Vet Blog: Information and Advice from Dr. Eric Barchas, DVM

06/19/08

What Questions Should I ask my Vet Before Surgery?
Dr. Eric Barchas, DVM

scalpel1.jpgMy six-month-old, 3.5 pound Chihuahua is due for
spaying. I am nervous about complications. How do
I know if my vet does a good job? What is the
difference between my vet and a pet pal
rescue-spaying clinic (it is less expensive)?

Robin
St. Petersburg, FL

This is a very good question. The overwhelming majority of spays and neuters performed by veterinarians do not lead to major complications. Nonetheless, the risk of complications exists any time a pet undergoes surgery. Your desire to minimize that risk is very understandable.

Here is what I recommend: ask your vet some questions.

Surgeries performed by experienced vets generally have lower rates of complications than those performed by vets fresh out of school. Ask your vet how long she has been practicing. Ask her how many spays she has performed.

As well, surgical safety precautions vary widely among veterinary facilities. Does your vet run blood tests before surgery to ensure that your pet’s organs are functioning properly? Does she give IV fluids to help support blood pressure? Does she monitor heart rate, blood oxygenation levels, and blood pressure continuously throughout surgery? Does she provide thermal support to prevent low body temperature? Is she aggressive and proactive about treating pain? Does she use the most modern and safest forms of anesthesia?

The only way to know whether your vet does these things is to ask her. You can ask the same questions at the rescue-spaying clinic. Once you have the answers you will be able to make an informed decision that is in the best interest of your dog.

See related Vet Blog entries:
06/09/08

How Should I Prepare my Pets for Spays and Neuters?
Dr. Eric Barchas, DVM

What do I need to do to prepare my pets for their
operations - my female and male are getting
“fixed” today.

Kelly
Cardiff, CA

For young cats and dogs, surgery does not require a great deal of home preparation. The most important thing is to ensure that their stomachs are empty when you drop them off for the operations. Food or water in the stomach may cause them to regurgitate during the procedure, which can lead to pneumonia or throat problems. Your veterinarian should provide specific fasting instructions prior to the surgery.

Some veterinarians prescribe oral pain medications or antibiotics to be given the day before surgery. These are not used in all cases. If your vet has prescribed these medications, be sure to follow the instructions carefully. If your pets are on regular medications that have not been prescribed specifically for the surgeries, ask your veterinarian whether they should be administered in the period leading up to the operations.

Although you did not ask about the days after the surgeries, I have some advice to offer on the matter. Monitor your pets´appetites, thirst and production of urine and feces carefully. It is not abnormal to have a mildly depressed appetite for 24 hours after surgery. Mild constipation is also common. However, call your vet if your pet experiences complete loss of appetite or total inability to urinate or defecate.

As well, monitor your pets´activity levels. They should be kept quiet for several days after surgery. Do not let them play roughly together. And, call your vet if either one seems exceptionally lethargic or inactive.

All pets need medications to treat pain after surgery. Follow your veterinarian´s instructions for these medicines.

Check the incisions daily. Call your vet if you notice swelling, redness, discharge, a strange odor, or an open area on the incision. Do not allow your pets to lick their incisions.

I have one final piece of advice. The vast majority of spays and neuters go well and do not lead to complications. Nonetheless, do not hesitate to call your vet if you have any questions or suspect that something might be wrong. It is better to be safe than sorry.

See related Vet Blog entries: