experimental and morphological study of the parathyroid glands of the cat. Am J Anat 34:469-508, 1925.
3. Brodey TS, Kelly DF: Thyroid neoplasms in the dog. Cancer 22: 406-416, 1968.
4. Birchard SJ, Roesel OF: Neoplasia of the thyroid gland in the dog: A retrospective study of 16 cases. JAAHA 17:369-372, 1981.
5. Panciera DL, Peterson ME, Birchard SJ. Diseases of the thyroid gland. In Saunders Manual of Small Animal Practice, 3rd ed., Birchard SJ,
Sherding RG, eds. Elsevier, St. Louis, 2006, pgs. 327-342 .
6. Leav I, Shiller AC, Rijnberk A, Legg MA, derKinderen PJ: Adenomas and carcinomas of the canine and feline thyroid. Am J of Path 83:6193,1976.
7. Klein MK, Powers BE, Withrow SJ, et.al. Treatment of thyroid carcinoma in dogs by surgical resection alone: 20 cases (1981-1989) JAVMA
206:1007-1009, 1995.
8. Tuohy JL, Worley DR, Withrow SJ,. Outcome following simultaneous bilateral thyroid lobectomy for treatment of thyroid gland carcinoma in dogs:
15 cases (1994-2010). J Amer Vet Med Assoc 241: 95-103, 2012.
9. Pack L, Roberts RE, Dawson SD, et.al. Definitive radiation therapy for infiltrative thyroid carcinoma in dogs. Vet Radiol Ultrasound 42:471-474,
2001.
10. Nadeau ME, Kitchell B E. Evaluation of the use of chemotherapy and other prognostic variables for surgically excised canine thyroid carcinoma
with and without metastasis. Can Vet J 52: 994-998, 2011.
11. Schenck PA, Chew DJ, Van Gundy T. Diseases of the parathyroid gland and calcium metabolism. In; Saunders Manual of Small Animal Practice,
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12. DiBartola SP, Broome MR, Stein BS, et. al. Effect of treatment of hyperthyroidism on renal function in cats. J Am Vet Med Assoc 208:875878,
1996.
13. Peterson ME, Kintzer PP, Hurvitz AI. Methimazole treatment of 262 cats with hyperthyroidism. J Vet Intern Med 2:150-157, 1988.
14. Birchard SJ, Peterson ME, Jacobson A: Surgical treatment of feline hyperthyroidism: Results of 85 cases. JAAHA 20:705-709, 1984.
15. Welches CD, Scavelli TD, Matthiesen DT, et. al. Occurence of problems after three techniques of bilateral thyroidectomy in cats. Vet Surg
18:392-396, 1989.
16. Flanders JA, Harvey HJ, Erb HN. Feline thyroidectomy: A comparison of postoperative hypocalcemia associated with three different surgical
techniques. Vet Surg 16:362-366, 1987.
17. Turrel JM, Feldman EC, Nelson RW, et. al. Thyroid carcinoma causing hyperthyroidism in cats: 14 cases (1981-1986).
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Hernias
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3. George CD, Ellis H: The results of incisional hernia repair: A twelve year review. Ann R Coll Surg Engl 68:185, 1986.
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5. Rosin E: Single layer, simple continuous suture pattern for closure of abdominal incisions. J Am Anim Hosp Assoc 21:751, 1985.
6. Crowe DT: Closure of abdominal incisions using a continuous polypropylene suture: Clinical experience in 550 dogs and cats. Vet Surg 7:74,
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7. Larson GM, Vandertoll DJ: Approaches to repair of ventral hernia and full thickness losses of the abdominal wall. Symposium of hernias. Surg Clin
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8. Alexander HC, Prudden JF: The causes of abdominal wound disruption. Surg Gynecol Obstet 122:1223, 1966.
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11. George CD, Ellis H: The results of incisional hernia repair: A twelve year review. Ann R Coll Surg Engl 68:185, 1986.
12. Nilsson T: Abdominal wound repair: An experimental study of the wound healing mechanism in the rabbit. Dan Med Bull 30:394, 1983.
13. Rosin E, Robinson GM: Knot security of suture materials. Vet Surg 18:269, 1989.
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17. Ingle-Fehr JE, Baxter GM, Howard RD, et al.: Bacterial culturing of ventral midline celiotomies for predication of postoperative incisional
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18. Boyd JB: Tissue expansion in reconstruction. South Med J 80:430, 1987.
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21. Woolfson JM, Dulisch ML: Open abdominal drainage in the treatment of generalized peritonitis in 25 dogs and cats. Vet Surg 15:27, 1986.

Inguinal Hernia Repair in the Dog


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2. Fox MW. Inherited inguinal hernia and midline defects in the dog. J Am Vet Med Assoc 1963,143:602-604.
3. Hayes HM Jr. Congenital umbilical and inguinal hernias in cattle, horses, swine, dogs, and cats: risk by breed and sex among hospital patients. Am
J Vet Res 1974;35:839-842.
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6. Smeak DD. Caudal abdominal hernias. In: Slatter DH, ed. Textbook of small animal surgery. 2nd ed. Vol. 1. Philadelphia: WB Saunders, 1985.
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Surgical Techniques for Treatment of Perineal Hernia
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7. Walker RG. Perineal hernia in the dog. Vet Rec 1965;77:93-94.
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20. Harvey CE. Treatment of perineal hernia in the dog- reassessment. J Sm Anim Pract 1977;18:505-511.
21. Chambers JN, Rawlings CA. Applications of a semitendinosus flap in two dogs. J Am Vet Med Assoc 1991;199:84-86.
22. Knecht CD. An alternate approach for castration of the dog. Vet Med/Small Anim Clin 1976;71:469-473.
23. Stoll MR, Cook JL, Pope ER, et al. The use of porcine small intestinal submucosa as a biomaterial for perineal herniorrhaphy in the dog. Vet Surg
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24. Desai R. An anatomical study of the canine male and female pelvic diaphragm and effect of testosterone on the status of the levator ani of male
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26. Piermattei DL, Johnson KA. Approach to the caudal aspect of the hip joint and body of ischium. In: Piermattei DL, Johnson KA, eds. An Atlas of
Surgical Approaches to the Bones and Joints of the Dog and Cat. 4th ed. Philadelphia: Saunders, 2004, pp. 310-314.
27. Dean PW, O'Brien DP, Turk MA, et al. Silicone elastomer sling for fecal incontinence in dogs. Vet Surg 1988;17:304-310.
28. Orsher RJ. Clinical and surgical parameters in dogs with perineal hernia- analysis of results of internal obturator transposition. Vet Surg
1986;15:253-258.
29. Philibert D, Fowler JD. Use of muscle flaps in reconstructive surgery. Compend Cont Ed Pract Vet 1996;18:395-405.
30. Bilbrey SA, Smeak DD, DeHoff W. Fixation of the deferent ducts for retrodisplacement of the urinary bladder and prostate in canine perineal
hernia.Vet Surg 1990;19:24-27.
31. Brissot HN, Dupré GP, Bouvy BM. Use of laparotomy in a staged approach for resolution of bilateral or complicated perineal hernia in 41 dogs.
Vet Surg 2004;33:412-421.
32. Yoon H, Mann FA, Clinical evaluation of three different colopexy techniques in dogs. Indian Vet J 2009; 86:1129-1131.
33. Welches CD, Scavelli TD, Aronsohn MG, et al. Perineal hernia in the cat: a retrospective study of 40 cases. J Am Anim Hosp Assoc 1992;28:431-
438.
34. Johnson MS, Gourley IM. Perineal hernia in a cat. Vet Med 1980;75:241-243.
35. Ashton DG. Perineal hernia in the cat: a description of two cases. J Small Anim Pract 1976;17:473-477.
36. Leighton RL. Perineal hernia in a cat. Feline Pract 1979;9:44.
37. Anderson M, Pope ER, Constantinescu GM. Perineal hernia in a cougar. J Am Vet Med Assoc 1992;201:1771-1772.
38. Martin WD, Fletcher TF, Bradley WE. Perineal musculature in the cat. Anat Rec 1974;180:3-14.
39. Constantinescu GM, Amann JF, Anderson MA, et al. Topography and surgery in the regio perinealis of the cat. Wien Tierarztl Monatsschr
1993;80:208-211.
40. Babic DV, Stejskal M, Capak D, et al. Application of a semitendi-nosus muscle flap in the treatment of perineal hernia in a cat. Vet Rec
2005;156:182-184.

Prepubic Hernia Repair


1. Mann FA et al.: Cranial pubic ligament rupture in dogs and cats. J Am Anim Hosp Assoc 22:519, 1986.
2. Waldron DR et al.: Abdominal hernias in dogs and cats: A review of 24 cases. J Am Anim Hosp Assoc 22:818, 1986.
3. Shaw SP, Rozanski EA, Rush JE: Traumatic body wall herniation in 36 dogs and cats. J Am Anim Hosp Assoc 39:35-46, 2003.
4. Green RB, Quigg JA, Holt PE: Vesicocutaneous fistulation following prepubic tendon rupture in a bitch. J Small Anim Pract 30:315-317,
5. Hanson RR, Todhunter RJ. Herniation of the abdominal wall in pregnant mares. J Am Vet Med Assoc 189:790-3, 1986.
6. Smeak DD: Management and prevention of surgical complications associated with small animal abdominal herniorrhaphy. Prob Vet Med 1:254,
1989.
7. Weinstein MJ, Pavletic MM, Boudrieau RJ, Engler SJ: Cranial sartorius muscle flap in the dog. Vet Surg 184:286-291, 1989.
8. Philiber D, Fowler JD: Use of muscle flaps in reconstructive surgery. Comp Contin Ed Pract Vet 18:395-405, 1996.

Feline Onychectomy
Holmberg DL, Brisson BA. A prospective comparison of postoperative morbidity associated with the use of scalpel blades and lasers for
onychectomy in cats. Can Vet J 2006;47:162-163.
Curcio K, Bidwell LA, Bohart GV, Hauptman JG. Evaluation of signs of postoperative pain and complications after forelimb onychectomy in cats
receiving buprenorphine alone or with bupivacaine administered as a four-point regional nerve block. J Am Vet Med Assoc 2006;228:65-68.
Romans CW, Gordon WJ, Robinson DA, Evans R, Conzemius MG. Effect of postoperative analgesic protocol on limb function following onychectomy
in cats. J Am Vet Med Assoc 2005;227:89-93.
Romans CW, Conzemius MG, Horstman CL, Gordon WJ, Evans RB. Use of pressure platform gait analysis in cats with and without bilateral
onychectomy. Am J Vet Res 2004;65:1276-1278.
Young WP. Feline onychectomy and elective procedures. Vet Clin North Am Small Anim Pract 2002;32:601-619, vi-vii.
Mison MB, Bohart GH, Walshaw R, Winters CA, Hauptman JG. Use of carbon dioxide laser for onychectomy in cats. J Am Vet Med Assoc
2002;221:651-653.
Patronek GJ. Assessment of claims of short- and long-term complications associated with onychectomy in cats. J Am Vet Med Assoc 2001;219:932-
937.
Tobias KS. Feline onychectomy at a teaching institution: a retrospective study of 163 cases. Vet Surg 1994;23:274-280.
Ringwood PB, Smith JA. Anesthesia case of the month. J Am Vet Med Assoc 2000;217:1633-1635.
Martinez S, Hauptman J, Walshaw R. Comparing two techniques for onychectomy in cats and two adhesives for wound closure. Vet Med
1993;88:516-525.
Carroll GL, Howe LB, Peterson KD. Analgesic efficacy of preoperative administration of meloxicam or butorphanol in onychectomized cats. J Am Vet
Med Assoc 2005;226:913-919.
Gellasch KL, Kruse-Elliott KT, Osmond CS, Shih AN, Bjorling DE. Comparison of transdermal administration of fentanyl versus intramuscular
administration of butorphanol for analgesia after onychectomy in cats. J Am Vet Med Assoc 2002;220:1020-1024.
Dobbins S, Brown NO, Shofer FS. Comparison of the effects of buprenorphine, oxymorphone hydrochloride, and ketoprofen for postoperative
analgesia after onychectomy or onychectomy and sterilization in cats. J Am Anim Hosp Assoc 2002;38:507-514.
Cooper MA, Laverty PH, Soiderer EE. Bilateral flexor tendon contracture following onychectomy in 2 cats. Can Vet J 2005;46:244-246.

Mammary Glands Mastectomy


Alenza MDP, Tabanera E, Pena L. Inflammatory mammary carcinoma in dogs: 33 cases (1995-1999). J Am Vet Assoc 2001:219:1110-1114.
Allen SW, Mahaffey EA. Canine mammary neoplasia: Prognostic indicators and response to surgical therapy. J Am Anim Hosp Assoc 1989:25:540-
546.
Hayes AA, Mooney S. Feline mammary tumors. Vet Clin North Am 1985:15:513-520.
Kristiansen VM, et al. Effect of ovariohysterectomy at the time of tumor removal in dogs with benign mammary tumors and hyperplastic lesions: A
randomized controlled clinical trial. J Vet Intern Med 2013:27:935-942.
Morris JS, et al. Effect of ovariohysterectomy in bitches with mammary neoplasms. Vet Rec 1998:142:656-658.
Overley B, et al. Case-control study of hormonal influences on the development of feline mammary gland carcinoma. Proc Vet Cancer Soc 2002:36.
Rutteman GR, Withrow SJ, MacEwen EG. Tumors of the mammary gland. In:Withrow SJ, MacEwen EG, eds. Small animal clinical oncology. 3rd ed.
Philadelphia: WB Saunders, 2001:455-477.
Philibert JC, et al. Influence of host factors on survival in dogs with malignant mammary gland tumors. J Vet Intern Med 2003;17:102-106.
Sorenmo KU. Canine mammary gland tumors. Vet Clin North Am 2003;33:573-596.
Sorenmo KU, Shofer FS, Goldschmidt MH. Effect of spaying and timing of spaying on survival of dogs with mammary carcinoma. J Vet Intern Med
2000;14:266-270.
Viste JR, et al. Feline mammary adenocarcinoma: tumor size as a prognostic indicator. Can Vet J 2002;43:33-37.
Waldron DR. Diagnosis and surgical management of mammary neoplasia in dogs and cats. Vet Med 2001:943-948.
Yamagami T, et al. Influence of ovariectomy at the time of mastectomy on the prognosis for canine malignant mammary tumours. J Small Anim Pract
1996;37:462-464.

