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 Complications in
Small Animal Surgery
Edited by Dominique Griffon and Annick Hamaide
Complications in Small Animal Surgery
 Dedication

À Emmanuel, pour ta presence et ta patience

To Maxime and Etienne, my amazing sons:

May this work inspire you to reach your full potential

—Dominique Griffon

To Bernard, for his infinite patience

To Sam and Zoé, who remind me every day the priorities of Life

—Annick Hamaide
Complications
in Small Animal
Surgery
Edited by

Dominique Griffon DMV, MS, PhD, DECVS, DACVS

Professor and Associate Dean for Research
College of Veterinary Medicine
Western University of Health Sciences
Pomona, CA, USA

Annick Hamaide DVM, PhD, Dipl ECVS

Associate Professor, Surgical Oncology
Department of Clinical Sciences (Companion Animals and Equids)
School of Veterinary Medicine
University of Liège
Liège, Belgium
This edition first published 2016 © 2016 by John Wiley & Sons, Inc.
Editorial offices: 1606 Golden Aspen Drive, Suites 103 and 104, Ames, Iowa 50010, USA
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Library of Congress Cataloging-in-Publication Data

Complications in small animal surgery (2016)

Complications in small animal surgery / edited by Dominique Griffon, Annick Hamaide.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-470-95962-6 (cloth)
I. Griffon, Dominique., 1965– editor. II. Hamaide, Annick., 1965– editor. III. Title.
[DNLM: 1. Animal Diseases—surgery. 2. Animals, Domestic—surgery. 3. Intraoperative Complications—veterinary.
4. Postoperative Complications—veterinary. 5. Surgical Procedures, Operative—veterinary. SF 911]
SF911
636.0897—dc23
2015013294
A catalogue record for this book is available from the British Library.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic
books.
Front cover images: Top left image: See figure 78.2’s caption. Top middle image: See figure 2.1’s caption. Top right image: See
figure 113.9’s caption. Main, central image: courtesy of Dominique Griffon.
Cover design by Matt Kuhns
Set in 9/11pt Minion Pro by Aptara Inc., New Delhi, India
Printed in [Country only]

1 2016
Contents

List of Contributors, ix 17 Complications Associated with Rehabilitation

Preface and Acknowledgements, xiii Modalities, 118
Debra Canapp, Lisa M. Fair, and Sherman Canapp
About the companion website, xv
18 Degenerative Joint Disease, 126
Guillaume Ragetly and Dominique Griffon
Section 1: Surgical Infections, 1
1 Surgical Wound Infections, 3
Outi Laitinen-Vapaavuori Section 3: Surgery of the Head and Neck, 135
2 Sepsis, 8 19 Dorsal Rhinotomy, 137
Galina Hayes and Brigitte A. Brisson Gert ter Haar
3 Pyothorax, 15 20 Sublingual and Mandibular Sialadenectomy, 144
Jackie L. Demetriou Cheryl Hedlund
4 Peritonitis, 20 21 Incisional Drainage of Aural Hematomas, 150
Marjan Doom and Hilde de Rooster Cheryl Hedlund
5 Osteomyelitis, 28 22 Ear Canal Surgery, 155
Dominique Griffon Gert ter Haar
6 Septic Arthritis, 34 23 Ventral Bulla Osteotomy, 164
John Innes Cheryl Hedlund
7 Methicillin-Resistant Staphylococcus Infections, 39 24 Surgical Management of Brachycephalic Airway
Scott Weese Obstructive Syndrome, 171
8 Hospital-Associated Infections, 45 Cyril Poncet
Maureen Anderson and Scott Weese 25 Surgical Management of Laryngeal Paralysis, 178
Gert ter Haar
26 Thyroidectomy, 185
Section 2: General Postoperative Complications, 55
Chad Schmiedt
9 Dehiscence, 57
27 Parathyroidectomy, 193
Stéphanie Claeys
Chad Schmiedt
10 Suture Reactions, 64
28 Tracheal Surgery, 198
Outi Laitinen-Vapaavuori
Barbara Kirby
11 Hyperthermia, 66
29 Tracheal Stenting, 206
Kris Gommeren
Laura Cuddy
12 Hemorrhage, 72
Jane Ladlow
13 Anorexia, 79 Section 4: Dental and Oral Surgery, 215
Angela Witzel 30 Repair of Mandibular and Maxillary
14 Management of Surgical Pain, 84 Fractures, 217
Lyon Lee and Reza Seddighi Christian Bolliger
15 Complications Associated with, 31 Partial Mandibulectomy, 229
Nonsteroidal Antiinflammatory Drugs, 97 Julius Liptak
Reza Seddighi and Lyon Lee 32 Partial Maxillectomy, 237
16 Complications Associated with External Julius Liptak
Coaptation, 110 33 Lingual Surgery, 245
Dominique Griffon Julius Liptak

