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Pet Forum / Miscellaneous / Animal Health / June 2007Update on Vaginal bleeding after spay
Here the original thread: http://groups.google.com/group/alt.med.veterinary/browse_frm/thread/14790604370a 36f2?hl=en Our girl is now dripping once or twice a day at the most! The antibiotics seem to be working and she's doing really well. I was so worried they would have to operate again, thankfully this won't happen. Thanks to all who gave me advice and support, much appreciated. :) > Here the original thread: > [quoted text clipped - 5 lines] > happen. Thanks to all who gave me advice and support, much > appreciated. :) great news, take care of that gal joyce and bandit Just for clarification for yourself, ask the ASPCA vet if this was an ovariohysterectomy (spay where the ovaries and uterus are removed), or an ovariotomy-ligation (tubes tied where the ovary and uterus are left, but the tube connecting them is closed off). A complete removal would indicate that the drainage was related to infection, or rejection, of surgically handled tissues or urinary tract. A ligation would indicate the drainage was from a hormonal fluctuation of the uterus surface. Several humane society "spays" that I have seen postsurgical for "heat" were found upon followup surgery to have had ligations. This makes the animal sterile, but does nothing to influence future heats, or hormonal related cancers. > Here the original thread: > [quoted text clipped - 5 lines] > happen. Thanks to all who gave me advice and support, much > appreciated. :) > Several humane society "spays" that I have seen postsurgical for > "heat" were found upon followup surgery to have had ligations. This > makes the animal sterile, but does nothing to influence future heats, > or hormonal related cancers. ......holy cow - that's criminal! buglady take out the dog before replying Is there *any* advantage to this for the animal? I suppose the op. might be slightly easier for the vet, but I can't see a benefit for the animal over an ovariohistorectomy (please someone correct me if I'm wrong) Good to hear she'd getting better. I'd missed this thread for a couple of days, as I'd filtered back to just threads that I'd already had an involvement with. Dale >> Several humane society "spays" that I have seen postsurgical for >> "heat" were found upon followup surgery to have had ligations. This [quoted text clipped - 5 lines] > buglady > take out the dog before replying > Is there *any* advantage to this for the animal? I suppose the op. might be > slightly easier for the vet, but I can't see a benefit for the animal over [quoted text clipped - 14 lines] > > buglady > > take out the dog before replying Yes, the advantage to the animal is that this type of surgery is done with an endoscope, which gives only two or three very small incisions, versus one larger incision. This much less discomfort, and somewhat less incidence of iatrogenic (hospital induced) infections with a smaller surgical field. There is also thought to be less anesthetic time, but that of course depends on the surgeon. This is also an example of animal medicine following the lead of human medicine. Both in terms of the form of the surgery (endoscopic versus open field), and where tissues are left but the initial need is fulfilled (sterilization). Although complications with surgery are rare, most veterinarians still prefer an open field surgery so that other internal tissues can be assessed at the same time. It is not uncommon to have queens old enough for puberty to also be pregnant at surgery, which can require an open field conversion from the endoscopic. Side effects of the endoscopic are usually nil, however since the hormone secreting tissues are still viable, the cat will still go through heats, which most owners are hoping to avoid. Listing the animal as spayed when it is in fact sterile but complete, is lying in my book. > Yes, the advantage to the animal is that this type of surgery is done > with an endoscope, which gives only two or three very small incisions, > versus one larger incision. This much less discomfort, and somewhat > less incidence of iatrogenic (hospital induced) infections with a > smaller surgical field. There is also thought to be less anesthetic > time, but that of course depends on the surgeon. (Hey I learnt a new word today (iatrogenic), I'll have to make an effort to keep that one in my brain. thanks.) I'd always thought that the incision for a typical spay was remarkably small anyways. If the two or three smaller ones added up to less length than the one bigger one, they must be very small indeed. Actually, I hadn't considered the possibility of using an endoscope to do the surgery. The whole idea still seems...well...silly to me. Most owners as you say are going to want to avoid the heat cycle, as well as the pregnancy, so to not remove the ovaries & uterus seems somewhat counter productive. I can understand that there might be a few owners who might prefer this type of surgery, but I imagine that they would be few and far between. Dale >> Yes, the advantage to the animal is that this type of surgery is done >> with an endoscope, which gives only two or three very small incisions, [quoted text clipped - 19 lines] > > Dale You can actually do an entire ovariohysterectomy via endoscopy, so I'm not sure that that is a valid reason for someone only doing a tubal ligation or hysterectomy. And if a shelter is doing the surgeries, I would seriously doubt that they are doing anything endoscopically. In the U.S. we are used to ovariohysterectomies -- that is what we were taught and what most vets do. But in other countries it is standard to do either only ovariectomies or only hysterectomies, and I am sure there are places that teach tubal ligations. It is also possible that it is being done by shelter vets as a purely time saving matter, which is irresponsible by my book but may be happening. The main advantage I'm aware of for doing surgeries endoscopically is quicker recovery time because of smaller incisions. The military is now doing endoscopic spays on the working dogs for just this reason -- they can be back at work in days vs weeks. Deborah, DVM |
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