Skin Grafting and Reconstruction Techniques


1. Pavletic MM. The Vascular supply to the skin of the dog; a review. Vet Surg 1980;9:77.
2. Pavletic MM. The integument. In: Slatter DH, ed. Textbook of small animal surgery, 3rd ed. Philadelphia: WB Saunders, 2003.
3. Pavletic MM. Pedicle grafts. In: Slatter DH, ed. Textbook of small animal surgery, 3rd ed. Philadelphia: WB Saunders 2003.
4. Pavletic MM. Underming the skin in the dog and cat. Mod vet Pract 1986;67:16.
5. Pavletic MM. Atlas of small animal reconstructive surgery, PhilaÖ¾ delphia: WB Saunders, 1999.
6. Pavletic MM. Caudal superficial epigastric arterial pedicle grafts in the dog. Vet Surg 1980;9:103.
7. Pavletic MM. Canine axial pattern flaps, using the omocervical, thoraÖ¾ codorsal, and deep circumflex iliac direct cutaneous arteries. Am J Vet
Res 1981;42:391.
8. Alexander JW, Hoffer RE, MacDonald JM. The use of tubular flap grafts in the treatment of traumatic wounds on the extremity of the cat. Feline
Pract 1976:6:2.
9. Yturraspe DJ, Creed JE, Schwach RP. Thoracic pedicle skin flap for repair of lower limb wounds in dogs and cats. J Am Anim Hosp Assoc
1976;12:581.
10. Pavletic MM, Kostolich M, Koblik P, et al. Comparison of the cutaneous trunci myocutaneous flap and latissimus dorsi myocutaneous flap in the
dog. Vet Surg 1987:16:283.
11. Matera JM, Tatarunas AC, Fantori DT, asconcellos CNC. Use of scrotum as a transposition flap for closure of surgical wounds in three dogs. Vet
Surg 2004;33:99.
12. Hunt GB, Tisdall PLC, Liptak JM, et al. Skin fold advancement flaps for closing large proximal limb and trunk defects in two dogs and cats. Vet
Surg 2001:30:440.
13. Hunt GB. Skin fold advancement flips for closing large sternal and inguinal wounds in cats and dogs. Vet Surg 1995;24:172.
14. Anderson DM, Charlesworth TC, White RAS. A novel axial pattern flap based on the lateral thoracic artery in the dog; lateral thoracic skin flap.
Vet Comp Orthop Traumatol 2004;17:57.
15. Fahie MA, Smith MM. Axial pattern flap based on the cutaneous branch of the superficial temporal artery in dogs: An experimental study and
case report. Vet Surg 1999;28:141.
16. Fahie MA, Smith MM. Axial pattern flap based on superficial temporal artery in cats; an experimental study. 1997;26:86.
17. Aper R, Smeak D. Complications and outcome after thoracodorsal axial pattern flap reconstruction of forelimb skin defects in 10 dogs,
19892001Ö¾. Vet Surg 2003;32:378.
18. Lidbetter DA, Williams FA, Krahwinkel OJ, et al. Radical lateral bodyÖ¾wall resection for fibrosarcoma with reconstruction using polypropylene
mesh and a caudal superficial epigastric axial pattern flap: a prospective clinical study of the technique and results in six cats. Vet Surg 2002;31:57.
19. Lester S, Pratschke K. Certral hemimaxillectomy and reconstruction using a superficial temporal artery axial pattern flap in a domestic short hair
cat. Fel Med Surg 2003:5:241.
20. Stiles J, Townsend W, Willis M, et al. Use of a caudal auricular axial pattern flap in three cats and one dog following orbital exenteration. Vet
ophthal 2003:6:121.
21. Smith MM: Carrig CB, Waldron DR, et al. Direct cutaneous arterial supply to the tail in dogs. Am J Vet Res 1992:53:145.
22. Kostolich M, Pavletic MM. Axial pattern flap based on the genicular branch of the saphenous artery in the dog. Vet Surg 1987:16:217.
23. Pavletic MM, Macintire D. Phycomycosis of the axilla and inner brachium in a dog: surgical excision and reconstruction with a thoracodorsal axial
pattern flap. J Am Vet Med Assoc 1982:180:1197.
24. Henney LHS, Pavletic MM. Axial pattern flap based on the superficial brachial artery in the dog. Vet Surg 17:311, 1988.
25. Sardinas JC, Pavletic MM, Ross JT, et al. Comparative viability of penisular and island axial pattern flaps incorporation the cranial superficial
epigastric artery in dogs. J Am Vet Med Assoc 1995:207:452.
26. Remedios AM, Bauer MS, Bowen CV. Thoracodorsal and caudal superficial epigastric axial pattern skin flaps in cats. Am J Vet Res 1992:53:145.
27. Smith MM, Payne JT, Moon ML, et al. Axial pattern flap based on the caudal auricular artery in dogs. Am JVet Res 1991:52:922.
28. Pavletic MM, Wafters J, Henry RW, et al. Reverse saphenous conduit flap in the dog. J Am Vet Med Assoc 1982:182:380.
29. Cornell K, Salisbury K, Jakovljevic S, et al. Reverse saphenous conduit flap in cats: an anatomic study. Vet Surg 1995:24:202.
30. Milton SH. Experimental studies of island flaps. I. The surviving length. Plast Reconstr Surg 1971:48:574.
31. Gourley IM. Neurovascular island flap for treatment of trophic metacarpal pad ulcer in the dog. J Am Anim Hosp Assoc 1978:14:119.
32. Pavletic MM. Surgery of the skin and management of wounds. In: Sherding R, ed. Diseases of the cat: diagnosis and management. New York:
Churchill Livingstone, 1994.
33. Lascelles BDX, White RAS. Combined omental pedicle graft and thoracodorsal axial pattern flaps for the reconstruction of chronic nonhealing
wounds in cat. Vet Surg 2001:30:380.
34. Mayhew PD, Holt DE. Simultaneous use of bilateral caudal superficial epigastiric axial pattern flaps for wound closure in a dog. Sm Anim Pract
2003:44:534.
35. Krizek TJTani T, Desprez JD, et al. Experimental transplantation of composite grafts by microsurical vascular anastomoes. Plast Reconstr Surg
1965:36:358.
36. Tsai TJ et al. The effect of hypothermia and tissue perfusion on extended myocutaneous flap viability. Plast Resconstr Surg 1982:70:444.
37. Harii K, Ohmori K, Sekiguchi J. The free musculocutaneous flap. Plast Reconstr Surg 1973:57:294.
38. Schlenker JD. Discussion: the effect of hypothermia and tissue perfusion on extended myocutaneous flap viability. Plast Reconstr Surg
1982:70:453.
39. Erol 00, Spira M. Secondary musculocutaneous flap: an experimental study. Plast Reconstr Surg 1980:65:277.
40. Schechter GL, Biller HF, Ogura JH. Revascularized skin flaps: a new concept in transfer of skin flaps. Laryngoscope 1969:79:1647.
41. Swanson SW, Goring RI, Dehann JJ, et al. Reconstruction of a facial defect using the ear pinna as a composite flap. J Am Animal Hosp Assoc
1998:34:399.
42. Pavletic MM, Nafe LA, Confer AW. Mucocutaneous subdermal plexus flap from the lip for lower eyelid restroration in the dog. J Am Vet Med
Assoc 1982:180:921.
43. Hunt GB. Use of the lip to lid flap for replacement of the lower eyelid in cats. Vet Surg 2006;35:284.
44. Pavletic MM. An external skin-stretching device for wound closure in dogs and cats. J. Am Vet Med Assoc 2000; 217:350.
45. Spodnick G, Pavletic MM, Schelling S, et al. Controlled tissue expansion in the distal extremities of dogs. Vet Surg 1993;22:436.
46. Keller WG, Anon DN, Rarich PM, et al. Rapid tissue expansion for the development of rotational skin flaps in the distal portion of the hind limb of
dogs: an experimental study. Vet Surg 1994;23:31.
47. Johnston DE. Tissue expanders. Vet Clin No Am. 1990;20:227.
48. Swaim SF, Henderson RA. Small animal wound management. Philadelphia Williams and Wilkins, 1997.
49. Bradley DM, Swaim SF, Alexander CM, et al. Autogenous pad grafts for reconstruction of a weight - bearing surface: a case report. J Am Anim
Hosp Assoc 1994;30:533.
50. Aragon CL, Harvey SE, Allen SW, Stevenson MA. Partial thickness skin grafting for large thermal skin wounds in dogs. Compen Contin Edu
2004;26;2005.
51. Pavletic MM. Foot salvage by delayed reimplantation of severe metatarsal and digital pads using a bipedicle direct flap technique. J Am Anim
Hosp Assoc 1994;30:539.
52. Bradley DM, Scardino MS, Swaim SF. Construction of a weight-bearing surface on a dog distal pelvic limb. J Am Anim Hosp Assoc 1998;34:387.
Mesh Skin Grafting
Fowler D: Distal limb and paw injuries. Vet Clin Small Anim 2006; 36: 819-845.
Swaim SF, Henderson RA: Wounds on the limbs. In: Small animal wound management. Philadelphia: Lea & Febiger, 1990.
Macphail CM: Skin grafts. In: Fossum TW (ed). Small animal surgery 4th ed. St. Louis: Mosby-Elsevier, 2013.

Reconstructive Microsurgical Applications


1. Gustilo RB, Merkow RL, Templeman D. Current concepts review: the management of open fractures. J Bone Joint Surg Am 1990;72:299-304.
2. Asaadi M, Murray KA, Russell RC, et al. Experimental evaluation of free tissue transfer to promote healing of infected wounds in dogs. Ann Plast
Surg 1986;17:6-12.
3. Richards RR, Schemitsch EH. Effect of muscle flap coverage on bone blood flow following devascularization of a segment of tibia: an experimental
investigation in the dog. J Orthop Res 1989;7:550-558.
4. Richards RR, McKee MD, Paitich B, et al. A comparison of the effects of skin coverage and muscle flap coverage on the early strength of union at
the site of osteotomy after devascularization of a segment of canine tibia. J Bone Joint Surg Am 1991; 73:1323-1330.
5. Anthony JP, Mathes SJ, Alpert BS. The muscle flap in the treatment of chronic lower extremity osteomyelitis: results in patients over 5 years after
treatment. Plast Reconst Surg 1991; 88:311-318.
6. Jaeger K, Stark GB. Clinical and experimental evidence for the improvement of perfusion from free myocutaneous flaps. In: Stuttgart DR, ed.
Microsurgical tissue transplantation. Chicago: Quintessence, 1989:217-222.
7. McKee NH, Kuzon WM. Functioning free muscle transplantation: making it work? What is known? Ann Plast Surg 1989; 23:249-254.
8. Manktelow RT, Zuker RN. The principles of functioning muscle transplantation: applications to the upper arm. Ann Plast Surg 1989;22:275-281.
9. Taylor GI, Minabe T. The angiosomes of the mammals and other vertebrates. Plast Reconst Surg 1992;89:181-215.
10. Gregory CR, Gourley IM, Koblik PD, et al. Experimental definition of latissimus dorsi, gracilis, and rectus abdominis musculocutaneous flaps in
the dog. Am J Vet Res 1988;49:878-884.
11. Weinstein MJ, Pavletic MM, Boudrieau RJ. Caudal sartorius muscle flap in the dog. Vet Surg 1988,17:203-210.
12. Solano M, Purinton PT, Chambers JN, et al. Effects of vascular pedicle ligation on blood flow in canine semitendinosus muscle. Am J Vet Res
1995;56:731-735.
13. Pavletic MM. Canine axial pattern flaps, using the omocervical, thoracodorsal, and deep circumflex iliac direct cutaneous arteries. Am J Vet Res
1981;42:391-406.
14. Pavletic MM. Caudal superficial epigastric arterial pedicle grafts in the dog. Vet Surg 1980;9:103-107.
15. Henney LHS, Pavletic MM. Axial pattern flap based on the superficial brachial artery in the dog. Vet Surg 1988; 17:311-317.
16. Smith MM, Shults S, Waldron DR, et al. Platysma myocutaneous flap for head and neck reconstruction in cats. Head Neck 1993;15:433-439.
17. Smith MM, Payne JT, Moon ML, et al. Axial pattern flap based on the caudal auricular artery in dogs. Am J Vet Res 1991; 52:922-925.
18. Remedios AM, Bauer MS, Bowen CV. Thoracodorsal and caudal superficial epigastric axial pattern skin flaps in cats. Vet Surg 1989;18:380-385.
19. Weinstein MJ, Pavletic MM, Boudrieau RJ, et al. Cranial sartorius muscle flap in the dog. Vet Surg 1989,18:286-291.
20. Degner DA, Bauer MS, Steyn PF, et al. The cranial rectus abdominis muscle pedicle flap in the dog. Vet Comparative Orthop Traumatol
1994;7:21-24.
21. Purinton PT, Chambers JN, Moore JL. Identification and categorization of the vascular patterns to muscles of the thoracic limb, thorax, and neck
of dogs. Am J Vet Res 1992;53:1435-1445.
22. Chambers JN, Purinton PT, Allen SW, et al. Identification and anatomic categorization of the vascular patterns to the pelvic limb muscles of dogs.
Am J Vet Res 1990;51:305-313.
23. Jackson M. Platelet physiology and platelet function: inhibition by aspirin. Compend Contin Educ Pract Vet 1987;9:627-638.
24. Concannon KT, Haskins SC, Feldman BF. Hemostatic defects associated with two infusion rates of dextran 70 in dogs. Am J Vet Res
1992;53:1369-1372.
25. Zelt RG, Olding M, Kerrigan CL, et al. Primary and secondary critical ischemia times of myocutaneous flaps. Plast Reconstr Surg 1986;78:500-
503.
26. Picard-Ami LA, Thomson JG, Kerrigan CL. Critical ischemia times and survival patterns of experimental pig flaps. Plast Reconstr Surg
1990;86:739-743.
27. Kerrigan CL, Zelt RG, Daniel RK. Secondary critical ischemia time of experimental skin flaps. Plast Reconstr Surg 1984; 74:522-526.
28. Degner DA, Walshaw R. Medial saphenous fasciocutaneous and myocutaneous free flap transfer in eight dogs. Vet Surg 1997; 26:20-25.
29. Fowler JD, Miller CW Bowen V, et al. Transfer of free vascular cutaneous flaps by microvascular anastomosis: results in six dogs. Vet Surg
1987;16:446-450.
30. Miller CW, Fowler JD, Bowen CVA, et al. Experimental and clinical free cutaneous transfers in the dog. Microsurgery 1991;12:113-118.
31. Degner DA, Walshaw R, Lanz O, et al. The medial saphenous fasciocutaneous free flap in dogs. Vet Surg 1996;25:105-113.
32. Philibert D, Fowler JD, Clapson JB. The anatomic basis for a trapezius muscle flaps in dogs. Vet Surg 1992;21:429-434.
33. Philibert D, Fowler JD, Clapson JB. Free microvascular transfer of the trapezius musculocutaneous flap in dog. Vet Surg 1992;21:435-440.
34. Nicoll SA, Fowler JD, Remedios AR, et al. Development of a free latissimus dorsi muscle flap in cats. Vet Surg 1996;22:40-48.
35. Fowler JD, Levitt L, Bowen CVA. Microsurgical free bone transfer in the dog. Microsurgery 1991;12:145-150.
36. Brown K, Marie P, Lyszakowski T, et al. Epiphysial growth after free fibular transfer with and without microvascular anastomosis. J Bone Joint
Surg Br 1983;65:493-501.
37. Ostrup LT, Fredrickson JM. Distant transfer of a free, living bone graft by microvascular anastomoses. Plast Reconstr Surg 1974;54:274-285.
38. Levitt L, Fowler JD, Longley M, et al. A developmental model for free vascularized bone transfers in the dog. Vet Surg 1988;17:194-202.
39. Szentimrey DG, Fowler JD. The anatomic basis of a free vascularized bone graft based on the distal canine ulna. Vet Surg 1994;23:529-533.
40. Szentimrey DG, Fowler JD, Johnston C, et al. Transplantation of the canine distal ulna as a free vascularized bone graft. Vet Surg 1995;24:215-
225.
41. Philibert D, Fowler JD. The trapezius osteomusculocutaneous flaps in dogs. Vet Surg 1993;22:444-450.
42. Swaim SF, Bradley DM, Steiss JE, et al. Free segmental paw pad grafts in dogs. Am J Vet Res 1993;54:2161-2170.
43. Swaim SF, Riddell KP, Powers RD. Healing of segmental grafts of digital pad skin in dogs. Am J Vet Res 1992;53:406-410.
44. Gourley IM. Neurovascular island flap for treatment of trophic metacarpal pad ulcer in the dog. J Am Anim Hosp Assoc 1978;14:119-125.
45. Basher A. Foot injuries in dogs and cats. Compend Contin Ed Pract Vet 1994;16:1159-1176.
46. Basher AWP, Fowler JD, Bowen CV, et al. Microneurovascular free digital pad transfer in the dog. Vet Surg 1990;19:226-231.

Paw and Distal Limb Salvage and Reconstructive Techniques


Barclay CG, Fowler JD, Basher AW. Use of the carpal pad to salvage the forelimb in a dog and cat: An alternative to total limb amputation. J Am
Anim Hosp Assoc 1987;23,527 532.
Basher AW. Foot injuries in dogs and cats. Compend Contin Educ Pract Vet 1994;16:1159 1178.
Bradley DM, Shealy PM, Swaim SF. Meshed skin graft and phalangeal fillet for paw salvage: a case report. J Am Anim Hosp Assoc 1993;29:427
433.
Bradley DM, Swaim SF, Alexander CN, et al. Autogenous pad grafts for reconstruction of a weight bearing surface: a case report. J Am Anim Hosp
Assoc 1994;30:533 538.
Newman ME, Lee AH, Swaim SF, et al. Wound healing of sutured and nonsutured canine metatarsal foot pad incisions. J Am Anim Hosp Assoc
1986;22:757 761.
Pavletic MM. Atlas of small animal reconstructive surgery, 2nd ed. Philadelphia: JB Lippincott, 1999:365.
Pavletic MM. Foot salvage by delayed reimplantation of severed metatarsal and digital pads by using a bipedicle direct flap technique. J Am Anim.
Hosp Assoc 1994;30:539 547.
Swaim SF. Management and bandaging of soft tissue injuries of dog and cat feet. J Am Anim Hosp Assoc 1985;21:329 340. Swaim SF. Wound
management of distal limbs and paws: reconstruction and salvage. Vet Med Rep 1990;2:128 139.
Swaim SF, Amalsadvala T, Marghitu DB, et. al. Pressure reduction effects of subdermal silicone block gel particle implantation: A preliminary study.
Wounds. 2004; 16:299-312.
Swaim SF, Bradley DM, Steiss JE, et al. Free segmental paw pad grafts in dogs. Am J Vet Res 1993;54:2161 2170.
Swaim SF, Garrett PD. Foot salvage techniques in dogs and cats: options, “do's and don'ts.” J Am Anim Hosp Assoc 1985; 21:511 519.
Swaim SF, Henderson RA. Small animal wound management, 2nd ed. Baltimore: Williams & Wilkins, 1997:295.
Swaim SF, Lee AH, MacDonald JM, et al. Fusion podoplasty for the treatment of chronic fibrosing interdigital pyoderma in the dog. J Am Anim Hosp
Assoc 1991;27:264 274.
Swaim SF, Marghitu DB, Rumph PF, et. al. Effects of bandage configuration on paw pad pressure in dogs: A preliminary study. J Am Anim Hosp
Assoc 2003;39:209-216.
Swaim SF, Milton JL. Fusion podoplasty to treat abnormalities associated with severed digital flexion tendons. J Am Anim Hosp Assoc 1994;30:137
144.
Swaim SF, Riddell KP, Powers RD. Healing of segmental grafts of digital pad skin in dogs. Am J Vet Res 1992;53:406 410.
Vig MM. Management of integumentary wounds of extremities in dogs: An experimental study. J Am Anim Hosp Assoc 1985;21: 187 192.

Heart and Great Vessels


Orton, E.C.: Congenital heart defect. Small animal thoracic surgery. Edited by E.C. Orton. Baltimore. Williams & Wilkins, 1995, pp 203-227.
Orton, E.C.: Cardiac surgery. Textbook of small animal surgery. Edited by D. Slatter. Philadelphia. W.B.Saunders, 2002, pp 955-986.
Eyster, G.E., Probst, M.R.: Basic cardiovascular surgery and procedures. In Canine and feline cardiology. Edited by P.R. Fox. New York. Churchill
Livingston, 1988, pp 605-624.
Birchard, S.J., Bonagura, J.D., Fingland, R.B.: Results of ligation of patent ductus arteriosus in: 201 cases (1969-1988). J. Am. Vet. Med. Assoc.,
196:2011, 1990.
Hunter, S. L., Culp, L. B., Muir, W. W., 3rd, et al. Sodium nitroprusside-induced deliberate hypotension to facilitate patent ductus arteriosus ligation in
dogs Vet Surg, 32:336, 2003.
Hunt G.B., Simpson D.J., Beck J.A., et al. Intraoperative hemorrhage during patent ductus arteriosus ligation in dogs. Vet Surg, 30:58, 2001.

