Small Animal Surgery. Bloodless Surgery
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Small Animal Surgery. Bloodless Surgery

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José Rodríguez, together with Guillermo Couto and Jorge Llinás, surprises us again with a new volume of the Small Animal Surgery collection, although this time he focuses on the application of bloodless surgery. The author and his colleagues use their wide experience to show readers the importance of ensuring appropriate haemostasis in surgical procedures. The basic principles of haemostasis, their practical application in various clinical cases or the different techniques available are explained throughout the book, and the information is complemented by numerous images that will help the clinician to ensure haemostasis (making knots step by step, surgical procedures shown in sequences of images, etc.). This work also stands out by including high-quality and very didactic videos, with which the reader will be able to gain valuable knowledge.

José Rodríguez, DVM, PhD

Graduate in Veterinary Medicine from the Complutense University of Madrid

Head Tutor of the Department of Animal Pathology, University of Zaragoza

Guillermo Couto, DVM, dipl. ACVIM

Graduate in Veterinary Medicine from the University of Buenos Aires

American diploma in Internal Medicine and Oncology

Tutor at the Department of Clinical Science at the Faculty of Veterinary Medicine

Oncology/Haematology Department at Ohio State University (Ohio, USA)

Jorge Llinás, DVM

Graduate in Veterinary Medicine from the University of Zaragoza

University specialist in Maxillofacial Surgery

Director and founder of the Valencia Sur Veterinary Hospital (Valencia, Spain)

President of the Spanish Society for Veterinary Laser and Electrosurgery

1. Introduction

2. Haemostasis and haemostatic disorders

Physiology of haemostasis for clinicians

Clinical signs in haemorrhagic syndromes

Techniques for the evaluation of haemostasis

Platelet count

Buccal mucosal bleeding time

Laboratory tests

Preoperative evaluation of haemostasis

Care of patients with coagulopathies or preoperative haemorrhages

Common coagulopathies in veterinary practice

Primary haemostatic disorders

Secondary haemostatic disorders

Mixed haemostatic disorders

3. Anticoagulation and fibrinolysis


Thromboembolic diseases

Antiplatelet drugs, anticoagulants and fibrinolytics

Antiplatelet drugs



4. Principles of blood transfusion



Blood types

Blood typing

Blood administration

Complications of transfusion therapy


5. Anaesthesia and perioperative bleeding


Factors involved

Patient position

Mechanical ventilation

Changes in patient ventilation

Effects of anaesthetic drugs



α2 agonists





Sodium thiopental


Inhaled anaesthetics


Non-depolarising neuromuscular blocking drugs

Non-steroid anti-inflammatory drugs

Fluid therapy



Local and regional anaesthesia

Local infiltration with local anaesthetic and/or adrenaline

Epidural anaesthesia

Intravenous regional anaesthesia (Bier block)


Behaviour of anaesthetic agents incasesof hypothermia


Anaesthetic techniques thatminimise bleeding

Controlled hypotension

Permissive hypotension or hypotensive resuscitation

Acute normovolaemic haemodilution

Acute hypervolaemic haemodilution

6. Preoperative haemostatic techniques

Systemic prohaemostatic drugs

Lysine analogues


Other treatments

Supportive haemostatic treatments



7. Intraoperative haemostasis techniques

Techniques for minimising blood loss during surgery

Preventative haemostasis



Vascular clamps and Rummel tourniquet

Haemostatic clips. Surgical staplers

Clinical applications in hepatic, splenic and pulmonary surgery

Definitive haemostasis

Haemostasis by compression

Topical haemostatic agents

Surgical haemostatic techniques

Haemostatic forceps




Estimated intraoperative blood loss

Subjective method

Gravimetric method

Other methods

8. High energy surgical equipment



Key concepts of electricity

Characteristics of the currents generated by an electrosurgical unit

How tissue responds to the passage of electricity

Safety in electrosurgery

Electrosurgical equipment and electrodes

Laser surgery

Basic principles

Laser in veterinary surgery

Basic elements of laser systems

Temporal output mode

Choice of laser

Interaction of laser with tissue

Tips for optimising the use of laser in surgery

Other systems

Electrothermal bipolar coagulation

Personal safety


Risks and precautions in laser surgery

9. Cryotherapy and cryosurgery

Local hypothermia. Cryotherapy


Advantages and disadvantages of cryosurgery

Cryogenic agents

Liquid nitrogen

Nitrous oxide

Dimethyl ether and propane

Cryogenic agent application techniques

Application by pulverisation

Application by tube (contact terminal)

Application with swabs

Warnings and postoperative care

10.Postoperative bleeding


Causes of bleeding

Assessment of bleeding severity


Initial treatment

Evolution of postoperative bleeding

Diagnosis and ultrasound monitoring ofpostoperative bleeding

11. Applicationsandsurgicalcasestudies

Maxillofacial surgery

Surgical case study/Premaxillectomy

Ophthalmic surgery

Surgical case study/Hotz-Celsus blepharoplasty with CO2 laser

Ear surgery

Surgical case study/Ablation of the external ear canal

Penile surgery

Surgical case study/Partial amputation of the penis

Hepatic surgery

Surgical case study/Hepaticlobectomy

Adrenalgl and surgery

Surgical case study/Adrenalectomy

Adrenalectomy in ferrets

Cardiovascular surgery

Surgical case study/Thoracoscopic pericardiectomy

Surgical case study/Tetralogy of Fallot

Perianal fistulae

Surgical case study/Perianal fistulae resection

Brachycephalic syndrome

Widening of nostrils


Excision of laryngeal saccules

12. References

  • Autor/es Guillermo Couto, Jorge Llinás, José Rodríguez Gómez
  • Fecha de edición diciembre 2013
  • Nº Páginas 288
  • Encuadernación Tapa dura
  • Tamaño 23 X 29'7
  • Idioma Inglés

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