Gastrointestinal Surgical Techniques in Small Animals

List of Contributors

Preface

About the Website

Section I: General concepts

Chapter 1: Intestinal healing

Eric Monnet and Daniel Smeak

Anatomy

Phases of wound healing

Factors affecting gastrointestinal tract healing

Chapter 2: Suture materials, staplers, and tissue apposition devices

Daniel Smeak

Suture materials

Predictable absorption profile

Tensile strength and knot security

Low capillarity and bacterial adhesion

Handling characteristics

Rate of strength gain in GI surgery

Suture needles

Directional barbed suture

Biofragmentable anastomosis ring

Staplers, Linear, Circular, Skin staplers

Chapter 3: Suture pattern

Daniel Smeak

One or two layer closure

Tissue inversion eversion or apposition

Stapled or hand-sutured anastomosis

Apposition suture patterns

Simple interrupted

Simple continuous

Patterns to reduce excessive mucosal eversion

Inverting suture patterns

Halstead

Cushing and Connell

Lembert

Parker Kerr oversew

Special supplementary patterns: Purse-string

Chapter 4: Feeding tubes

Eric Monnet

Nasoesophageal and nasogastric tubes

Indications

Materials and equipment

Surgical techniques

Utilization

Tips

Complications

Esophagostomy tube

Indications

Materials and equipment

Surgical techniques

Utilization

Tips

Complications

Gastrostomy tube

Indications

Materials and equipment

Surgical techniques

Endoscopic placement

Laparoscopically assisted

Laparotomy

Utilization

Tips

Complications

Jejunostomy tube

Indications

Materials and equipment

Surgical techniques

Laparoscopically assisted

Laparotomy

Utilization

Tips

Complications

Gastro-Jejunostomy tube

Indications

Materials and equipment

Surgical techniques

Utilization

Tips

Complications

Chapter 5: Drainage technique

Eric Monnet

Indications

Techniques

Percutaneous placement of an abdominal drain

Passive drain

Closed suction drain

Surgical placement of a closed suction drain

Open abdomen

Vacuum assisted drainage of the abdominal cavity

Tips

Complications and after care

Section II: Oral cavity

Chapter 6: Mandibulectomy and maxillectomy

Bernard Seguin

Indications

Surgical techniques

Maxillectomy

Mandibulectomy

Tips

Complications and postoperative care

Complications of maxillectomy

Complications of mandibulectomy

Chapter 7: Glossectomy

Eric Monnet and Bernard Seguin

Indications

Surgical techniques

Tips

Complications and prognosis

Chapter 8: Tonsillectomy

Eric Monnet and Bernard Seguin

Indications

Surgical techniques

Tips

Complications and prognosis

Chapter 9: Palate defect

Chad Lothamer and Jennifer Rawlinson

Indications

Surgical techniques

Repair of congenital cleft palate correction techniques

Secondary cleft palate correction techniques

Von Langenbeck technique

Overlapping flap technique

Soft palate repair techniques

Bilateral medially positioned flaps

Overlapping flap technique for repair of the soft palate

Repair of acquired defects

Vestibular mucoperiosteal flaps

Palatal mucoperiosteal flaps

Transposition flap

Split palatal U-flap

Rotating palatal island flap

Palatal advancement flaps

Miscellaneous palatal repair and salvage techniques

Midline palatal fracture or separation

Myoperitoneal microvascular free flap

Angularis Oris mucosal flap

Obturators

Bone and cartilage grafts for the support of pedicle grafts

Tips

Complications

Chapter 10: Salivary glands surgery

Daniel Smeak

Indications

Surgical techniques

Anatomical considerations

Removal of sialoliths

Cervical, pharyngeal, rankle mucocele

Approaches to the mandibular/sublingual salivary complex

Ventral Approach

Marsupialization of Pharyngeal Mucoceles and Ranulas

Zygomatic salivary mucocele

Surgical exposure (approaches) for zygomatic sialadenectomy

Gland Excision Technique

Parotid mucocele

Tips

Complications and outcome

Section III: Esophagus

Chapter 11: Esophagotomy

Eric Monnet

Indications

Surgical techniques

Surgical approach to the esophagus

Esophagotomy

Patch

Tips

Complications

Chapter 12: Esophagectomy

Eric Monnet

Indications

Surgical techniques

Esophagectomy

Dilation and diverticulum of the esophagus

Substitution

Tips

Complications

Chapter 13: Cricopharyngeal myectomy and Heller myectomy

Eric Monnet

Indications

Surgical techniques

Cricopharyngeal myotomy

Heller’s myotomy

Tips

Cricopharyngeal myotomy

Heller’s myotomy

Complications

Chapter 14: Vascular ring anomalies

Eric Monnet

Indications

Surgical techniques

Intercostal thoracotomy

Ligamentum arteriosum

Double aortic arch

Thoracoscopy

Tips

Complications and aftercare

Chapter 15: Hiatal hernia

Eric Monnet

Indications

Surgical techniques

Laparotomy

Laparoscopy

Tips

Complications and post-operative cares

Section IV: Stomach

Chapter 16: Anatomy and physiology of the stomach

Eric Monnet

Anatomy

Divisions

Morphology and glandular organization

Blood supply

Innervation

Physiology

Gastrin

Somatostatin

Histamine

Ghrelin and leptin

Other gastric secretory products

Acid secretion

Acid secretions and gastrectomy

Stomach motility and gastrectomy

Chapter 17: Gastrotomy

Eric Monnet

Indications

Surgical techniques

Tips

Complications and post-operative cares

Chapter 18: Gastrectomy

Eric Monnet

Indications

Surgical techniques

Local gastrectomy for resection of neoplasia or ulcer

Local gastrectomy for resection of GDV

Segmental gastrectomy

Tips

Complications and post-operative cares

Chapter 19: Billroth I

Eric Monnet

Indications

Surgical techniques

Tips

Complications

Chapter 20: Billroth II

Eric Monnet

Indications

Surgical techniques

Gastrectomy

Dissection of the duodenum

Gastro-jejunostomy

Cholecystoduodenostomy

Feeding tubes

Tips

Complications and post-operative cares

Dumping syndrome

Afferent loop syndrome

Gastritis and esophagitis

Chapter 21: Pyloroplasty

Eric Monnet

Indications

Surgical techniques

Y-U pyloroplasty

Other pyloroplasty

Pyloromyotomy

Tips

Complications

Chapter 22: Roux in Y

Eric Monnet

Indications

Surgical techniques

Roux in Y for upper GI reconstruction

Roux in Y for biliary diversion

Roux in Y for upper GI diversion

Tips

Complications and post-operative cares

Chapter 23: Gastropexy

Daniel Smeak

Indications

Surgical techniques

Tube gastropexy

Incisional gastropexy

Belt loop gastropexy

Circumcostal gastropexy

Gastrocolopexy

Incorporating gastropexy

Endoscopically assisted gastropexy

Laparoscopic assisted gastropexy

Laparoscopic gastropexy

Tips

Complications and complications

Section V: Intestine

Chapter 24: Enterotomy

Daniel Smeak

Indications

Surgical techniques

Intestinal biopsy

Enterotomy

Tips

Leak test

Reinforcement of an enterotomy

Complications and outcome

Chapter 25: Enterectomy

Daniel Smeak

Indications

Surgical techniques

Hand sewn anastomosis

Anastomosis using skin stapler

Functional end to end anastomosis with stapling equipment: open technique

One stage functional end to end anastomosis

Tips

Anatomical considerations

Handling of tissue

Utilization of linear stapler

Suture line reinforcement

Complications and outcome

Chapter 26: Enteroplication

Daniel Smeak

Indications

Surgical techniques

Complete enteroplication

Limited enteroplication

Tips

Anatomical considerations

Handling of tissue

Utilization of linear stapler

Suture line reinforcement

Complications and outcome

Section VI: Colon

Chapter 27: Colectomy

Daniel Smeak and Eric Monnet

Indications

Surgical techniques

Preoperative considerations

Surgical procedures

Colonic anastomosis closure methods

Surgical techniques

Tips

Postoperative considerations and prognosis

Chapter 28: Colotomy

Daniel Smeak

Indications

Surgical techniques

Preoperative considerations

Surgical procedure

Tips

Postoperative considerations and prognosis

Chapter 29: Thyplectomy

Daniel Smeak

Indications

Surgical techniques

Simple typhlectomy

Colotomy and typhlectomy

Ileocolic resection and anastomosis

Tips

Postoperative considerations and prognosis

Chapter 30: Colostomy

Daniel Smeak

Indications

Surgical techniques

Flank diverting loop rod-supported colostomy

End on colostomy

Laparoscopic assisted end-on jejunostomy

Tips

Postoperative considerations and prognosis

Chapter 31 Colopexy

Daniel Smeak

Indications

Surgical techniques

Standard ventral midline approach

Paramedian incorporating

Laparoscopic colopexy

