High-quality, High-volume Spay and Neuter and Other Shelter Surgeries

This comprehensive reference provides veterinarians with everything they need to know about performing surgeries such as spaying and neutering in busy animal shelters. It includes surgical and anesthetic techniques, perioperative procedures, reproductive medicine, and program management regarding dogs, cats, rabbits, and other small mammals. 

With more than 550 full-color images, High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries provides spay-neuter and shelter veterinarians with information on the most current clinical techniques. Dozens of veterinary experts offer their expert advice and knowledge on perioperative care, surgery instrumentation, infectious disease control, anesthesia protocols, CPR, the fundamentals of HQHVSN, and more. 

• Covers all aspects of common shelter surgeries, including surgical and anesthetic techniques, perioperative procedures, reproductive medicine, and program management
• Provides coverage of dogs, cats, rabbits, and other small mammals
• Written by leaders in the field with experience in surgery, medicine, spay-neuter practice, teaching, and research 

High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries is an excellent resource for veterinarians, veterinary technicians, and students, as well as clinic and shelter owners.

The Editor

Sara White, DVM, MSc, is Founder and Executive Director of Spay ASAP Inc. and ergovet in Hartland, Vermont, USA.

List of Contributors ix

Preface xiii

Acknowledgments xv

Part One Clinical Techniques and Patient Care 1

Section One Peri-operative Care Associated with Spay and Neuter 3

1 Determination of Patient Sex and Spay–Neuter Status 5
Brenda Griffin

2 Disorders of Sexual Development and Common Reproductive Pathologies 27
Brenda Griffin, Sara White, and Margaret V. Root Kustritz

3 Instrumentation for Spay–Neuter 53
Amber Burton and Sara White

4 Asepsis 65
Brian A. DiGangi

5 Infectious Disease Control in Spay–Neuter Facilities 89
Sara White and Natalie Isaza

6 Strategies to Reduce Stress and Enhance Patient Comfort during the Spay–Neuter Process 103
Brenda Griffin

Section Two Anesthesia for Spay–Neuter Surgery 125

7 Principles of Anesthesia, Analgesia, Safety, and Monitoring 127
Sheilah Robertson

8 Anesthetic Protocols for Dogs and Cats 153
Sheilah Robertson

9 Special Considerations for Anesthesia of Pediatric Patients 193
Emily McCobb and Sheilah Robertson

10 Anesthetic Complications 209
Emily McCobb

11 Cardiopulmonary Resuscitation in Shelter Animal Practice 227
Luisito S. Pablo

Section Three Surgical Techniques for Spaying and Neutering 239

12 Dog Spay/Cat Spay 241
Philip Bushby and Sara White

13 Cesarean Section 267
Sheilah Robertson and Sara White

14 Dog Neuter/Cat Neuter 281
Philip Bushby and Sara White

15 Neutering Procedures and Considerations in Rabbits and Other Small Mammals 295
Natalie Isaza and Ramiro Isaza

16 Tattoo and Ear-Tipping Techniques for Identification of Surgically Sterilized Dogs and Cats 325
Brenda Griffin, Mark W. Bohling, and Karla Brestle

17 Complications in Spay and Neuter Surgery 339
Mark W. Bohling

18 Ovarian Remnant Syndrome 363
G. Robert Weedon and Margaret V. Root Kustritz

Section Four Other Surgical Procedures 371

Introduction to Other Surgical Procedures 373
Philip Bushby

19 Amputation 375
Joseph P. Weigel

19A Amputation: Anesthesia Supplement 387
Lydia Love

20 Surgery of the Eye 395
Susan Nelms

20A Surgery of the Eye: Anesthesia Supplement 411
Lydia Love

21 Rectal and Vaginal Fold Prolapse 415
Kimberly Woodruff

21A Rectal and Vaginal Fold Prolapse: Anesthesia Supplement 423
Lydia Love

22 Dental Extractions in a Shelter Environment 425
Diana L. Eubanks and Lydia Love

Part Two Fundamentals of HQHVSN 437

23 Fundamentals of HQHVSN 439
Sara White

Section Five Spay–Neuter Population Medicine 453

24 Sterilization Programs and Population Control 455
Margaret Slater and Emily Weiss

25 Community Cats 477
Stephanie Janeczko

26 Influence of Spay–Neuter Timing on Health 509
G. Robert Weedon, Margaret V. Root Kustritz, and Philip Bushby

27 Non-surgical Contraception: The State of the Field 521
Jessica Hekman

Section Six Human Resources and Management 529

28 Starting with Why: Know Your Purpose and Name Your Bottom Lines 531
BJ Rogers

29 Hiring for Impact, Hiring for Culture 537
BJ Rogers

30 Recruiting and Hiring HQHVSN Surgeons 545
James Weedon

31 Health Considerations for the HQHVSN Surgeon 553
Sara White

Section Seven Clinic Models 575

32 Stationary Clinics 577
Karla Brestle

33 Profile of the Mobile Spay–Neuter Clinic 589
Kathleen V. Makolinski

34 MASH Clinics 601
Sara White

35 Feral and Free‐Roaming Cat Clinics 615
Christine Wilford

36 In‐Clinic Clinics 627
Ruth Steinberger

Index 633

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