LIST THE RECOMMENDED STEPS FOR THE DIAGNOSIS, CLINICAL STAGING, SURGICAL PREPARATION, AND PERIOPERATIVE MANAGEMENT OF HEMIPELVECTOMY PATIENTS.

LIST THE RECOMMENDED STEPS FOR THE DIAGNOSIS, CLINICAL STAGING, SURGICAL PREPARATION, AND PERIOPERATIVE MANAGEMENT OF HEMIPELVECTOMY PATIENTS.

List the recommended steps for the diagnosis, clinical staging, surgical
preparation, and perioperative management of hemipelvectomy patients.

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1. Bray et al. (2014) reported on a large retrospective series of dogs and cats treated with
hemipelvectomy and subsequently reported a modified hemipelvectomy technique.
Answer all parts of this question:
a) List three (3) indications for hemipelvectomy in dogs and cats. (3 marks)
b) List six (6) distinct types of hemipelvectomy and for each describe the
indications for that particular surgical option. (12 marks)
c) List the recommended steps for the diagnosis, clinical staging, surgical
preparation, and perioperative management of hemipelvectomy patients.
(12 marks)
d) Describe the surgical approach and dissection technique for the most commonly
performed hemipelvectomy technique as reported by Bray et al. (2014).
(12 marks)
e) List the potential intraoperative and postoperative complications associated with
hemipelvectomy in dogs and cats. (6 marks)
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Small Animal Surgery Paper 2 Page 3 of 5
© 2015 The Australian and New Zealand College of Veterinary Scientists ABN 00 50 000894 208
2. A 6-year-old, 4 kg, body condition score 7/9, intact male Pomeranian is referred for
tenesmus, anuria and a ventral perineal swelling. The dog has a 4-month history of a
right perineal swelling that fluctuates in size, and intermittent tenesmus. In the last 36
hours the dog has become lethargic and has been unsuccessfully attempting to urinate.
The perineal swelling is much greater in size than previously observed and is now also
ventral to the anus.
Answer all parts of this question:
a) State the most likely diagnosis. Include in your answer both a diagnosis for the
more chronic underlying condition(s) and the acute presentation. (3 marks)
b) For the diagnosis stated in 2a), describe the pathogenesis, at a cellular level, of
the chronic underlying condition. (5 marks)
c) Describe the expected acute physiological derangements in this patient and how
you would attempt to correct these derangements prior to the induction of
anaesthesia. (7 marks)
d) Create an anaesthetic protocol for this patient. Include in your answer the fluid
therapy and analgesic requirements. (10 marks)
e) Discuss the surgical options for correction of both the acute abnormality and the
underlying condition. With reference to the literature, include in your answer the
recommended timing of the procedure(s) and a comparison of different surgical
techniques. (15 marks)
f) With reference to the literature, briefly discuss the risk factors associated with
recurrence of the underlying condition. (5 marks)

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