WINTER NEWSLETTER 2013
So Christmas is upon us again and it seems only yesterday that we were wishing everyone a Happy New Year.
At Towcester Veterinary Centre Surgical Referrals we have seen a steady increase in referrals over the year and we would like to thank all of you who send us cases. We also welcome any feedback you may have about our services.
Laparoscopy continues to grow in popularity at TVC. Over 60% of our bitch spays in 2013 have been done laparoscopically. A clinical audit showed that laparoscopic ovariectomies were associated with a 1.5% complication rate compared to routine ovariectomies/ovario-hysterectomies which were associated with a 6% complication rate. We use laparoscopy routinely now for cryptorchidectomy, liver biopsy, and cystotomy. It is a field we are very excited about as there are so many advantages to patient, owner and surgeon. This year is we have also expanded the laparoscopy to the equine side of the practice. So far we have done one ovariectomy and 2 cryptorchid surgeries. In horses one of the major advantages is that the procedure can be done under standing sedation thereby eliminating risks associated with general anaesthesia.
In September Gareth Arthurs PGCertMedEd MA VetMB CertVR CertSAS DSAS(Orth) FHEA MRCVS started his freelance surgical company Arthurs Orthopaedics working from TVC. Gareth is a recognised RCVS specialist in small animal orthopaedics and has recently worked at Willows Referrals and the Royal Veterinary College where he was head of surgery. He currently also teaches at Cambridge University Veterinary School and does consultancy work for Veterinary Instrumentation. You can read more on his website www.aovet.co.uk. We are thrilled that he has chosen TVC as the clinic to see referrals at. It allows local practices such as yourselves to have a Diploma holder offering a referral service closer to home who can also offer more complicated surgeries like arthroscopy and joint replacements. We very much agree with his ethos of providing excellent service and care at affordable prices.
Case of the season
Hank, a 4 month old Bulldog puppy, was referred to us from a London clinic with an 11 day history of a lateral humeral condylar fracture of the left forelimb. The owners were not insured and money was a concern. The literature recommends repairing articular fractures within 5 days of injury with precise anatomic reconstruction of the joint surface. The length of time between injury and repair in Hank’s case presented a challenge mostly in the amount of fibrosis present distorting the normal anatomy.
The fracture was repaired with a trans-condylar screw and lateral bone plate. Post operative radiographs showed good anatomic reconstruction and joint congruency. Hank has done very well and is currently not showing signs of lameness, although osteoarthritis at a later date is inevitable with any articular fracture.
This case shows that you can push textbook quoted time limits for repair and get a satisfactory outcome. We also wanted to highlight that we are always open to discussion when it comes to price, in the end we would always prefer to repair a fracture than not.
We are also grateful for extra advice given to us on the day by Gareth Arthurs regarding Hank’s case.
Happy Christmas and all the very best for a Happy 2014 from all of us at Towcester Veterinary Centre Surgical Referrals.