Podcast
Questions and Answers
What is one of the characteristics that contributes to being a good surgeon?
What is one of the characteristics that contributes to being a good surgeon?
Which method is NOT considered a non-surgical treatment option?
Which method is NOT considered a non-surgical treatment option?
What does the 'O' stand for in the SOAP clinical note writing method?
What does the 'O' stand for in the SOAP clinical note writing method?
Which of the following is NOT one of Halsted’s Principles?
Which of the following is NOT one of Halsted’s Principles?
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Before proceeding with surgery, what should a surgeon consider regarding the patient?
Before proceeding with surgery, what should a surgeon consider regarding the patient?
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What is the purpose of a surgical checklist?
What is the purpose of a surgical checklist?
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Which breed is specifically mentioned as potentially having a bleeding disorder?
Which breed is specifically mentioned as potentially having a bleeding disorder?
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In clinical examination, what should be included in a nose-to-tail exam?
In clinical examination, what should be included in a nose-to-tail exam?
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What is the total cost of pre-surgical assessments for a canine undergoing TPLO surgery?
What is the total cost of pre-surgical assessments for a canine undergoing TPLO surgery?
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Which of the following is included in the total surgical costs for TPLO surgery?
Which of the following is included in the total surgical costs for TPLO surgery?
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Which surgical technique is practiced in the VMS 3011 section?
Which surgical technique is practiced in the VMS 3011 section?
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What is emphasized as a critical aspect of post-operative care?
What is emphasized as a critical aspect of post-operative care?
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What should be included in discharge instructions for a surgical patient?
What should be included in discharge instructions for a surgical patient?
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Which of the following is NOT a focus of the Year 4 practical sessions?
Which of the following is NOT a focus of the Year 4 practical sessions?
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What is a recommended practice to succeed in surgery?
What is a recommended practice to succeed in surgery?
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What is a common misconception regarding surgical complications?
What is a common misconception regarding surgical complications?
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Study Notes
Introduction to Surgery
- This presentation is Introduction to Surgery by Alison Livesey at the University of Surrey.
Journey Begin
- The presenter's journey began at Summerhall.
Foundation Surgical Principles
- Key aspects of foundation surgical principles include:
- Basic surgery (day 1 skills)
- Public expectations
- RCVS (Royal College of Veterinary Surgeons) expectations
What Makes a Good Surgeon?
- Meticulous attention to detail
- Good anatomical knowledge
- Practical skills and dexterity
- Right level of confidence
- Some luck plays a role
Anatomy Very Important
- The Importance of anatomy is emphasized.
- A specific anatomy book titled Miller's Anatomy of the Dog (4th Edition) by Evans de Lahunta is mentioned.
Beware!
- Anatomical diagrams of the dog's arm and elbow are presented.
Surgical Equipment Online Learning
- The presentation mentions online learning resources related to surgical equipment.
- The reference is to veterinary medicine 1 (VMS3010).
Health and Safety-Care with Sharps
- Images of a scalpel and a yellow sharps container are shown.
- Safe disposal of sharps is emphasized.
Is it Surgical or Medical?
- Always consider alternative medical treatments.
- Mast cell tumour treatment can be non-surgical, as is the treatment of bladder calculi.
- Melanoma vaccine is a treatment option.
Be Aware of Alternatives
- Laparoscopy
- Endoscopy
- Arthroscopy are presented as surgical alternatives.
- The presenter discusses research on the comparison of laparoscopic and traditional ovariohysterectomy in dogs, highlighting potential benefits in reduced post-operative pain and complications with laparoscopic procedures.
Clinical Note Writing
- Key elements of clinical notes use the SOAP method:
- S: Subjective (client observations)
- O: Objective (TPR, weight)
- A: Assessment (analysis/consolidation)
- P: Plan (diagnostic/therapeutic)
- The presentation also mentions a HEAP (History, Examination, Assessment, Plan) method.
Surgical Checklist
- A detailed checklist for surgical procedures is presented.
- The checklist covers critical points for patient and procedure confirmation, anesthesia, monitoring, and surgical safety procedures.
Surgical Checklists
- This presentation examines a study about reducing surgical complications through use of a surgical safety checklist in dogs and cats.
Retained Surgical Swab
- A short paper discussing retained surgical swabs in 13 dogs was presented.
- A case study showcasing abdominal fibrosarcoma linked to a retained surgical swab in a dog was indicated.
Halsted's Principles
- Principles emphasized by Halsted include:
- Gentle tissue handling
- Preventing blood loss
- Preserving blood supply
- Strict asepsis
- Minimizing tension
- Precise tissue placement
- Eliminating dead space
Clinical History
- Distinguishing regurgitation from vomiting, and faecal from urinary tenesmus are important considerations in veterinary medicine.
Clinical Examination
- A thorough clinical examination, from head to tail, is important for evaluating animal health.
- Includes limb evaluation tailored specifically to orthopedics.
- Animal owners are encouraged to document observations through video recordings.
Make Sure Your Diagnosis is Correct
- A presentation on orthopedics notes how bone tumors can mimic other health conditions.
Stabilisation of Your Patient
- Stabilizing a patient before surgical procedures is of utmost importance and involves assessing and managing factors such as total protein and hematocrit levels.
Rule Out Pre-Existing Conditions
- Identify conditions that could affect surgical outcomes (e.g., bleeding, breed predispositions).
Does it Make a Difference Which Patient?
- The presentation raises the possibility that the animal's specific characteristics might influence the approach to surgery.
What Do I Need to Consider?
- Before proceeding with surgery, questions to consider include:
- Sufficient information available?
- Animal's weight?
- Suitability for cast treatment?
- Need for surgical fixation?
- Correct surgical equipment?
- Availability of assistance?
- Affordability for the surgery?
- Understanding of the estimated costs?
- Owner's ability for post-op care?
Aftercare
- A case about a vet reprimanded for poor aftercare, without adequate monitoring and aftercare is described.
RCVS Code of Conduct
- This presentation outlines Veterinary surgeon and veterinary nurse responsibilities regarding the standards of in-patient care.
Surgical Estimates?
- Canine surgery procedures and their corresponding costs (consultations, X-rays, bloodwork, anesthesia, surgery, etc.) were outlined.
Specialisation in Surgery
- Specialization in veterinary surgery can involve various certifications and qualifications.
How is the Course Structured?
- This slide provides an overview of course structure, focusing on specific information as appropriate.
Year 3
- This year deals with topics such as wound healing, surgical site infection, principles of hemostasis, traumatic wound management, surgical drains, instruments, implants, and clinical record writing.
VMS 3010 Practical Sessions
- Practical exercises related to various surgical procedures such as nasogastric feeding placement, oesophagostomy tube placement, stifle examination, venous and endotracheal intubation, surgical scrubbing, open/closed gloving, patient draping, and thoracocentesis are emphasized.
VMS 3011
- Veterinary medical specializations in ophthalmic surgery, bladder sutures (Cushing and Connell), uterine sutures (Utrecht), and catheter placement and care are highlighted.
Year 4 Dry Run
- Practical training in a simulated environment for procedures like intubation, IV cannulation, ligature tying, surgical procedures on models, sterilizations (spays/neuters), and surgical procedures on models.
Neutering Clinic
- Information on clinic hours, procedure sequences (per anesthetic exam, preparing animal, monitoring anesthesia, recovery), surgical procedures, and post-surgery discharge are given.
Practicals in Year 4
- This part focuses on practical training in surgical techniques like lump removal, various suture types, and skin reconstruction.
GI and Uterine Practical
- Practical sessions are in human anatomy labs using cadaveric material for enterotomy/enterectomy, use of stay sutures, cystotomy, and Cesarean surgeries.
How to Succeed in Surgery
- Success in surgical cases hinges on careful case selection and diagnosis, patient stabilization, appropriate anesthesia and analgesia, and effective patient communication. Excellent client relations and post-operative care are highlighted as success factors.
Discharge Instructions
- Provide proper discharge instructions to owners, ensure they understand compliance with any follow-up, and require this information to be part of patient medical records.
Complications
- Discuss potential complications and the need to acknowledge these aren't always attributable to poor procedure practices.
- Importance of attention to surgical principles is stressed, including patient safety practices (e.g., checklists).
What is this complication?
- This slide asks students to analyze a specific surgical complication presented in the image, determine its causes, and develop strategies to prevent similar issues in the future.
Case
- Consider crucial clinical factors when evaluating a given animal case.
Case
- Diagnosis of gastric dilation volvulus necessitates careful stabilization, fluid therapy, analgesia, a prognosis explanation to owners, and aftercare planning.
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Description
Explore the foundational principles of surgery as presented by Alison Livesey at the University of Surrey. This quiz covers essential skills, the attributes of a good surgeon, and the importance of anatomical knowledge, particularly in veterinary surgery. Reinforce your understanding of surgical equipment and online resources available for further learning.
