• Gastrointestinal Surgical Techniques in Small Animals offers a highly detailed reference to surgical procedures in the gastrointestinal tract in dogs and cats. Each chapter describes the surgical techniques in depth, featuring high-quality illustrations depicting each step, and discusses tips and tricks for a successful surgery and potential complications. A companion website offers video clips demonstrating the procedures.

    Logically divided into sections by anatomy, each chapter covers indications, contraindications, and decision making for a specific surgery. Tips and tricks and potential complications are also covered.

    • Describes techniques for canine and feline gastrointestinal surgery in detail
    • Presents the state of the art for GI surgery in dogs and cats
    • Includes access to a companion website with video clips demonstrating techniques

    Gastrointestinal Surgical Techniques in Small Animals is an essential resource for small animal surgeons and veterinary residents.

  • List of Contributors

    Preface

    About the Website

    Section I: General concepts

    Chapter 1: Intestinal healing

    Eric Monnet and Daniel Smeak

    Anatomy

    Phases of wound healing

    Factors affecting gastrointestinal tract healing

    Chapter 2: Suture materials, staplers, and tissue apposition devices

    Daniel Smeak

    Suture materials

    Predictable absorption profile

    Tensile strength and knot security

    Low capillarity and bacterial adhesion

    Handling characteristics

    Rate of strength gain in GI surgery

    Suture needles

    Directional barbed suture

    Biofragmentable anastomosis ring

    Staplers, Linear, Circular, Skin staplers

    Chapter 3: Suture pattern

    Daniel Smeak

    One or two layer closure

    Tissue inversion eversion or apposition

    Stapled or hand-sutured anastomosis

    Apposition suture patterns

    Simple interrupted

    Simple continuous

    Patterns to reduce excessive mucosal eversion

    Inverting suture patterns

    Halstead

    Cushing and Connell

    Lembert

    Parker Kerr oversew

    Special supplementary patterns: Purse-string

    Chapter 4: Feeding tubes

    Eric Monnet

    Nasoesophageal and nasogastric tubes

    Indications

    Materials and equipment

    Surgical techniques

    Utilization

    Tips

    Complications

    Esophagostomy tube

    Indications

    Materials and equipment

    Surgical techniques

    Utilization

    Tips

    Complications

    Gastrostomy tube

    Indications

    Materials and equipment

    Surgical techniques

    Endoscopic placement

    Laparoscopically assisted

    Laparotomy

    Utilization

    Tips

    Complications

    Jejunostomy tube

    Indications

    Materials and equipment

    Surgical techniques

    Laparoscopically assisted

    Laparotomy

    Utilization

    Tips

    Complications

    Gastro-Jejunostomy tube

    Indications

    Materials and equipment

    Surgical techniques

    Utilization

    Tips

    Complications

    Chapter 5: Drainage technique

    Eric Monnet

    Indications

    Techniques

    Percutaneous placement of an abdominal drain

    Passive drain

    Closed suction drain

    Surgical placement of a closed suction drain

    Open abdomen

    Vacuum assisted drainage of the abdominal cavity

    Tips

    Complications and after care

    Section II: Oral cavity

    Chapter 6: Mandibulectomy and maxillectomy

    Bernard Seguin

    Indications

    Surgical techniques

    Maxillectomy

    Mandibulectomy

    Tips

    Complications and postoperative care

    Complications of maxillectomy

    Complications of mandibulectomy

    Chapter 7: Glossectomy

    Eric Monnet and Bernard Seguin

    Indications

    Surgical techniques

    Tips

    Complications and prognosis

    Chapter 8: Tonsillectomy

    Eric Monnet and Bernard Seguin

    Indications

    Surgical techniques

    Tips

    Complications and prognosis

    Chapter 9: Palate defect

    Chad Lothamer and Jennifer Rawlinson

    Indications

    Surgical techniques

    Repair of congenital cleft palate correction techniques

    Secondary cleft palate correction techniques

    Von Langenbeck technique

    Overlapping flap technique

    Soft palate repair techniques

    Bilateral medially positioned flaps

    Overlapping flap technique for repair of the soft palate

    Repair of acquired defects

    Vestibular mucoperiosteal flaps

    Palatal mucoperiosteal flaps

    Transposition flap

    Split palatal U-flap

    Rotating palatal island flap

    Palatal advancement flaps

    Miscellaneous palatal repair and salvage techniques

    Midline palatal fracture or separation

    Myoperitoneal microvascular free flap

    Angularis Oris mucosal flap

    Obturators

