The fourth edition of Small Animal Surgery serves as a one-stop resource for authoritative information on all aspects of small animal surgery. Coverage includes basic procedures such as spays, castrations, and declaws, as well as more advanced surgeries like craniotomy, ventral slots, and lung lobectomy. New contributors bring a fresh perspective and discuss the latest advances in key areas such as imaging modalities, regenerative medicine, minimally invasive surgery, and neurology. Access to a companion website provides a fully searchable version of the book, bi-monthly content updates, videos, aftercare instructions, case presentations, and a fracture planner.
1. Cover image - p. 1 2. Title page - p. 2 3. Table of Contents - p. 3 4. Copyright - p. 10 5. Dedication - p. 11 6. About the Authors - p. 12 7. Contributors - p. 14 8. Preface - p. 15 9. Small Animal Fracture Management Application - p. 18 10. Acknowledgments - p. 19 11. Part One: General Surgical Principles - p. 20 12. Chapter 1: Principles of Surgical Asepsis - p. 21 13. Chapter 2: Sterilization and Disinfection - p. 27 14. Chapter 3: Surgical Facilities, Equipment, and Personnel and Care and Maintenance of the Surgical Environment - p. 32 15. Chapter 4: Preoperative and Intraoperative Care of the Surgical Patient - p. 39 16. Chapter 5: Preparation of the Operative Site - p. 47 17. Chapter 6: Preparation of the Surgical Team - p. 51 18. Chapter 7: Surgical Instrumentation - p. 56 19. Chapter 8: Biomaterials, Suturing, and Hemostasis - p. 60 20. Chapter 9: Surgical Infections and Antibiotic Selection - p. 73 21. Chapter 10: Nutritional Management of the Surgical Patient - p. 81 22. Chapter 11: Fundamentals of Physical Rehabilitation - p. 92 23. Chapter 12: Anesthesia and Perioperative Multimodal Therapy - p. 105 24. Chapter 13: Principles of Minimally Invasive Surgery - p. 122 25. Chapter 14: Regenerative Medicine and Stem Cell Therapy - p. 127 26. Chapter 15: Advanced Imaging for Surgeons - p. 135 27. Part Two: Soft Tissue Surgery - p. 144 28. Chapter 16: Surgery of the Integumentary System - p. 145 29. Surgical Management of Specific Skin Disorders - p. 185 30. Surgery of the Digits and Footpads - p. 199 31. Chapter 17: Surgery of the Eye - p. 206 32. Chapter 18: Surgery of the Ear - p. 230 33. Chapter 19: Surgery of the Abdominal Cavity - p. 249 34. Chapter 20: Surgery of the Digestive System - p. 268 35. General Principles and Techniques - p. 268 36. Congenital Oronasal Fistula (Cleft Palate) - p. 274 37. Definition/Synonyms - p. 277 38. General Considerations and Clinically Relevant Pathophysiology - p. 277 39. Diagnosis - p. 277 40. Differential Diagnosis - p. 278 41. Medical Management - p. 278 42. Surgical Treatment - p. 278 43. Surgical Techniques - p. 278 44. Postoperative Care and Assessment - p. 280 45. Complications - p. 280 46. Prognosis - p. 280 47. Definitions - p. 280 48. General Considerations and Clinically Relevant Pathophysiology - p. 280 49. Diagnosis - p. 282 50. Differential Diagnosis - p. 283 51. Medical Management - p. 283 52. Surgical Treatment - p. 283 53. Surgical Technique - p. 283 54. Postoperative Care and Assessment - p. 283 55. Complications - p. 284 56. Prognosis - p. 284 57. Definitions - p. 284 58. General Considerations and Clinically Relevant Pathophysiology - p. 284 59. Diagnosis - p. 285 60. Differential Diagnosis - p. 285 61. Medical Management - p. 285 62. Surgical Treatment - p. 286 63. Surgical Techniques - p. 286 64. Postoperative Care and Assessment - p. 287 65. Complications - p. 287 66. Prognosis - p. 287 67. Definition - p. 287 68. General Considerations and Clinically Relevant Pathophysiology - p. 287 69. Diagnosis - p. 287 70. Differential Diagnosis - p. 287 71. Surgical Treatment - p. 288 72. Surgical Technique - p. 288 73. Postoperative Care and Assessment - p. 288 74. Complications - p. 288 75. Prognosis - p. 288 76. General Principles and Techniques - p. 288 77. Esophageal Foreign Bodies - p. 294 78. Definition - p. 298 79. General Considerations and Clinically Relevant Pathophysiology - p. 298 80. Diagnosis - p. 300 81. Differential Diagnosis - p. 300 82. Medical Treatment - p. 300 83. Surgical Treatment - p. 300 84. Surgical Technique - p. 300 85. Suture materials and special instruments - p. 301 86. Postoperative Care and Assessment - p. 301 87. Prognosis - p. 302 88. Esophageal Diverticula - p. 302 89. Definition - p. 303 90. General Considerations and Clinically Relevant Pathophysiology - p. 303 91. Diagnosis - p. 303 92. Differential Diagnosis - p. 304 93. Surgical Treatment - p. 304 94. Surgical Technique - p. 304 95. Postoperative Care and Assessment - p. 304 96. Prognosis - p. 304 97. Definition - p. 305 98. General Considerations and Clinically Relevant Pathophysiology - p. 305 99. Diagnosis - p. 305 100. Differential Diagnosis - p. 306 101. Surgical Treatment - p. 306 102. Surgical Technique - p. 306 103. Postoperative Care and Assessment - p. 307 104. Complications - p. 307 105. Prognosis - p. 307 106. Definition - p. 307 107. General Considerations and Clinically Relevant Pathophysiology - p. 307 108. Diagnosis - p. 307 109. Differential Diagnosis - p. 308 110. Surgical Treatment - p. 308 111. Surgical Technique - p. 308 112. Postoperative Care and Assessment - p. 308 113. Prognosis - p. 308 114. Definition - p. 309 115. General Considerations and Clinically Relevant Pathophysiology - p. 309 116. Diagnosis - p. 309 117. Differential Diagnosis - p. 310 118. medical treatment - p. 310 119. Surgical Treatment - p. 310 120. Surgical Technique - p. 310 121. Postoperative Care and Assessment - p. 310 122. Complications - p. 311 123. Prognosis - p. 311 124. Definition - p. 311 125. General Considerations and Clinically Relevant Pathophysiology - p. 311 126. Diagnosis - p. 312 127. Differential Diagnosis - p. 312 128. Medical Management - p. 312 129. Surgical Treatment - p. 312 130. Surgical Technique - p. 312 131. Postoperative Care and Assessment - p. 313 132. Complications - p. 313 133. Prognosis - p. 313 134. General Principles and Techniques - p. 314 135. Gastric Foreign Bodies - p. 322 136. Definitions - p. 325 137. General Considerations and Clinically Relevant Pathophysiology - p. 325 138. Diagnosis - p. 326 139. Differential Diagnosis - p. 327 140. Medical Management - p. 327 141. Surgical Treatment - p. 328 142. Surgical Technique - p. 328 143. Suture Materials and Special Instruments - p. 329 144. Postoperative Care and Assessment - p. 329 145. Complications - p. 329 146. Prognosis - p. 329 147. Benign Gastric Outflow Obstruction - p. 330 148. Definitions - p. 332 149. General Considerations and Clinically Relevant Pathophysiology - p. 332 150. Diagnosis - p. 335 151. Differential Diagnosis - p. 335 152. Medical Management - p. 335 153. endoscopic Treatment - p. 336 154. Surgical treatment - p. 336 155. Surgical Technique - p. 336 156. Suture Materials and Special Instruments - p. 336 157. Postoperative Care and Assessment - p. 336 158. Prognosis - p. 336 159. Definitions - p. 337 160. General Considerations and Clinically Relevant Pathophysiology - p. 337 161. Diagnosis - p. 338 162. Differential Diagnosis - p. 339 163. Medical Management - p. 339 164. Surgical Treatment - p. 339 165. Surgical Technique - p. 339 166. Suture Materials and Special Instruments - p. 339 167. Postoperative Care and Assessment - p. 339 168. Prognosis - p. 339 