Surgical Management of Pulmonic Stenosis


1. Buchanan JW: Causes and prevalence of cardiovascular disease. In: Kirk RW, Bonagura JD, eds.: Current Veterinary Therapy XI. Philadelphia:
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Interventional Catheterization for Congenital Heart Disease


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Surgical Correction of Persistent Right Aortic Arch


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Surgical Treatment of Pericardial Diseases and Cardiac Neoplasms
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Lymphatics and Lymph Nodes Management of Chylothorax


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Transdiaphragmatic Approach to Thoracic Duct Ligation in Cats


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Lymph Node Biopsy


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Spleen
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Surgical Techniques in Small Exotic Animals
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Anal Sac Resection in the Ferret


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Soft Tissue Surgery in Reptiles


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Abdominal Surgery of Pet Rabbits
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Skull and Mandible


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Ventral Slot for Decompression of the Herniated Cervical Disk


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Surgical Treatment of Caudal Cervical Spondylomyelopathy in Large Breed Dogs


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Surgical Treatment of Atlantoaxial Instability


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Surgical Treatment of Fractures of the Cervical Spine
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Thoracolumbar and Sacral Spine


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Hemilaminectomy of the Cranial Thoracic Region


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Hemilaminectomy of the Caudal Thoracic and Lumbar Spine


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Modified Dorsal Laminectomy


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Surgical Treatment of Cauda Equina Syndrome


Danielson F, Sjostrom L. Surgical Treatment of Degenerative Lumbosacral Stenosis in Dogs. Vet Surg 28: 91, 1999.
Dr. Risiol, Sharp NJH, Olby NJ, et al. Predictors of outcome after dorsal decompressive laminectomy for degenerative lumbosacral stenosis in dogs:
69 cases (1987-1999).
J. Am Vet Med Assoc 219: No5: 624, 2001. Janssens LAA, Moens Y, Coppens P, et al. Lumbosacral Degenerative Stenosis in the Dog. Vet Comp
Orthrop Traumatol 13:97, 2000.
Linn LL, Bartels KE, Rochat MC, et al. Lumbosacral Stenosis in 29 military working dogs: Epidemiologic findings and outcome after surgical
intervention (1990-1999). Vet Surg 32:21, 2003.
Moens NMM, Runyun CL. Fracture of L7 vertebral articular facets and pedicles following dorsal laminectomy in the dog. J Am Vet Med Assoc. 221:
No 6: 807, 2002.
Smith MEH, Bebchuk TN, Shmon CL, et al. An invitro biomechanical study of the effects of surgical modification upon the canine lumbosacral spine.
Vet Comp Orthrop Traumatol 17:17, 2003.

Surgical Treatment of Fractures, Luxations and Subluxations of the Thoracolumbar and Sacral Spine
1. Feeney DA and Oliver JE. Blunt spinal trauma in the dog and cat: neurologic, radiologic and therapeutic correlations. J Am Anim Hosp Assoc
1980;16:664-668.
2. Swaim SF. Biomechanics of cranial fractures, spinal fractures, and luxations, in (ed) Bojrab, Pathophysiology in Small Animal Surgery. 1981:774-
778.
3. Carberry CA, Flanders JA, Dietze AE, et al. Nonsurgical management of thoracic and lumbar spinal fractures and fracture/luxations in the dog and
cat: a review of 17 cases. J Am Anim Hosp Assoc 1989;25:43-54.
4. Feeney DA and Oliver JE. Blunt spinal trauma in the dog and cat: insight into radiographic lesions. J Am Anim Hosp Assoc 1980;16:885-890.
5. Piermattei DL. An atlas of surgical approaches to the bones and joints of the dog and cat. 3rd ed. WB Saunders, 1993;45-89.
6. Dulisch ML and Nichols JB. A surgical technique for management of lower lumbar fractures: case report. Vet Surgery 1981;10:90-93.
7. Sharp NJ and Wheeler SJ: Trauma. In Small Animal Spinal Disorders. Philadelphia; Elsevier, 2005, 282-305.
8. Lumb WV and Brasmer TH. Improved spinal plates and hypothermia as adjuncts to spinal surgery. J Am Vet Med Assoc 1970;157:338-342.
9. McNaulty JF, Lenehan TM, Maletz LM. Modified segmental spinal instrumentation in repair of spinal fractures and luxations in dogs. Vet Surgery
1986;15:143-149.
10. Swaim SF. Vertebral body plating for spinal stabilization. J Am Vet Med Assoc 1971;158:1653-1695.
11. Blass CE and Seim HB. Spinal fixation in dogs using steinmann pins and methyl methacrylate. Vet Surgery, 1984;13:203-210.
12. Rouse GP and Miller JI. The use of methyl methacrylate for spinal stabilization. J Am Anim Hosp Assoc 1975;11:418-425.
13. Lewis DD, Stampley A, Bellah JR, et al. Repair of sixth lumbar vertebral fracture-luxations, using transilial pins and plastic spinous-process plates
in six dogs. J Am Vet Med Assoc 1989;194:538-542.
14. Matthiesen DT. Thoracolumbar spinal fractures/luxations: Surgical management. Comp Cont Ed 1983;5:867-878.
15. Shores A, Nichols C, Koelling HA. Combined Kirschner-Ehmer apparatus and dorsal spinal plate fixation technique of caudal lumbar vertebral
fractures in dogs: biomechanical properties. Am J Vet Res 1988;49:1979-1982.
16. Shores A, Nichols C, Rochat M, et al. Combined Kirschner-Ehmer device and dorsal spinal plate fixation technique for caudal lumbar vertebral
fractures in dogs. J Am Vet Med Assoc 1989;195:335-339.
17. Slocum B and Rudy RL. Fractures of the seventh lumbar vertebral in the dog. J Am Anim Hosp Assoc 1975;11:167-174.
18. Taylor RA. Treatment of fractures of the sacrum and sacrococcygeal region. Vet Surgery 1981;10:119-124.
19. Smeak DD and Olmstead ML. Fracture/luxations of the sacrococcygeal are in the cat: a retrospective study of 51 cases. Vet Surgery
1985;14:319-324.
20. Wheeler JL, Lewis DD, et al. Closed Fluoroscopic-Assisted Arch External Fixation for the Stabilization of Vertebral Column Injuries in 5 Dogs. Vet
Surg 2007, 36: 442-448.

Fixation with Pins and Wires


1. Blass CE, van Ee RT, Wilson JW. Microvascular and histological effects on cortical bone of applied double-loop cerclage. J Am Anim Hosp Assoc
27:432,1991.
2. Rhinelander FW, Wilson JW. Blood supply to developing, mature and healing bone. In: Sumner-Smith G, ed. Bone in clinical orthopedics.
Philadelphia: WB Saunders, 1979, p.162.
3. Ellison GW, Piermattei DL, Wells MK. The effects of cerclage wiring on the immature canine diaphysis: a biomechanical analysis. Vet Surg 11:44,
1982.
4. Wilson JW. Effect of cerclage wires on periosteal bone in growing dogs Vet Surg 16:299, 1987.
5. Nye R, Egger E, Huhta J, Histand M, Mallinckrodt C. Acute failure characteristics of six methods for internal fixation of canine femoral oblique
fractures. Vet Comp Orthop Traum 9:106, 1996.
6. Kanakis TE, Cordey J. Is there a mechanical difference between lag screws and double cerclage. Injury 22:185, 1991.
7. Willer RL, Schwarz PD, Powers BE, Histand ME. Comparison of cerclage wire placement in relation to a neutralization plate: a mechanical and
histological study. Vet Comp Orthop Traum 3:90, 1990.
8. Blaeser LL, Cross AR, Lanz OI. Revision of aseptic loosening of the femoral implant in a dog using cable cerclage. Vet Comp Orthop Traum 12:97,
1999.
9. Meyer DC, Ramseier LE, Lajtai G, Notzli H. A new method for cerclage wire fixation to maximal pre-tension with minimal elongation to failure. Clin
Biomech 18:975, 2003.
10. Wilson JW. Knot strength of cerclage bands and wires. Acta Orthop Scand 59:545, 1988.
11. Bostrom MPG, Asnis SE, Ernberg JJ et al. Fatigue testing of cerclage stainless steel wire fixation. J Orthop Traum 8:422, 1994.
12. Oh I, Sander TW, Treharne RW. The fatigue resistance of orthopaedic wire. Clin Orthop Rel Res 192:228, 1985.
13. Roe SC. Evaluation of tension obtained by use of three knots for tying cerclage wires by surgeons of various abilities and experience. J Am Vet
Med Assoc 220:334, 2002.
14. Rooks RL, Tarvin GB, Pijanowski GJ, Daly B. In vitro cerlage wiring analysis. Vet Surg 11:39, 1982.
15. Roe SC. Mechanical characteristics and comparisons of cerclage wires: introduction of the double-wrap and loop/twist tying methods. Vet Surg
26:310,1997.
16. Smith BA Kerwin SC, Hosgood G, et al. Mechanical comparison of two methods for interfragmentary fixation in a short oblique fracture model.
Vet Comp Orthop Traum. 9:4, 1996.
17. Blass CE, Caldarise SG, Torzilli PA, Arnoczky SP. Mechanical properties of three orthopedic wire configurations. Am J Vet Res 46:1725, 1985.
18. Metelman LA, Schwarz PD, Hutchison JM, et al. A mechanical evaluation of the resistance of various interfragmentary wire configurations to
torsion. Vet Surg 25:213, 1996.
19. Willer R. Cerclage wiring. In: Bojrab MJ (ed): Current techniques in small animal surgery 4th ed. Baltimore, Williams & Wilkins, 1998, p. 921.
20. Blass CE, Piermattei DL, Withrow SJ, Scott RJ. Static and dynamic cerclage wire analysis. Vet Surg 15:181,1986.
21. Cheng SL, Smith TJ, Davey JR. A comparison of the strength and stability of six techniques of cerclage wire fixation for fractures. J Orthop Traum
7:221,1993.

Intramedullary Pins and Kirschner Wires


1. Chandler RW. Principles of internal fixation. In: Rockwood CA, Green DP, Bucholz RW, Heckman JD (eds) Rockwood and Green's Fractures in
Adults. Philadelphia, Lippincott-Raven 1996: 165-179.
2. Howard PE. Principles of intramedullary pin and wire fixation. Seminars in Veterinary Medicine and Surgery (Small Animal) 6:52,1991.
3. Dallman MJ, Martin RA, Self BP, Grant WJ. Rotational strength of double-pinning techniques in repair of transverse fractures in femurs of dogs.
Am J Vet Res 51:123, 1990
4. Hach V. Initial experience with a newly developed medullary stabilization nail (Trilam nail). Vet Comp Orthop Traum 13:109,2000.
5. Guille AE, Lewis DD, Anderson TP et al. Evaluation of surgical repair of humeral condylar fractures using self-compressing orthofix pins in 23
dogs. Vet Surg 33:314, 2004.
6. Piermattei DL, Flo GL. Brinker, Piermattei and Flo's Handbook of Small Animal Orthopedics and Fracture Repair, 3rd ed. Philadelphia, WB
Saunders, 1997: 95.
7. Nunamaker, DM. Fractures and dislocations of the hip joint. In: Textbook of Small Animal Orthopaedics. Philadelphia, J. B. Lippincott, 1985,403.
8. Beadling L. Nancy nailing: a pediatric innovation for contemporary society. Orthopedics Today 25:26, 2005.
9. Muir P, Johnson KA. Interlocking medullary nail stabilization of a femoral fracture in a dog with osteomyelitis. J Am Vet Med Assoc 209:397, 1996.
10. Terrell SP, Chandra AMS, Pablo LS, Lewis DD. Fatal intraoperative pulmonary fat embolism during cemented total hip arthroplasty in a dog. J
Am Anim Hosp Assoc 40:345, 2004.
11. Schwarz T, Crawford PE, Owen MR et al. Fatal pulmonary fat embolism during humeral fracture repair in a cat. J Small Anim Pract 42:195, 2001.
12. Muir P, Johnson KA, Markel MD. Area moment of inertia for comparison of implant cross-sectional geometry and bending stiffness. Vet Comp
Orthop Traum 8:146,1995.
Tension Band Wiring
Kraus KH. Tension band wiring. In: Bojrab MJ, ed. Current techniques in small animal surgery. 4th ed. Philadelphia: Williams & Wilkins, 1998:925.

Interlocking Nailing of Canine and Feline Fractures


1. Browner B.D. The Science and Practice of Intramedullary Nailing, 2nd Ed. Baltimore: Williams and Wilkins, 1996.
2. Dueland RT, Johnson KA, Roe SC, Engen MH, Lesser AS. Interlocking nail treatment of diaphyseal long-bone fractures in dogs. J Am Vet Med
Assoc 214:59-66, 1999.
3. Duhautois B. L'enclouage verrouille veterinaire: etude clinique retrospective sur 45 cas. Prat Med Chir Amin Comp 30:613-630, 1995.
4. Duhautois B. L'enclouage verrouille’en chirurgie veterinaire: de la conception aux premiers cas cliniques. Pract Med Chir Anim Comp 28:657-683,
1993.
5. Durall I, Diaz MC, Morales I. An experimental study of compression of femoral fractures of an interlocking intramedullary pin. Vet Comp
OrthopTrauma 6:93-99, 1993.
6. Durall I, Diaz MC, Morales I. Interlocking nail stabilization of humeral fractures. Initial experience in seven clinical cases. Vet Comp Orthop
Traumatol 7:3-8, 1994.
7. Durall I, Diaz MC. Early experience with the use of an interlocking nail for the repair of canine femoral shaft fractures. Vet Surg 25:397-406. 1996.
8. Horstman CL, Beale BS, Conzemius MG, Evans R. Biological osteo-synthesis versus traditional anatomic reconstruction of 20 long-bone fractures
using an interlocking nail: 1994-2001. Vet Surg 33:232-237, 2004.
9. Muir P, Parker RB, Goldsmid SE, Johnson KA. Interlocking intramedullary nail stabilization of a diaphyseal tibial fracture. J Small Anim Pract
25:397-406, 1993.
10. Durall I, Diaz-Bertrana MC, Puchol JL, Franch J. Radiographic findings related to interlocking nailing: windshied-wiper effect, and locking screw
failure. Vet Comp Orthop Traumatol 16:217-222, 2003.
11. Suber JT, Basinger RR, Keller WG. Two unreported modes of interlocking nail failure: breakout and screw bending. Vet Comp Orthop Traumatol
15:228-232, 2002.
12. Muir P, Johnson KA, Markel MD. Area moment of inertia for comparison of implant cross-sectional geometry and bending stiffness. Vet Comp
Orthop Traumatol 8:146-152, 1995.
13. Litsky AS, Johnson KA, Aper RL, Roe SC: A novel screw design for improving the fatigue life of interlocking nails. Proceedings Society for
Biomaterials Annual Meeting, Sydney 2004.
14. Aper RL, Litsky AS, Roe SC, Johnson KA. Effect of bone diameter and eccentric loading on fatigue life of cortical screws used with interlocking
nails. Am J Vet Res 64:569-573, 2003.
15. von Pfeil DJF, Dejardin LM, DeCamp CE, Meyer EG, Lansdowne JL, Weerts RJH, Haut RC. In vitro biomechanical comparison of a plate-rod
combination-construct and an interlocking nail-construct for experimentally induced gap fractures in canine tibiae. Am J Vet Res 66:15351543, 2005.
16. Landsdowne JL, Sinnott MT, Ting D, Haut RC, Dejardin LM. Design and in vitro evaluation of the structural properties of a novel and current
interlocking nail systems. Proceedings American College of Veterinary Surgeons annual meeting, October 5-7, 2006.
17. Dejardin LM, Lansdowne JL, Sinnott MT, Sidebotham CG, Haut RC. In vitro mechanical evaluation of torsional loading in simulated canine tibiae
for a novel hourglass-shaped interlocking nail with a self-tapping tapered locking design. Am J Vet Res 67:678-685, 2006.
18. Mattoon JS. Digital radiography. Vet Comp Orthop Traumatol 19:123132, 2006.

Application of Bone Plates in Compression, Neutralization, or Buttress Mode


Gauthier E, Perren SM, Ganz R: Principles of internal fixation, Curr Orthop 6: 220, 1992.
Keller M, Voss K: UniLock: Applications in small animals. Dialogue 2: 20, 2002.
Koch DA: Screws and plates. In Johnson AL, Houlton JEF, Vannini R, eds: AO principles of fracture management in the dog and cat, Duebendorf:
AO foundation, 2005, p 26.
Perren SM, Russenberger M, Steinemann S, et al.: A dynamic compression plate. Acta Orthop Scand Suppl 125: 31, 1969.
Perren SM, Klaue K, Pohler OEM, et al: The limited contact dynamic compression plate (LC-DCP) Arch Orthop Trauma Surg 109: 304, 1990.
Perren SM: Evolution of internal fixation of long bone fractures. J Bone Joint Surg (Br) 84B: 1093, 2002.

The SOP Locking Plate System


DeTora MD, Kraus KH. Mechanical testing of locking and non-locking 3.5mm bone plates. Vet Comp Orthop Trauma 21: xx-xx, 2008.
Egol KA, Kubiak EN, Fulkerson E, Kummer F, Koval KJ. Biomechanics of locked plates and screws. J Orthop Trauma 18(8): 488-93, 2003.
Schutz M, Sudkamp NP. Revolution in plate osteosynthesis: new internal fixator systems. J Orthop Sci 8: 252-258, 2003.
Gardner MJ, Brophy RH, Campbell D et al. The mechanical behavior of locking compression plates compared with dynamic compression plates in a
cadaver radius model. J Orthop Trauma 9: 597-603, 2005.
Sommer C, Gautier E, Muller M et al. First clinical results of the Locking Compression Plate (LCP) Injury; 34 (Suppl 2): B43-B54, 2003.
Plate-Rod Fixation
Hulse D, Ferry K, Fawcett A, et. al. Effect of intramedullary pin size on reducing bone plate strain. Vet Comp Orthop Traumatol 2000;13:185-190.

External Skeletal Fixation


Aron DN, Palmer RH, Johnson AL: Biologic strategies and a balanced concept for repair of highly comminuted long bone fractures. Comp Contin
Educ Pract Vet 17:35, 1995.
Johnson AL, Egger EL, Eurell JAC, Losonsky JM: Biomechanics and biology of fracture healing with external skeletal fixation. Comp Contin Educ
Pract Vet 20:487, 1998.
Kraus KH, Toombs JP, Ness MG: External Fixation in Small Animal Practice. Oxford: Blackwell Publishing, 2003.
Griffin H, Toombs JP, Bronson DG, et al: Mechanical evaluation of a tapered thread-run-out half-pin designed for external skeletal fixation in small
animals. Vet Comp Orthop Traumatol 24:257, 2011.