v
vi Contents

34 Tooth Extractions, 249 Section 7: Gastrointestinal Surgery, 411

Anson J. Tsugawa 57 Gastric Dilatation and Volvulus and Gastropexies, 413
35 Tonsillectomy, 263 Zoë Halfacree
Jonathan Bray 58 Gastric Outflow Procedures, 424
36 Repair of Congenital Defects of the Hard and Jeffrey J. Runge
Soft Palates, 265 59 Small Intestine Surgery, 429
Jonathan Bray Jean-Philippe Billet
60 Large Intestine Surgery, 435
Section 5: Thoracic Surgery, 269 Jean-Philippe Billet
37 General Complications, 271 61 Hepatic and Biliary Tract Surgery, 441
Hervé Brissot Anne Kummeling
38 Thoracostomy and Thoracocentesis, 284 62 Pancreatic Surgery, 446
Alison Moores Heidi Phillips
39 Complications After Intercostal and Sternal 63 Portosystemic, 461
Thoracotomy, 294 Barbara Kirby
Alison Moores
40 Thoracoscopy, 300 Section 8: Surgery of the Urinary Tract, 467
Eric Monnet
64 General Complications, 469
41 Bronchial and Pulmonary Surgery, 305 Anne Kummeling
Hervé Brissot
65 Complications Specific to Lithotripsy, 473
42 Chylothorax, 313 Joseph W. Bartges, Amanda Callens, and India Lane
Carolyn A. Burton
66 Renal Transplantation, 481
43 Esophagoscopy and Esophageal Surgery, 319 Andrew Kyles
Robert J. Hardie
67 Ureteral Surgery, 486
44 Aortic Arch Anomalies, 323 Stéphanie Claeys and Annick Hamaide
Robert J. Hardie
68 Surgery of the Urinary Bladder, 492
45 Thymectomy, 328 Annick Hamaide
Rachel Burrow
69 Urethrostomy in Male Dogs, 497
46 Pericardial Surgery, 335 Joshua Milgram
Daniel J. Brockman
70 Feline Perineal Urethrostomy, 500
47 Patent Ductus Arteriosus, 338 Joshua Milgram
Daniel J. Brockman
48 Cardiac Pacemaker Implantation, 343
Rachel Burrow and Sonja Fonfara Section 9: Surgery of the Reproductive Tract, 505
71 Ovariectomy and Ovariohysterectomy, 507
Annick Hamaide
Section 6: General Abdominal Surgery, 353
72 Pyometra, 517
49 Celiotomy, 355 Kathryn Pratschke
Hilde de Rooster
73 Cesarean Section, 522
50 Laparoscopy, 362 Bart Van Goethem
Gilles Dupré and Valentina Fiorbianco
74 Orchiectomy, 528
51 Hiatal Herniorrhaphy, 370 Bart Van Goethem
Stephen J. Baines
75 Prostatic Cyst and Abscess Drainage, 534
52 Diaphragmatic Herniorrhaphy, 375 Henry L’Eplattenier
Stephen J. Baines
76 Prostatectomy, 539
53 Peritoneal Pericardial Herniorrhaphy, 383 Henry L’Eplattenier
Laura J. Owen
54 Perineal Herniorrhaphy, 388
Lynne A. Snow Section 10: Plastic and Reconstructive Surgery, 543
55 Adrenalectomy, 395 77 Open Wounds, 545
Brigitte Degasperi and Gilles Dupré Davina Anderson
56 Splenectomy, 401 78 Reconstructive Flaps, 554
Paolo Buracco and Federico Massari Stéphanie Claeys
 Contents vii