169. General Principles and Techniques - p. 340 170. Intestinal Foreign Bodies - p. 352 171. Definition - p. 356 172. General Considerations and Clinically Relevant Pathophysiology - p. 356 173. Diagnosis - p. 357 174. Differential Diagnosis - p. 357 175. Medical Management - p. 357 176. Surgical Treatment - p. 358 177. Surgical Technique - p. 358 178. Suture Materials and Special Instruments - p. 358 179. Postoperative Care and Assessment - p. 358 180. Complications - p. 358 181. Prognosis - p. 358 182. Definitions - p. 359 183. General Considerations and Clinically Relevant Pathophysiology - p. 359 184. Diagnosis - p. 359 185. Differential Diagnosis - p. 360 186. Medical Management - p. 360 187. Surgical Treatment - p. 360 188. Surgical Technique - p. 361 189. Suture Materials and Special Instruments - p. 361 190. Postoperative Care and Assessment - p. 361 191. Prognosis - p. 361 192. Definition - p. 362 193. General Considerations and Clinically Relevant Pathophysiology - p. 362 194. Diagnosis - p. 362 195. Differential Diagnosis - p. 363 196. Medical Management - p. 363 197. Surgical Treatment - p. 363 198. Surgical Technique - p. 363 199. Suture Materials and Special Instruments - p. 363 200. Postoperative Care and Assessment - p. 363 201. Prognosis - p. 363 202. Definitions - p. 364 203. General Considerations and Clinically Relevant Pathophysiology - p. 364 204. Diagnosis - p. 364 205. Differential Diagnosis - p. 365 206. Medical Management - p. 365 207. Surgical Treatment - p. 365 208. Surgical Technique - p. 365 209. Suture Materials and Special Instruments - p. 365 210. Postoperative Care and Assessment - p. 365 211. Prognosis - p. 365 212. General Principles and Techniques - p. 366 213. Neoplasia - p. 373 214. Definitions - p. 373 215. General Considerations and Clinically Relevant Pathophysiology - p. 376 216. Diagnosis - p. 376 217. Differential Diagnosis - p. 376 218. Medical Management - p. 376 219. Surgical Treatment - p. 376 220. colonoscopic biopsy - p. 376 221. Surgical Technique - p. 376 222. Suture Materials and Special Instruments - p. 376 223. Postoperative Care and Assessment - p. 376 224. Complications - p. 376 225. Prognosis - p. 376 226. Definitions - p. 376 227. General Considerations and Clinically Relevant Pathophysiology - p. 376 228. Diagnosis - p. 376 229. Differential Diagnosis - p. 377 230. Medical Management - p. 377 231. Surgical Treatment - p. 377 232. Surgical Technique - p. 377 233. Suture Materials and Special Instruments - p. 377 234. Postoperative Care and Assessment - p. 377 235. Complications - p. 378 236. Prognosis - p. 378 237. Surgery of the Perineum, Rectum, and Anus - p. 378 238. Anal Neoplasia - p. 381 239. Definition - p. 386 240. General Considerations and Clinically Relevant Pathophysiology - p. 389 241. Diagnosis - p. 389 242. Differential Diagnosis - p. 389 243. Medical Management - p. 389 244. Surgical Treatment - p. 389 245. Surgical Techniques - p. 389 246. Postoperative Care and Assessment - p. 389 247. Complications - p. 389 248. Prognosis - p. 389 249. Definitions - p. 389 250. General Considerations and Clinically Relevant Pathophysiology - p. 389 251. Diagnosis - p. 389 252. Differential Diagnosis - p. 390 253. Medical Management - p. 390 254. Surgical Treatment - p. 390 255. Surgical Techniques - p. 391 256. Postoperative Care and Assessment - p. 391 257. Complications - p. 391 258. Prognosis - p. 391 259. Definition - p. 391 260. General Considerations and Clinically Relevant Pathophysiology - p. 391 261. Diagnosis - p. 392 262. Differential Diagnosis - p. 392 263. Medical Management - p. 392 264. Surgical Treatment - p. 393 265. Surgical Techniques - p. 393 266. Postoperative Care and Assessment - p. 393 267. Complications - p. 394 268. Prognosis - p. 394 269. Rectal Prolapse - p. 394 270. Definitions - p. 398 271. General Considerations and Clinically Relevant Pathophysiology - p. 398 272. Diagnosis - p. 398 273. Differential Diagnosis - p. 398 274. Medical Management - p. 398 275. Surgical Treatment - p. 398 276. Surgical Techniques - p. 399 277. Postoperative Care and Assessment - p. 399 278. Complications - p. 399 279. Prognosis - p. 399 280. Chapter 21: Surgery of the Liver - p. 402 281. Chapter 22: Surgery of the Extrahepatic Biliary System - p. 427 282. Chapter 23: Surgery of the Endocrine System - p. 436 283. General Principles and Techniques - p. 436 284. Adrenal Neoplasia - p. 439 285. Definitions - p. 444 286. General Considerations and Clinically Relevant Pathophysiology - p. 444 287. Diagnosis - p. 444 288. Differential Diagnosis - p. 444 289. Medical Management - p. 444 290. Surgical Treatment - p. 445 291. Surgical Technique - p. 445 292. Suture Materials and Special Instruments - p. 445 293. Postoperative Care and Assessment - p. 445 294. Complications - p. 445 295. Prognosis - p. 445 296. General Principles and Techniques - p. 446 297. Pancreatic Abscesses and Pseudocysts - p. 449 298. Definition - p. 451 299. General Considerations and Clinically Relevant Pathophysiology - p. 451 300. Diagnosis - p. 451 301. Laboratory Findings - p. 452 302. Differential Diagnosis - p. 452 303. Medical Management - p. 452 304. Surgical Treatment - p. 453 305. Surgical Technique - p. 454 306. Suture Materials and Special Instruments - p. 454 307. Postoperative Care and Assessment - p. 454 308. Complications - p. 454 309. Prognosis - p. 454 310. Exocrine Pancreatic Neoplasia - p. 456 311. Specific Diseases - p. 459 312. Definition - p. 466 313. General Considerations and Clinically Relevant Pathophysiology - p. 466 314. Diagnosis - p. 466 315. Medical Management - p. 467 316. Surgical Treatment - p. 467 317. Surgical Technique - p. 467 318. Suture Materials and Special Instruments - p. 467 319. Postoperative Care and Assessment - p. 467 320. Definitions - p. 468 321. General Considerations and Clinically Relevant Pathophysiology - p. 468 322. Diagnosis - p. 468 323. Differential Diagnosis - p. 469 324. Medical Management - p. 469 325. Surgical Treatment - p. 469 326. Surgical Technique - p. 469 327. Suture Materials and Special Instruments - p. 469 328. Postoperative Care and Assessment - p. 469 329. Prognosis - p. 469 330. Chapter 24: Surgery of the Hemolymphatic System - p. 471 331. Chapter 25: Surgery of the Kidney and Ureter - p. 485 332. Chapter 26: Surgery of the Bladder and Urethra - p. 504 333. Chapter 27: Surgery of the Reproductive and Genital Systems - p. 530 334. Definitions - p. 530 335. Preoperative Management - p. 530 336. ANESTHEsia - p. 532 337. Antibiotics - p. 533 338. Surgical Anatomy - p. 533 339. Surgical Technique - p. 534 340. Orchiectomy - p. 538 341. Healing of the Reproductive and Genital Systems - p. 538 342. Suture Materials/Special Instruments - p. 538 343. Postoperative Care and Assessment - p. 538 344. Complications - p. 538 345. Special Age Considerations - p. 540 346. Specific Diseases - p. 540 347. Pyometra - p. 546 348. Vaginal Prolapse/Hyperplasia/Tumor - p. 547 349. Uterine Prolapse - p. 549 350. Specific Diseases - p. 550 351. Prostatic Cysts - p. 555 352. Definitions - p. 557 353. General Considerations and Clinically Relevant Pathophysiology - p. 557 354. Diagnosis - p. 557 355. Differential Diagnosis - p. 558 356. Medical Management - p. 558 357. Surgical Treatment - p. 558 358. Preoperative Management - p. 558 359. Surgical Technique - p. 558 360. Postoperative Care and