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What You Need to Know Before Surgery
Many people have questions about various aspects of their pet's surgery, and we hope this information will help. It also explains the decisions you will need to make before your pet's upcoming surgery.
Is the anesthetic safe?
Today's modern anesthetic monitors have made surgery much safer. Here at Skyline Veterinary Hospital, we do a thorough physical exam on your pet before administering anesthetics, to ensure that a fever or other illness won't be a problem. We also adjust the amount and type of anesthetic used depending on the health of your pet. The handout on anesthesia explains this in greater detail.
Pre-anesthetic blood testing can be important in reducing the risk of anesthesia. Every pet could benefit from blood testing before surgery to ensure that the liver and kidneys can handle the anesthetic. Occasionally even apparently healthy animals can have serious organ system problems that cannot be detected without blood testing. If there is a problem, it is much better to find it before it causes anesthetic or surgical complications. Animals that have minor dysfunction will handle the anesthetic better if they receive IV fluids during surgery. If serious problems are detected, surgery can be postponed until the problem is corrected.
For geriatric or ill pets, additional blood tests, electrocardiograms, or x-rays may be required before surgery as well.
It is important that surgery be done on an empty stomach to reduce the risk of vomiting during and after anesthesia. You will need to withhold food for at least 8 to 10 hours before surgery. Water can be left down for the pet until the morning of surgery.
Will my pet have stitches?
For many surgeries, we use absorbable sutures underneath the skin. These will dissolve on their own, and do not need to be removed later. Some surgeries, especially tumour removals, do require skin stitches or staples. With either sutures or staples, you will need to monitor the incision for swelling or discharge. Some dogs and cats excessively lick or chew at the incision; it is very important to prevent this with a cone or some kind of barrier like a surgical suit. If there are skin sutures, these will usually be removed 10 to 14 days after surgery. You will also need to limit your pet's activity level for a time and no baths are allowed for the first 10 days after surgery.
Will my pet be in pain?
Anything that causes pain in people can be expected to cause pain in animals. Pets may not show the same symptoms of pain as people do; they usually don't whine or cry, but you can be sure they feel it. Pain medications needed will depend on the surgery performed. Major procedures require more pain relief than things like minor lacerations.
For dogs, we may recommend an oral anti-inflammatory the day after surgery and several days after to lessen the risk of discomfort and swelling. We use newer medications, which are less likely to cause stomach upset and can be given even the morning of surgery.
Recent advances in pain medications have allowed for better pain control in cats than ever before. After surgery, pain medication is given on a case by case basis. Any animal that appears to be in pain will receive additional pain medication.
We use injectable pain medications after surgery on both dogs and cats. Providing appropriate pain relief is a humane and caring thing to do for your pet.
What other decisions do I need to make?
While your pet is under anesthesia, it is the ideal time to perform other minor procedures, such as ear cleaning, or implanting an identification microchip. If you would like an estimate for these extra services, please call in advance. This is especially important if the person dropping the pet off for surgery is not the primary decision maker for the pet's care.
When you bring your pet in for surgery, we will need 5 to 10 minutes of your time to fill out paperwork and make decisions on the blood testing and other options available. When you pick up your pet after surgery you can also plan to spend about 10 minutes to go over your pet's home care needs.
We will call you the night before your scheduled surgery appointment to confirm the time you will be dropping your pet off and to answer any questions you might have. In the meantime, please contact us with any questions about your pet's health or surgery.