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A Technique for Complete Right Adrenalectomy Deborah Cottrell DVM www.westendanimal.com.

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Presentation on theme: "A Technique for Complete Right Adrenalectomy Deborah Cottrell DVM www.westendanimal.com."— Presentation transcript:

1 A Technique for Complete Right Adrenalectomy Deborah Cottrell DVM

2 Common Techniques Subtotal by intracapsular surgical debulking Subtotal by cryotherapy Subtotal by CO2 laser Bonus question: What does L.A.S.E.R. stand for? Vena Cava ligation

3 Debulking Very safe. Little or no hemorrhage Short surgery time Sometimes only option if tumor is very large About 70% grow back within six months

4 Vena Cava Ligation Survival rate surprisingly highabout 80%. Not acceptable except in circumstances where there are no other options Last resort if vena cava suffers too much damage during surgery

5 Collateral Circulation Many ferrets with large right adrenals have established alternate circulation around liver Mostly occurs through vertebral veins Caval ligation survival rate directly related to degree of collateral circulation available. Can be determined intra-operatively by taking blood pressure after clamping

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9 Instruments: Satinsky and DeBakey Clamps

10 Hemostasis

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