Application of the Acrylic and Pin External Fixator (APEF)


Martinez SA, Arnoczky SP, Flo GL, Brinker WO. Dissipation of heat during polymerization of acrylics used for external skeletal fixator connecting
bars. Vet Surg 26:290, 1997.
Ness MG. The acrylic and pin external fixator system. In Kraus KH, Toombs JP, and Ness MG: External Fixation in Small Animal Practice. Oxford:
Blackwell Science Ltd, a Blackwell Publishing Company, 2003, p. 60.
Okrasinski EB, Pardo AD, Graehler RA. Biomechanical evaluation of acrylic external skeletal fixation in dogs and cats. J Am Vet Med Assoc
199:1590, 1991.
Shahar R. Evaluation of stiffness and stress of external fixators with curved acrylic connecting bars. Vet Comp Orthop Traumatol 13:65, 2000.
Staumbaugh JE, Nunmaker DM: External skeletal fixation of comminuted maxillary fractures in dogs. Vet Surg 2:72,1982.
Tomlinson JL, Constantinescu GM: Acrylic external skeletal fixation of fractures. Comp Cont Educ 13:235,1991.
Willer RL, Egger EL, Histand MB: A comparison of stainless steel versus acrylic for the connecting bar of external skeletal fixators. J Am Anim Hosp
Assoc 27:541-548,1991.
Herndon GD, Egger EL: The effect of contouring the connecting bar in an acrylic-pin external fixator. Vet Comp Orthop Traumatol 14:190, 2001.
Roe SC, Keo T: Epoxy putty for free-form external skeletal fixators. Vet Surg 26:472, 1997.
Amsellem PM, Egger EL, Wilson DL: Bending Characteristics of PMMA columns, connecting bars of carbon fiber, titanium, and stainless steel used
in external skeletal fixation and an acrylic interface. Vet Surg 39: 631-637, 2010.
Case JB, Egger EL: Evaluation of Strength at the Acrylic-Pin Interface for Variably Treated Exteranl Skeletal Fixator Pins. Vet Surg 40:211-215,
2011.

Application of the Securos External Fixator


Kraus KH, Toombs JP, Ness MG. External Fixation in Small Animal Practice. Oxford: Blackwel Publishing, 2003, 43.
Kraus KH, Wotton HM: Effect of clamp type on four-pin type II external fixator stiffness. Vet Comp Orthop and Traumatology, 12:178, 1999.
Kraus KH, Wotton HM, Rand WM: Mechanical Comparison of Two External Fixator Clamp Designs. Vet Surg 27:224, 1998.
Kraus KH, Wotton HM, Schwartz LA, et. al. Type-II external fixation using new clamps and positive-profile threaded pins, for treatment of fractures of
the radius and tibia in dogs. J Am Vet Med Assoc 212:1267, 1998.

Application of the IMEX-SK External Fixator


Bronson DG, Toombs JP, Welch RD. Influence of the connecting rod on the biomechanical properties of five external skeletal fixation configurations.
Vet Comp Orthop & Traumatol 16:8, 2003.
Lewis DD, Cross AR, Carmichael S, Anderson MA. Recent advances in external skeletal fixation. J Sm Anim Pract 42:103, 2001.
Toombs JP, Bronson DG, Ross D, Welch RD. The SK external fixation system: Description of components, instrumentation, and application
techniques. Vet Comp Orthop & Traumatol 16: 76, 2003.
White DT, Bronson DG, Welch RD. A mechanical comparison of veterinary linear external fixation systems. Vet Surg 32:507, 2003.
Griffin H, Toombs JP, Bronson DG, et al: Mechanical evaluation of a tapered thread-run-out half-pin designed for external skeletal fixation in small
animals. Vet Comp Orthop Traumatol 24:257, 2011.

Circular External Skeletal Fixation


Anderson GM, Lewis DD, Radasch RM, et al.: Circular external skeletal fixation stabilization of antebrachial and crural fractures in 25 dogs. J Am
Anim Hosp Assoc 39:479, 2002.
ASAMI Group. Basic principles of operative technique. In: Bianchi-Maiocchi A, Aronson J, eds.: Operative Principals of Ilizarov. Milan, Italy, Medi
Surgical Vido, 1991, p 65.
Bianchi-Maiocchi A: The Ilizarov compression-distraction apparatus. In: Bianchi-Maiocchi A, ed.: Advances in Ilizarov Apparatus Assembly. Milan,
Italy, Medi Plastic Sri, 1994, p 5.
Bronson DG, Samchukov ML, Birch JG, et al.: Stability of external circular fixation: A multi-variable biomechanical analysis. Clin Biomech 13:441,
1998.
Catagni M: Fractures of the leg (tibia). In: Bianchi Maiocchi A, Aronson J, eds.: Operative Principles of Ilizarov. Milan, Italy, Medi Surgical Vido, 1991,
p 91.
Collins KE, Lewis DD, Lanz OI, et al.: Use of a circular external skeletal fixator for stifle arthrodesis in a dog. J Sm Anim Pract41:312, 2000.
Cross AR, Lewis DD, Murphy ST, et al.: Effect of ring diameter and wire tension on the axial biomechanics of four-ring circular external skeletal
fixator constructs. Am J Vet Res 62:1025, 2001.
Cross AR, Lewis DD, Rigaud S, et al.: Effect of wire tension on the biomechanics of asymmetric four-ring circular external skeletal fixator constructs.
Vet Comp Orthop Traumatol 15:44, 2002.
Egger EL, Histand MB, Norrdin RW, et al.: Canine osteotomy healing when stabilized with decreasingly rigid fixation compared to constantly rigid
fixation. Vet Comp Orthop Traumatol6:182, 1993.
Ehrhart N: Longitudinal bone transport for treatment of primary bone tumors in dogs: technique description and outcome in 9 dogs. Vet Surg 34:24,
2005.
Elkins AD, Morandi M, Zembo M: Distraction osteogenesis in the dog using the Ilizarov external ring fixator. J Am Anim Hosp Assoc 29:419, 1993.
Farese JP, Lewis DD, Cross AR, et al.: Use of IMEX SK-circular external fixator hybrid constructs for fracture stabilization in dogs and cats. J Am
Anim Hosp Assoc 38:279, 2002.
Ferretti A: The application of the Ilizarov technique to veterinary medicine. In: Bianchi-Maiocchi A, Aronson J, eds.: Operative Principles of Ilizarov.
Milan, Italy, Medi Surgical Vido, 1991, p 551.
Goodship AE, Kenwright J: The influence of induced micromotion upon the healing of experimental tibial fractures. J Bone Joint Surg 67[B]:650,
1985.
Green SA, Harris NL, Wall DM, et al.: The Rancho mounting technique for the Ilizarov method. Clin Orthop 280:104, 1992.
Halling KB, Lewis DD, Jones RW, et al.: Use of circular fixator constructs to stabilize intertarsal/tarsometarsal arthrodeses in three dogs. Vet Corp
Ortho Traumatol 17:204, 2004.
Ilizarov GA: The apparatus: Components and biomechanical principles of application. In: Ilizarov GA ed.: Transosseous Osteosynthesis.
Theoretical and Clinical Aspects of the Regeneration and Growth of Tissue. Berlin, Springer-Verlag, 1992, p 63.
Jerram RM, Walker AM, Sutherland-Smith J, et al.: Treating pedal shortening in a dog by metatarsal distraction osteogenesis. J Sm Anim Pract
26:191, 2005.
Kenwright J, Goodship AE: Controlled mechanical stimulation in the treatment of tibial fractures. Clin Orthop 241:36, 1989.
Kenwright J, Goodship AE, Kelly DJ, et al.: Effect of controlled axial micromotion on healing of tibial fractures. Lancet 8517(2):1185, 1986.
Kummer FJ: Biomechanics of the Ilizarov external fixator. Clin Orthop 280:11, 1992.
Langley-Hobbs SJ, Carmichael S, Pead MJ, et al.: Management of antebrachial deformity and shortening secondary to a synostosis in a dog. J Sm
Anim Pract37:359, 1996.
Leuno, CY, Ma RYP, Clark JA, et al.: Viscoelastic behavior of tissue in leg lengthening by distraction. Clin Orthop 139:102, 1979.
Lewis DD, Bronson DG, Cross AR, et al.: Axial characteristics of circular external skeletal fixator single ring constructs. Vet Surg 30:386, 2001.
Lewis DD, Bronson DG, Samchukov ML, et al.: Biomechanics of circular external skeletal fixation. Vet Surg 27:454, 1998.
Lewis DD, Radasch RM, Beale BS, et al.: Initial clinical experience with the IMEX Circular External Skeletal Fixation System. Part I: Use in fractures
of arthrodeses. Vet Comp Orthop Traumatol 12:108, 1999.
Lewis DD, Radasch RM, Beale BS, et al.: Initial clinical experience with the IMEX Circular External Skeletal Fixation System. Part II: Use in bone
lengthening and correction of angular and rotational deformities. Vet Comp Orthop Traumatol 12:118, 1999.
Marcellin-Little DJ: Treatment of bone deformities with circular external skeletal fixation. Comp Cont Ed Pract Vet21:481, 1999.
Marcellin-Little DJ: Fracture treatment with circular external fixation. Vet Clin N Am: Sm Anim Pract 29:1153, 1999.
Marcellin-Little DJ, Ferretti A, Roe SC, et al.: Hinged Ilizarov external fixation for correction of antebrachial deformities. Vet Surg 27:231, 1998.
Orbay GO, Kummer FJ, Frankel VN: The effect of wire configuration on the stability of the Ilizarov external fixator. Clin Orthop 279:299, 1992.
Owen MA: Use of the Ilizarov method to manage a septic tibial fracture nonunion with a large cortical defect. J Sm Anim Pract41:124-127, 2000.
Paley D: Biomechanics of the Ilizarov-external fixator. In: Bianchi-Maiocchi A, Aronson J, ed.: Operative Principals of Ilizarov. Milan, Italy, Medi
Surgical Vido, 1991, p 31.
Paley D, Fleming B, Catagni M, et al.: Mechanical evaluation of external fixators used in limb lengthening. Clin Orthop 250:50, 1990.
Stallings JT, Lewis DD, Welch RD, et al.: An introduction to distraction osteogenesis and the principles of the Ilizarov method. Vet Comp Orthop
Traumatol 11:59-67, 1998.
Tommasini Degna M, Ehrhart N, Ferretti A, et al.: Bone transport osteogenesis for limb salvage following resection of primary bone tumors:
Experience with six cases (1991-1996). Vet Comp Orthop Traumatol 13:18, 2000.
Welch RD, Lewis DD: Distraction osteogenesis. Vet Clin N Am: Sm Anim Pract 29:1187, 1999.

Application of Hybrid Constructs


Cross AR, Lewis DD, Rigaud S, Rapoff AJ: Effect of various distal ring-block configurations on the biomechanical properties of circular external
skeletal fixators for use in dogs and cats. J Am Vet Res 65; 4: 393, 2004.
Lewis DD, Bronson DG, Cross AR, et al.: Axial characteristics of circular external skeletal fixator single ring constructs. Vet Surg 30: 386, 2001.
Marcellin-Little DJ, Roe SC, Rovesti GL, et al.: Are circular external fixators weakened by the use of hemispherical washers? Vet Surg 31: 367, 2002.
Toombs JP, Bronson DG, Ross D, Welch RD: The SK™ external fixation system: description of components, instrumentation, and application
techniques. Vet Comp Ortho Traumatol2:76, 2003.
Worsar MA, Marcellin-Little DJ, Roe SC: Influence of bolt-tightening torque, wire size, and component reuse on wire fixation in circular external
fixation. Vet Surg 31: 571, 2002.
Bone Grafts and Implants
Ferguson JF: Fracture of the humerus after cancellous bone graft harvesting in a dog. J Sm Anim Pract37:232, 1996.
Johnson KA: Cancellous bone graft collection from the tibia in dogs. Vet Surg 15:334, 1986.
McLaughlin RM, Roush JK: Autogenous cancellous and cortico-can-cellous bone grafting. Vet Medicine 93:1071, 1998.
Palmisano MP, Schrader SC: Premature closure of the proximal physis of the humerus in a dog as a result of harvesting a cancellous bone graft. J
Am Vet Med Assoc 215:1460, 1999.
Penwick RC, Mosier DA, Clark DM: Healing of canine autogenous cancellous bone graft donor sites. Vet Surg 20:229, 1991.
Slocum B, Slocum TD: Bone graft harvest: Distal femoral condyles. In Bojrab MJ, ed: Current Techniques in Small Animal Surgery, 4th ed.
Philadelphia: Lippincott Williams & Wilkins, 1998, p. 909.
Stallings JT, Parker RB, Lewis DD, et al: A comparison of autogenous cortico-cancellous bone graft obtained from the wing of the ilium with an
acetabular reamer to autogenous cancellous bone graft obtained from the proximal humerus in dogs. Vet Comp Orthop Traumatol 10:79, 1997.
Trevor PB, et al: Evaluation of the proximal portion of the femur as an autogenous cancellous bone donor site in dogs. Am J Vet Res 53:1599, 1992.
Wilson JW, Rhinelander FW, Stewart CL: Vascularization of cancellous bone chip grafts. Am J Vet Res 46:1691, 1985.

Corticocancellous Bone Graft Harvested from the Wing of the Ilium with an Acetabular Reamer
Culvenor JA, Parker RB: Collection of cortico-cancellous bone graft from the ilium of the dog using an acteabular reamer. J Small Anim Pract 37:513,
1996.
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Stallings JT, Parker RB, Lewis DD, et al.: A comparison of autogenous cortico-cancellous bone graft obtained from the wing of the ilium with an
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Harvesting, Storage and Application of Cortical Allografts


1. Fox S: Cancellous bone grafting in the dog: An overview. J Am Anim Hosp Assoc 20:840, 1984.
2. Hulse D: Pathophysiology of autogenous cancellous bone grafts. Compendium Continuing Education Pract Vet 2(2): 136, 1980.
3. Johnson A: Principles of bone grafting. Seminars Vet Med Surg (Small Animal) 6(1): 90, 1991.
4. Olds R, Sinibaldi K, DeAngelis M, et al: Autogenous cancellous bone grafting in small animals. JAAHA 9:454, 1973.
5. Johnson AL: Principles and practical applications of cortical bone grafting techniques. Compendium Contin. Educ Pract Vet 10(8): 906,1988.
6. Schena C, McCurnin D: The use of fresh cortical and cancellous allografts in the repair of a fractured femur in a dog: A case report. J Am Anim
Hosp Assoc 19:352,1983.
7. Sinibaldi K: Evaluation of full cortical allografts in 25 dogs. J Am Vet Med Assoc 194(11):1570, 1989.
8. Henry W, Wadsworth P: Diaphyseal allografts in the repair of long bone fractures. J Am Anim Hosp Assoc 17:535, 1981.
9. Aaron A, Wiedel J: Allograft use in orthopedic surgery. Orthopedics 17(1):41, 1994.
10. Burchardt H: The biology of bone graft repair. Clinical Orthopedics 174:28,1983.
11. Fitch R, Kerwin S, Newman-Gage H, Sinibaldi K: Bone autografts and allografts in dogs. Compendium Continu Educ Pract Vet 19(5)558,1997.
12. Arizono T, Iwanoto Y, Okuyama K, Sugioka Y: Ethylene oxide sterilization of bone grafts: Residual gas concentration and fibroblast toxicity. Acta
Orthop Scand65(6):640,1994.
13. Wagner S, Manley P, et al: Failure of ethylene oxide-sterilized cortical allografts in two dogs. J Am Anim Hosp Assoc 30:181, 1994.
14. Sinibaldi KR, unpublished data.
15. Burchardt H, Enneking WF: Transplantation of bone. Surg Clin North Am. 58:403, 1978.
16. Enneking WF, et al. Physical and biological aspects of repair in dog cortical bone transplants. J Bone Joint Surg (Am) 57:237, 1975.

Distraction Osteogenesis as an Alternative to Bone Grafting


1. Aronson, J. Experimental and clinical experience with distraction osteogenesis. Cleft Palate Craniofac. J. 31: 473-481, 1994.
2. Aronson, J. Temporal and spatial increases in blood flow during distraction osteogenesis. Clin. Orthop. Relat Res. 124-131, 1994.
3. Aronson, J., Good, B., Stewart, C., Harrison, B., Harp, J. Preliminary studies of mineralization during distraction osteogenesis. Clin. Orthop. Relat
Res. 43-49, 1990.
4. Aronson, J., Harp, J. H. Mechanical forces as predictors of healing during tibial lengthening by distraction osteogenesis. Clin. Orthop. Relat Res.
73-79, 1994.
5. Aronson, J., Harp, J. H., Jr. Factors influencing the choice of external fixation for distraction osteogenesis. Instr. Course Lect. 39: 175-183, 1990.
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Relat Res. 106-116, 1989.
7. Aronson, J., Johnson, E., Harp, J. H. Local bone transportation for treatment of intercalary defects by the Ilizarov technique. Biomechanical and
clinical considerations. Clin. Orthop. Relat Res. 71-79, 1989.
8. Aronson, J., Shen, X. Experimental healing of distraction osteogenesis comparing metaphyseal with diaphyseal sites. Clin. Orthop. Relat Res. 25-
30, 1994.
9. Aronson, J., Shen, X. C., Gao, G. G. et al. Sustained proliferation accompanies distraction osteogenesis in the rat. J. Orthop. Res. 15: 563-569,
1997.
10. Aronson, J., Shen, X. C., Skinner, R. A., Hogue, W. R., Badger, T. M., Lumpkin, C. K., Jr. Rat model of distraction osteogenesis. J. Orthop. Res.
15: 221-226, 1997.
11. Ehrhart, N. Longitudinal bone transport for treatment of primary bone tumors in dogs: technique description and outcome in 9 dogs. Vet. Surg. 34:
24-34, 2005.
12. Ehrhart, N., Eurell, J. A., Tommasini, M., Constable, P. D., Johnson, A. L., Feretti, A. Effect of cisplatin on bone transport osteogenesis in dogs.
Am. J. Vet. Res. 63: 703-711, 2002.
13. Fink, B., Krieger, M., Strauss, J. M. et al. Osteoneogenesis and its influencing factors during treatment with the Ilizarov method. Clin. Orthop.
Relat Res. 261-272, 1996.
14. Fink, B., Pollnau, C., Vogel, M., Skripitz, R., Enderle, A. Histomor-phometry of distraction osteogenesis during experimental tibial lengthening. J.
Orthop. Trauma 17: 113-118, 2003.
15. Frierson, M., Ibrahim, K., Boles, M., Bote, H., Ganey, T. Distraction osteogenesis. A comparison of corticotomy techniques. Clin. Orthop. Relat
Res. 19-24, 1994.
16. Ilizarov, G. A. The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft-tissue
preservation. Clin. Orthop. 249-281, 1989.
17. Ilizarov, G. A. The tension-stress effect on the genesis and growth of tissues: Part II. The influence of the rate and frequency of distraction. Clin.
Orthop. 263-285, 1989.
18. Ilizarov, G. A. The principles of the Ilizarov method. 1988. Bull. Hosp. Jt. Dis. 56: 49-53, 1997.
19. Lewis, D. D., Bronson, D. G., Cross, A. R., Welch, R. D., Kubilis, P. S. Axial characteristics of circular external skeletal fixator single ring
constructs. Vet. Surg. 30: 386-394, 2001.
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2001.
21. Welch, R. D., Birch, J. G., Makarov, M. R., Samchukov, M. L. Histo-morphometry of distraction osteogenesis in a caprine tibial lengthening
model. J. Bone Miner. Res. 13: 1-9, 1998.
22. Welch, R. D., Lewis, D. D. Distraction osteogenesis. Vet. Clin. North Am. Small Anim Pract. 29: 1187-viii, 1999.
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21: 480-487, 1992.