79 Skin Grafting, 561 101 Loss of Function in Performance Dogs, 680

Stéphanie Claeys Lauren Pugliese and Jon Dee
80 Anal Sac Excision, 569 102 Carpal Contracture, 686
Lynne A. Snow Alessandro Piras and Tomas Guerrero
81 Feline Onychectomy, 573 103 Quadriceps Contracture, 692
Ameet Singh and Brigitte A. Brisson Darryl Millis
104 Fracture-Associated Sarcoma, 697
G. Elizabeth Pluhar
Section 11: Neurologic Surgery, 577 105 Thermal Pain, 702
82 General Complications, 579 G. Elizabeth Pluhar
Belinda Comito 106 Complications in External Skeletal Fixation, 704
83 Myelography, 584 Gian Luca Rovesti
Belinda Comito 107 Complications Specific to Locking Plates, 714
84 Ventral Slot and Fenestration, 590 Randy Boudrieau
Wanda Gordon-Evans
85 Dorsal Laminectomy, 596
Section 13: Salvage Orthopedic Procedures, 727
Wanda Gordon-Evans
108 Arthrodesis, 729
86 Hemilaminectomy, 602
Dominique Griffon
Wanda Gordon-Evans
109 Amputation, 735
87 Ventral Cervical Fusion, 606
Maria Fahie
Wanda Gordon-Evans
110 Limb Spare Procedures, 743
88 Vertebral Fracture Repair, 610
Jennifer Covey and Nicholas Bacon
Wanda Gordon-Evans
89 Craniotomy and Craniectomy, 615
Belinda Comito Section 14: Surgery of the Coxofemoral Joint, 751
90 Intracranial Shunt Placement, 620 111 Femoral Head and Neck Excision, 753
Belinda Comito Wing Tip Wong
112 Complications of Double and Triple Pelvic
Osteotomies, 759
Section 12: Management of Fractures and Aldo Vezzoni
Osteotomies: Perioperative Complications, 627 113 Total Hip Replacement, 778
91 Inadequate Fracture Reduction (Malreduction), 629 William Liska and Jonathan Dyce
Ann Johnson 114 Complications of Total Hip Replacement with the Zurich
92 Improper Placement of Implants, 633 Cementless System, 834
Ann Johnson Aldo Vezzoni
93 Limb Shortening, 637 115 Open Reduction of Coxofemoral Luxations, 845
Ann Johnson Mark Rochat
94 Implant Failure, 641
Ann Johnson
Section 15: Surgery of the Stifle, 857
95 Premature Physeal Closure After Fracture, 649
Ann Johnson 116 Complications Associated with Open versus Arthroscopic
Examination of the Stifle, 859
96 Avascular Necrosis, 655 Antonio Pozzi and Stanley Kim
Dominique Griffon
117 Complications associated with cranial cruciate
97 Bone Resorption, 658 ligament repair, 867
Dominique Griffon Dominique Griffon
98 Delayed Union, 665 118 Complications Associated with the Treatment of
Ann Johnson Patellar Luxation, 889
99 Nonunion, 669 Abimbola Oshin
Ann Johnson 119 Complications Associated with Autogenous
100 Malunion, 673 Osteochondral Repair, 897
Andrew Worth Noel Fitzpatrick
viii Contents

Section 16: Surgery of the Scapulohumeral 122 Ulnar Osteotomy and Ostectomy, 924
Joint, 903 Dominique Griffon
120 Shoulder Dislocation and Instability, 905 123 Complications of Sliding Humeral Osteotomy, 930
Brian Beale Noel Fitzpatrick

Section 17: Surgery of the Elbow, 917 Index, 937

121 Reduction of Elbow Luxations, 919
Peter Böttcher
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