In this episode, host Alyssa Watson, DVM, is joined by Jason Tarricone, DVM, DACVS(SA), to talk about his recent Clinician’s Brief article, "Identifying, Treating, & Preventing Spay & Neuter Complications." Dr. Tarricone discusses diagnosis, treatment, and prevention of some of the most common complications of castration and ovariohysterectomy surgeries, including ovarian remnant syndrome (ORS), feline epiphyseal fractures, scrotal hematomas, and gossypibomas. He also touches on the efficacy and risks of autoligating ovarian pedicles in cats, as well as a possible future medical treatment for patients with suspected ORS.
Key Takeaways
Ovarian remnant syndrome can be tricky to diagnose, but there are several tips for diagnosing these patients and for finding the ovarian tissue.
Anti-Müllerian hormone (AMH) gene therapy may offer a future nonsurgical treatment for patients with suspected ovarian remnants.
Gossypibomas are fibromas caused by surgical sponges left inside the body following surgery. This can be avoided by performing a sponge count before and after surgery.
Autoligation of feline ovarian pedicles may result in lower surgical material costs and decreased inflammation due to reduction of foreign material left in the patient and has not been shown to increase risk of hemorrhage.
Epiphyseal fractures in cats have been associated with early castration. Other risk factors as well as diagnosis and treatment are also discussed.
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The Team:
Alyssa Watson, DVM - Host
Alexis Ussery - Producer & Multimedia Specialist