Assessment - p. 558 361. Prognosis - p. 558 362. Definitions - p. 558 363. General Considerations and Clinically Relevant Pathophysiology - p. 558 364. Diagnosis - p. 559 365. Differential Diagnosis - p. 560 366. Medical Management - p. 560 367. Surgical Treatment - p. 560 368. Surgical Technique - p. 560 369. Postoperative Care and Assessment - p. 560 370. Prognosis - p. 561 371. Definition - p. 561 372. General Considerations and Clinically Relevant Pathophysiology - p. 561 373. Diagnosis - p. 561 374. Differential Diagnosis - p. 561 375. Medical Management - p. 561 376. Surgical Treatment - p. 561 377. Surgical Technique - p. 562 378. Postoperative Care and Assessment - p. 562 379. Prognosis - p. 562 380. Phimosis - p. 562 381. Paraphimosis - p. 563 382. Penile and Preputial Trauma and Neoplasia - p. 565 383. Chapter 28: Surgery of the Cardiovascular System - p. 567 384. Chapter 29: Surgery of the Upper Respiratory System - p. 598 385. Chapter 30: Surgery of the Lower Respiratory System: Lungs and Thoracic Wall - p. 633 386. Chapter 31: Surgery of the Lower Respiratory System: Pleural Cavity and Diaphragm - p. 653 387. Part Three: Orthopedics - p. 679 388. Chapter 32: Fundamentals of Orthopedic Surgery and Fracture Management - p. 680 389. Orthopedic Examination - p. 681 390. Preoperative Management - p. 685 391. Pain Management and Anesthesia - p. 686 392. Antibiotics - p. 686 393. Fracture Support - p. 686 394. Postoperative Care and Assessment - p. 688 395. Decision Making in Fracture Management - p. 689 396. Fracture Reduction - p. 691 397. Cancellous Bone Autografts - p. 693 398. Cortical Bone Autografts - p. 694 399. Cancellous Bone Allografts - p. 694 400. Cortical Bone Allografts - p. 695 401. Demineralized Bone Matrix - p. 695 402. Collagen - p. 695 403. Bone Morphogenic Protein - p. 695 404. Bone Marrow - p. 695 405. Mesenchymal Stem Cells - p. 695 406. Platelet-Rich Plasma - p. 695 407. Ceramics - p. 695 408. Bioglass - p. 696 409. Polymer - p. 696 410. External Coaptation - p. 696 411. External Fixators - p. 697 412. Intramedullary Fixation - p. 708 413. Plate and Screw Fixation - p. 713 414. Normal Fracture Healing - p. 719 415. Vascular Supply - p. 719 416. Fracture Healing and Fracture Management - p. 719 417. Osteotomies - p. 719 418. Chapter 33: Management of Specific Fractures - p. 727 419. Definitions - p. 727 420. General Considerations and Clinically Relevant Pathophysiology - p. 727 421. Diagnosis - p. 727 422. Differential Diagnosis - p. 728 423. Medical Management - p. 728 424. Interdental Stabilization Techniques - p. 728 425. Surgical Treatment - p. 728 426. Surgical Technique - p. 732 427. Suture Materials and Special Instruments - p. 732 428. Postoperative Care and Assessment - p. 732 429. Complications - p. 732 430. Prognosis - p. 732 431. Scapular Fractures - p. 732 432. Scapular Body and Spine Fractures - p. 734 433. Suture Materials and Special Instruments - p. 734 434. Postoperative Care and Assessment - p. 734 435. Complications - p. 734 436. Prognosis - p. 734 437. Humeral Diaphyseal and Supracondylar Fractures - p. 734 438. Definitions - p. 739 439. General Considerations and Clinically Relevant Pathophysiology - p. 739 440. Diagnosis - p. 739 441. Differential Diagnosis - p. 740 442. Medical Management - p. 740 443. Surgical Treatment - p. 740 444. Surgical Technique - p. 740 445. Suture Materials and Special Instruments - p. 742 446. Postoperative Care and Assessment - p. 742 447. Complications - p. 743 448. Prognosis - p. 743 449. Definitions - p. 743 450. General Considerations and Clinically Relevant Pathophysiology - p. 743 451. Diagnosis - p. 744 452. Differential Diagnosis - p. 744 453. Medical Management - p. 744 454. Surgical Treatment - p. 744 455. Surgical Technique - p. 745 456. Suture Materials and Special Instruments - p. 748 457. Postoperative Care and Assessment - p. 748 458. Complications - p. 748 459. Prognosis - p. 749 460. Definitions - p. 749 461. General Considerations and Clinically Relevant Pathophysiology - p. 749 462. Diagnosis - p. 749 463. Differential Diagnosis - p. 750 464. Medical Management - p. 750 465. Surgical Treatment - p. 750 466. Surgical Technique - p. 750 467. Suture Materials and Special Instruments - p. 751 468. Postoperative Care and Assessment - p. 751 469. Complications - p. 751 470. Prognosis - p. 751 471. Definitions - p. 752 472. General Considerations and Clinically Relevant Pathophysiology - p. 752 473. Diagnosis - p. 752 474. Differential Diagnosis - p. 752 475. Medical Management - p. 752 476. Surgical Treatment - p. 752 477. Surgical Technique - p. 753 478. Suture Materials and Special Instruments - p. 753 479. Postoperative Care and Assessment - p. 753 480. Complications - p. 754 481. Prognosis - p. 754 482. Definitions - p. 754 483. General Considerations and Clinically Relevant Pathophysiology - p. 754 484. Diagnosis - p. 754 485. Differential Diagnosis - p. 755 486. Medical Management - p. 755 487. Surgical Treatment - p. 755 488. Surgical Technique - p. 756 489. Suture Materials and Special Instruments - p. 757 490. Postoperative Care and Assessment - p. 757 491. Complications - p. 757 492. Prognosis - p. 757 493. Definitions - p. 758 494. General Considerations and Clinically Relevant Pathophysiology - p. 758 495. Diagnosis - p. 758 496. Differential Diagnosis - p. 758 497. Medical Management - p. 758 498. Surgical Treatment - p. 759 499. Surgical Technique - p. 759 500. Suture Materials and Special Instruments - p. 759 501. Postoperative Care and Assessment - p. 759 502. Complications - p. 760 503. Prognosis - p. 760 504. Definition - p. 760 505. General Considerations and Clinically Relevant Pathophysiology - p. 760 506. Diagnosis - p. 760 507. Differential Diagnosis - p. 761 508. Medical Management - p. 761 509. Surgical Treatment - p. 761 510. Surgical Technique - p. 762 511. Suture Materials and Special Instruments - p. 764 512. Postoperative Care and Assessment - p. 764 513. Complications - p. 764 514. Prognosis - p. 764 515. Pelvic Fractures - p. 765 516. Definitions - p. 767 517. General Considerations and Clinically Relevant Pathophysiology - p. 767 518. Diagnosis - p. 767 519. Differential Diagnosis - p. 768 520. Medical Management - p. 768 521. Surgical Treatment - p. 768 522. Surgical Technique - p. 769 523. Suture Materials and Special Instruments - p. 770 524. Postoperative Care and Assessment - p. 770 525. Complications - p. 770 526. Prognosis - p. 770 527. Definition - p. 770 528. General Considerations and Clinically Relevant Pathophysiology - p. 771 529. Diagnosis - p. 771 530. Chapter 34: Diseases of the Joints - p. 795 531. Definitions - p. 795 532. General Considerations - p. 795 533. Diagnosis of Joint Diseases - p. 795 534. Differential Diagnosis - p. 797 535. Medical Management - p. 797 536. Surgical Treatment - p. 798 537. Surgical Anatomy - p. 798 538. Surgical Technique - p. 799 539. Healing of Cartilage Defects and Response of Cartilage to Treatment - p. 799 540. Postoperative Care and Assessment - p. 799 541. Degenerative Joint Disease - p. 800 542. Definition - p. 802 543. General Considerations and Clinically Relevant Pathophysiology - p. 802 544. Diagnosis - p. 803 545. Differential Diagnosis - p. 803 546. Medical Management - p. 803 547. Surgical Treatment - p. 804 548. Surgical Technique - p. 804 549. Suture Materials and Special Instruments - p. 