20070406About Toa Payoh Vets Singapore Toa Payoh Veterinary Surgery, animal doctor, horse, dog, cat, rabbit, hamster, clinic info

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

About Us

Fees

Location

Customer Services

Mission & Guiding
Principles

Cats	Dogs	Hamsters	Horses	Rabbits	Guinea Pigs
				Products	Short Stories

Corporate Social Responsibility

CASE STUDIES:

SURGERY HOURS:

2996 - 3004. Large limb abscess in a 10-year-old rabbit. What to do?

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

LINKS:

Be Kind To Pets

How to select your puppy in Singapore

Internship at Toa Payoh Vets

ADVERTS:

Expatriate rentals in Singapore

Myanmar Travel Stories

BOOK:

Toilet training your puppy in Singapore Dr Sing's research book to be published

Closed pyometra and toxaemia in a Maltese, 5 years. Toa Payoh Vets

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?

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.

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.

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.

3015. Swollen uterus taken out. Know what to do to complete the surgery in <15 minutes.

3016. I used the scalpel to nick the suspensory ligament of the ovary before clamping

3017. 3-forceps cranial to ovarian tissues. Double ligation with 2/0 absorbable sutures

3018. The ovary and the uterine body were taken. I repeated the procedure on the other ovary

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

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

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

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

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...

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

3025. Video: Carnaissal Tooth Abscess (lst draft)

3026. Script for Education Video: Carnasisal Tooth Abscess (2nd draft)