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Issue XXX – “Bruno gets neutered!”

Bruno’s Dog Blog

Issue XXX – “Bruno gets neutered!”

FullSizeRenderI want to share a personal story with you about a recent surgical experience of my own at Sheridan Animal Hospital. I feel that we are all like family here and that it is very important to be open and honest with my readers as I always have been in the past. This story might get a little graphic for some, so if you aren’t interested in surgery or seeing organs and blood, then I suggest you not read this month’s issue.
OK, fair warning, graphic surgical details start in 3, 2, 1…

Now let’s start back at the beginning, Mom told me way back when that this day would eventually come. She said that she wanted me to be done growing before she scheduled the surgery because there has been some newer research surfacing in the veterinary medical field suggesting that the optimal time to spay and neuter pets may be changing. There is some early evidence to suggest a potential, and I should emphasize the word potential here, benefit to waiting until reaching a mature age before proceeding with castration (neuter) and/or ovariohysterectomy (spay). That potential benefit may be a reduced chance of developing certain types of cancer and maybe even some orthopedic problems, such as cruciate tears, down the road. That being said, there are already well established benefits to spaying and neutering at the current recommended age for 5-6 months of age. A quick note about the spay surgery and then we’ll get back to my story. The spay procedure is a major abdominal surgery, which involves removal of the ovaries and the uterus, called more appropriately an ovariohysterectomy. The risk of developing mammary cancer in the future increases with each estrus or heat cycle that a pet goes through, so, the optimal time to spay has always been and remains prior to the pet’s first estrus. That time varies depending on species and breed, but generally the recommendation is around 5-6 months of age. Ask your veterinarian for help in determining the right time to spay or neuter your pet.

So now that you understand the reasoning behind my Mom’s decision on timing of my castration surgery, onto the nuts (no pun intended) and bolts of the day! I had a pre-anesthetic blood profile performed ahead of time, which involved taking several different tubes of blood that measured my complete blood counts, looking at my red blood cell, white blood cell, and platelet numbers, a chemistry profile that evaluated the function of my liver and kidneys, among other things, and finally, a clotting panel to evaluate my body’s ability to form a blood clot. Once my blood work came back all normal, Mom cleared me for surgery!

On the night before surgery, I wasn’t allowed to eat any late night snacks. Mom and Dad fed me an early dinner and then it was no food after 6pm for me. I was allowed to drink water though, so that was good because it was a hot day the night before my surgery. On the morning of the big day, it seemed like any other day to me. Mom took me into work like always, but she of course didn’t feed me breakfast. I didn’t think it was all that unusual though because as you may already know, I’m sort of a picky eater to begin with, so I’m hit or miss when it comes to wanting to eat a meal anyway.

Once we arrived to the hospital, Mom weighed me first thing, I believe I weighed in at 143.6lb. Then, my surgeon friend, Dr. Rene van Ee, gave me a pre-surgical exam to make sure that everything felt and sounded good prior to anesthesia. After my admission physical, one of the nice technicians helped my Mom perform an electrocardiogram (EKG) on me to evaluate my heart rhythm, looking for an arrhythmia or abnormal heartbeat that may preclude me from undergoing anesthesia. I had to lay very still on my right side while the technician attached the leads to my skin and printed a nice long strip of squiggly lines that Mom said represented by heart beating. It was all very odd actually, I don’t know what a QRS complex is, but Dr. van Ee said mine were all normal and I was cleared for surgery, so that’s all I needed to know!

bruno castration sleepyAfter the check-up and the EKG, the technicians administered to me an injection of what is called “pre- medications.” This injection includes a combination of medications that are used to sedate me and help to lessen the amount of inhalant gas that is needed once I am completely under general anesthesia. I took a nice long snooze after that injection, some of the best sleep of my life!

I was too sleepy to even walk into the surgery preparation area, I think it was 4 people that had to lift me up onto the gurney to wheel me in! Once I was situated on the warm table in the surgery prep room, they held a mask to my face to deliver oxygen to me as they were shaving my arm and placing an IV (intravenous) catheter. This IV catheter was used to administer medication to induce general anesthesia and fluids during the procedure directly into my vein. At this point my memories are kind of blurry and it’s starting to get hard for me to remember all the details because I was so sleepy, but this is what I dreamed it would be like.

IMG_5533Once the IV was placed and I had been adequately pre-oxygenated, the surgical technician induced me under general anesthesia. First, she gave me a large IV dose of induction agent they call it, this was used to put me into an even deeper sleep than the pre-medications. This put me under a light plane of anesthesia and made it so that the surgical technician could place an endotracheal tube (ET tube). This tube goes down my throat and into my trachea (windpipe) to protect my airway while I am under general anesthesia. The ET tube is attached to a set of hoses at the end of an anesthesia machine that delivers oxygen and inhalant gas anesthesia to me as I am breathing. This is what kept me sleeping under a steady plane of anesthesia for the duration of the procedure.

IMG_5537Before moving me into the operating room, the surgical technician had to surgically clip my hair and prep the surgical area on my belly for the procedure. She also administered a local anesthesia block, sort of like a nerve block, to the surgical area, my testicles, which aids in providing additional pain control before, during, and after the procedure. Pain control is something that the surgical team at Sheridan Animal Hospital takes very seriously and they have worked hard to develop a multilayered approach to providing the best anesthesia and pain control available to their surgical patients. I can certainly attest to that!

