tpvets_logo.jpg (2726 bytes)TOA PAYOH VETS
toapayohvets.com
   04 February, 2010
Blk 1002, Toa Payoh Lor 8, 01-1477, Singapore 319074. Tel: 6254-3326, 9668-6469
Focus: Small animals - dogs, cats, hamsters & rabbits
Mission & Guiding
Principles
Corporate Social Responsibility

CASE STUDIES: SURGERY HOURS: 

 
10 a.m - 5 p.m (Mon - Sun, except Sat). Dr Sing Kong Yuen. By Appointment Only.

*6 p.m - 10 p.m (Mon - Fri). 10am - 5pm (Sat). Locum & Associate Vets:
Dr Jason Teo. House-calls available. Appointment preferred.
Tel: 6254-3326, 9668-6469
EMERGENCY -  11 p.m to 6 a.m
Associate Vet: Dr Jason Teo
Tel:
9853-1315, 9668-6469, 6254-3326
 
Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)3011. Vaginal discharge. Signs of toxaemia.  Chances of survival of 50:50 were not good enough for the owners. It meant 50% chances of dying on the operating table from the owner's point of view. Perhaps a famous vet surgery could provide better odds? tpvets_logo.jpg (2726 bytes)3012. Pale and cyanotic gums and tongue were confirmed by blood tests of very low red and white cell counts. Very low platelets. This was a very high anaesthetic case and  50:50 chances given were optimistic.

  
tpvets_logo.jpg (2726 bytes)3013. I don't operate immediately although some vet surgery books advised emergency surgery before the uterus ruptured, spilling pus into the abdomen and killing the dog. The fever had dropped 20 hours after admission. IV drips and antibiotics had been given. The dog had a better chance of survival now. tpvets_logo.jpg (2726 bytes)3014.  Note the one breast tumour. I would not prolong anaesthetic time in removing this tumour at the same time as ovario-hysterectomy.

The shorter the surgery, the less risk of dying. What the owner wanted was a dog alive to go home and not passing out dirty blood. Performance was demanded.   
Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)3015. Swollen uterus taken out. Know what to do to complete the surgery in <15 minutes. tpvets_logo.jpg (2726 bytes)3016. I used the scalpel to nick the suspensory ligament of the ovary before clamping tpvets_logo.jpg (2726 bytes)3017. 3-forceps cranial to  ovarian tissues. Double ligation with 2/0 absorbable sutures     tpvets_logo.jpg (2726 bytes)3018. The  ovary and the  uterine body were taken. I repeated the procedure on the other ovary      
Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)3019. Three-forceps method  posterior to the uterine body. Double ligation. The ovary and uterus were removed. Stitching of muscles and skin to be done tpvets_logo.jpg (2726 bytes)3020. Cyanosis of tongue and uterus near the end of surgery. Respiration slowed. The dog would die soon. What to do? I terminated Isoflurane anaesthesia before completion of skin stitches. Oxygen gas given quickly tpvets_logo.jpg (2726 bytes)3021. Dog's tongue changed colour from cyanotic to pinkish. She  woke up after 5 minutes of oxygen. Owners visited soon. They saw her shivering but were happy to see her alive   tpvets_logo.jpg (2726 bytes)3022. Swollen uterus is cystic and contains mucus and pus. This would be a case of closed pyometra. This dog would die at the completion of surgery if signs of deepening cyanosis were not reversed promptly    
Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)3023. Dog ate within 24 hours after surgery.  She went  home after 3 days of nursing. Not all pyometra cases have happy endings. Vets are not Gods. Now, the dog has another problem. The breast tumour... tpvets_logo.jpg (2726 bytes)3024. Do thorough  research to know what to do to reduce the anaesthetic risk and produce a favourable outcome. Know the business. The owner never forgives or forgets when presented with a dead dog on the operating table   tpvets_logo.jpg (2726 bytes)3025. Video: Carnaissal Tooth Abscess (lst draft) tpvets_logo.jpg (2726 bytes)3026. Script for Education Video: Carnasisal Tooth Abscess (2nd draft)
Lateral ear resection using electro-surgery in a dwarf hamster. Toa Payoh Vets Lateral ear resection using electro-surgery in a dwarf hamster. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)3027. Script for Closed Pyometra (lst draft) tpvets_logo.jpg (2726 bytes)3028. Two irritating  growths on the ear.  Lateral Ear Resection in a dwarf hamster using electro-surgery tpvets_logo.jpg (2726 bytes)3029. No more itchy ear 3 weeks later. Lateral Ear Resection in a dwarf hamster using electro-surgery tpvets_logo.jpg (2726 bytes)3030. How to succeed in
presentations and pitching

 
Roboroskvi dwarf hamster, 9 months, male. Testicular strangulation. Surgery. Toa Payoh Vets Roboroskvi dwarf hamster, 9 months, male. Testicular strangulation. Surgery. Toa Payoh Vets Roboroskvi dwarf hamster, 9 months, male. Testicular strangulation. Surgery. Toa Payoh Vets Roboroskvi dwarf hamster, 9 months, male. Testicular strangulation. Surgery. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)3031 - 3035. Strangulated inguinal testicle in a Roboroskvi dwarf hamster
 
Roboroskvi dwarf hamster, 9 months, male. Testicular strangulation. Surgery. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)3031 - 3035. Roboroskvi hamster tpvets_logo.jpg (2726 bytes)3036. Singapore's young ones tpvets_logo.jpg (2726 bytes)3037. "Cheap and green" tpvets_logo.jpg (2726 bytes)3038. "Cheap and green"
tpvets_logo.jpg (2726 bytes)3039. Diana Ross "Touch Me In The Morning" lyrics tpvets_logo.jpg (2726 bytes)3040. Diana Ross singing "Touch Me In The Morning" tpvets_logo.jpg (2726 bytes)3041 - 3044. "Cheap and green" veterinary services
tpvets_logo.jpg (2726 bytes)3041 - 3044. "Cheap and green" veterinary services tpvets_logo.jpg (2726 bytes)3045 - 3046. A  Golden Retriever puppy  hops when he runs
tpvets_logo.jpg (2726 bytes)3047. Maroon-blue tongue colour is imminent death tpvets_logo.jpg (2726 bytes)3048 - 3049. A Second Life tpvets_logo.jpg (2726 bytes)3050 - 3053. Urinary stones. Which surgical approach?
tpvets_logo.jpg (2726 bytes)3050 - 3053. Urinary stones. Which surgical approach? tpvets_logo.jpg (2726 bytes)3054. Generalised ringworm
Medial entropion, Ectopic Cilia, Shih Tzu, 1 year, male. Toa Payoh Vets, Singapore Chinese Shar Pei puppy with squinting eyes (entropion), Singapore   Myanmar. Phaung-Daw-Oo Festival, Inle Lake. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)3055 - 3056. Entropion surgery in
5 Shar-pei puppies
  Asiahomes Advert Myanmar "Two Beauties" Tour
  Copyright Asiahomes Internet
All rights reserved. Revised: February 04, 2010
Toa Payoh Vets