Splenectomy
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Ashley Magee, DVM, DACVS, performs a splenectomy on a dog that presented to the hospital with a hemoabdomen. The procedure of removing the spleen, in this case using a LigaSure™ to aid in hemostasis and speed of procedure, and the decision to perform a liver biopsy are discussed and demonstrated.
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Ashley Magee
DVM DACVS
Enrolled: 08/2011
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Thu, 12/17/2015 - 23:11
Would placing an NG tube while in surgery be a sufficient means of emptying stomach contents? Instead of an orogastric tube, the NG tube can facilitate continuous removal of stomach contents if the patient experiences a persistent ileus and can also serve as a means to feed the patient if needed. I understand the benefits of orogastric tubes but I think NG tubes have less risk of patient aspiration.....
Mon, 12/21/2015 - 07:10
Hi Stephanie - the following is from Dr. Magee:
When a patient has a large quantity of gastric contents a nasogastric tube is not as effective in removing all the ingesta prior to recovery from anesthesia when the risk of aspiration is greatest. We often place an indwelling NG tube at surgery after the stomach is emptied if we feel that persistent ileus is a significant risk. Orogastric tube passage perfromed correctly in an a properly intubated patient does not pose significant risk for aspiration especially when compared to the risk of recovery with a full stomach.
Mon, 12/21/2015 - 07:50
Makes sense, thank you!