804 550. Postoperative Care and Assessment - p. 804 551. Prognosis - p. 804 552. Definition - p. 805 553. General Considerations and Clinically Relevant Pathophysiology - p. 805 554. Diagnosis - p. 805 555. Differential Diagnosis - p. 805 556. Medical Management - p. 805 557. Surgical Treatment - p. 806 558. Prognosis - p. 806 559. Definition - p. 806 560. General Considerations and Clinically Relevant Pathophysiology - p. 806 561. Diagnosis - p. 806 562. Differential Diagnosis - p. 807 563. Medical Management - p. 807 564. Surgical Treatment - p. 807 565. Prognosis - p. 807 566. Definition - p. 807 567. General Considerations and Clinically Relevant Pathophysiology - p. 807 568. Diagnosis - p. 807 569. Differential Diagnosis - p. 808 570. Medical Management - p. 808 571. Surgical Treatment - p. 808 572. Prognosis - p. 808 573. Plasmacytic-Lymphocytic Synovitis - p. 809 574. Systemic Lupus Erythematosus–induced Polyarthritis - p. 809 575. Feline Chronic Progressive Polyarthritis - p. 811 576. Definition - p. 812 577. General Considerations and Clinically Relevant Pathophysiology - p. 812 578. Diagnosis - p. 812 579. Differential Diagnosis - p. 813 580. Medical Management - p. 813 581. Surgical Treatment - p. 813 582. Surgical Technique - p. 814 583. Suture Materials and Special Instruments - p. 814 584. Postoperative Care and Assessment - p. 814 585. Prognosis - p. 814 586. Temporomandibular Joint Dysplasia - p. 815 587. Scapular Luxation - p. 816 588. Osteochondritis Dissecans of the Proximal Humerus - p. 817 589. Definition - p. 821 590. General Considerations and Clinically Relevant Pathophysiology - p. 821 591. Diagnosis - p. 821 592. Differential Diagnosis - p. 821 593. Medical Management - p. 821 594. Surgical Treatment - p. 822 595. Surgical Technique - p. 822 596. Suture Materials and Special Instruments - p. 823 597. Postoperative Care and Assessment - p. 824 598. Complications - p. 824 599. Prognosis - p. 824 600. Definition - p. 824 601. General Considerations and Clinically Relevant Pathophysiology - p. 824 602. Diagnosis - p. 824 603. Differential Diagnoses - p. 824 604. Medical Management - p. 824 605. Surgical Treatment - p. 824 606. Suture Materials and Special Instruments - p. 825 607. Postoperative Care and Assessment - p. 825 608. Prognosis - p. 826 609. Definitions - p. 826 610. General Considerations and Clinically Relevant Pathophysiology - p. 826 611. Diagnosis - p. 826 612. Differential Diagnosis - p. 827 613. Medical Management - p. 827 614. Surgical Treatment - p. 827 615. Surgical Technique - p. 827 616. Suture Materials and Special Instruments - p. 828 617. Postoperative Care and Assessment - p. 828 618. Prognosis - p. 828 619. Fragmented Coronoid Process - p. 828 620. Medial Compartment Disease - p. 834 621. Definitions - p. 836 622. General Considerations and Clinically Relevant Pathophysiology - p. 836 623. Diagnosis - p. 836 624. Differential Diagnosis - p. 837 625. Medical Management - p. 837 626. Surgical Treatment - p. 837 627. Surgical Technique - p. 837 628. Suture Materials and Special Instruments - p. 838 629. Postoperative Care and Assessment - p. 838 630. Prognosis - p. 838 631. Definition - p. 838 632. General Considerations and Clinically Relevant Pathophysiology - p. 838 633. Diagnosis - p. 838 634. Differential Diagnosis - p. 839 635. Medical Management - p. 839 636. Surgical Treatment - p. 839 637. Surgical Technique - p. 839 638. Suture Materials and Special Instruments - p. 841 639. Postoperative Care and Assessment - p. 841 640. Complications - p. 841 641. Prognosis - p. 841 642. Definition - p. 841 643. General Considerations and Clinically Relevant Pathophysiology - p. 841 644. Diagnosis - p. 841 645. Differential Diagnosis - p. 842 646. Medical Management - p. 842 647. Surgical Treatment - p. 842 648. Surgical Technique - p. 842 649. Suture Materials and Special Instruments - p. 842 650. Postoperative Care and Assessment - p. 842 651. Complications - p. 842 652. Prognosis - p. 842 653. Elbow Luxation or Subluxation Caused by Premature Closure of the Distal Ulnar or Radial Physes - p. 845 654. Carpal Luxation or Subluxation - p. 848 655. Carpal Laxity Syndrome - p. 852 656. Hip Dysplasia - p. 852 657. Definition - p. 859 658. General Considerations and Clinically Relevant Pathophysiology - p. 859 659. Diagnosis - p. 860 660. Differential Diagnosis - p. 860 661. Medical Management - p. 860 662. Surgical Treatment - p. 861 663. Surgical Technique - p. 861 664. Suture Materials and Special Instruments - p. 862 665. Postoperative Care and Assessment - p. 862 666. Prognosis - p. 862 667. Definition - p. 862 668. General Considerations and Clinically Relevant Pathophysiology - p. 863 669. Diagnosis - p. 863 670. Differential Diagnosis - p. 863 671. Medical Management - p. 863 672. Surgical Treatment - p. 863 673. Surgical Technique - p. 863 674. Suture Materials and Special Instruments - p. 863 675. Postoperative Care and Assessment - p. 863 676. Prognosis - p. 864 677. Cranial Cruciate Ligament Rupture - p. 864 678. Collateral Ligament Injury - p. 876 679. Multiple Ligament Injuries - p. 876 680. Meniscal Injury - p. 876 681. Definition - p. 876 682. General Considerations and Clinically Relevant Pathophysiology - p. 877 683. Diagnosis - p. 879 684. Differential Diagnosis - p. 880 685. Medical Management - p. 882 686. Surgical Treatment - p. 883 687. Surgical Technique - p. 883 688. Suture Materials and Special Instruments - p. 883 689. Postoperative Care and Assessment - p. 883 690. Prognosis - p. 883 691. Lateral Patellar Luxation - p. 883 692. Osteochondritis Dissecans of the Stifle - p. 888 693. Ligament Injury of the Tarsus - p. 889 694. Osteochondritis Dissecans of the Tarsus - p. 889 695. Chapter 35: Management of Muscle and Tendon Injury or Disease - p. 896 696. Chapter 36: Other Diseases of Bones and Joints - p. 909 697. Part Four: Neurosurgery - p. 923 698. Chapter 37: Neurodiagnostic Overview for the Small Animal Surgeon - p. 924 699. Chapter 38: The Neurologic Examination and Relevant Neuroanatomy - p. 931 700. Chapter 39: Surgery of the Brain - p. 939 701. Chapter 40: Surgery of the Cervical Spine - p. 955 702. Chapter 41: Surgery of the Thoracolumbar Spine - p. 976 703. Chapter 42: Surgery of the Cauda Equina - p. 988 704. Chapter 43: Nonsurgical Disorders of the Brain and Spine - p. 998 705. Chapter 44: Peripheral Nervous System Disorders and Diagnostic Techniques - p. 1009 706. Index - p. 1013 707. Guide to Expert Consult Online Resources - p. 1124 708. Achilles Tendon Rupture - p. 1125 709. Colposuspension - p. 1126 710. Corrective Procedures for Premature Physeal Closure and Radial Ulnar Growth Deformities - p. 1127 711. Perianal Fistulae Débridement With Fulguration or Laser Ablation - p. 1132 712. Excision Arthroplasty - p. 1133 713. Fibular Head Advancement - p. 1134 714. Hypophysectomy - p. 1135 715. Intracapsular Repair for Cranial Cruciate Ligament Injury - p. 1136 716. Midfemoral Amputation - p. 1138 717. Midhumeral Approach - p. 1139 718. Primary Repair with Augmentation - p. 1140 719. Purse-String Suture for Mitral Valve Repair - p. 1141 720. Scapulectomy - p. 1144 721. Surgical Treatment of Synovial Cysts - p. 1145 722. Tail Amputation - p. 1146 723. Transpelvic Sling Procedure for Urinary Incontinence - p. 1147 724. Transsphenoidal Approach for Hypophysectomy - p. 1148 725. Valve Dilation - p. 1149