Scapula and Shoulder Joint


1. Harari, J, Dunning, D: Fractures of the Scapula in Dogs: A Retrospective Review of 12 Cases. Veterinary and Comparative Orthopaedics and
Traumatology, 6:105-108, 1993.
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(19881994). J Am Anim Hosp Assoc 1997; 33:528-532.
3. Piermattei, DL, Flo, GL DeCamp, CE: Brinker Piermattei, and Flo's handbook of Small Animal Orthopedics and Fracture Repair, ed 4, St. Louis,
Elsevier, 2006.
4. Newton, CD: Fractures of the Scapula. In Textbook of Small Animal Orthopedics. Edited by CD Newton and DM Nunamaker. Philadelphia, J.B.
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7. Straw, RC: Thoracic Limb - Repair of Scapular Fractures. In Current Techniques in Small Animal Surgery. Edited by MJ Bojrab, Philadelphia, Lea
and Febiger, 1990.
8. Roush, JK, Lord, PF: Clinical Application of a Distoproximal (Axial) Radiographic View of the Scapula. J Am Anim Hosp Assoc, 1990; 26(2): 129-
132.
9. Brinker, WO, Hohn, RB, and Prieur, WD (eds): Manual of Internal Fixation in Small Animals. New York, Springer-Verlag, 1984.
10. Piermattei, DL, Johnson, KA: An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat, ed 4. Philadelphia, Saunders/
Elsevier, 2004.
11. McCartney, WT, Garvan, CB: Muscle separation approach to scapular neck fractures in eight dogs. Veterinary and Comparative Orthopaedics
and Traumatology, 5:471-473, 2008.
12. Ocal, MK, Toros, G: A morphometric study on the cross-sections of the scapular spine in dogs. Veterinary and Comparative Orthopaedics and
Traumatology, 4:281-284, 2007.
13. Mair, JJ, Belkoff SM, Boudrieau RJ: An Ex Vivo Mechanical Evaluation of Single Versus Double Semitubular Plate Fixation of a Transverse
Distal-Third Scapular Osteotomy in the Dog. Vet Surg 2003;32:580-584
14. Acquaviva, AE, Miller, EI, Eisenmann, DJ, Stone, RT, Kraus, KH: Biomechanical testing of locking and nonlocking plates in the canine scapula. J
Am Anim Hosp Assoc, 2012; 48: 372-378.
15. Johnston, SA: Articular Fractures of the Scapula in the Dog: A Clinical Retrospective Study of 26 Cases. Journal of the American Animal Hospital
Association, 1993; 29(2): 157-164.
16. Olivieri, M, Piras, A, Marcellin-Little, DJ et al: Accessory caudal glenoid ossification centre as possible cause of lameness in nine dogs. Veterinary
and Comparative Orthopaedics and Traumatology, 3:131-135, 2004.
17. Plesman, RL, French, S, Nykamp, S, Ringwood, PB: Partial scapu-lectomy for treatment of an articular fracture of the scapula in a cat. Veterinary
and Comparative Orthopaedics and Traumatology, 6:468-473, 2011.
18. Denny, HR: Pectoral Limb Fractures. In Canine Orthopedics. Edited by W.G. Whittick, Philadelphia, Lea and Febiger, 1990.

Surgical Treatment of Shoulder Luxation


Ball DC: A case of medial luxation of the canine shoulder joint and its surgical correction. Vet Rec 83:195, 1968.
Bardet JF: Lesions of the biceps tendon diagnosis and classification. Vet Comp Orthop Traumatol 13:188, 1999.
Craig E, et al: Surgical stabilization of traumatic medial shoulder dislocation. J Am Anim Hosp Assoc 16:93, 1980.
Craig E, et al: Treatment of shoulder joint luxations. In Bojrab MJ (ed): Current Techniques in Small Animal Surgery, 3rd ed. Lea & Febiger,
Philadelphia, 1990, p 740.
DeAngelis MP: Luxations of the shoulder. In Bojrab MJ (ed): Current Techniques in Small Animal Surgery, Lea & Febiger, Philadelphia, 1975, p 499.
DeAngelis MP, Schwartz A: Surgical correction of the cranial dislocation of the scapulohumeral joint in the dog. J Am Vet Med Assoc 156:435, 1970.
Evans HE, Christensen GC: Millers Anatomy of the Dog, 2nd ed. WB Saunders, Philadelphia, 1979, p 240.
Fowler D, et al: Scapulohumeral arthrodesis: Results in seven dogs. J Am Anim Hosp Assoc 24:667, 1988.
Franczuski D, Parks LJ: Glenoid excision as a treatment in chronic shoulder disabilities: Surgical technique and clinical results. J Am Anim Hosp
Assoc 24:637, 1988.
Herron MR: Scapulohumeral arthrodesis: An evaluation of two techniques in 33 cases [abstract] Vet Surg 18:78, 1989. Piermattei DL, Blass CE:
Resection of the glenoid rim and humeral head. In Bojrab MJ (ed): Current Techniques in Small Animal Surgery. 3rd ed. Lea & Febiger, Philadelphia,
1990, p 748.
Piermattei DL, Greeley RG: An Atlas of Surgical Approaches to the Bones of the Dog and Cat, 2nd ed. WB Saunders, Philadelphia, 1979, p 72.
Prostredny JM, et al: Use of polybutester suture to repair medial scapulohumeral luxation in the dog: Three cases. J Am Anim Hosp Assoc 29:180,
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Vasseur PB: Clinical results of surgical correction of shoulder luxation in dogs. J Am Vet Med Assoc 182:503, 1983.
Vasseur PB: Effects of tendon transfer on the scapulohumeral joint. Am J Vet Res 44:811, 1983.
Vasseur PB, et al: Stability of the canine shoulder joint: An in vitro analysis. Am J Vet Res 43:352, 1982.

Caudal Approach to the Shoulder Joint for Treatment of Osteochondritis Dissecans


Gahring, DR: A modified caudal approach to the canine shoulder joint. J Am Anim Hosp Assoc 21:613, 1985.
Gahring, DR: Surgical Treatment of Osteochondritis Dissecans of the Shoulder. In: Bojrab, MJ, ed.: Current Techniques in Small Animal Surgery, 4th
Ed. Baltimore: Williams & Wilkins 1998, p 1069.
Figure 55-28. An absorbable mattress suture is placed to close the caudal shoulder joint capsular incision. (From Gahring, DR. A modified caudal
approach to the canine shoulder joint. J Am Anim Hosp Assoc. 1985:21:613).

Surgical Treatment of Biceps Brachii Tendon Injury


1. Bardet JF. Shoulder diseases in dogs. Vet Med Dec: 909, 2002.
2. Bardet JF. Lesions of the biceps tendon - diagnosis and classification. Vet Comp Orthop Traumatol 12: 188, 1999.
3. Stobiie D, Wallace LJ, Lipowitz AJ, et al: Chronic bicipital tenosynovitis in dogs: 29 cases (1985 - 1992). J Am Vet Med Assoc 207: 201, 1995.
4. Wall CR, Taylor R: Arthroscopic biceps brachii tenotomy as a treatment for canine bicipital tenosynovitis. J Am Anim Hosp Assoc 38: 169, 2002.
5. Cook JL, Kenter K, Fox DB: Arthroscopic biceps tenodesis: Technique and results in six dogs. J Am Anim Hosp Assoc 41: 121, 2005.
6. Gilley RS, Wallace LJ, Hayden DW: Clinical and pathologic analyses of bicipital tenosynovitis in dogs. Am J Vet Res 63: 402, 2002.
7. Rivers B, Wallace L, Johnston GR: Biceps tenosynovitis in the dog: Radiographic and sonographic findings. Vet Comp Orthop Traumatol 5:51,
1992.
8. Lincoln JD, Potter K: Tenosynovitis of the biceps brachii tendon in dogs. J Am Anim Hosp Assoc 20: 385, 1984.
9. Davidson EB, Griffey SM, Vasseur PB, et al: Histopathologic, radiographic and arthrographic comparison of the biceps tendon in normal dogs and
dogs with biceps tenosynovitis. J Am Anim Hosp Assoc 36 - 522, 2000.
10. Beale BS, Hulse DA, Schulz KS, Whitney WO: Small Animal arthroscopy. Philadelphia: Saunders, 2003.
11. Piermattei DL: An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. Philadelphia: Saunders, 1993.
12. Kleps S, Hazrati Y, Flatow E: Arthroscopic biceps tenodesis. Arthroscopy 18: 1040, 2002.
13. Boileau P, Krishnan SG, Costa JS, et al: Arthroscopic diceps tenodesis: A new technique using bioabsorbable interference screw fixation.
Artrhsocopy 18: 1002, 2002.
14. Osbahr DC, Diamond AB, Speer KP: The cosmetic appearance of the biceps muscle after long-head tenotomy versus tenodesis. Arthroscopy
18:483, 2002.
15. Gill TJ, McIrvin E, Mair SD, et al. Results of biceps tenotomy for treatment of pathology of the long head of the biceps brachii. J Shoulder Elbow
Surg 2001; 10: 247 - 249.
16. Berlemann U, Bayley I. Tendonitis of the long head of biceps brachii in the painful shoulder: improving results in the long term. J Shoulder Elbow
Surg 1995; 4: 429 - 435.
17. Sethi N, Wright R, Yamaguchi K. Disorders of the long head of the biceps tendon. J Shoulder Elbow Surg 1999; 8: 644 - 654.
18. Patton WC, McCluskey GM. Biceps tendinitis and subluxation. Clin Sports Med2001; 20: 505 -529.
19. Agnello KA, Puchalski SM, Wisner ER, Schulz KS Kapatkin AS. Effect of positioning, scan plane, and arthrography on visibility of periarticular
canine shoulder soft tissue structures on magnetic resonance images. Vet Radiol Ultrasound. 2008 Nov - Dec; 49(6): 529 -539.
20. Bergenhuyzen AL, Vermote KA, van Bree H, Van Ryssen B. Long-term follow-up after arthroscopic tenotomy for partial rupture of the biceps
brachii tendon. Vet Comp Orthop Traumatol. 2010; 23(1): 51 - 5.
21. Cogar SM, Cook CR, Curry SL, Grandis A, Cook JL. Prospective evaluation of techniques for differentiating shoulder pathology as a source of
forelimb lameness in medium and large breed dogs. Vet Surg. 2008 Feb; 37(2): 132 - 141.
22. Cook JL, Cook CR. Bilateral shoulder and elbow arthroscopy in dogs with forelimb lameness: diagnostic findings and treatement outcomes. Vet
Surg. 2009 Feb; 38(2): 224 - 232.
23. Devitt CM, Neely MR, Vanvetchten BJ. Relationship of physical examination test of shoulder instability to arthroscopic findings in dogs. Vet Surg.
2007 Oct; 36(7): 661 - 668.
24. Hulse D, Young B, Beale B, Kowaleski M, Vannini R. Relationship of the biceps-brachialis complex to the medial coronoid process of the canine
ulna. Vet Comp Orthop Traumatol. 2010; 23(3): 173 - 176.
25. Marcellin-Little DJ, Levine D, Canapp SO Jr. The canine shoulder: selected disorders and their management with physical therapy. Clin Tech
Small Anim Pract. 2007 Nov; 22(4): 171 - 182.
26. Murphy SE, Ballegeer EA, Forres LI, Schaefer SL. Magnetic resonance imaging findings in dogs with confirmed shoulder pathology. Vet Surg.
2008 Oct; 37(7): 631 - 638.
27. Schaaf OR, Eaton-Wells R, Mitchell RA. Biceps brachii and brachialis tendon of insertion injuries in eleven racing greyhounds. Vet Surg. 2009
Oct; 38(7): 825 - 833.
28. Schaefer SL, Baumel CA, Gerbig Jr, Forrest LI. Direct magnetic resonance arthrography of the canine shoulder. Vet Radiol Ultrasound. 2010 Jul-
Aug: 51(4): 391 - 396.

Excision Arthroplasty of the Shoulder Joint


Breucker KA, Piermattei DL: Excision arthroplasty of the canine scapulohumeral joint: Report of three cases. Vet Comp Orthop Trauma 3:134, 1988.
Franczuski D, Parkes LJ: Glenoid excision as a treatment in chronic shoulder disabilities: Surgical technique and clinical results. J Am Anim Hosp
Assoc 14:637, 1988.
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W. B. Saunders, 2006, p. 273.
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112.

Shoulder Arthrodesis
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Philadelphia. 1997.
Lesser: Arthrodesis. In Slatter: Textbook of Small Animal Surgery. Saunders. Philadelphia. 2003.

Humerus and Elbow Joint


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Egger EL. Complications of external fixation: a problem-oriented approach. Vet Clin North Am 1991;21:705.
Evans HE, Christensen GC. Miller's anatomy of the dog. 2nd ed. Philadelphia: WB Saunders, 1979.
Hulse D, Hyman B. Biomechanics of fracture fixation failure. Vet Clin North Am 1991;21:647.
Lipowitz AJ, Caywood DD, Newton CD, et al. Complications in small animal surgery: diagnosis, management, prevention. Baltimore: Williams &
Wilkins, 1996.
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Olmstead ML. Complications of fracture repaired with plates and screws. Vet Clin North Am 1991,-21:669.
Piermattei DL, Greely RG. An atlas of surgical approaches to the bones of the dog and cat. 2nd ed. Philadelphia: WB Saunders, 1979.

Treatment of Elbow Luxations


1. Evans H, Christensen G. Miller's anatomy of the dog. 2nd ed. Philadelphia: WB Saunders, 1979.
2. Bingel SA, Rizer, WH. Congenital elbow luxation in the dog. J Small Anim Pract 1977;18:45.
3. Montgomery M, Tomlinson J. Two cases of ectrodactyly and congenital elbow luxation in the dog. J Am Anim Hosp Assoc 1985;21:781.
4. Nunamaker DW. Fracture and dislocation of the elbow. In: Small animal orthopedics. Philadelphia: JB Lippincott, 1985.
5. Piermattei DL, Greeley RG. Atlas of surgical approaches to the bones of the dog and cat. Philadelphia: WB Saunders, 1979.
6. Stayak JW. Elbow luxations. In: Bojrab MJ, ed. Current techniques in small animal surgery. Philadelphia: Lea & Febiger, 1975.