Just before the surgery, I had radiographs (x-rays) taken of my hips. These were follow-up radiographs to see how my hips responded to a procedure that I had performed back when I was just a puppy of only 15 weeks of age in December 2014. Some of you may remember when I was just an itty bitty puppy, I had radiographs taken of my hips and I was found not to have the best of hips, in fact, I would say that my hips were mediocre at best. Thankfully, I have the best surgical team available to me at Sheridan Animal Hospital and they recommended a corrective surgery called a JPS, or juvenile pubic symphysiodesis. Some of you may recall I wrote a blog entry about that surgery back on December 28, 2014, Issue VII “Hip-py Holidays.” So the purpose of repeating the hip radiographs now was to see how my hips responded to the surgery after I was all done growing. The radiographs had to be taken using a special measuring device that only Dr. van Ee is certified to use. This device is used to calculate something called a distraction index on my hips. The radiographs were sent to a special facility called PennHIP where this measurement is calculated and my hips were evaluated. The distraction index basically measures how well built my hips are. The folks at PennHIP maintain a huge database of dogs, keeping track of the measurements for each, establishing averages for each breed. When they give a report on hip radiographs, they also give you a percentile ranking to see how you compare the rest of the dogs measured in your same breed. PennHIP evaluated the new films and gave me a new report, which was greatly improved! I have flawless hips according to my surgeon, Dr. van Ee, and according to the folks at PennHIP, I am in the 90th percentile of all English Mastiffs! Amazing! I am so fortunate to have had such wonderful surgeons available to me at such a young age to perform this corrective procedure on my bad hips, which has made my hips perfect now! I owe the rest of my active, hip pain free life to my amazing doctors who helped save me from years of pain and suffering due to hip dysplasia all by performing a simple corrective surgery on me when I was only a puppy of 15 weeks old.

brunos castration surgery1After the radiographs, it was time for the main event, the surgery! They wheeled me into the operating room and Dr. van Ee scrubbed himself and gowned up for the surgery while the surgical technician sterilely prepared the surgical site. Dr. van Ee performed the castration and did a wonderful job! He also had to remove a small lump near my prepuce that was a build up of lymphatic fluid. While I was undergoing surgery, I was hooked up to many monitors. One to monitor my heart rate and rhythm again, that was an electrocardiogram, one to monitor my blood pressure, one for my blood oxygenation level, one for my breathing and monitoring my carbon dioxide output, and one to track my body temperature. All of these machines were running continuously and the surgical technician was recording the numbers, watching everything very closely so that if something was abnormal, she would know it and could alert the doctor and intervene if necessary. Luckily, I was a trooper under anesthesia and did great with no problems! Once we removed the lump and my testicles, he closed me up and the technicians took over again
for my recovery.

During recovery, I was still pretty out of it. My Mom sat with me in the kennel as I was bruno castration success1waking up. I was happy to have that tube out of my throat. I did spit up a bit, which can happen with anesthesia and surgery, it’s actually called regurgitation. Due to the repeated episodes of regurgitation, I did need some additional medications after surgery to make me feel better. I had to stay on these medications for a couple of weeks after the surgery. I also got to eat special food that was a little easier on my stomach than my regular dog food. Mom made me boiled chicken and sweet potatoes, yum, what a treat for me!

All in all, it was a success! My hips are excellent, or “flawless,” to use Dr. van Ee’s words, my lump is gone and the biopsy showed that it was a benign lymphocoele. I am neutered, which means that I will not develop testicular cancer and am unlikely to have any problems with my prostate in the future! All wonderful news in my book! I am now fully recovered and back to my normal self! I did have to stay quiet for a good 10-14 days after the surgery, which wasn’t really all that hard for me because I’m a pretty mellow fellow to begin with! I was a good boy and didn’t lick my incision at all, so I didn’t need one of those lampshade, cone of shame things that I sometimes see other dogs wearing, I felt lucky! Now, I am back in full swing, playing with the garden hose, running around in the yard, going for walks! I am so glad that I had the surgery and that I had the wonderful, kind, and loving care of the entire staff at Sheridan Animal Hospital!Bruno castration success2

6 Comments

  • Nancy Strychasz says:

    Loved this story! Such great client education in a personal [VERY. 🙂 ] way! Thanks, Bruno, for helping us become smarter…..

    • Bruno says:

      Thanks Nancy!

      It was quite personal, but Dr. van Ee assured me that my friends wouldn’t hold it against me!

      Hope you and Penny are well!

      Woof,

      Bruno

  • Jackie Jaszczynski says:

    Just Love Bruno … Oh And His Mom Miss You All

  • Thanks for sharing this experience Bruno!

    When our dog was fixed, we really had no idea what the actual procedure entailed! We just trusted that our veterinarian would take great care of our dog. But, it’s refreshing to learn exactly how the process is carried out and what the steps are. Thankfully, my experience with spay/neutering have always been pleasant, most likely because of our excellent veterinarian.

    Also, thank you for discussing the possible benefits of waiting past the 6 month stage. There is plenty to learn in the area and hopefully you’ll post new articles when new information is released.

    Looking forward to more insightful stories Bruno, all the best!

  • Bruno says:

    Thanks Arby!

    I am so glad that sharing my personal experience helped you better understand the surgical process! Knowing everything that goes into taking care of our pets makes everyone more comfortable with the entire process. Thanks for your reply!

    Woof,

    Bruno

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