The fourth edition of Small Animal Surgery serves as a one-stop resource for authoritative information on all aspects of small animal surgery. Coverage includes basic procedures such as spays, castrations, and declaws, as well as more advanced surgeries like craniotomy, ventral slots, and lung lobectomy. New contributors bring a fresh perspective and discuss the latest advances in key areas such as imaging modalities, regenerative medicine, minimally invasive surgery, and neurology. Access to a companion website provides a fully searchable version of the book, bi-monthly content updates, videos, aftercare instructions, case presentations, and a fracture planner.
1. Cover image - p. 1 2. Title page - p. 2 3. Table of Contents - p. 3 4. Copyright - p. 10 5. Dedication - p. 11 6. About the Authors - p. 12 7. Contributors - p. 14 8. Preface - p. 15 9. Small Animal Fracture Management Application - p. 18 10. Acknowledgments - p. 19 11. Part One: General Surgical Principles - p. 20 12. Chapter 1: Principles of Surgical Asepsis - p. 21 13. Chapter 2: Sterilization and Disinfection - p. 27 14. Chapter 3: Surgical Facilities, Equipment, and Personnel and Care and Maintenance of the Surgical Environment - p. 32 15. Chapter 4: Preoperative and Intraoperative Care of the Surgical Patient - p. 39 16. Chapter 5: Preparation of the Operative Site - p. 47 17. Chapter 6: Preparation of the Surgical Team - p. 51 18. Chapter 7: Surgical Instrumentation - p. 56 19. Chapter 8: Biomaterials, Suturing, and Hemostasis - p. 60 20. Chapter 9: Surgical Infections and Antibiotic Selection - p. 73 21. Chapter 10: Nutritional Management of the Surgical Patient - p. 81 22. Chapter 11: Fundamentals of Physical Rehabilitation - p. 92 23. Chapter 12: Anesthesia and Perioperative Multimodal Therapy - p. 105 24. Chapter 13: Principles of Minimally Invasive Surgery - p. 122 25. Chapter 14: Regenerative Medicine and Stem Cell Therapy - p. 127 26. Chapter 15: Advanced Imaging for Surgeons - p. 135 27. Part Two: Soft Tissue Surgery - p. 144 28. Chapter 16: Surgery of the Integumentary System - p. 145 29. Surgical Management of Specific Skin Disorders - p. 185 30. Surgery of the Digits and Footpads - p. 199 31. Chapter 17: Surgery of the Eye - p. 206 32. Chapter 18: Surgery of the Ear - p. 230 33. Chapter 19: Surgery of the Abdominal Cavity - p. 249 34. Chapter 20: Surgery of the Digestive System - p. 268 35. General Principles and Techniques - p. 268 36. Congenital Oronasal Fistula (Cleft Palate) - p. 274 37. Definition/Synonyms - p. 277 38. General Considerations and Clinically Relevant Pathophysiology - p. 277 39. Diagnosis - p. 277 40. Differential Diagnosis - p. 278 41. Medical Management - p. 278 42. Surgical Treatment - p. 278 43. Surgical Techniques - p. 278 44. Postoperative Care and Assessment - p. 280 45. Complications - p. 280 46. Prognosis - p. 280 47. Definitions - p. 280 48. General Considerations and Clinically Relevant Pathophysiology - p. 280 49. Diagnosis - p. 282 50. Differential Diagnosis - p. 283 51. Medical Management - p. 283 52. Surgical Treatment - p. 283 53. Surgical Technique - p. 283 54. Postoperative Care and Assessment - p. 283 55. Complications - p. 284 56. Prognosis - p. 284 57. Definitions - p. 284 58. General Considerations and Clinically Relevant Pathophysiology - p. 284 59. Diagnosis - p. 285 60. Differential Diagnosis - p. 285 61. Medical Management - p. 285 62. Surgical Treatment - p. 286 63. Surgical Techniques - p. 286 64. Postoperative Care and Assessment - p. 287 65. Complications - p. 287 66. Prognosis - p. 287 67. Definition - p. 287 68. General Considerations and Clinically Relevant Pathophysiology - p. 287 69. Diagnosis - p. 287 70. Differential Diagnosis - p. 287 71. Surgical Treatment - p. 288 72. Surgical Technique - p. 288 73. Postoperative Care and Assessment - p. 288 74. Complications - p. 288 75. Prognosis - p. 288 76. General Principles and Techniques - p. 288 77. Esophageal Foreign Bodies - p. 294 78. Definition - p. 298 79. General Considerations and Clinically Relevant Pathophysiology - p. 298 80. Diagnosis - p. 300 81. Differential Diagnosis - p. 300 82. Medical Treatment - p. 300 83. Surgical Treatment - p. 300 84. Surgical Technique - p. 300 85. Suture materials and special instruments - p. 301 86. Postoperative Care and Assessment - p. 301 87. Prognosis - p. 302 88. Esophageal Diverticula - p. 302 89. Definition - p. 303 90. General Considerations and Clinically Relevant Pathophysiology - p. 303 91. Diagnosis - p. 303 92. Differential Diagnosis - p. 304 93. Surgical Treatment - p. 304 94. Surgical Technique - p. 304 95. Postoperative Care and Assessment - p. 304 96. Prognosis - p. 304 97. Definition - p. 305 98. General Considerations and Clinically Relevant Pathophysiology - p. 305 99. Diagnosis - p. 305 100. Differential Diagnosis - p. 306 101. Surgical Treatment - p. 306 102. Surgical Technique - p. 306 103. Postoperative Care and Assessment - p. 307 104. Complications - p. 307 105. Prognosis - p. 307 106. Definition - p. 307 107. General Considerations and Clinically Relevant Pathophysiology - p. 307 108. Diagnosis - p. 307 109. Differential Diagnosis - p. 308 110. Surgical Treatment - p. 308 111. Surgical Technique - p. 308 112. Postoperative Care and Assessment - p. 308 113. Prognosis - p. 308 114. Definition - p. 309 115. General Considerations and Clinically Relevant Pathophysiology - p. 309 116. Diagnosis - p. 309 117. Differential Diagnosis - p. 310 118. medical treatment - p. 310 119. Surgical Treatment - p. 310 120. Surgical Technique - p. 310 121. Postoperative Care and Assessment - p. 310 122. Complications - p. 311 123. Prognosis - p. 311 124. Definition - p. 311 125. General Considerations and Clinically Relevant Pathophysiology - p. 311 126. Diagnosis - p. 312 127. Differential Diagnosis - p. 312 128. Medical Management - p. 312 129. Surgical Treatment - p. 312 130. Surgical Technique - p. 312 131. Postoperative Care and Assessment - p. 313 132. Complications - p. 313 133. Prognosis - p. 313 134. General Principles and Techniques - p. 314 135. Gastric Foreign Bodies - p. 322 136. Definitions - p. 325 137. General Considerations and Clinically Relevant Pathophysiology - p. 325 138. Diagnosis - p. 326 139. Differential Diagnosis - p. 327 140. Medical Management - p. 327 141. Surgical Treatment - p. 328 142. Surgical Technique - p. 328 143. Suture Materials and Special Instruments - p. 329 144. Postoperative Care and Assessment - p. 329 145. Complications - p. 329 146. Prognosis - p. 329 147. Benign Gastric Outflow Obstruction - p. 330 148. Definitions - p. 332 149. General Considerations and Clinically Relevant Pathophysiology - p. 332 150. Diagnosis - p. 335 151. Differential Diagnosis - p. 335 152. Medical Management - p. 335 153. endoscopic Treatment - p. 336 154. Surgical treatment - p. 336 155. Surgical Technique - p. 336 156. Suture Materials and Special Instruments - p. 336 157. Postoperative Care and Assessment - p. 336 158. Prognosis - p. 336 159. Definitions - p. 337 160. General Considerations and Clinically Relevant Pathophysiology - p. 337 161. Diagnosis - p. 338 162. Differential Diagnosis - p. 339 163. Medical Management - p. 339 164. Surgical Treatment - p. 339 165. Surgical Technique - p. 339 166. Suture Materials and Special Instruments - p. 339 167. Postoperative Care and Assessment - p. 339 168. Prognosis - p. 339 