    Bone and cartilage grafts for the support of pedicle grafts

    Tips

    Complications

    Chapter 10: Salivary glands surgery

    Daniel Smeak

    Indications

    Surgical techniques

    Anatomical considerations

    Removal of sialoliths

    Cervical, pharyngeal, rankle mucocele

    Approaches to the mandibular/sublingual salivary complex

    Ventral Approach

    Marsupialization of Pharyngeal Mucoceles and Ranulas

    Zygomatic salivary mucocele

    Surgical exposure (approaches) for zygomatic sialadenectomy

    Gland Excision Technique

    Parotid mucocele

    Tips

    Complications and outcome

    Section III: Esophagus

    Chapter 11: Esophagotomy

    Eric Monnet

    Indications

    Surgical techniques

    Surgical approach to the esophagus

    Esophagotomy

    Patch

    Tips

    Complications

    Chapter 12: Esophagectomy

    Eric Monnet

    Indications

    Surgical techniques

    Esophagectomy

    Dilation and diverticulum of the esophagus

    Substitution

    Tips

    Complications

    Chapter 13: Cricopharyngeal myectomy and Heller myectomy

    Eric Monnet

    Indications

    Surgical techniques

    Cricopharyngeal myotomy

    Heller’s myotomy

    Tips

    Cricopharyngeal myotomy

    Heller’s myotomy

    Complications

    Chapter 14: Vascular ring anomalies

    Eric Monnet

    Indications

    Surgical techniques

    Intercostal thoracotomy

    Ligamentum arteriosum

    Double aortic arch

    Thoracoscopy

    Tips

    Complications and aftercare

    Chapter 15: Hiatal hernia

    Eric Monnet

    Indications

    Surgical techniques

    Laparotomy

    Laparoscopy

    Tips

    Complications and post-operative cares

    Section IV: Stomach

    Chapter 16: Anatomy and physiology of the stomach

    Eric Monnet

    Anatomy

    Divisions

    Morphology and glandular organization

    Blood supply

    Innervation

    Physiology

    Gastrin

    Somatostatin

    Histamine

    Ghrelin and leptin

    Other gastric secretory products

    Acid secretion

    Acid secretions and gastrectomy

    Stomach motility and gastrectomy

    Chapter 17: Gastrotomy

    Eric Monnet

    Indications

    Surgical techniques

    Tips

    Complications and post-operative cares

    Chapter 18: Gastrectomy

    Eric Monnet

    Indications

    Surgical techniques

    Local gastrectomy for resection of neoplasia or ulcer

    Local gastrectomy for resection of GDV

    Segmental gastrectomy

    Tips

    Complications and post-operative cares

    Chapter 19: Billroth I

    Eric Monnet

    Indications

    Surgical techniques

    Tips

    Complications

    Chapter 20: Billroth II

    Eric Monnet

    Indications

    Surgical techniques

    Gastrectomy

    Dissection of the duodenum

    Gastro-jejunostomy

    Cholecystoduodenostomy

    Feeding tubes

    Tips

    Complications and post-operative cares

    Dumping syndrome

    Afferent loop syndrome

    Gastritis and esophagitis

    Chapter 21: Pyloroplasty

    Eric Monnet

    Indications

    Surgical techniques

    Y-U pyloroplasty

    Other pyloroplasty

    Pyloromyotomy

    Tips

    Complications

    Chapter 22: Roux in Y

    Eric Monnet

    Indications

    Surgical techniques

    Roux in Y for upper GI reconstruction

    Roux in Y for biliary diversion

    Roux in Y for upper GI diversion

    Tips

    Complications and post-operative cares

    Chapter 23: Gastropexy

    Daniel Smeak

    Indications

    Surgical techniques

    Tube gastropexy

    Incisional gastropexy

    Belt loop gastropexy

    Circumcostal gastropexy

    Gastrocolopexy

    Incorporating gastropexy

    Endoscopically assisted gastropexy

    Laparoscopic assisted gastropexy

    Laparoscopic gastropexy

    Tips

    Complications and complications

    Section V: Intestine

    Chapter 24: Enterotomy

    Daniel Smeak

    Indications

    Surgical techniques

    Intestinal biopsy

    Enterotomy

    Tips

    Leak test

    Reinforcement of an enterotomy

    Complications and outcome

    Chapter 25: Enterectomy

    Daniel Smeak

    Indications

    Surgical techniques

    Hand sewn anastomosis

    Anastomosis using skin stapler

    Functional end to end anastomosis with stapling equipment: open technique

    One stage functional end to end anastomosis

    Tips

    Anatomical considerations

    Handling of tissue

    Utilization of linear stapler

    Suture line reinforcement

    Complications and outcome

    Chapter 26: Enteroplication

    Daniel Smeak

    Indications

    Surgical techniques

    Complete enteroplication

    Limited enteroplication

    Tips

    Anatomical considerations

    Handling of tissue

    Utilization of linear stapler

    Suture line reinforcement

    Complications and outcome

    Section VI: Colon

