BSAVA Manual of Canine and Feline Endoscopy and Endosurgery by Philip Lhermette, David Sobel

By Philip Lhermette, David Sobel

Minimally invasive ideas became the normal in human healthcare over fresh years. the benefits of are huge, and the suggestions became budget friendly typically veterinary perform. The handbook information the positive factors and use of either versatile and inflexible endoscopic apparatus. uncomplicated diagnostic and healing innovations are defined and illustrated, with a couple of references to extra complex techniques. This hugely useful e-book deals beneficial tricks and information, either in surgical procedure and on buy of instrumentation.

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BSAVA Manual of Canine and Feline Endoscopy and Endosurgery

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Sample text

Ali these samples should be collected before biopsy spectmens are laken to avoid blood contamrnatron. Bronchoalveolar lavage can also be performed using this tube or through the biopsy channel if it has been stenlized (see Chapter 6 for more further rnformahon) Fine-needle aspiration Fine-needle asprrates are occasronally laken wtth sheathed lnJeclor needles to obtarn cytolog1cal samples from mucosal masses, but pinch biopsy specrmens for histolog1cal and other laboratory examinahons are more valuable.

Hat are applicable in specifie circumstanoes, and these are detailed in the relevant chapters. However, the way to hold and use flexible endoscopes is generic and th1s information follows. With pract1Ce, manoeuvring becomes second nature, and the length of the procedure becomes shorter, permitting the skllled endoscopist to examine more carefully and consider the findings in relation to the clinical problem and previous experience. However, endoscopy is not a race, and adequate lime should be laken to mimmize trauma and maximize the value of any investigation.

B asic techntque water on the hp may tnlerfere with the view, and should be removed by repeltltvely suckmg and blowing atr. Fatlure to flush properly may be due to: • • • Lack of water in the water boille Blocked channel Loss of ·o· nng around water boUle/endoscope connec bon. Whenever pools of hquid are found during endoscopy, 11 1s important to suck out the fluid as it may obscure a teston If there is solid matter present, stmple washtng may be enough to clear 11. Where there is more food or faecal material, larger volumes of warm water can be flushed down the biopsy channel from a syringe, and then aspirated.

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