169. General Principles and Techniques - p. 340 170. Intestinal Foreign Bodies - p. 352 171. Definition - p. 356 172. General Considerations and Clinically Relevant Pathophysiology - p. 356 173. Diagnosis - p. 357 174. Differential Diagnosis - p. 357 175. Medical Management - p. 357 176. Surgical Treatment - p. 358 177. Surgical Technique - p. 358 178. Suture Materials and Special Instruments - p. 358 179. Postoperative Care and Assessment - p. 358 180. Complications - p. 358 181. Prognosis - p. 358 182. Definitions - p. 359 183. General Considerations and Clinically Relevant Pathophysiology - p. 359 184. Diagnosis - p. 359 185. Differential Diagnosis - p. 360 186. Medical Management - p. 360 187. Surgical Treatment - p. 360 188. Surgical Technique - p. 361 189. Suture Materials and Special Instruments - p. 361 190. Postoperative Care and Assessment - p. 361 191. Prognosis - p. 361 192. Definition - p. 362 193. General Considerations and Clinically Relevant Pathophysiology - p. 362 194. Diagnosis - p. 362 195. Differential Diagnosis - p. 363 196. Medical Management - p. 363 197. Surgical Treatment - p. 363 198. Surgical Technique - p. 363 199. Suture Materials and Special Instruments - p. 363 200. Postoperative Care and Assessment - p. 363 201. Prognosis - p. 363 202. Definitions - p. 364 203. General Considerations and Clinically Relevant Pathophysiology - p. 364 204. Diagnosis - p. 364 205. Differential Diagnosis - p. 365 206. Medical Management - p. 365 207. Surgical Treatment - p. 365 208. Surgical Technique - p. 365 209. Suture Materials and Special Instruments - p. 365 210. Postoperative Care and Assessment - p. 365 211. Prognosis - p. 365 212. General Principles and Techniques - p. 366 213. Neoplasia - p. 373 214. Definitions - p. 373 215. General Considerations and Clinically Relevant Pathophysiology - p. 376 216. Diagnosis - p. 376 217. Differential Diagnosis - p. 376 218. Medical Management - p. 376 219. Surgical Treatment - p. 376 220. colonoscopic biopsy - p. 376 221. Surgical Technique - p. 376 222. Suture Materials and Special Instruments - p. 376 223. Postoperative Care and Assessment - p. 376 224. Complications - p. 376 225. Prognosis - p. 376 226. Definitions - p. 376 227. General Considerations and Clinically Relevant Pathophysiology - p. 376 228. Diagnosis - p. 376 229. Differential Diagnosis - p. 377 230. Medical Management - p. 377 231. Surgical Treatment - p. 377 232. Surgical Technique - p. 377 233. Suture Materials and Special Instruments - p. 377 234. Postoperative Care and Assessment - p. 377 235. Complications - p. 378 236. Prognosis - p. 378 237. Surgery of the Perineum, Rectum, and Anus - p. 378 238. Anal Neoplasia - p. 381 239. Definition - p. 386 240. General Considerations and Clinically Relevant Pathophysiology - p. 389 241. Diagnosis - p. 389 242. Differential Diagnosis - p. 389 243. Medical Management - p. 389 244. Surgical Treatment - p. 389 245. Surgical Techniques - p. 389 246. Postoperative Care and Assessment - p. 389 247. Complications - p. 389 248. Prognosis - p. 389 249. Definitions - p. 389 250. General Considerations and Clinically Relevant Pathophysiology - p. 389 251. Diagnosis - p. 389 252. Differential Diagnosis - p. 390 253. Medical Management - p. 390 254. Surgical Treatment - p. 390 255. Surgical Techniques - p. 391 256. Postoperative Care and Assessment - p. 391 257. Complications - p. 391 258. Prognosis - p. 391 259. Definition - p. 391 260. General Considerations and Clinically Relevant Pathophysiology - p. 391 261. Diagnosis - p. 392 262. Differential Diagnosis - p. 392 263. Medical Management - p. 392 264. Surgical Treatment - p. 393 265. Surgical Techniques - p. 393 266. Postoperative Care and Assessment - p. 393 267. Complications - p. 394 268. Prognosis - p. 394 269. Rectal Prolapse - p. 394 270. Definitions - p. 398 271. General Considerations and Clinically Relevant Pathophysiology - p. 398 272. Diagnosis - p. 398 273. Differential Diagnosis - p. 398 274. Medical Management - p. 398 275. Surgical Treatment - p. 398 276. Surgical Techniques - p. 399 277. Postoperative Care and Assessment - p. 399 278. Complications - p. 399 279. Prognosis - p. 399 280. Chapter 21: Surgery of the Liver - p. 402 281. Chapter 22: Surgery of the Extrahepatic Biliary System - p. 427 282. Chapter 23: Surgery of the Endocrine System - p. 436 283. General Principles and Techniques - p. 436 284. Adrenal Neoplasia - p. 439 285. Definitions - p. 444 286. General Considerations and Clinically Relevant Pathophysiology - p. 444 287. Diagnosis - p. 444 288. Differential Diagnosis - p. 444 289. Medical Management - p. 444 290. Surgical Treatment - p. 445 291. Surgical Technique - p. 445 292. Suture Materials and Special Instruments - p. 445 293. Postoperative Care and Assessment - p. 445 294. Complications - p. 445 295. Prognosis - p. 445 296. General Principles and Techniques - p. 446 297. Pancreatic Abscesses and Pseudocysts - p. 449 298. Definition - p. 451 299. General Considerations and Clinically Relevant Pathophysiology - p. 451 300. Diagnosis - p. 451 301. Laboratory Findings - p. 452 302. Differential Diagnosis - p. 452 303. Medical Management - p. 452 304. Surgical Treatment - p. 453 305. Surgical Technique - p. 454 306. Suture Materials and Special Instruments - p. 454 307. Postoperative Care and Assessment - p. 454 308. Complications - p. 454 309. Prognosis - p. 454 310. Exocrine Pancreatic Neoplasia - p. 456 311. Specific Diseases - p. 459 312. Definition - p. 466 313. General Considerations and Clinically Relevant Pathophysiology - p. 466 314. Diagnosis - p. 466 315. Medical Management - p. 467 316. Surgical Treatment - p. 467 317. Surgical Technique - p. 467 318. Suture Materials and Special Instruments - p. 467 319. Postoperative Care and Assessment - p. 467 320. Definitions - p. 468 321. General Considerations and Clinically Relevant Pathophysiology - p. 468 322. Diagnosis - p. 468 323. Differential Diagnosis - p. 469 324. Medical Management - p. 469 325. Surgical Treatment - p. 469 326. Surgical Technique - p. 469 327. Suture Materials and Special Instruments - p. 469 328. Postoperative Care and Assessment - p. 469 329. Prognosis - p. 469 330. Chapter 24: Surgery of the Hemolymphatic System - p. 471 331. Chapter 25: Surgery of the Kidney and Ureter - p. 485 332. Chapter 26: Surgery of the Bladder and Urethra - p. 504 333. Chapter 27: Surgery of the Reproductive and Genital Systems - p. 530 334. Definitions - p. 530 335. Preoperative Management - p. 530 336. ANESTHEsia - p. 532 337. Antibiotics - p. 533 338. Surgical Anatomy - p. 533 339. Surgical Technique - p. 534 340. Orchiectomy - p. 538 341. Healing of the Reproductive and Genital Systems - p. 538 342. Suture Materials/Special Instruments - p. 538 343. Postoperative Care and Assessment - p. 538 344. Complications - p. 538 345. Special Age Considerations - p. 540 346. Specific Diseases - p. 540 347. Pyometra - p. 546 348. Vaginal Prolapse/Hyperplasia/Tumor - p. 547 349. Uterine Prolapse - p. 549 350. Specific Diseases - p. 550 351. Prostatic Cysts - p. 555 352. Definitions - p. 557 353. General Considerations and Clinically Relevant Pathophysiology - p. 557 354. Diagnosis - p. 557 355. Differential Diagnosis - p. 558 356. Medical Management - p. 558 357. Surgical Treatment - p. 558 358. Preoperative Management - p. 558 359. Surgical Technique - p. 558 360. Postoperative Care and