Saturday, November 26, 2016

2964. Perineal hernias in the older male dogs seen at Toa Payoh Vets - videos

Perineal hernia repair at Toa Payoh Vets - case studies - videos

1. Jan 29, 2014. Final Video: Perineal hernia in a male Jack Russell  - Surgery - simple herniorraphy, hernioplasty.
https://www.youtube.com/watch?v=F8tM-5yzXf4


2. May 21, 2014. A male Maltese has bilateral perineal hernias.  https://www.youtube.com/watch?v=DWtfcT2KliI
3.  Dec 18, 2014. A male Shih Tzu has a large painful right perineal hernia - consultation -
https://www.youtube.com/watch?v=WM-7uxb34Vg
4. Jan 19, 2015. Perineal hernia in a male Maltese -  https://www.youtube.com/watch?v=yl8pKhYM3fI

5. Jan 23, 2015. Perineal hernia in 2 dogs - Jan 23, 2015.
Surgery - 3 methods - simple herniorraphy, hernioplasty, double muscle transposition. https://www.youtube.com/watch?v=fhNs6LBjjz8

6. Feb 8, 2015.  Final Video: A male Pomerian has a large left perineal hernia with enlarged prostate. https://www.youtube.com/watch?v=uMUZ_cvUVdw

6.1. Nov 25, 2016.   Recurrence seen as the original hernia was extremely large.
https://www.youtube.com/edit?o=U&
video_id=1YEJMKeI9-o
7.  Sep 27, 2016. A male Silkie Terrier has perineal hernia. https://www.youtube.com/watch?v=xSfnJ2Zlfd0


ADVICES FOR DOG OWNERS

1.  Early detection and repair when the hernia is small. Perineal hernias are present almost exclusively in the older male, not neutered dogs as shown in the case studies - videos here.

2. Neuter the dog early to prevent recurrence after repair. ..
3.  Neuter the dog at the same time or after 4 weeks post surgery,  if the dog is old and weak.
4.  Neuter the dog when he is young to prevent perineal hernias.
ADVICES FOR VETS
Diagnosis: 
1. Rectal palpation
2. X-rays (with or without contrast media) to assess the involvement of abdominal and pelvic contents inside the hernia.

Treatment:
Surgery - hernia repair:
At least 3 methods depending on hernia size. simple herniorraphy, hernioplasty, double muscle transposition. https://www.youtube.com/watch?v=fhNs6LBjjz8

Thursday, November 24, 2016

2963. Fresh blood droplets in solid stools in a 2-year-old male poodle

Nov 23, 2016

Owner showed her smartphone video clip of fresh blood droplets in solid stools. Had blood past 2 days.


Phy exam
slightly painful abdomen
no enlarged prostate
very painful anus.


Anal sac expression - pus and dirty blood.  Anal sacculitis.

x rays   no bones or foreign bodies seen. no bones fed.


FOLLOW UP TODAY NOV 24, 2016
No blood in stools
Not eating much.
Stools soft.



Tuesday, November 22, 2016

2962. A 14-year-old Chihuahua coughs continuously for 3 min every half an hour

Nov 19, 2016  - continuous coughing of 2-3 min every half an hour on Saturday 9 pm and rushed to emergency clinic.



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2961. 17-year-old eye extenteration follow up since May 2016 surgery

Nov 22, 2016

I got WhatsApp image of April from owner. Dog is fine and already 17 years old.




HISTORY
MAY 2016
This is a veterinary educational video for pet owners and vet students.  As the dog is very old at 16 years of age, no injectable anaesthetic sedation was was given. Just isoflurane gas. Dog has survived 30 minutes of surgery and anaesthesia and will go home today. No death on the op table. That is what the owner want and this is not possible in very old dogs in many cases.






































VIDEOS

For better survival rate, the vet stablised the dog using IV drip for the past 24 hours. This strengthen the dog for anaesthesia. Also, the IV drips given were to flush out the depressive effects of narcotics given by the first vet before surgery and anaesthesia.  Electro-surgery is faster than traditional cutting, reducing anaesthetic time and promoting survival rate. .

The dog survived the anaesthesia and is OK as at 14 days post-op. The owner is very happy. Some Singapore owners will put the dog to sleep rather than taking the risk of anaesthesia and paying for the surgery. This mother and adult daughter took turns nursing the dog to good health after removal of the eyeball and the dog thrives.  16 years is considered a very long life for any small breed of dog.

videos
https://www.youtube.com/watch?v=l7AuFwToIjA&feature=youtu.be








Tuesday, November 15, 2016

2979.. Corgi caesarean follow up: 3-day-old puppies

Nov 15, 2016
Visited the farm at 9 am. The breeder was not in.

3 healthy pups suckling surrogate dam. No complaints
Dam now nursing Dachshunds as she had very large nipples from puppy suckling in theprevious 2 pregnancies. A surrogate Corgi that gave birth naturally at 2 am the day after this dam but had 3 live and 3 dead pups nurses her puppies.  





2958. A 60th-day pregnant Corgi ruptured her water bag but no pup