Mesenteric tumour |
Today
was a day for surprises as a medium sized black female we were expecting to be
spaying turned into an exploratory laparotomy when an abdominal mass was
palpated after anaesthetic induction. The bitch had already been spayed and a
mesenteric mass was located and successfully removed. The rest of her abdominal
contents appeared normal and she recovered well. We would have liked to have
been able to analyse the mass but this luxury was not available to us in this
location. We were suspicious it may have been a foreign body reaction connected
to her previous surgery and it reminded us of the purpose of the Veterinary Training Camp, highlighting the importance of good, careful preparation and
sound surgical technique.
Close monitoring catches problems early |
We were also unlucky enough to have two anaesthetic emergencies. A little black
female and a large old male. He had a pronounced heart murmur and was in fairly
poor condition. We were suspicious he may have heartworms which is relatively common parasite in Romania. These cases highlighted the importance of close monitoring and the
advantage of having IV and airway access via intubation. We were able to identify
deteriorating peripheral pulses and progressive bradypnoea and bradycardia and
act quickly with IV administration of an Alpha 2 antagonist, Atropine and
doxapram. We did not have an oxygen source but was able to ventilate manually
with an ambu bag. Both patients recovered successfully, a credit to the team who
remained calm in a stressful situation.
The team hard at work! |
Uterus with small Incision (Sandra Patzner) |
We
have passed the halfway point of our camp and have been working so hard that Lidias fingertips
have become numb from breaking ovarian ligaments but we all agree there is nothing as
satisfying as the sound when it snaps! Yet again the day had gone so quickly
and it was time to drag ourselves away from our work and make the trip back to Bucharest, satisfied with the
3 males that were castrated today and 9 females spayed.
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