Assessment - p. 558 361. Prognosis - p. 558 362. Definitions - p. 558 363. General Considerations and Clinically Relevant Pathophysiology - p. 558 364. Diagnosis - p. 559 365. Differential Diagnosis - p. 560 366. Medical Management - p. 560 367. Surgical Treatment - p. 560 368. Surgical Technique - p. 560 369. Postoperative Care and Assessment - p. 560 370. Prognosis - p. 561 371. Definition - p. 561 372. General Considerations and Clinically Relevant Pathophysiology - p. 561 373. Diagnosis - p. 561 374. Differential Diagnosis - p. 561 375. Medical Management - p. 561 376. Surgical Treatment - p. 561 377. Surgical Technique - p. 562 378. Postoperative Care and Assessment - p. 562 379. Prognosis - p. 562 380. Phimosis - p. 562 381. Paraphimosis - p. 563 382. Penile and Preputial Trauma and Neoplasia - p. 565 383. Chapter 28: Surgery of the Cardiovascular System - p. 567 384. Chapter 29: Surgery of the Upper Respiratory System - p. 598 385. Chapter 30: Surgery of the Lower Respiratory System: Lungs and Thoracic Wall - p. 633 386. Chapter 31: Surgery of the Lower Respiratory System: Pleural Cavity and Diaphragm - p. 653 387. Part Three: Orthopedics - p. 679 388. Chapter 32: Fundamentals of Orthopedic Surgery and Fracture Management - p. 680 389. Orthopedic Examination - p. 681 390. Preoperative Management - p. 685 391. Pain Management and Anesthesia - p. 686 392. Antibiotics - p. 686 393. Fracture Support - p. 686 394. Postoperative Care and Assessment - p. 688 395. Decision Making in Fracture Management - p. 689 396. Fracture Reduction - p. 691 397. Cancellous Bone Autografts - p. 693 398. Cortical Bone Autografts - p. 694 399. Cancellous Bone Allografts - p. 694 400. Cortical Bone Allografts - p. 695 401. Demineralized Bone Matrix - p. 695 402. Collagen - p. 695 403. Bone Morphogenic Protein - p. 695 404. Bone Marrow - p. 695 405. Mesenchymal Stem Cells - p. 695 406. Platelet-Rich Plasma - p. 695 407. Ceramics - p. 695 408. Bioglass - p. 696 409. Polymer - p. 696 410. External Coaptation - p. 696 411. External Fixators - p. 697 412. Intramedullary Fixation - p. 708 413. Plate and Screw Fixation - p. 713 414. Normal Fracture Healing - p. 719 415. Vascular Supply - p. 719 416. Fracture Healing and Fracture Management - p. 719 417. Osteotomies - p. 719 418. Chapter 33: Management of Specific Fractures - p. 727 419. Definitions - p. 727 420. General Considerations and Clinically Relevant Pathophysiology - p. 727 421. Diagnosis - p. 727 422. Differential Diagnosis - p. 728 423. Medical Management - p. 728 424. Interdental Stabilization Techniques - p. 728 425. Surgical Treatment - p. 728 426. Surgical Technique - p. 732 427. Suture Materials and Special Instruments - p. 732 428. Postoperative Care and Assessment - p. 732 429. Complications - p. 732 430. Prognosis - p. 732 431. Scapular Fractures - p. 732 432. Scapular Body and Spine Fractures - p. 734 433. Suture Materials and Special Instruments - p. 734 434. Postoperative Care and Assessment - p. 734 435. Complications - p. 734 436. Prognosis - p. 734 437. Humeral Diaphyseal and Supracondylar Fractures - p. 734 438. Definitions - p. 739 439. General Considerations and Clinically Relevant Pathophysiology - p. 739 440. Diagnosis - p. 739 441. Differential Diagnosis - p. 740 442. Medical Management - p. 740 443. Surgical Treatment - p. 740 444. Surgical Technique - p. 740 445. Suture Materials and Special Instruments - p. 742 446. Postoperative Care and Assessment - p. 742 447. Complications - p. 743 448. Prognosis - p. 743 449. Definitions - p. 743 450. General Considerations and Clinically Relevant Pathophysiology - p. 743 451. Diagnosis - p. 744 452. Differential Diagnosis - p. 744 453. Medical Management - p. 744 454. Surgical Treatment - p. 744 455. Surgical Technique - p. 745 456. Suture Materials and Special Instruments - p. 748 457. Postoperative Care and Assessment - p. 748 458. Complications - p. 748 459. Prognosis - p. 749 460. Definitions - p. 749 461. General Considerations and Clinically Relevant Pathophysiology - p. 749 462. Diagnosis - p. 749 463. Differential Diagnosis - p. 750 464. Medical Management - p. 750 465. Surgical Treatment - p. 750 466. Surgical Technique - p. 750 467. Suture Materials and Special Instruments - p. 751 468. Postoperative Care and Assessment - p. 751 469. Complications - p. 751 470. Prognosis - p. 751 471. Definitions - p. 752 472. General Considerations and Clinically Relevant Pathophysiology - p. 752 473. Diagnosis - p. 752 474. Differential Diagnosis - p. 752 475. Medical Management - p. 752 476. Surgical Treatment - p. 752 477. Surgical Technique - p. 753 478. Suture Materials and Special Instruments - p. 753 479. Postoperative Care and Assessment - p. 753 480. Complications - p. 754 481. Prognosis - p. 754 482. Definitions - p. 754 483. General Considerations and Clinically Relevant Pathophysiology - p. 754 484. Diagnosis - p. 754 485. Differential Diagnosis - p. 755 486. Medical Management - p. 755 487. Surgical Treatment - p. 755 488. Surgical Technique - p. 756 489. Suture Materials and Special Instruments - p. 757 490. Postoperative Care and Assessment - p. 757 491. Complications - p. 757 492. Prognosis - p. 757 493. Definitions - p. 758 494. General Considerations and Clinically Relevant Pathophysiology - p. 758 495. Diagnosis - p. 758 496. Differential Diagnosis - p. 758 497. Medical Management - p. 758 498. Surgical Treatment - p. 759 499. Surgical Technique - p. 759 500. Suture Materials and Special Instruments - p. 759 501. Postoperative Care and Assessment - p. 759 502. Complications - p. 760 503. Prognosis - p. 760 504. Definition - p. 760 505. General Considerations and Clinically Relevant Pathophysiology - p. 760 506. Diagnosis - p. 760 507. Differential Diagnosis - p. 761 508. Medical Management - p. 761 509. Surgical Treatment - p. 761 510. Surgical Technique - p. 762 511. Suture Materials and Special Instruments - p. 764 512. Postoperative Care and Assessment - p. 764 513. Complications - p. 764 514. Prognosis - p. 764 515. Pelvic Fractures - p. 765 516. Definitions - p. 767 517. General Considerations and Clinically Relevant Pathophysiology - p. 767 518. Diagnosis - p. 767 519. Differential Diagnosis - p. 768 520. Medical Management - p. 768 521. Surgical Treatment - p. 768 522. Surgical Technique - p. 769 523. Suture Materials and Special Instruments - p. 770 524. Postoperative Care and Assessment - p. 770 525. Complications - p. 770 526. Prognosis - p. 770 527. Definition - p. 770 528. General Considerations and Clinically Relevant Pathophysiology - p. 771 529. Diagnosis - p. 771 530. Chapter 34: Diseases of the Joints - p. 795 531. Definitions - p. 795 532. General Considerations - p. 795 533. Diagnosis of Joint Diseases - p. 795 534. Differential Diagnosis - p. 797 535. Medical Management - p. 797 536. Surgical Treatment - p. 798 537. Surgical Anatomy - p. 798 538. Surgical Technique - p. 799 539. Healing of Cartilage Defects and Response of Cartilage to Treatment - p. 799 540. Postoperative Care and Assessment - p. 799 541. Degenerative Joint Disease - p. 800 542. Definition - p. 802 543. General Considerations and Clinically Relevant Pathophysiology - p. 802 544. Diagnosis - p. 803 545. Differential Diagnosis - p. 803 546. Medical Management - p. 803 547. Surgical Treatment - p. 804 548. Surgical Technique - p. 804 549. Suture Materials and Special Instruments - p. 