Nobody lies awake worrying about the incision. They worry their pet will not wake up. So this page is mostly about the anaesthetic, and what we do about it.
The orthopaedic column is the one worth noticing. Most clinics of this size send fractures and cruciates somewhere else, which means a second consultation, a second set of notes and a surgeon who will never see the recheck.
OrthopaedicIn-houseDone here, not referred out
Fracture repair — plating, pinning and external fixationCruciate ligament repairPatella luxationAmputation, where it is the kindest answer
Soft tissueThe everyday list
Spay and neuterLump and mass removal, with the lump sent for analysisAbdominal exploratory and foreign body removalBladder stonesWound repair, abscesses and herniasCaesarean section
Anybody who tells you otherwise should worry you more than the operation does. What is true is that most of the risk is manageable, and that nearly all of it is managed before the first incision rather than during it — with bloods that change which drugs we use, fluids and heat that hold a body steady, and somebody watching the numbers whose only job that hour is watching the numbers.
Monitored continuously, from the premed to the moment your pet lifts its head:
Heart rate and ECG
Blood oxygen
Blood pressure
Body temperature
Breathing rate
IV fluids throughout
The day itself, in order
Most of the worry on a surgery day is not knowing what is happening while you are at work. So here it is.
01The night beforeNo food after about ten, water stays down. We will tell you exactly, because it differs for puppies, kittens and diabetic animals.
02Admission, 8amFifteen minutes. Consent, a last set of questions, and we take the number you will actually answer on.
03Pre-op exam and bloodsThe point at which we cancel if something is wrong. A postponed surgery is a good outcome, not a wasted morning.
04Premed and IV lineSedation first, so nothing about going under is frightening. The line goes in while your pet is already relaxed.
05SurgeryA nurse whose only job is the monitor, for the whole procedure. Not a nurse also fetching instruments.
06RecoveryWarmed, and watched by someone in the room. The first hour after is where most anaesthetic problems actually happen.
07We call youBefore you call us. You get told how it went as soon as your pet is awake and stable, not at collection time.
08Home the same day, usuallyWith pain relief in your hand, written instructions, and the recheck already booked.
Going home, and the ten days after
What you leave withPain relief, and enough of it — not a token doseA cone that actually fits, fitted hereWritten instructions, not a verbal summary you will half-rememberA number to call tonight if something worries youThe recheck and suture removal already in the diary
Call us, the same day, ifThe wound opens, weeps, smells, or swellsYour pet has not eaten by the end of the second dayVomiting more than oncePain the medication is clearly not touchingThe cone came off and the wound has been licked
Questions owners ask
Will my pet wake up?
Almost certainly, and we will not pretend the risk is zero — anyone who tells you it is should worry you more than the surgery does. What we can tell you is what actually lowers it: bloods before rather than after, a nurse on the monitor and nothing else, fluids and heat throughout, and the first hour of recovery watched rather than assumed.
Do you run blood tests before anaesthesia?
We recommend them for every animal and we will push for them in anything over about seven, or anything that has not been seen recently. They are looking for the kidney or liver problem that changes which drugs we use — the sort of thing an outwardly healthy pet hides well.
Can I stay with my pet?
Until the premed, yes, and most owners find that is the part that helps. After that it is a sterile theatre and you would be watching through glass, which helps nobody.
My pet is old. Is surgery still sensible?
Age is not a disease. A healthy twelve-year-old with good bloods is often a better anaesthetic candidate than a young animal with something undiagnosed. What changes with age is how carefully we look first, not whether we can.
Do you really do orthopaedic surgery here?
Yes — fracture repair and cruciate work are done in this building rather than referred on. That matters for cost, and it matters more for continuity: the person who operated is the person who sees the recheck.
Can the surgery be done at home?
No, and be wary of anyone who offers. Anaesthesia needs oxygen, monitoring, a sterile field and a recovery area. The aftercare can come to you, and often should — suture removal and post-op checks are easy at home.
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Around the operation
The bloods before it, the journey to it, and the checks after — all in the same place, on the same notes.
Including a second opinion on a surgery another clinic has suggested. Bring or attach any x-rays and notes you already have — we would rather read them than repeat them.