Surgical Treatment of Ununited Anconeal Process of the Elbow


1. Breit S, Kunzel W, Seiler S: Variation in the ossification process of the anconeal and medial coronoid processes of the canine ulna. Res Vet Sci
77:9, 2004.
2. Brinker WO, Piermattei DL, Flo GL: Handbook of small animal orthopedics and fracture treatment. Philadelphia: Saunders, 1990, p 502.
3. Cook JL: Forelimb lameness in the young patient. Vet Clin North Am Small Anim Pract 31:55, 2001.
4. Cross AR, Chambers JN: Ununited anconeal process of the canine elbow. Comp Cont Ed Pract Vet 19:349-361, 1997.
5. Denny HR: A guide to canine and feline orthopedic surgery. London: Blackwell, 1993, p 229.
6. Evans HE: Miller's anatomy of the dog. 1993.
7. Fox SM, Burbidge HM, Bray JC, et al: Ununited anconeal process: Lag-screw fixation. J Am Anim Hosp Assoc 32:52, 1996.
8. Goring RL, Bloomberg MS: Selected development at abnormalities of the canine elbow: Radiographic evaluation and surgical management. Comp
Cont Ed Pract Vet 5:178-192, 1983.
9. Guthrie S: Some radiographic and clinical aspects of ununited anconeal process. Vet Rec 124:661, 1989.
10. Herron MR: Ununited anconeal process in the dog. Vet Clin North Am 1:417, 1971.
11. Krotscheck U, Hulse DA, Bahr A, et al: Ununited anconeal process: Lag-screw fixation with proximal ulnar osteotomy. Vet Comp Ortho Trauma
13:212, 2000.
12. Kurzbach T: Retrospektive langzeituntersuchung von operativ versorgten ellbogen- und schultergelenkfrakturen bei hund und katze. Vet Med
Diss Munich 2000.
13. Lewis R, Leighton RL: Surgical stabilization of the ununited anconeal process in the dog using cerclage wire. Calif Vet 49:10, 1995.
14. Loeffler K: Der isolierte processus anconaeus beim deutschen schaeferhund. Dtsch Tieraerztl Wochenschr71:291, 1963.
15. Matis U. Lag screw fixation of ununited anconeal process, in Surgical Fixation of Fractures, 24th annual advanced canine course in AO/ASIF
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16. Matis U. Management of the UAP by internal fixation, in 10th ESVOT Congress 2000.
17. Meyer Lindenberg A, Fehr M, Nolte I: Short- and long-term results after surgical treatment of an ununited anconeal process in the dog. Vet Comp
Ortho Trauma 14:101, 2001.
18. Meyer-Lindenberg A, Fehr M, Nolte I: Der isolierte processus anconaeus des hundes - vorkommen, behandlung, und ergebinsse. Kleintierpraxis
36:671, 1991.
19. Olsson SE: Pathophysiology, morphology, and clinical signs of osteo-chondrosis in the dog. In Bojrab MJ, ed.: Disease Mechanisms in Small
Animal Surgery. Philadelphia: Lippincott Williams & Wilkins, 1993, p 778.
20. Olsson SE, Jerre S, Kasstrom H. Pathogenesis of ununited anconeal process, fragmented medial coronoid process, and OCD of the canine
elbow, in 9th Congress of the Society for Veterinary Radiology 1991.
21. Parrisius A: Detached anconeal process in the dog. treatment and results between 1975 and 1983. 1985.
22. Piermattei DL, Johnson KA: Atlas of surgical approaches to the bones and joints of the dog and cat. 2004.
23. Presnall K: Ununited anconeal process of the elbow. In Bojrab MJ, ed.: Current Techniques in Small Animal Surgery. Philadelphia: Lea and
Febiger, 1990, p 778.
24. Preston CA, Schulz KS, Kass PH: In vitro determination of contact areas in the normal elbow joint of dogs. Am J Vet Res 61:1315, 2000.
25. Pritchard DL: Anconeal process pseudoarthrosis: Treated by lag-screw fixation. Canine Pract3:18-23, 1976.
26. Punzet G: Ellbogengelenksdysplasie mit isoliertem processus anconaeus - eine neue moeglichkeit der chirurgischen behandlung. Kleintierpraxis
18:121, 1973.
27. Remy D, Neuhart L, Fau D, et al: Canine elbow dysplasia and primary lesions in german shepherd dogs in france. J Small Anim Pract45:244,
2004.
28. Renegar WR, Farrow CS: OsteochondrosisIn Whittick WG, ed.: Canine orthopedics. Philadelphia: Febiger, 1990, p 620.
29. Roy RG, Wallace LJ, Johnston GR: A retrospective long-term evaluation of ununited anconeal process excision on the canine elbow. Vet Comp
Ortho Trauma 7:94, 1994.
30. Sikkema DA, Roush JK: Unusual presentation of an ununited anconeal process in a 6-year-old great dane. Vet Comp Ortho Trauma 7:177, 1994.
31. Sinibaldi KR: Ununited anconeal process in the dog. In Bojrab MJ, ed.: Current Techniques in Small Animal Surgery. Philadelphia: Lea and
Febiger, 1983, p 719.
32. Sinibaldi KR, Arnoczky SP: Surgical removal of the ununited anconeal process in the dog. J Am Anim Hosp Assoc 11:192, 1975.
33. Sjostrom L: Ununited anconeal process in the dog. Vet Clin North Am Small Anim Pract 28:75, 1998.
34. Sjostrom L, Kasstrom H, Kallberg M: Ununited anconeal process in the dog. pathogenesis and treatment by osteotomy of the ulna. Vet Comp
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35. Snavely DA, Hohn RB: A modified lateral surgical approach to the elbow of the dog. J Am Vet Med Assoc 169:826, 1976.
36. Stevens DR, Sande RD: An elbow dysplasia syndrome in the dog. J Am Vet Med Assoc 165:1065, 1974.
37. Thomson MJ, Robins GM: Osteochondrosis ot the elbow, a review of the pathogenesis and a new approach to treatment. Aust Vet J 72:375,
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38. Trostel CT, McLaughlin RM, Pool RR: Canine elbow dysplasia: Anatomy and pathogenesis. Comp Cont Ed Pract Vet25:754, 2003.
39. Turner BM, Abercromby RH, Innes J, et al: Dynamic proximal ulnar osteotomy for the treatment of ununited anconeal process in 17 dogs. Vet
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40. van Bree HJJ, van Ryssen B: Diagnostic and surgical arthroscopy in osteochondrosis lesions. Vet Clin North Am, Small Animal Practice 28:161,
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Surgical Treatment of Fragmented Coronoid Process


1. Anderson SM, Lippincott CL, Schulman AJ: Longitudinal myotomy of the flexor carpi radialis: A new approach to the medial aspect of the elbow
joint. J Am Anim Hosp Assoc 25:499, 1989.
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Total Elbow Replacement in the Dog


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Radius and Ulna


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Correction of Radial and Ulnar Growth Deformities Resulting from Premature Physeal Closure
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Carpus, Metacarpus, and Phalanges


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Surgical Treatment of Injuries to the Antebrachial Carpal Joint and Carpus


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Pancarpal Arthrodesis
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Repair of Fractures Involving Metabones and Phalanges


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Amputation of the Forelimb


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Sacroiliac Joint, Pelvis and Hip Joint


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10. Radasch RM, Merkley DF, et al: Static strength evaluation of sacroiliac fracture-separation repairs. Vet Surg; 19(2):155-161, 1990.

Trans-ilial/Trans-sacral Pinning of Sacral Fractures


Averill SM, Johnson AL, Schaeffer DJ. Risk factors associated with development of pelvic canal stenosis secondary to sacroiliac separation: 84
cases (1985-1995).
J Am Vet Med Assoc 211:75, 1997. DeCamp CE, Braden TD. Sacroiliac fracture-separation in the dog. A study of 92 cases. Vet Surg 14:127, 1985.
DeCamp CE, Braden TD. The surgical anatomy of the canine sacrum for lag screw fixation of the sacroiliac joint. Vet Surg 14:131, 1985.
Hulse DA, Shires P, Waldron D, Hedlund C. Sacroiliac luxations. Comp Contin Ed Pract Vet7:493, 1985.
Jacobson A, Schrader SC. Peripheral nerve injury associated with fracture or fracture-dislocation of the pelvis in dogs and cats: 34 cases (1978-
1982). J Am Vet Med Assoc 190:569, 1987.
Kuntz CA, Waldron D, Martin RA, Shires PK, Moon M, Shell L. Sacral fractures in dogs: a review of 32 cases. J Am Anim Hosp Assoc 31:142, 1995.
Pare B, Gendreau CL, Robbins MA. Open reduction of sacral fractures using transarticular implants at the articular facets of L7-S1: 8 consecutive
canine patients (1995-1999). Vet Surg 30:476, 2001.
Tomlinson JL, Cook JL, Payne JT, Anderson CC, Johnson JC. Closed reduction and lag screw fixation of sacroiliac luxations and fractures. Vet Surg
28:188, 1999.
Ullman SL, Boudrieau RJ. Internal skeletal fixation using a Kirschner apparatus for stabilization of fracture/luxations of the lumbosacral joint in six
dogs. A modification of the transilial pin technique. Vet Surg 22:11, 1993.

Repair of Ilial Fractures


1. Verstraete FJM, Lambrechts NE: Diagnosis of soft tissue injuries associated with pelvic fractures, Compend Contin Educ Pract Vet 14: 921, 1992.
2. Breshears LA, Fitch RB, Wallace LJ, et al: The radiographic evaluation of repaired canine ilial fractures. Vet Comp Orthop Traumatol 17: 64, 2004.
3. Jacobson A, Schrader, SC: Peripheral nerve injury associated with fracture or fracture-dislocation of the pelvis in dogs and cats: 34 cases (1978-
1982) J Am Vet Med Assoc 190: 569, 1987.
4. Messmer M, Montavon PM: Pelvic fractures in the dog and cat: a classification system and review of 556 cases Vet Comp Orthop Traumatol 17:
167, 2004.
5. Hohn RB, Janes JM: Lateral approach to the canine ilium, J Am Anim Hosp Assoc 2: 111, 1966.
6. Montavoin PM, Bouchieau RJ, Hohn RB: Ventrolateral approach for the repair of sacroiliac fracture-dislocation in the dog and cat. J Am Vet Med
Assoc 186: 1198. 1985.
7. Vangundy TE, Hulse DA, Nelson JK, et al: Mechanical evaluation of two canine iliac fracture fixation systems. Vet Surg 17: 321, 1988.
8. Brown SG, Biggart JF: Plate fixation of ilial shaft fractures in the dog. J Am Vet Med Assoc 167: 472, 1975.

Surgical Repair of Acetabular Fractures


Boudrieau, RJ, Kleine, LJ: Nonsurgically managed caudal acetabular fractures in dogs: 15 cases (1979-1984). J Am Vet Med Assoc 193:701, 1988.
Hulse, DL: Acetabular Fractures. In Fossum T, ed.: Small Animal Surgery, 2nd ed. St. Louis: Mosby, 2002, p 971.
Olmstead ML. Surgical repair of acetabular fractures. In Bojrab, MJ,ed: CurrentTechniques in Small Animal Surgery, 4th ed. Baltimore: Williams &
Wilkins, 1990, p 1036.
Olmstead, ML: Fractures of the Bones of the Hind Limb. In Olmstead, ML, ed: Small Animal Orthopedics. St. Louis: Mosby, 1995, p 219.
Piermattei DL., Johnson, KA: An Atlas of Surgical Approaches of the Bones of the Dog and Cat:. (4th ed). Philadelphia: W.B. Saunders, 2004, p. 290.
Slocum B, Hohn RB: A surgical approach to the caudal aspect of the acetabulum and body of the ischium in the dog. J Am Vet Med Assoc 65:167,
1975.
Tomlinson, JL: Fractures of the Pelvis. In Slatter, D, ed. Textbook ofSmall Animal Surgery, 3rd ed. Philadelphia: W. B. Saunders, 2003, p 1989.

Treatment of Coxofemoral Luxations


1. Bone DL, Walker M. Cantwell RD. Traumatic coxofemoral luxation in the dog. Vet Surg l3:263, 1984.
2. Dobbelaar MJ. Dislocation of the hip in dogs. J small Anim Pract 4:101, 1963.
3. Pierrnattei DL, Greeley RG. An atlas of surgical approaches to the bones of the dog and cat. Philadelphia: WB Saunders, 1979.
4. Beckham HP, Smith MM, Kern DA. J Am Vet Med Assoc 208(1):81-84, 1996
5. Slocum B, Devine T. Dislocation of the canine hip: treatment of the normal and dysplastic hip. Am Anim Hosp Proc 372, 1987.
6. Allen SW, Chambers JN. Extracapsular suture stabilization of canine coxofemoral luxation. Compend Contin Educ Pract Vet 8:457, 1986.

Diagnostic Tests
Bardens JW. Palpation for the detection of joint laxity. In: Proceedings of the Canine Hip Dysplasia Symposium and Workshop. St. Louis: Orthopedic
Foundation for Animals, 1972:105-109.
Bardens JW, Hardwick H. New observations in the diagnosis and cause of hip dysplasia. Vet Med Small Anim Clin 1968:63:238.
Belkoff SM, Padgett G, Soutas-Little RW. Development of a device to measure canine coxofemoral joint laxity. VCOT 1989;1:31-36.
Slocum B, AVORE. Pelvic osteotomy: the results of 285 pelvic osteotomies (abstract). Vet Surg 1986; 15:134.
Slocum B, Devine T. Pelvic osteotomy in the dog as treatment for hip dysplasia. Semin Vet Med Surg 1987;2:107.
Slocum B, Devine T. Femoral neck lengthening for hip dysplasia in the dog. Vet Surg 1989; 18:81.
Slocum B, Devine T. Pelvic osteotomy. In: Whittock W, ed. Canine orthopedics. 2nd ed. Philadelphia: Lea & Febiger, 1990:471.
Slocum B, Devine T. Pelvic osteotomy for axial rotation of the acetabular segment. Vet Clin North Am 1992,22:645.
Slocum B, Slocum TD. Slope of the dorsal acetabular rim for hip evaluation in the dog. In: 17th annual conference of the Veterinary Orthopedic
Society. Jackson Hole, WY: Veterinary Orthopedic Society, 1990:12.
Smith G, Biery D, Gregor T. New concepts of coxofemoral joint stability and the development of a clinical stress-radiographic method for quanti-
tiating hip joint laxity in the dog. J Am Vet Med Assoc 1990;196:59-70.
Wright PJ, Masson TA. The usefulness of palpation of joint laxity in puppies as a predictor of hip dysplasia in a guide dog breeding programme. J
Small Anim Pract 1977; 18:513.

Radiographic Characteristics of Hip Dysplasia


1. Bardens J. Joint laxity as hip dysplasia. In: Canine Hip Dysplasia Symposium. St. Louis:, 1972:71.
2. Belkoff SM, Padgett G, Soutas-Little RW. Development of a device to measure canine coxofemoral joint laxity. Vet Compar Orthop Traumatol
1989;1:31-36.
3. Stoll S. Femoral neck lengthening using distraction measurements. In: American College of Veterinary Surgeons Surgical Forum.: American
College of Veterinary Surgeons, 1996.
4. Smith G, Biery D, Gregor T. New concepts of coxofemoral joint stability and the development of a clinical stress-radiographic method for quanti-
tating hip joint laxity in the dog. J Am Vet Med Assoc 1990,196:59-70.
Corley EA. Hip dysplasia: a report from the Orthopedic Foundation for Animals. Semin Vet Med Surg 1987;2:141.
Henry J, Park R. Wedge technique for demonstration of coxofemoral joint laxity in the canine. In: Canine Hip Dysplasia Symposium. St. Louis: Arthur
Freeman, 1972:117.
Laming F. Canine hip dysplasia and other orthopedic problems. Loveland, CO: Alpine Publications, 1981.
Morgan JP, Stephens M. Radiographic diagnosis and control of canine hip dysplasia. Davis, CA: Venture Press, 1985.
Pappas AM. Congenital hip dysplasia. In: Tronzo R, ed. Surgery of the hip joint. Philadelphia: Lea & Febiger, 1973.
Rendano V, Ryan G. Canine hip dysplasia evaluation: a positioning and labeling guide for radiographs to be submitted to the Orthopedic Foundation
for Animals. Vet Radiol 1985:26:170.
Rettenmaier J, Constantinescu G. Canine hip dysplasia. Compend Contin Educ Pract Vet 1991;13:643.
Riser WH. The dog as model for the study of hip dysplasia. Vet Pathol 1975:12:229.
Riser WH, Shirer JF. Hip dysplasia: coxofemoral abnormalities in neonatal German shepherd dogs. J Small Anim Pract 1966:7:7.
Riser WH, Rhodes WH, Newton CD. Hip dysplasia. In: Newton CD, Nunamaker DM, eds. Textbook of small animal orthopedics. Philadelphia: JB
Lippincott, 1985.
Sage FP. Campbell's operative orthopedics 4th ed. St. Louis: CV Mosby, 1963:1708-1709.
Slocum B, AVORE. Pelvic osteotomy: the results of 285 pelvic osteotomies (abstract). Vet Surg 1986,15:134.
Slocum B, Devine TM. Dorsal acetabular rim radiographic view for evaluation of the canine hip. J Am Anim Hosp Assoc 1990:26:289-296.
Slocum B, Devine T. Pelvic osteotomy in the dog as treatment for hip dysplasia. Semin Vet Med Surg 1987:2:107.
Slocum B, Devine T. Femoral neck lengthening for hip dysplasia in the dog. Vet Surg 1989; 18:81.
Slocum B, Devine T. Pelvic osteotomy. In: Whittick W, ed. Canine orthopedics. 2nd ed. Philadelphia: Lea & Febiger, 1990:471.
Slocum B, Slocum TD. Slope of the dorsal acetabular rim for hip evaluation in the dog. In: 17th annual conference of the Veterinary Orthopedic
Society. Salt Lake City, UT: Veterinary Orthopedic Society, 1990:12.
Slocum B, Slocum TD. Examination of the canine hip. Canine Pract 1991;15:5-10.
Slocum B, Slocum TD. Pelvic osteotomy for axial rotation of the acetabular segment in dogs with hip dysplasia. Vet Clin North Am Small Anim Pract
1992;22:645-682.
Snavely JG. The genetic aspects of hip dysplasia in dogs. J Am Vet Med Assoc 1959;135:201.
Wallace L. Canine hip dysplasia: past and present. Semin Vet Med Surg 1987;2:92.

Treatment of Hip Dysplasia


Slocum B, Devine T. Pelvic osteotomy in the dog as treatment for hip dysplasia. Semin Vet Med Surg 1987,2:107.
Slocum B, Devine T. Femoral neck lengthening for hip dysplasia in the dog. Vet Surg 1989; 18:81.
Slocum B, Devine T. Pelvic osteotomy. In: Whittick W, ed. Canine orthopedics. 2nd ed. Philadelphia: Lea & Febiger, 1990:471.
Slocum B, Slocum TD. Pelvic osteotomy for axial rotation of the acetabular segment. Vet Clin North Am 1992;22:645.
Slocum B, Slocum TD. Femoral neck lengthening: the cutting edge. 1988.
Stoll S. Femoral neck lengthening. San Francisco, CA: American College of Veterinary Surgeons, 1996.

Pelvic Osteotomy
Slocum B. AVORE. Pelvic osteotomy: the results ol 285 pelvic osteotomies (abstract). Vet Surg 1986;15:134.
Slocum B, Devine T. Pelvic osteotomy in the dog as treatment for hip dysplasia. Semin Vet Med Surg 1987,2:107.
Slocum B, Devine T. Femoral neck lengthening for hip dysplasia in the dog. Vet Surg 1989; 18:81.
Slocum B, Devine T. Dorsal acetabular rim radiographic view for evaluation of the canine hip. J Am Anim Hosp Assoc 1990,26:289.
Slocum B, Devine T. Pelvic osteotomy. In: Whittock W, ed. Canine orthopedics. 2nd ed. Philadelphia: Lea & Febiger, 1990:471.
Slocum B, Slocum TD. Slope of the dorsal acetabular rim for hip evaluation in the dog. In: 17th annual conference of Veterinary Orthopedic Society.
Jackson Hole, WY: Veterinary Orthopedic Society, 1990:12.