    Chapter 27: Colectomy

    Daniel Smeak and Eric Monnet

    Indications

    Surgical techniques

    Preoperative considerations

    Surgical procedures

    Colonic anastomosis closure methods

    Surgical techniques

    Tips

    Postoperative considerations and prognosis

    Chapter 28: Colotomy

    Daniel Smeak

    Indications

    Surgical techniques

    Preoperative considerations

    Surgical procedure

    Tips

    Postoperative considerations and prognosis

    Chapter 29: Thyplectomy

    Daniel Smeak

    Indications

    Surgical techniques

    Simple typhlectomy

    Colotomy and typhlectomy

    Ileocolic resection and anastomosis

    Tips

    Postoperative considerations and prognosis

    Chapter 30: Colostomy

    Daniel Smeak

    Indications

    Surgical techniques

    Flank diverting loop rod-supported colostomy

    End on colostomy

    Laparoscopic assisted end-on jejunostomy

    Tips

    Postoperative considerations and prognosis

    Chapter 31 Colopexy

    Daniel Smeak

    Indications

    Surgical techniques

    Standard ventral midline approach

    Paramedian incorporating

    Laparoscopic colopexy

    Laparoscopic assisted colopexy

    Tips

    Postoperative care and complications

    Section VII: Rectum and anal sac

    Chapter 32: Approaches to the rectum

    Daniel Smeak

    Indications

    Surgical approaches to the rectum

    Dorsal approach

    Lateral approach

    Ventral approach with pubic osteotomy

    Postoperative care and complications

    Chapter 33: Surgery of the rectum

    Daniel Smeak

    Indications

    Surgical techniques

    Transanal technique

    Combined transanal and abdominal techniques

    Tips

    Postoperative care and complications

    Chapter 34: Anal sac resection

    Daniel Smeak

    Indications

    Surgical techniques

    Preparation and positioning of the patient

    Open techniques

    Closed techniques

    Closed techniques for anal sac neoplasia

    Tips

    Postoperative care and complications

    Section IV: Liver and gall bladder

    Chapter 35: Liver lobectomy

    Eric Monnet

    Indications

    Surgical techniques

    Liver biopsy

    Laparotomy

    Laparoscopy

    Partial liver lobectomy

    Complete liver lobectomy

    Liver lobectomy with sutures

    Liver lobectomy with staples

    Tips

    Complications

    Chapter 36: Surgery of the gall bladder

    Eric Monnet

    Indications

    Surgical techniques

    Cholecystostomy

    Cholecystotomy

    Cholecystectomy

    Laparotomy

    Laparoscopy

    Tips

    Complications and postoperative care

    Chapter 37: Biliary diversion

    Eric Monnet

    Indications

    Surgical techniques

    Temporary bile diversion

    Temporary cholecystostomy tube during laparotomy

    Temporary cholecystostomy tube with laparoscopy

    Permanent biliary diversion

    Cholecystoduodenostomy

    Roux in Y diversion

    Cholecystojejunostomy

    Choledochoduodenostomy or choledochojejunostomy

    Tips

    Complications

    Chapter 38: Surgery of the bile duct

    Eric Monnet

    Indications

    Surgical techniques

    Choledochotomy

    Resection anastomosis of the common bile duct

    Choledochoduodenostomy or choledochojejunostomy

    Complications

    Chapter 39: Biliary stenting

    Eric Monnet

    Indications

    Surgical techniques

    Short term temporary stenting

    Long term temporary stenting

    Permanent stenting

    Tips

    Complications and post-operative cares

    Chapter 40: Arterio-venous fistula

    Eric Monnet

    Indications

    Surgical techniques

    Laparotomy

    Interventional radiology

    Tips

    Complications

    Chapter 41: Portosystemic shunts

    Eric Monnet

    Indications

    Surgical techniques

    Extraheaptic shunt

    Identification

    Dissection

    Intraheaptic shunt

    Identification

    Dissection

    Techniques for ligation or progressive occlusion of the shunt

    Techniques resulting in fixed attenuation of a shunt

    Techniques resulting in slow progressive and complete occlusion of a shunt

    Tips

    Complications

    Post-operative complications and short term outcome

    Long term complications and outcome

    Section V: Pancreas

    Chapter 42: Surgery of the pancreas

    Daniel Smeak

    Indications

    Surgical procedures

    Pancreatic biopsy

    Nodulectomy

    Partial pancreatectomy

    Total pancreatectomy

    Pancreatic drainage

    Tips

    Post-operative care and complications

  • Eric Monnet, DVM, PhD, FAHA, Diplomate ACVS, ECVS, is a Professor at Colorado State University in Fort Collins, Colorado, USA.

    Dan Smeak, DVM, Diplomate ACVS, is a Professor at Colorado State University in Fort Collins, Colorado, USA.

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