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Pyometra is a serious and life-threatening infection in the uterus, occurring in female dogs who have not been spayed. The condition must be treated quickly and aggressively. The preferred treatment is to surgically remove the uterus and ovaries by performing an ovariohysterectomy. There is a medical approach to treating pyometra, although the success rate is highly variable and not without considerable risk and potential long-term complications.
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A recessed vulva, also referred to as a juvenile or hypoplastic vulva, is a conformational issue that occurs in female dogs. In this condition, the vulva is recessed within, or partially hidden by, surrounding folds of skin. Some dogs might have a recessed vulva for their entire life without ever experiencing any visible effects. In other dogs, however, a recessed vulva can predispose them to vaginitis and/or urinary tract infections. Depending on the severity of your dog’s clinical signs, medical or surgical options may be used to treat this condition.
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Cryptorchidism is the failure of one or both testicles to descend into the scrotum. Toy breeds may be more at risk, but it can affect any breed of dog and is believed to be an inherited trait. Diagnosis can usually be made by palpation but sometimes requires blood testing or an abdominal ultrasound if the dog’s history is unknown. Risks of retained testicles include testicular cancer, spermatic cord torsion, and the development of undesirable male characteristics, so neutering is strongly recommended. Surgery is generally routine, and recovery is similar to any abdominal surgery.
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Round cell tumors are among the most common skin tumors in dogs, and they typically form just under the skin, although they may change the surface of the skin above them. It is impossible to diagnose any of them without a veterinary pathologist analyzing a tissue sample of the tumor under a microscope. If detected early, most round cell tumors can be easily removed.
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Squamous cell carcinoma is a tumor of the cells that make up the contact or upper layer of the skin. UV light exposure has been described as a developmental factor in people, though it is still in question as to the role for dogs. Several breeds are known to be predisposed to this type of cancer. About 30% of dogs with the digital form of the disease will have evidence of spread. Regardless of the location, surgery is typically the treatment of choice, and staging is usually recommended prior to any surgery.
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Struvite bladder stones are one of the more common bladder stones found in dogs. Struvite bladder stones usually form as a complication of a bladder infection caused by bacteria, and if the urine becomes exceptionally concentrated and acidic. The most common signs that a dog has bladder stones are blood in the urine (hematuria) and straining to urinate (dysuria). There are three primary treatment strategies for struvite bladder stones: 1) feeding a special diet to dissolve the stone(s), 2) non-surgical removal by urohydropropulsion (flushing out the stones) and 3) surgical removal. Dogs that have experienced struvite bladder stones will often be fed a therapeutic diet for life.
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Home care after surgery mainly involves the restriction of physical activity. Excessive physical activity often leads to injury or serious complications. Monitor the incision daily for signs of redness, swelling, discharge, or excessive licking, and never apply anything to the incision unless instructed to do so. To keep your dog from licking, your veterinarian can provide you with a protective collar or recovery suit. Your dog should gradually improve each day.
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Each surgical patient is unique, so pain management strategies are fine-tuned to meet the needs of the individual dog before, during, and after surgery. Your veterinarian will begin managing your cat's pain before the procedure starts by giving preemptive pain medication. During surgery, strategies such as local freezing, continuous rate infusions, and anesthetic blocks may be used. After surgery, pain relief continues, with at-home medication and possibly physical medicine modalities.
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The main objectives of fracture repair are to promote rapid healing of the fracture and to get the dog using its leg as quickly as possible. In most cases, this involves rebuilding the broken bone and fixing it in that position with metallic implants. Post-operative care includes pain medications, antibiotics, adequate nutrition, exercise restriction, and physiotherapy. Most fractures can be repaired very effectively and in many cases, your dog will resume normal activity.
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Total ear canal ablation and bulla osteotomy (TECA-BO) is a surgery performed to remove the ear canal and a portion of the middle ear. This surgery is performed in cases where the pet is suffering from chronic and unresponsive ear infections. The surgical technique, reasons for performing the procedure, the diagnostic steps, and potential post-op complications are outlined in this handout.