Three Plane Intertrochanteric Osteotomy


1. Brinker WO: Corrective osteotomy procedures for treatment of canine hip dysplasia. Vet Clin North Am 1:467, 1971.
2. Archibold J, Ballatyne JH: A practical prosthesis for the canine and feline femoral head. North Am Vet 34:496, 1953.
3. Prieur WD: Coxarthrosis in the dog. Part 1: Normal and abnormal biomechanics of the hip joint. Vet Surg 9:145, 1980.
4. Pauwels F: Uber eine Kausale Behandlung der coxa valgu luxans. Z Orthop 79:305-315, 1950.
5. Hey Groves EW: Surgical treatment of osteoarthritis of the hip. Br Med J 1:3, 1933.
6. Kirmission E: De l'osteotomie sous trochanterienne applique a certains cas de luxation congenitale de la hauche: Rev Orthop 5:137, 1984.
7. Knodt H: Pressure-reducing effects of hip osteotomies. Clin Orthop 77:105, 1971.
8. Prieur WD: Intertrochanteric osteotomy in the dog: theoretical consideration and operative technique. J Small Anim Pract 28:3, 1987.
9. Prieur WD, Scartazzini R: Die Grundlagen und Ergebrisse der intertro-chanteren variationsosteotome bei huftdysplasia. Kleintur-Prax 25:393,
1980.
10. Dueland DJ: Femoral torsion and its possible relationship to canine hip dysplasia. Vet Surg 9:48, 1980.
11. Walker T, Prieur WD: Intertrochanteric femoral osteotomy: Semin Vet Med Surg (Small Animal) 2:117, 1987.
12. Belkoff SM, Padgett G, Soutas-Little RW: Development of a device to measure canine coxofemoral laxity. Vet Comp Orthop Trauma 1:31-36,
1989.
13. Montavon PM, Hohn RB, Olmstead ML, et al: Inclination and anteversion angles of the femoral head and neck in the dog. Vet Surg 14:277, 1985.
14. Braden TD, Prieur WD, Kaneene JB: Clinical evaluation of intertrochanteric osteotomy for treatment of dogs with early-stage hip dysplasia: 37
cases (1980-1987). J Am Vet Med Assoc 196:337, 1990.
15. Salter RB: Innominate osteotomy in the treatment of a congenital dislocation and subluxation of the hip. J Bone Joint Surg (Br) 43:518, 1961.
16. Salter RB: Role of innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip in the older child. J Bone Joint Surg
(Am) 48:1413, 1966.
17. Goldie MD, Dumbleton JH: Intertrochanteric osteotomy of the femur. Clinical Biomechanics: A case history approach. New York, Churchill
Livingstone, 1981, p 72.
18. Reigstad A, Gronmark T: Osteoarthritis of the hip treated by intertrochanteric osteotomy. J Bone Joint Surg (Am) 66: 1, 1984.

DARthroplasty: Another Treatment for Hip Dysplasia


Slocum, B. & Slocum, T.D. “DARthroplasty”. In: Bojrab, M.J., ed. Current Techniques in Small Animal Surgery, 4th Ed. Baltimore: Williams & Wilkins
1998: 1168-1170.

Total Hip Arthroplasty


DeYoung, DJ, DeYoung BA, Aberman Ha, et al: Implantation of an uncemented total hip prosthesis: Technique and initial results of 100
arthroplasties. Vet Surg 21: 168, 1992.
Hoefle, WD: a surgical procedure for prosthetic total hip replacement in the dog. J Am Animal Hosp Assoc 10:269, 1974.
Leighton, RL: The Richard's II canine hip prosthesis. J Am Anim Hosp Assoc 15:73, 1979.
Lewis RG, Jones JP: A clinical study of canine total hip replacement. Vet Surg 9:20, 1980.
Olmstead, ML, Hohn RB: Ergbisse mt der hufltoltal-prostheses bei 103 klinischen fallen an der Ohio State University. Klin Prox25; 407, 1980.
Olmstead, ML, Hohn, RB, Turner, TM: A five year study of 221 total hip replacements in the dog. J Am Vet Med Assoc 183:191, 1983.
Olmstead, ML: Total hip replacement. VetClin N Am 17:943, 1987.
Olmstead, ML: The canine cemented modular total hip prosthesis: surgical technique and preliminary clinical results. J Am Anim Hosp Assoc 31:109,
1995.
Parker, RB, Bloomberg, MS, Bitetto, W et al: Canine total hip replacement: a clinical review of 20 cases. J Am Anim Hosp Assoc 20:97, 1984.
Paul HA, Bargar WL: A modified Technique for canine total hip replacement. J Am Anim Hosp Assoc 23:13, 1987.

Excision Arthroplasty of the Femoral Head and Neck


Lippincott CL: Excision arthroplasty of the femoral head and neck. Vet Clin North Am [Small Anim Pract] 17:857, 1987.
Berzon JL, Howard PE, Covell SJ, et al.: A retrospective study of the efficacy of femoral head and neck excisions in 94 dogs and cats. Vet Surg 9:88,
1980.
Tarvin G, Lippincott CL: Excision arthroplasty for treatment of canine hip dysplasia using the biceps femoris muscle sling: An evaluation of 92 cases.
Semin Vet Med Surg [Small Anim] 2:158, 1987.
Mann FA, Tanger CH, Wagner-Mann C, et al.: A comparison of standard femoral head and neck excision and femoral head and neck excision using
a biceps femoris muscle flap in the dog. Vet Surg 16:223, 1987.
Lippincott CL: Improvement of excision arthroplasty of the femoral head and neck utilizing a biceps femoris muscle sling. J Am Anim Hosp Assoc
17:668, 1981.
Lippincott CL: Excision arthroplasty of the femoral head and neck utilizing a biceps femoris muscle sling. Part two: The caudal pass. J Am Anim Hosp
Assoc 20:377, 1984
Gendreau C, Cawley AJ: Excision of the femoral head and neck: the long-term results of 35 operations. J Am Anim Hosp Assoc 13:605, 1977.
Lewis DD, Bellah JR, McGavin MD, Gaskin JM: Postoperative examination of the biceps femoris muscle sling used in excision of the femoral head
and neck in dogs. Vet Surg 17:269, 1988.
Prostredny, JM, Toombs, JP, Van Sickle, DC: Effect of two muscle techniques on early morbidity after femoral head and neck excision in dogs. Vet
Surg 20:298, 1991.
Bjorling DE, Chambers JN: The biceps femoris flap and femoral head and neck excision in dogs. Compend Contin Educ Pract Vet8:359, 1986
Piermattei DL, Johnson KA: An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat:. 4th ed. Philadelphia: Saunders 2004, 290.
Hosgood G, Toombs JP: The suture snare technique for passage of tissue strips or flaps. J Am Anim Hosp Assoc 26:322, 1990.
Millis DL. Levine D, Taylor RA: Canine Rehabilitation and Physical Therapy 1st ed. Saint Louis: Saunders 2004.

Femur and Stifle Joint


Aron DN, et al. A review of reduction and internal fixation of proximal femoral fractures in the dog and man. J Am Anim Hosp Assoc 1979;15:455.
Daly WR. Femoral head and neck fractures in the dog and cat: a review of 115 cases. Vet Surg 1978;7:29.
Frey AJ, Olds R. A new technique for repair of comminuted diaphyseal fractures. Vet Surg 1981; 10:51.
Gambardella PC. Full cerclage wires for fixation of long bone fractures. Compend Contin Educ Pract Vet 1980,11:665.
Gilmore DR. Application of the lag screw. Compend Contin Educ Pract Vet 1983;5:217.
Grauer GF, Banks WJ, Ellison GW, et al. Incidence and mechanisms of distal femoral physeal fractures in the dog and cat. J Am Anim Hosp Assoc
1981; 17:579.
Hauptman J, Butler HC. Effect of osteotomy of the greater trochanter with tension band fixation on femoral conformation in beagle dogs. Vet Surg
1979;8:13.
Hulse DA, Abdelbaki YZ, Wilson J. Revascularization of femoral capital physeal fractures following surgical fixation. J Vet Or-thop 1981,2:50.
Hulse DA, et al. Use of the lag screw principle for stabilization of femoral neck and femoral capital epiphyseal fractures. J Am Anim Hosp Assoc
1974; 10:29.
Kaderly RE, Anderson WD, Anderson BG. Extraosseous vascular supply to the mature dog's coxofemoral joint. Am J Vet Res 1982;43:1208.
Kagan KG. Multiple intramedullary pin fixation of the femur of dogs and cats. J Am Vet Med Assoc, 182:1251, 1983.
Milton JL, Home RD, Goldstein GM. Crosspinning: a simple technique for treatment of certain metaphyseal and physeal fractures of the long bones. J
Am Anim Hosp Assoc 1980; 16:891.
Milton JL, Newman ME. Fractures of the femur. In : Slatter DH, ed. Textbook of small animal surgery. Philadelphia: WB Saunders, 1985.
Nunamaker DM. Repair of femoral head and neck fractures by interfragmentary compression. J Am Vet Med Assoc 1973,162:569.
Renegar WR, Leeds EB, Olds RB. The use of the Kirschner-Ehmer splint in clinical orthopedics. Compend Contin Educ Pract Vet 1982,4:381.
Rhinelander FW, Wilson JW. The blood supply of developing mature and healing bone. In: Sumner-Smith G, ed. Bone in clinical orthopedics.
Philadelphia: WB Saunders, 1982.
Rivera LA, Aldelbaki YZ, Hulse DA. Arterial supply to the canine hip joint. J Vet Orthop 1979; 1:20.
Shires PK, Hulse DA. Internal fixation of physeal fractures using the distal femur as an example. Compend Contin Educ Pract Vet 1980; 11:854.
Stone EA, Betts CW, Rowland GN. Effect of Rush pins on the distal femoral growth plate of young dogs. Am J Vet Res 1981 ;42:261.

Repair of Patellar Fractures


Arnoczky SP, Tarvin GB: Surgery of the stifle: the patella. Compend Contin Educ Pract Vet 2:200, 1980.
Betts CW, Walker M: Lag screw fixation of a patellar fracture. J Small Anim Pract.. 16:21, 1975.
Howard PE, Wilson JW, Robbins TA et al.: Normal blood supply of the canine patella. Am J Vet Res 47:401, 1986.
McLaughlin R: Intra-articular stifle fractures and arthrodesis. Vet Clin North Am Small Anim Pract 23:877, 1993.
Piermattei DL, Flo GL: Fractures of the Femur and Patella In Brinker WO, Piermattei DL, Flo GL, eds.: Handbook of Small Animal Orthopedics and
Fracture Repair, Third edition. Philadelphia: W.B. Saunders, 1997, p 469.

Surgical Repair of Patellar Luxations


1. L'Eplattenier H, Montavon P: Patellar luxation in dogs and cats: pathogenesis and Diagnosis. Compend Contin Educ Prac Vet24:234, 2002.
2. L'Eplattenier H, Montavon P: Patellar luxation in dogs and cats: management and prevention. Compend Contin Educ Prac Vet 24:292, 2002.
3. Evans HE: Miller's anatomy of the dog. 2nd ed. Philadelphia: WB Saunders, 1993.
4. Arnoczky SP, Tarvin GB: Surgery of the stifle: patella. Compend Contin Educ Pract Vet 2:20001980.
5. Rudy RL: Stifle joint. In: Archibald J, ed.: Canine surgery. 2nd ed. Santa Barbara, Ca: American Veterinary Publications, 1974.
6. Harrison JW: Patellar dislocation. In: Bojrab MJ, ed.: Current techniques in small animal surgery. Philadelphia: Lea & Febiger, 1975, 714.
7. Trotter E: Medical Patellar luxation in the dog. Compend Contin Educ Pract Vet 2:58, 1980.
8. Priester WA: Sex, size, and breed as risk factors in canine patellar dislocation. J Am Vet Med Assoc 160:740, 1973.
9. Hobday F: Congenital malformation and displacement of the patella. Vet J 60:216, 1905.
10. Lacroix JV: Recurrent luxation of the patella in dogs. North Am Vet 2:47, 1930.
11. Putman RW: Patellar luxation in the dog. Master's thesis, University of Guelph, Ontario, Canada, 1968
12. Brinker WO, Keller WE: Rotation of the tibial tuberosity for correction of luxation of the patella. Mich State Univ Vet22:92, 1962.
13. DeAngelis MP: Patellar luxations in dogs. Vet Clin North Am 1:403, 1971.
14. Flo G, Brinker WO: Fascia lata overlap procedure for surgical correction of recurrent medial luxation of the patella in the dog. J Am Vet Med
Assoc 156:595, 1970.
15. Singleton WB: Transplantation of the tibial crest for treatment of congenital patellar luxation. In: Proceedings of the 27th Annual Meeting of the
American Animal Hospital Association.: American Animal Hospital Association, 1967.
16. Vierheller, RC: Grooving the femoral trochlea. In: Proceedings of the 34th Annual Meeting of the American Animal Hospital Association.:
American Animal Hospital Association, 1970.
17. O'Brian TR: Developmental deformities due to arrested epiphyseal growth. VetClin North Am 1:441, 1971.
18. Slocum B, Slocum DB, Devine T, et al.: Wedge recession for treatment of recurrent luxations of the patella. Clin Orthop 164:48, 1982.
19. Boone EG Jr, Hohn RB, Weisbrode SE: Trochlear recession wedge technique for patellar luxation: an experimental study. J Am Anim Hosp
Assoc 19:735, 1983.
20. Talcott KW, Goring RL, de Haan JJ: Rectangular recession trochleo-plasty for treatment of patellar luxation in dogs and cats. Vet Comp Orthop
Traumatol 13:39, 2000.
21. Johnson AL, Probst CW, DeCamp, et al.: Comparison of trochlear block recession and trochlear wedge recession for canine patellar luxation
using a cadaver model. Vet Surg 30:140, 2001.

Fabellar Suture Stabilization Technique for Treatment of Cranial Cruciate Ligament Rupture
1. Flo G: Modification of the lateral retinacular imbrication technique for stabilizing cruciate ligament injuries. J Am Anim Hosp Assoc 11:570, 1975.
2. Flo G: Meniscal Injuries. Vet Clin North Am Small Anim Prac 23:831, 1993.
3. Ralphs SC, Whitney WO: Arthroscopic evaluation of menisci in dogs with cranial cruciate ligament injuries: 100 cases (1999-2000). J Am Vet Med
Assoc 221:1602, 2002.
4. Roe SC: Optimizing the attachment sites of an extracapsular suture used for stabilizing a cruciate deficient stifle. Proceedings of the 10th Annual
American College of Veterinary Surgeons Symposium, Washington DC,:19, 2000.
5. Roe SC: Personal Communication, July 2005.
6. Marsolais GS, Dvorak G, Conzemius MG: Effects of Postoperative Rehabilitation on Limb Function after Cranial Cruciate Ligament Repair in Dogs.
J Am Vet Med Assoc 220:1325, 2002.

Tibial Plateau Leveling Osteotomy for Treatment of Cranial Cruciate Ligament Rupture
1. Slocum B, Slocum TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. VetClin North Am-Small Anim
Pract 23:777, 1993.
2. Dejardin LM. Tibial Plateau Leveling Osteotomy In: Slatter D, ed. Textbook of Small Animal Surgery. 3 ed. Philadelphia: Saunders, 2002; p 2133-
2143.
3. Palmer R. Understanding tibial plateau leveling osteotomies in dogs. Vet Med 100:426, 2005.
4. Reif U, Hulse DA, Hauptman JG. Effect of tibial plateau leveling on stability of the canine cranial cruciate-deficient stifle joint: an in vitro study. Vet
Surg 31:147, 2002.
5. Wa rzee CC, Dejardin LM, Arnoczky SP, et al. Effect of tibial plateau leveling on cranial and caudal tibial thrusts in canine cranial cruciate-deficient
stifles: an in vitro experimental study. Vet Surg 30:278, 2001.
6. Caylor KB, Zumpano CA, Evans LM, et al. IntraÖ¾ and interobserver measurement variability of tibial plateau slope from lateral radiographs in
dogs. J Am Anim Hosp Assoc 37:263, 2001.
7. Reif U, Dejardin LM, Probst CW, et al. Influence of limb positioning and measurement method on the magnitude of the tibial plateau angle. Vet
Surg 33:368, 2004.
8. Reif U, Probst CW. Comparison of tibial plateau angles in normal and cranial cruciate deficient stifles of Labrador retrievers. Vet Surg 32:385,
2003.
9. Wheeler JL, Cross AR, Gingrich W. In vitro effects of osteotomy angle and osteotomy reduction on tibial angulation and rotation during the tibial
plateau-leveling osteotomy procedure. Vet Surg 32:371, 2003.
10. Kowaleski MP, McCarthy R.J. Geometric analysis evaluating the effect of tibial plateau leveling osteotomy position on postoperative tibial plateau
slope. Vet Comp Orthop Traumatol 17:30, 2004.
11. Kowaleski MP. Technique and indications for TPLO/CCWO. ACVS Veterinary Symposium 449, 2005.
12. Palmer R. Postoperative TPLO Complications. ACVS Veterinary Symposium 2004; p 378.
13. Apelt D, Kowaleski MP, Dyce J. Comparison of computed tomographic and standard radiographic determination of tibial torsion in the dog. Vet
Surg 34:457, 2005.
14. Pozzi A, Kowaleski MP, Apelt, D, Johnson KA. Motion of the caudal pole of the medial meniscus after meniscal release. ACVS Veterinary
Symposium 2005; p 20.
15. Pozzi A, Litzky AS, Field J, Apelt, D, Meadows C, Johnson KA. In vitro effect of meniscal release on load transmission in stifles with and without
tibial plateau leveling osteotomy. ACVS Veterinary Symposium 2005; p 21.
16. Slocum B, Devine-Slocum, T. Meniscal release In: Bojrab M, ed. Current Techniques in Small Animal Surgery. 4th ed. Philadelphia: Lea &
Febiger, 1998; p 1197.
17. Slocum B, Devine-Slocum, T. Tibial plateau leveling osteotomy for cranial cruciate ligament rupture In: Bojrab MJ EG, Slocum B, ed. Current
techniques in small animal surgery. 4 ed. Baltimore: Williams & Wilkins, 1998; p 1209.
18. Pacchiana PD, Morris E, Gillings SL, et al. Surgical and postoperative complications associated with tibial plateau leveling osteotomy in dogs with
cranial cruciate ligament rupture: 397 cases (1998-2001). J Am Vet Med Assoc 222:184, 2003.
19. Priddy NH, 2nd, Tomlinson JL, Dodam JR, et al. Complications with and owner assessment of the outcome of tibial plateau leveling osteotomy for
treatment of cranial cruciate ligament rupture in dogs: 193 cases (1997-2001). J Am Vet Med Assoc 222:1726, 2003.
20. Boudrieau RJ. Corrosion of the Slocum TPLO plate. ACVS Veterinary Symposium 2005; p 324.
21. Boudrieau RJ, McCarthy RJ, Sisson RD, Jr. Sarcoma of the proximal portion of the tibia in a dog 5.5 years after tibial plateau leveling osteotomy.
J Am Vet Med Assoc 227:1613-1617, 2005.
22. Punke J. Clinical occurence of sarcoma post tibial plateau leveling osteotomy (TPLO). ACVS Veterinary Symposium 2005; p 318.
“Over-the-Top” Patellar Tendon Graft for Cranial Cruciate Ligament Repair
1. Arnoczky SP, Marshall JL: The cruciate ligaments of the canine stifle: an anatomical and functional analysis. Am J Vet Res 38:1807, 1977.
2. Arnoczky SP, Marshall JL: Pathomechanics of cruciate and meniscal injuries. In Bojrab MJ, ed.: Pathophysiology of small animal surgery.
Philadelphia: Lea & Febiger, 1981, p 590.
3. Arnoczky SP: Surgery of the stifle: the cruciate ligaments. Compend Contin Educ Pract Vet 2:106, 1980.
4. Vasseur PB, Pool RR, Arnoczky SP, et al.: Correlative biomechanical and histologic study of the cranial cruciate ligament in dogs. Am J Vet res
46:1842, 1985.
5. Hulse DA, Michaelson F, Johnson C. et al.: A technique for reconstruction of the anterior cruciate ligament in the dog: preliminary report. Vet Surg
9:135, 1980.
6. Strande A.: Repair of the ruptured cranial cruciate ligament in the dog. Baltimore: Williams & Wilkins, 1967.
7. Vasseur PB: Stifle joint. In Textbook of small animal surgery. Philadelphia: W. B. Saunders, 1993, 1817.
8. Arnoczky SP, Tarvin GB, Marshall JL, et al. The over-the-top procedure: a technique for anterior cruciate ligament substitution in the dog. J Am
Anim Hosp Assoc 15:283, 1979.
9. Arnoczky SP, Tarvin GB, Marshall JL.: Anterior cruciate ligament replacement using patellar tendon: an evaluation of graft revascularization in the
dog. J Bone Joint Surg [Am]64A:217, 1982.
10. Boudrieau RJ, Kaderly RE, Arnoczky SP, et al.: Vascularized patellar tendon graft technique for cranial cruciate ligament substitution in the dog:
vascular evaluation. Vet Surg 14:196, 1985.
11. Butler DL, Grood ES, Noyes FR, et al.: Mechanical properties of primate vascularized vs. nonvascularized patellar tendon grafts: changes over
time. J. Orthop Res 7:68-79, 1989.
12. Shires PK, Hulse DA, Liu W: The under-and-over fascial replacement technique for anterior cruciate ligament rupture in dogs: a retrospective
study. J Am Anim Hosp Assoc 20:69, 1984.
13. Denny HR, Barr ARS: An evaluation of two “over the top” techniques for anterior cruciate ligament replacement in the dog. J Small Anim Pract
25:759, 1984.

