What You Need to Know Before Your Pet's Upcoming Surgery

Many people have questions about various aspects of their pet's surgery, and we hope this information will help.  It also explains the decisions you will need to make before your pet's upcoming surgery.

Is the anesthetic safe?

Anesthesia and surgery will never be risk-free, but today's modern anesthetic protocols and monitoring have made surgery much safer than in the past.  Here at Richfield Area Pet Clinic we do a thorough physical exam on your pet before administering anesthetics, to ensure that a fever or other illness won't be a problem.  We also adjust the amount and type of anesthetic used depending on the health of your pet.  The handout on anesthesia explains this in greater detail.

Preanesthetic blood testing is important in reducing the risk of anesthesia.  Every pet should have blood testing before surgery to ensure that the liver and kidneys can handle the anesthetic.  Even apparently healthy animals can have serious organ system problems that cannot be detected without blood testing.  If there is a problem, it is much better to find it before it causes anesthetic or surgical complications, and so adjustments can be made to the anesthetic and surgical plan if necessary.  If serious problems are detected, surgery can be postponed until the problem is corrected.  While we don't require pre-anesthetic testing at this time for pets less than 7 years old, it is still highly recommended for all patients.  We offer in-house blood testing which can performed on the same day as your pet's surgery.  For geriatric or ill pets, additional blood tests, electrocardiograms, or x-rays may be required before surgery as well.

It is important that surgery be done on an empty stomach to reduce the risk of vomiting during and after anesthesia.  You will need to withhold food for at least 8 hours before surgery.  Water can be left down for the pet until the morning of surgery.

Will my pet have stitches?

For many surgeries, we use absorbable sutures underneath the skin, and/or tissue adhesives.  These will dissolve on their own, and do not need to be removed later.  Some surgeries do require skin sutures or staples.  With either type of wound closure, you will need to keep an eye on the incision for swelling or discharge.  Most dogs and cats do not lick excessively or chew at the incision, but this is an occasional problem you will also need to watch for.  We can provide Elizabethan ("lampshade") collars or foul-tasting topicals to discourage self-trauma to the surgery site if needed.   If there are skin sutures, these will usually be removed 10 to 14 days after surgery.  You will also need to limit your pet's activity level for a time and no baths are allowed for the first 14 days after surgery.

Will my pet be in pain?

It is the philosophy of our Clinic that ALL PATIENTS will receive appropriate pain management until fully recovered from any invasive or painful procedure.  Anything that causes pain in people can be expected to cause pain in animals.  Pets may not show the same symptoms of pain as people do; they usually don't whine or cry, but you can be sure they feel it.  Pain medications needed will depend on the procedure performed.  Major procedures require more pain relief than things like minor lacerations.    

For dogs, we may recommend an oral anti-inflamatory the day after surgery and several days after to lessen the risk of discomfort and swelling.  We use newer medications, which are less likely to cause stomach upset and can be given even the morning of surgery.  

Because cats do not tolerate standard pain medications such as aspirin, ibuprofen, or Tylenol, we are limited in what we can give them.  Recent advances in pain medications have allowed for better pain control in cats than ever before.  We administer  pain injections peri-operatively.  After surgery, oral and injectable pain medication is provided to all patients.  Any animal that appears painful will receive additional pain medication.

We can use narcotic patches for some surgeries as well.  Providing whatever pain relief is appropriate is a humane and caring thing to do for your pet.

What other decisions do I need to make?

While your pet is under anesthesia, it is the ideal time to perform other minor procedures, such as dentistry, ear cleaning, or implanting an identification microchip.  If you would like an estimate for these extra services, please call ahead of time.  This is especially important if the person dropping the pet off for surgery is not the primary decision maker for the pet's care.

When you bring your pet in for surgery, we will need to 5 to 10 minutes of time to fill out paperwork and make decisions on the blood testing and other options available.  When you pick up your pet after surgery you can also plan to spend about 10 minutes to go over your pet's home care needs.

We will call you the night before your scheduled surgery appointment, to confirm the time you will be dropping your pet off and to answer any questions you might have.  In the meantime, please don't hesitate to call us with any questions about your pet's health or surgery.