New Techniques and Minimally Invasive Procedures
Many new techniques have recently become available in veterinary medicine. It is important to consider each patient individually. A laparoscopic spay may not be indicated for a young cat but may a very good option for a larger dog, especially when a laparoscopic prophylactic gastropexy can be performed concurrently. The approach to urolithiasis is changing. Urethroliths can be easily diagnosed and treated via urethrocystoscopy and laser lithotripsy. This is a minimally invasive technique that greatly improves patient care because surgery may be completely avoided. Certain cases of cystic calculi can be readily treated with laser lithotripsy. There are size and sex requirements that must be considered. Large calculi or large numbers of calculi would not be best treated with this method but single or small number of calculi can be readily treated. Also, the technique of percutaneous cystolithotomy that utilizes a small incision and assistance with the cystoscope is now easily performed. Acute ureteral obstruction can be a serious problem in both dogs and cats. This is a problem that requires prompt attention or irreversible damage to the kidney will occur. Fluoroscopically or ultrasonographically percutaneous nephrostomy techniques are readily performed and the technique of subcutaneous ureteral bypass is available especially for cats with ureteral obstruction. To discuss any of these options for your patients or to ask questions, contact Dr. Hause, Cocayne or Loyd.