Laparoscopic assisted colopexy

Tips

Postoperative care and complications

Section VII: Rectum and anal sac

Chapter 32: Approaches to the rectum

Daniel Smeak

Indications

Surgical approaches to the rectum

Dorsal approach

Lateral approach

Ventral approach with pubic osteotomy

Postoperative care and complications

Chapter 33: Surgery of the rectum

Daniel Smeak

Indications

Surgical techniques

Transanal technique

Combined transanal and abdominal techniques

Tips

Postoperative care and complications

Chapter 34: Anal sac resection

Daniel Smeak

Indications

Surgical techniques

Preparation and positioning of the patient

Open techniques

Closed techniques

Closed techniques for anal sac neoplasia

Tips

Postoperative care and complications

Section IV: Liver and gall bladder

Chapter 35: Liver lobectomy

Eric Monnet

Indications

Surgical techniques

Liver biopsy

Laparotomy

Laparoscopy

Partial liver lobectomy

Complete liver lobectomy

Liver lobectomy with sutures

Liver lobectomy with staples

Tips

Complications

Chapter 36: Surgery of the gall bladder

Eric Monnet

Indications

Surgical techniques

Cholecystostomy

Cholecystotomy

Cholecystectomy

Laparotomy

Laparoscopy

Tips

Complications and postoperative care

Chapter 37: Biliary diversion

Eric Monnet

Indications

Surgical techniques

Temporary bile diversion

Temporary cholecystostomy tube during laparotomy

Temporary cholecystostomy tube with laparoscopy

Permanent biliary diversion

Cholecystoduodenostomy

Roux in Y diversion

Cholecystojejunostomy

Choledochoduodenostomy or choledochojejunostomy

Tips

Complications

Chapter 38: Surgery of the bile duct

Eric Monnet

Indications

Surgical techniques

Choledochotomy

Resection anastomosis of the common bile duct

Choledochoduodenostomy or choledochojejunostomy

Complications

Chapter 39: Biliary stenting

Eric Monnet

Indications

Surgical techniques

Short term temporary stenting

Long term temporary stenting

Permanent stenting

Tips

Complications and post-operative cares

Chapter 40: Arterio-venous fistula

Eric Monnet

Indications

Surgical techniques

Laparotomy

Interventional radiology

Tips

Complications

Chapter 41: Portosystemic shunts

Eric Monnet

Indications

Surgical techniques

Extraheaptic shunt

Identification

Dissection

Intraheaptic shunt

Identification

Dissection

Techniques for ligation or progressive occlusion of the shunt

Techniques resulting in fixed attenuation of a shunt

Techniques resulting in slow progressive and complete occlusion of a shunt

Tips

Complications

Post-operative complications and short term outcome

Long term complications and outcome

Section V: Pancreas

Chapter 42: Surgery of the pancreas

Daniel Smeak

Indications

Surgical procedures

Pancreatic biopsy

Nodulectomy

Partial pancreatectomy

Total pancreatectomy

Pancreatic drainage

Tips

Post-operative care and complications

Gastrointestinal Surgical Techniques in Small Animals offers a highly detailed reference to surgical procedures in the gastrointestinal tract in dogs and cats. Each chapter describes the surgical techniques in depth, featuring high-quality illustrations depicting each step, and discusses tips and tricks for a successful surgery and potential complications. A companion website offers video clips demonstrating the procedures. 

Logically divided into sections by anatomy, each chapter covers indications, contraindications, and decision making for a specific surgery.  Tips and tricks and potential complications are also covered.  

• Describes techniques for canine and feline gastrointestinal surgery in detail
• Presents the state of the art for GI surgery in dogs and cats
• Includes access to a companion website with video clips demonstrating techniques

Gastrointestinal Surgical Techniques in Small Animals is an essential resource for small animal surgeons and veterinary residents.

Eric Monnet, DVM, PhD, FAHA, Diplomate ACVS, ECVS, is a Professor in the Department of Clinical Sciences at Colorado State University in Fort Collins, Colorado, USA. 

Dan Smeak, DVM, Diplomate ACVS, is a Professor in the Department of Clinical Sciences at Colorado State University in Fort Collins, Colorado, USA.