Treatment of Caudal Cruciate Ligament Rupture by Lateral and Medial Imbrication


1. Reinke JD. Cruciate ligament avulsion injury in the dog. J Am Anim Hosp Assoc 1982; 18: 257 - 264.
2. Schulz K. Caudal cruciate ligament injury. In Fossum TW, Small Animal Surgery. 4th ed. St. Louis. Mosby/Elsevier, 2013; 1344 - 1345.
3. Abate J. Dislocations and soft tissue injuries of the knee. In: Brouner BD. Sletel Trauma. 4th ed. Philadelphia, PA. Saunders/Elsevier. 2009; 2167 -
2201.
4. Pournaras J, Symeonides PP, Karkavalas G. The significance of the posterior cruciate ligaqment in the stability of the dog's knee. J Bone Joint
Surg Br 1983; 65: 204 - 209.
5. Harari J, Johnson AL, Stein LE, Evaluation of experimental transection of the caudal cruciate ligament in dogs. Vet Surg 1987, 16: 151 - 154.
6. Johnson AL, Olmstead ML. Caudal cruciate ligament rupture: a retrospective analysis of 14 dogs. Vet Surg 1987; 16: 202; 16: 202 - 206.
7. Sumner JP, Markel MD, Muir P. Caudal cruciate ligament damage with cranial cruciate ligament rupture. Vet Surg 2010; 39: 936 - 941.

Treatment of Collateral Ligament Injuries


1. Evans HE, Christensen CG. Miller's anatomy of the dog. 2nd ed. Philadelphia: WB Saunders, 1979.
2. Arnoczky SP, Tarvin GB, Vasseur P. Surgery of the stifle: the menisci and collateral ligaments. Compend Contin Educ Pract Vet 1980;2:395.
3. Griffiths RC. Collateral ligament injuries. In: Proceedings of the 7th annual surgical forum.: American College of Veterinary Surgeons, 1979.
4. Berg RJ, Egger EL. In vitro comparison of the three loop pulley and locking loop suture patterns for repair of canine weightbearing tendons and
collateral ligaments. Vet Surg 1985; 15:107.

Osteochondritis Dissecans of the Canine Stifle


Kramer M, Stengel H, Gerwing M., et al: Sonography of the canine stifle. Vet Rad & Ultrasound 40:282, 1999.
Necas A, Dvorak M, Zatloukal J: Incidence of osteochondrosis in dogs and its late diagnosis. Acta Veterinaria Brno 68:131, 1999.
Montgomery RD, Milton JL, Henderson RA, Hathcock JT: Osteochondritis dissecans of the canine stifle. Compendium on Continuing Education for
the Practicing Veterinarian 11:1199, 1989.
Morgan JP, Wind A, Davidson AP: Bone dysplasias in the Labrador retriever: a radiographic study. J Am Animal Hosp Assoc 35:332, 1999.
Shealy PM, Milton JL: Limited arthrotomy of the canine stifle for osteochondritis dissecans. VetComp Ortho & Trauma 4:134, 1991.

Tibia and Tarsus


1. Johnson JA, Austin C, Breur GJ: Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through
1989. VetComp Orthop Traumatol7:56, 1994.
2. Johnson AL: Fundamentals of orthopedic surgery and fracture management, decision making in fracture management, in Fossum TW (ed) Small
Animal Surgery, 4th edition St. Louis, Mosby 2013, p 1055.
3. Johnson AL: Fundamentals of orthopedic surgery and fracture management, perioperative patient management in Fossum TW (ed) Small Animal
Surgery, 4th edition St. Louis, Mosby 2013, p 1044.
4. Johnson KA and Piermattei DL: Surgical Approaches to the Bones and Joints of the Dog and Cat:, 4th edition, Philadelphia, WB Saunders Co,
2004, p 366.
5. Johnson AL, Dunning D. Atlas of Orthopedic Surgical Procedures in the Dog and Cat:. St. Louis, Elsevier Saunders, 2005, p 196.
6. Johnson AL. Current concepts in fracture reduction. Vet Comp Orthop Traumatol 16:59, 2003.
7. Aron DN, Palmer RH, Johnson AL: Biologic strategies and a balanced concept for repair of highly comminuted long bone fractures, Compend Cont
Educ Pract Vet 17:35, 1995.
8. Johnson AL, Johnson K, Houlton J, et al: AO-ASIF Small Animal Preoperative Planning Guide: Synthes (USA); 1999.
9. Johnson AL, Fracture planning website, University of Illinois http:// vetmed.illinois.edu/fractureplanning/ January 2014
10. Johnson AL: Fundamentals of orthopedic surgery and fracture management, perioperative patient management in Fossum TW (ed) Small Animal
Surgery, 4th edition St. Louis, Mosby 2013, p 1201.
11. Johnson AL, Dunning D. Atlas of Orthopedic Surgical Procedures in the Dog and Cat. St. Louis, Elsevier Saunders, 2005, p 202.
12. Dueland RT, Johnson KA, Roe SC, et al: Interlocking nail treatment of diaphyseal long bone fractures in dogs, J Am Vet Med Assoc 214:59,
1999.
13. Johnson AL, Dunning D. Atlas of Orthopedic Surgical Procedures in the Dog and Cat. St. Louis, Elsevier Saunders, 2005, p 206.
14. Johnson AL, Dunning D. Atlas of Orthopedic Surgical Procedures in the Dog and Cat. St. Louis, Elsevier Saunders, 2005, p 204.
15. Schwarz G: Fractures of the tibia. In Johnson AL, Houlton JEF, Vaninni R.(editors) AO principles of fracture management in the dog and cat, New
York, Thieme for AO Publishing, 2005, p 310 .
16. Johnson KA and Piermattei DL: Surgical Approaches to the Bones and Joints of the Dog and Cat, 4th edition, Philadelphia, WB Saunders Co,
2004, p 370.
17. Johnson AL, Dunning D. Atlas of Orthopedic Surgical Procedures in the Dog and Cat. St. Louis, Elsevier Saunders, 2005, p 198.

Prosthetic Ligament Repair for Severe Tarsocrural Joint Instability


Aron DN: Luxation, subluxation, and shearing injuries of the tarsal joint. In Birchard SJ, Sherding RG, eds.: Saunders Manual of Small Animal
Practice. 2nd ed. Philadelphia: W. B. Saunders, 2000, p 1168.
Piermattei DL, Flo GL: Brinker, Piermattei, and Flo's Handbook of Small Animal Orthopedics and Fracture Repair. 3rd ed. Philadelphia: W.B.
Saunders, 1997, p 610.
1. Aron DN, Purinton PT: Collateral ligaments of the tarsocrural joint. An anatomic and functional study. Vet Surg 14:173, 1985.
2. Aron DN: Prosthetic ligament replacement for severe tarsocrural joint instability. Am Anim Hosp Assoc 23:41, 1987.
3. Rytz U, Aron DN, Foutz L, Thompson SA: Mechanical evaluation of soft cast (scotchcast, 3m) and conventional rigid and semirigid coaptation
methods. Vet Comp Orthop Traumatol 9:14, 1996.

Repair of Fractures of the Tarsus


1. Gielen I, De Rycke L, van Bree H, Simoens P: Computed tomography of the tarsal joint in clinically normal dogs. Am J Vet Res 62:1911, 2001.
2. Matis, U. Complex fractures of the tarsus - cats. In: Lecture abstracts: advanced techniques in small animal fracture management course.
Arbeitsgemeinshaft fur Osteosynthesefragen. Columbus, Ohio, 2007.
3. McCartney WT, Carmichael S. Talar neck fractures in five cats. J SmallAnim Pract41:204, 2000.
4. Muir P, Johnson KA, Ruaux-Mason CP. In vivo matrix microdamage in a naturally occurring canine fatigue fracture. Bone 25: 571, 1999.
5. Boudrieau RJ, Dee JF, Dee LG. Central tarsal bone fractures in the racing greyhound: a review of 114 cases. J Am Vet Med Assoc 184:1486,
1984.
6. Piermattei DL, Flo GL, DeCamp CE. Fracture-luxation of central tarsal bone. In: Piermattei, DL, Flo GL, DeCamp CE, eds. Brinker, Piermattei and
Flo's handbook of small animal orthopedics and fracture repair. 4th ed. St Louis: Elsevier Inc, 2006 p698.
7. Boudrieau RJ, Dee JF, Dee LG. Treatment of central tarsal bone fractures in the racing greyhound. J Am Vet Med Assoc 184:1492, 1984.
8. Marshall WG, Dee JF, Spencer CP. What is your diagnosis? Tarsometatarsal subluxation. J Am Vet Med Assoc. 2007 Dec 15;231(12):1809-10.
Beale B. Surgical treatment of talus fractures. In: Bojrab MJ, Ellison GW, Slocum B, eds. Current techniques in small animal surgery. 4th ed.
Baltimore: Williams and Wilkins, 1998 p1264.
Dee JF, Dee LG, Eaton-Wells RD. Injuries of high performance dogs. In: Whittick WG, ed. Canine Orthopedics. 2nd ed. Philadelphia: Lea and
Febiger, 1990 p519.
Dee JF. Tarsal injuries. In: Bloomberg MS, Dee JF, Taylor RA, eds. Canine Sports Medicine and Surgery. Philadelphia: WB Saunders Co, 1998
p120.
Evans HE: Millers’anatomy of the dog. 3rd ed. Philadelphia: WB Saunders Co, 1993.
Piermattei DL, Johnson KA: An atlas of surgical approaches to the bones and joints of the dog and cat. 4th ed. Philadelphia: Elsevier, 2004.

Tibiotarsal Arthrodesis and other Tarsal Arthrodesis Procedures


Gorse MJ, Early TD, Aron DN: Tarsocrural arthrodesis: Long term functional results. J Am Anim Hosp Assoc 27:231, 1991.
Ehmer Sling (Figure-of-Eight Sling)
1. Tomlinson JL. Reduction of coxofemoral luxations. In Bojrab MJ (ed), Current Techniques in Small Animal Surgery (4th ed). Philadelphia 1998;
Lea & Febiger, pp 1180-1182.
2. Herron AJ. Fracture disease. In Bojrab MJ (ed), Pathophysiology in Small Animal Surgery (2nd ed). Philadelphia 1981; Lea & Febiger, pp 697-699.

90°-90° Flexion Splint for Femoral Fractures


Aron DN, Crowe DT: The 90-90 flexion split for prevention of stifle joint stiffness with femoral fracture repairs. Am Anim Hosp Assoc 23:447, 1987.
1. Aron DN, Crowe DT: The 90-90 flexion split for prevention of stifle joint stiffness with femoral fracture repairs. Am Anim Hosp Assoc 23:447, 1987.
2. Gebhard JS, Kabo JM, Meals RA: Passive motion: the dose effects on joint stiffness, muscle mass, bone density, and regional swelling. A study in
an experimental model following intra-articular injury. J Bone Joint Surg Am 75:1636, 1993.
3. Muller ME, Allgower M, Schneider R, Willenegger H: Manual of internal fixation: Techniques recommended by the A-O-groups. 2nd ed. Berlin:
Springer-Verlag, 1979, 246.

Commonly Used Splinting and Casting Techniques


1. Tomlinson J. Complications of fractures repaired with casts and splints. Vet Clin North Am 1991;21:735-744.
2. Leighton RL. Principles of conservative fracture management: splints and casts. Semin Vet Med Surg 1991;6:39-51.
3. Manziaro CF, Manziaro JR. Walking plaster cast for repair of tibial fractures in dogs. J Am Vet Med Assoc 1970;156:581.
4. Nunamaker DM. Methods of closed fixation. In: Newton CD, Nunamaker DM, eds. Textbook of small animal orthopedics. Philadelphia: JB
Lippincott, 1985.
5. DeCamp CE. External coaptation. In: Slatter D, ed. Textbook of small animal surgery. 2nd ed. Philadelphia: WB Saunders, 1993.
6. Holm RB. Principles and application of plaster casts. Vet Clin North Am 1975;5:291-303.
7. Leighton RL. Complications from mismanagement of fixation devices. Vet Clin North Am 1975:5:273.
8. Knecht CD, Allen AR, Williams DJ, et al. Casts and splints for small animals. In: Fundamental techniques in veterinary surgery. 2nd ed.
Philadelphia: WB Saunders, 1981.
9. Robinson GW, McCoy L, Gili M. Feline bandaging and splinting. Feline Pract 1977:7:41.
10. Swaim SF, Vaughn DM, Spalding PJ, et al. Evaluation of the dermal effects of cast padding in coaptation casts on dogs. Am J Vet Res
1992:53:1266-1272.
11. Tobias TA. Slings, padded bandages, splinted bandages, and casts. In: Oimstead ML, ed. Small animal orthopedics. St. Louis: CV Mosby, 1995.
12. Knecht CD. Principles and applications of traction and coaptation splints. Vet Clin North Am 1975:5:177.
13. Seim HB, Creed JE, Smith K W. Restraint techniques for prevention of self-trauma. In: Bojrab MJ, ed. Current techniques in small animal surgery.
2nd ed. Philadelphia: Lea & Febiger, 1983.
Arnoszky SP, Blass CE, McCoy L. External coaptation and bandaging. In: Slatter DH, ed. Textbook of small animal surgery. Philadelphia: WB
Saunders, 1985.
Brinker WO, Piermattei DL, Flo GL, eds. Principles of joint surgery. In: Handbook of small animal orthopedics and fracture treatment. Philadelphia:
WB Saunders, 1983.
Leighton RL. Principles of conservative fracture management: splints and casts. Semin Vet Med Surg 1991:6:39-51.
Tobias TA. Slings, padded bandages, splinted bandages, and casts. In: Oimstead ML, ed. Small animal orthopedics. St. Louis: CV Mosby, 1995.

Principles and Application of Synthetic and Plaster Casts in Small Animals


1. DeCamp CE. External coaptation. In: Slatter D, ed. Textbook of small animal surgery. 2nd ed. Philadelphia: WB Saunders, 1993.
2. Nunamaker DM. Methods of closed fixation. In: Newton CD, Nunamaker DM, eds. Textbook of small animal orthopedics. Philadelphia: JB
Lippincott, 1985.
3. Marshall PD, Dibble AK, Walters TH, et al. When should a synthetic casting material be used in preference to plaster of Paris? A cost analysis and
guidance for casting departments. Injury 1991;23:542-544.
4. Bartels KE, Penwick RC, Freeman LJ, et al. Mechanical testing and evaluation of eight synthetic casting materials. Vet Surg 1985,14:310.
5. Brinker WO, Piermattei DL, Flo GL, eds. Principles of joint surgery. In: Handbook of small animal orthopedics and fracture treatment. Philadelphia:
WB Saunders, 1983.
6. Vet Cast Veterinary Casting Tape: Comparative study of commonly used cast materials. St. Paul, MN: Animal Care Products/ 3M, 1984.
7. Lane PL, Lee MM. New synthetic casts: what nurses need to know. Orthop Nurs 1982,1:13.
8. Bowker P, Powell ES. A clinical evaluation of plaster of Paris and eight synthetic fracture splinting materials. Injury 1992; 23:13-20.
9. Wilson DG, Vanderby R. An evaluation of six synthetic casting materials: strength of cylinders in bending. Vet Surg 1995; 24:55-59.
10. Tobias TA. Slings, padded bandages, splinted bandages, and casts. In: Olmstead ML, ed. Small animal orthopedics. St. Louis: CV Mosby, 1995.
11. Swaim SF, Vaughn DM, Spalding PJ, et al. Evaluation of the dermal effects of cast padding in coaptation casts on dogs. Am J Vet Res
1992;53:1266-1272.
12. Hohn RB. Principles and application of plaster casts. Vet Clin North Am 1975;5:291.
DeCamp CE. External coaptation. In: Slatter D, ed. Textbook of small animal surgery. 2nd ed. Philadelphia: WB Saunders, 1993.
Leighton RL. Principles of conservative fracture management: splints and casts. Semin Vet Med Surg 1991;6:39-51.
Tobias TA. Slings, padded bandages, splinted bandages, and casts. In: Olmstead ML, ed. Small animal orthopedics. St. Louis: CV Mosby, 1995.

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