• Turner and McIlwraith’s Techniques in Large Animal Surgery, Fourth Edition is an updated version of the classic resource for step-by-step instruction on basic surgical techniques in cattle, horses, swine, goats, and llamas. With detailed line drawings to demonstrate the principles discussed, the book addresses general aspects of surgery such as anesthesia and equipment and provides descriptions of surgical conditions and techniques commonly encountered in large animal practice. Now including a website with interactive review questions and the figures from the book in PowerPoint, the Fourth Edition is a highly practical, reliable guide for veterinary students and veterinary practitioners with a large animal caseload.

    The Fourth Edition includes eight new techniques and completely rewritten chapters on anesthesia, equine wound management, and surgical techniques in bovine and swine patients, as well as revisions to reflect advances throughout the book and updated references. Turner and McIlwraith’s Techniques in Large Animal Surgery continues to supply students and practitioners alike with a valuable resource on the fundamental techniques of farm animal surgery.

  • About the Companion Website viii

    Contributors ix

    Preface to the First Edition xi

    Preface to the Second Edition xiii

    Preface to the Third Edition xv

    Preface to the Fourth Edition xvii

    1. Presurgical Considerations 3
    Dean A. Hendrickson, DVM, MS, DACVS

    Preoperative Evaluation of the Patient 3

    Surgical Judgment 4

    Principles of Asepsis and Antisepsis 4

    Surgical Classifi cations 4

    Role of Antibiotics 5

    Preoperative Planning 5

    Preparation of the Surgical Site 5

    Postoperative Infection 6

    References 6

    2. Anesthesia and Fluid Therapy 7
    Khursheed Mama, DVM, DACVA

    Anesthesia 7

    Fluid Therapy 23

    References 29

    3. Surgical Instruments 33
    Dean A. Hendrickson, DVM, MS, DACVS

    Use of Surgical Instruments 33

    Preparation of Instruments 38

    General Surgical Instruments 39

    Instruments Used Specifi cally in Large Animal Surgery 52

    4. Suture Materials and Needles 61
    Dean A. Hendrickson, DVM, MS, DACVS

    Suture Materials 61

    Needles 67

    References 69

    5. Knots and Ligatures 71
    Dean A. Hendrickson, DVM, MS, DACVS

    Principles of Knot Tying 71

    Ligatures 73

    References 76

    6. Suture Patterns 77
    Dean A. Hendrickson, DVM, MS, DACVS

    Basic Suture Patterns 77

    Suture Patterns Used for Closure of Hollow Organs 83

    Stent Bandages (Tie-Over Dressings) 88

    Suture Patterns for Severed Tendons 88

    References 91

    7. Principles of Wound Management and the Use of Drains 93
    Dean A. Hendrickson, DVM, MS, DACVS

    Wound Management 93

    Methods of Closure and Healing 96

    Use of Drains 97

    References 101

    8. Reconstructive Surgery of Wounds 103
    Dean A. Hendrickson, DVM, MS, DACVS

    References 111

    9. Equine Orthopedic Surgery 113
    Dean A. Hendrickson, DVM, MS, DACVS

    Medial Patellar Desmotomy 113

    Lateral Digital Extensor Tenotomy 114

    Inferior (Distal) Check Ligament Desmotomy 119

    Superior Check Ligament Desmotomy (After Bramlage) 122

    Superficial Digital Flexor Tenotomy 124

    Deep Digital Flexor Tenotomy 126

    Sectioning of the Palmar (or Plantar) Annular Ligament of the Fetlock 127

    Palmar Digital Neurectomy 129

    Amputation of the Splint (II and IV Metacarpal and Metatarsal) Bones 131

    Arthrotomy of the Fetlock Joint and Removal of an Apical Sesamoid Chip Fracture 134

