rel="nofollow" href="#ulink_2e080f5b-91aa-547e-b6b6-bff6b419ee70">Figure 2.4)
Weck Hemoclips®, Ethicon Ligaclips®, or Covidien Surgiclips® (Figure 2.5)
Vetspon absorbable hemostatic gelatin sponge (Figure 2.5)
Oxidized regenerated cellulose (Figure 2.5)
Figure 2.3 Stapling device and cartridge options.
Table 2.1 Stapling cartridge information chart.
| Instrument cartridge | Staplesa | ||
|---|---|---|---|
| Width × height (mm) | Closed height (mm) | Configuration | |
| TA 30. 55. 90 blue | 4.0 × 3.5 | 1.5 | Double staggered row of staples |
| TA 30. 55. 90green | 4.0 × 4.8 | 2.0 | Double staggered row of staples |
| TA 30–V3 whiteb | 3.0 × 2.5 | 1.0 | 3 staggered rows |
| GIA 50 | 4.0 × 4.0 | 1.75 | 4 staggered rows of staples with a cut |
| GIA 60 | 3.0 × 2.5 | 1.0 | |
| GIA 60 or 80 | 3.0 × 3.85 | 1.5 | between 2 |
| GIA 90 | 4.0 × 4.0 | 1.75 |
a Absorbable staples: PDS and glycolic acids; stainless steel 316 l.
b Vascular.
Figure 2.4 The bipolar vessel sealing device (LigaSure, Medtronics, Dublin Ireland), comes in many size and shape options. The device aides in decreasing intraoperative and postoperative hemorrhage.
Figure 2.5 An assortment of Hemoclip® and Ligaclip® sizes, Surgicel®, Vetspon® (Gel‐foam®), and Surgiclip® applicator (bottom). Both Gel‐foam and Surgicel are applied to a site to aid in clot formation and can be left in place indefinitely until eventually absorbed, or they can be removed during surgery once hemostasis is achieved.
Box 2.5 Instrumentation for Ureteral Surgery
Routine soft tissue instrument set
Balfour retractor
Sterile suction tubing
Suction canister
Sterion® Silicone vessel loops
Weck‐Cel® cellulose eye spears
Microsurgical needle holders (cats and small dogs)
Microsurgical scissors (cats and small dogs)
Microsurgical forceps (cats and small dogs)
Bipolar cautery
Mixter forceps
Surgical loupes
Operating microscope (recommended for cats and small dogs)
5‐0 to 8‐0 sutures
Retrograde Hydropulsion in Dogs
Retrograde hydropulsion in dogs can be used to flush urethral calculi back into the urinary bladder to relieve urethral obstruction prior to a cystotomy for stone retrieval. Instruments necessary for this technique are listed in Box 2.7.
Urethrostomy and Urethrotomy in Dogs: Patient Positioning
The patient will be positioned in dorsal recumbency for a prescrotal or scrotal urethrostomy or urethrotomy and in sternal recumbency, with the patient's hind legs hanging over the end of the table and the tail retracted cranially for a perineal urethrostomy or urethrotomy. Depending on the size of the animal, magnification may be warranted. Recommended instruments are listed in Box 2.8.
Contrast Studies
For some patients, the use of an iodinated contrast material (Omnipaque™) in conjunction with radiography or fluoroscopy can provide preoperative or intraoperative information about the location of an obstruction, as well as the presence of extravasation of contrast material in cases of urinary tract trauma or surgical complications (Figures 2.15 and 2.16). The instruments necessary to perform a contrast study are listed in Box 2.9.
Figure 2.6 Instrumentation available to perform a ureterotomy in a cat. (a) Balfour retractor, 8‐0 nylon suture, microsurgical forceps, microsurgical needle holders, microsurgical scissors. (b) Vessel loops in thoracic surgery
