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TPLO standard of care at Peninsula Vetcare

At Peninsula Vetcare our surgical service aims to provide the highest standard available of care for your pet.

Just performing the surgery isn’t the whole story, there are many other aspects to our surgical service that improve the care you pet receives during their time with us.

Together these form our Surgical Standards of Care at Peninsula Vetcare, they are listed below as they apply to a typical cruciate ligament case such as a tightrope, TPLO, TTA or TTO.

At admission, you will have a 30minute admission appointment with Dr Chris Franklin to talk through the options available to you and your pet.

You will also be introduced to the surgical nurse and/or Dr Franklin’s surgical assistant Dr Elee Woolley who will be looking after your pet throughout the day.

On admission, all major surgical cases will receive:

1.A team of 2 surgical nurses to take care of your pet from premedication to recovery from anaesthetic and beyond.

 

2.A general health blood test – checking overall medical health prior to surgery

 

3.Intravenous fluid administration, containing medications such as fentanyl for a head start on pain relief

 

 

4.On induction of anaesthetic, x-rays will be taken with the latest DR digital radiography equipment. Computer software is used to accurately pre-measure the angles in preparation for surgery.

 

5.An Epidural injection of local anaesthetic combined with morphine is given.

 

6.First preparation for surgery is carried out, including clipping the fur and initial skin preparation.

 

7.Your pet is then transferred to the theatre

 

8.Monitoring parameters during anaesthetic include – blood oxygen levels, and exhaled respiratory carbon dioxide, ECG trace, blood pressure and body temperature.

 

9.A ‘bear hugger’ air blown heat blanket is used on all patients during surgery and during recovery

 

10.Second preparation for surgery

 

11.All orthopaedic procedures are carried out with disposable sterile drape and surgical gown and glove kits, just like in a human hospital. Cloth drapes are poorly water proof and not guaranteed to be sterile.

 

12.Examination of the joint is carried out using an arthroscope (ie keyhole surgery), or a mini-arthrotomy if required (often in smaller patients). Loose cartilage material and ligament are removed as required.

 

13.Dr Franklin’s orthopaedic kit is all state of the art, with new made for purpose veterinary surgical power equipment by manufacturers such as Synthes and 3M.

 

14.All implants, such as TPLO plates and screws are manufactured by world recognised companies such as Synthes, Arthrex, Orthomed and Biomedtrix. Not cheap copy imports which can affect the integrity of any fixation chosen.

 

15.During surgery, your pet’s anaesthetic is monitored constantly by one of the 2 nurses responsible for the patient.

 

16.On completion of the surgery, post-operative x-rays are taken to ensure all is as it should be, copies of which are provided for you in your pet’s go-home pack.

 

17.Your pet’s recovery is monitored (for signs of pain, checking body temperature) until they can walk back to their kennel.

 

18.The go home pack is prepared including surgical report, post-operative x-rays, handy booklets of information regarding recovery from cruciate repair, blood test results, and our own post-operative home-care notes, and a USB dongle containing the arthroscopy video

 

 

19.You will see either Dr Franklin or his surgical assistant Dr Woolley on discharge of your pet from the hospital. (or one of the surgical nurses if you cannot make the discharge times made available by us)

 

20.The first re-check appointment will be with one of the animal physiotherapists from Animal Rehabilitation centre, this is included in the costs of your pet’s surgery. They will help with advice on providing the speediest of recoveries for your pet. They will provide exercises for your pet to perform at home, just like you might have after your own orthopaedic surgery.

 

21.Sutures are removed at a recheck with Dr Franklin or Dr Woolley

 

22.All post-operative appointments are included in the cost of the surgery

 

23.A standard medication course is provided which is sufficient for 75% of cases. Extra medications are charged for, as are post-operative x-rays taken at 8 weeks in most cases

 

We believe this to be an absolute gold standard of professional care, but also the minimal standard that should be offered.