804 550. Postoperative Care and Assessment - p. 804 551. Prognosis - p. 804 552. Definition - p. 805 553. General Considerations and Clinically Relevant Pathophysiology - p. 805 554. Diagnosis - p. 805 555. Differential Diagnosis - p. 805 556. Medical Management - p. 805 557. Surgical Treatment - p. 806 558. Prognosis - p. 806 559. Definition - p. 806 560. General Considerations and Clinically Relevant Pathophysiology - p. 806 561. Diagnosis - p. 806 562. Differential Diagnosis - p. 807 563. Medical Management - p. 807 564. Surgical Treatment - p. 807 565. Prognosis - p. 807 566. Definition - p. 807 567. General Considerations and Clinically Relevant Pathophysiology - p. 807 568. Diagnosis - p. 807 569. Differential Diagnosis - p. 808 570. Medical Management - p. 808 571. Surgical Treatment - p. 808 572. Prognosis - p. 808 573. Plasmacytic-Lymphocytic Synovitis - p. 809 574. Systemic Lupus Erythematosus–induced Polyarthritis - p. 809 575. Feline Chronic Progressive Polyarthritis - p. 811 576. Definition - p. 812 577. General Considerations and Clinically Relevant Pathophysiology - p. 812 578. Diagnosis - p. 812 579. Differential Diagnosis - p. 813 580. Medical Management - p. 813 581. Surgical Treatment - p. 813 582. Surgical Technique - p. 814 583. Suture Materials and Special Instruments - p. 814 584. Postoperative Care and Assessment - p. 814 585. Prognosis - p. 814 586. Temporomandibular Joint Dysplasia - p. 815 587. Scapular Luxation - p. 816 588. Osteochondritis Dissecans of the Proximal Humerus - p. 817 589. Definition - p. 821 590. General Considerations and Clinically Relevant Pathophysiology - p. 821 591. Diagnosis - p. 821 592. Differential Diagnosis - p. 821 593. Medical Management - p. 821 594. Surgical Treatment - p. 822 595. Surgical Technique - p. 822 596. Suture Materials and Special Instruments - p. 823 597. Postoperative Care and Assessment - p. 824 598. Complications - p. 824 599. Prognosis - p. 824 600. Definition - p. 824 601. General Considerations and Clinically Relevant Pathophysiology - p. 824 602. Diagnosis - p. 824 603. Differential Diagnoses - p. 824 604. Medical Management - p. 824 605. Surgical Treatment - p. 824 606. Suture Materials and Special Instruments - p. 825 607. Postoperative Care and Assessment - p. 825 608. Prognosis - p. 826 609. Definitions - p. 826 610. General Considerations and Clinically Relevant Pathophysiology - p. 826 611. Diagnosis - p. 826 612. Differential Diagnosis - p. 827 613. Medical Management - p. 827 614. Surgical Treatment - p. 827 615. Surgical Technique - p. 827 616. Suture Materials and Special Instruments - p. 828 617. Postoperative Care and Assessment - p. 828 618. Prognosis - p. 828 619. Fragmented Coronoid Process - p. 828 620. Medial Compartment Disease - p. 834 621. Definitions - p. 836 622. General Considerations and Clinically Relevant Pathophysiology - p. 836 623. Diagnosis - p. 836 624. Differential Diagnosis - p. 837 625. Medical Management - p. 837 626. Surgical Treatment - p. 837 627. Surgical Technique - p. 837 628. Suture Materials and Special Instruments - p. 838 629. Postoperative Care and Assessment - p. 838 630. Prognosis - p. 838 631. Definition - p. 838 632. General Considerations and Clinically Relevant Pathophysiology - p. 838 633. Diagnosis - p. 838 634. Differential Diagnosis - p. 839 635. Medical Management - p. 839 636. Surgical Treatment - p. 839 637. Surgical Technique - p. 839 638. Suture Materials and Special Instruments - p. 841 639. Postoperative Care and Assessment - p. 841 640. Complications - p. 841 641. Prognosis - p. 841 642. Definition - p. 841 643. General Considerations and Clinically Relevant Pathophysiology - p. 841 644. Diagnosis - p. 841 645. Differential Diagnosis - p. 842 646. Medical Management - p. 842 647. Surgical Treatment - p. 842 648. Surgical Technique - p. 842 649. Suture Materials and Special Instruments - p. 842 650. Postoperative Care and Assessment - p. 842 651. Complications - p. 842 652. Prognosis - p. 842 653. Elbow Luxation or Subluxation Caused by Premature Closure of the Distal Ulnar or Radial Physes - p. 845 654. Carpal Luxation or Subluxation - p. 848 655. Carpal Laxity Syndrome - p. 852 656. Hip Dysplasia - p. 852 657. Definition - p. 859 658. General Considerations and Clinically Relevant Pathophysiology - p. 859 659. Diagnosis - p. 860 660. Differential Diagnosis - p. 860 661. Medical Management - p. 860 662. Surgical Treatment - p. 861 663. Surgical Technique - p. 861 664. Suture Materials and Special Instruments - p. 862 665. Postoperative Care and Assessment - p. 862 666. Prognosis - p. 862 667. Definition - p. 862 668. General Considerations and Clinically Relevant Pathophysiology - p. 863 669. Diagnosis - p. 863 670. Differential Diagnosis - p. 863 671. Medical Management - p. 863 672. Surgical Treatment - p. 863 673. Surgical Technique - p. 863 674. Suture Materials and Special Instruments - p. 863 675. Postoperative Care and Assessment - p. 863 676. Prognosis - p. 864 677. Cranial Cruciate Ligament Rupture - p. 864 678. Collateral Ligament Injury - p. 876 679. Multiple Ligament Injuries - p. 876 680. Meniscal Injury - p. 876 681. Definition - p. 876 682. General Considerations and Clinically Relevant Pathophysiology - p. 877 683. Diagnosis - p. 879 684. Differential Diagnosis - p. 880 685. Medical Management - p. 882 686. Surgical Treatment - p. 883 687. Surgical Technique - p. 883 688. Suture Materials and Special Instruments - p. 883 689. Postoperative Care and Assessment - p. 883 690. Prognosis - p. 883 691. Lateral Patellar Luxation - p. 883 692. Osteochondritis Dissecans of the Stifle - p. 888 693. Ligament Injury of the Tarsus - p. 889 694. Osteochondritis Dissecans of the Tarsus - p. 889 695. Chapter 35: Management of Muscle and Tendon Injury or Disease - p. 896 696. Chapter 36: Other Diseases of Bones and Joints - p. 909 697. Part Four: Neurosurgery - p. 923 698. Chapter 37: Neurodiagnostic Overview for the Small Animal Surgeon - p. 924 699. Chapter 38: The Neurologic Examination and Relevant Neuroanatomy - p. 931 700. Chapter 39: Surgery of the Brain - p. 939 701. Chapter 40: Surgery of the Cervical Spine - p. 955 702. Chapter 41: Surgery of the Thoracolumbar Spine - p. 976 703. Chapter 42: Surgery of the Cauda Equina - p. 988 704. Chapter 43: Nonsurgical Disorders of the Brain and Spine - p. 998 705. Chapter 44: Peripheral Nervous System Disorders and Diagnostic Techniques - p. 1009 706. Index - p. 1013 707. Guide to Expert Consult Online Resources - p. 1124 708. Achilles Tendon Rupture - p. 1125 709. Colposuspension - p. 1126 710. Corrective Procedures for Premature Physeal Closure and Radial Ulnar Growth Deformities - p. 1127 711. Perianal Fistulae Débridement With Fulguration or Laser Ablation - p. 1132 712. Excision Arthroplasty - p. 1133 713. Fibular Head Advancement - p. 1134 714. Hypophysectomy - p. 1135 715. Intracapsular Repair for Cranial Cruciate Ligament Injury - p. 1136 716. Midfemoral Amputation - p. 1138 717. Midhumeral Approach - p. 1139 718. Primary Repair with Augmentation - p. 1140 719. Purse-String Suture for Mitral Valve Repair - p. 1141 720. Scapulectomy - p. 1144 721. Surgical Treatment of Synovial Cysts - p. 1145 722. Tail Amputation - p. 1146 723. Transpelvic Sling Procedure for Urinary Incontinence - p. 1147 724. Transsphenoidal Approach for Hypophysectomy - p. 1148 725. Valve Dilation - p. 1149