    References 136

    10. Equine Urogenital Surgery 139
    Dean A. Hendrickson, DVM, MS, DACVS

    Castration 139

    Cryptorchidectomy by the Inguinal, Parainguinal, and Flank Approach 152

    Laparoscopic Cryptorchidectomy 155

    Caslick’s Operation for Pneumovagina in the Mare 156

    Urethroplasty by Caudal Relocation of the Transverse Fold 159

    Cesarean Section in the Mare 160

    Circumcision of the Penis (Reefing) 164

    Amputation of the Penis 166

    Aanes’ Method of Repair of Third-Degree Perineal Laceration 169

    References 174

    11. Surgery of the Equine Upper Respiratory Tract 177
    Dean A. Hendrickson, DVM, MS, DACVS

    Tracheostomy 177

    Laryngotomy, Laryngeal Ventriculectomy, and Ventriculocordectomy 179

    Partial Resection of the Soft Palate 183

    Surgical Entry and Drainage of the Guttural Pouches 186

    References 189

    12. Equine Dental and Gastrointestinal Surgery 191
    Dean A. Hendrickson, DVM, MS, DACVS

    Repulsion of Cheek Teeth 191

    Ventral Midline Laparotomy and Abdominal Exploration 196

    Standing Flank Laparotomy 202

    Umbilical Herniorrhaphy in the Foal 207

    References 210

    13. Bovine Gastrointestinal Surgery 211
    A. N. Baird, DVM, MS, DACVS

    Principles of Laparotomy 211

    Flank Laparotomy and Abdominal Exploration 212

    Rumenotomy 215

    Rumenostomy (Rumenal Fistulation) 219

    Surgical Corrections of Abomasal Displacements and Torsion 221

    Surgical Correction of Cecal Dilatation/Volvulus 231

    Small Intestinal Resection and Anastomosis 231

    References 232

    14. Bovine Urogenital Surgery 235
    A. N. Baird, DVM, MS, DACVS

    Calf Castration 235

    Urethrostomy 236

    Hematoma Evacuation of the Bovine Penis 241

    Preputial Resection and Anastomosis in the Bull 245

    Surgical Techniques for Teaser Bull Preparation 248

    Inguinal Herniorrhaphy in the Mature Bull 252

    Unilateral Castration 257

    Cesarean Section in the Cow 258

    Retention Suturing of the Bovine Vulva (Buhner’s Method) 265

    Cervicopexy for Vaginal Prolapse (after Winkler) 266

    References 270

    15. Bovine General Surgery 273
    A. N. Baird, DVM, MS, DACVS

    Digit Amputation 273

    Digit Amputation via Disarticulation 274

    Eye Enucleation 276

    Cosmetic Dehorning 277

    Rib Resection and Pericardiotomy 280

    Repair of Teat Lacerations 283

    Third Eyelid Resection 288

    Tracheotomy 288

    Umbilical Surgery 289

    References 290

    16. Small Ruminant Surgery 293
    A. N. Baird, DVM, MS, DACVS

    Dehorning the Mature Goat 293

    Disbudding the Young Goat 295

    Obstructive Urolithiasis 296

    Mastectomy 297

    Vasectomy 298

    Cesarean Section 299

    Rectal Prolapse Resection in Small Ruminants 300

    References 301

    17. Camelid Surgery 303
    A. N. Baird, DVM, MS, DACVS

    Castration of the Llama 303

    Cesarean Section in the Camelid 304

    Tooth Removal in the Llama 305

    References 309

    18. Swine Surgery 311
    A. N. Baird, DVM, MS, DACVS

    Castration of the Piglet 311

    Inguinal Herniorrhaphy in the Piglet 312

    Cryptorchid Castration of Piglets 314

    Preputial Diverticulum Ablation 316

    Cesarean Section in the Sow 317

    Ovariohysterectomy in the Pot-Bellied Pig 319

    Rectal Prolapse Ring Placement 319

    References 320

    Index 323

  • Dean A. Hendrickson, DVM, MS, DACVS, is Associate Dean and Professor of Surgery at Colorado State University College of Veterinary Medicine and Biomedical Sciences in Fort Collins, Colorado.

    A.N. Baird, DVM, MS, DACVS, is Chief of Staff of the Large Animal Hospital and Section Chief of Large Animal Surgery and Associate Professor of Large Animal Surgery at Purdue University College of Veterinary Medicine in West Lafayette, Indiana.

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