Surgery and Medicine at Tweed House
We always strive to improve at Tweed House and are constantly updating our methods and procedures in line with evidence based medicine. Some examples of how we have done this are:
- Phillip recently passed his British Small Animal Veterinary Association Certificate in Small Animal Medicine Exams.
- We have recently started to use Sevoflurane inhalational anaesthetic. Sevoflurane is commonly used in paediatric medicine, but is not as widely used in veterinary medicine, where Isoflurane is usually the anaesthetic of choice. Sevoflurane allows much finer control off anaesthesia meaning patients are more quickly controlled in their depth of anaesthesia. We felt that if Sevoflurane is good enough for our children it is good enough for our pets and as an animal version is available and has been shown to have these extra advantages we have updated our anaesthesia protocols.
- Vicky has been gaining experience in the use of Expaniderm skin expanders to allow for better closure of complicated skin reconstruction procedures.
- We recently updated our knowledge base by gaining tuition and experience performing TTA surgery for cruciate ligament disease in dogs. This was augmented by purchase of equipment and training to perform Orthozip repair of cruciate ligament disease in smaller dogs. The Orthozip technique allows precise tension control and greater strength for this type of repair. We also have begun to use a new approach to the management of grades 1 and 2 medial patellar luxation in dogs called Ridgestop. This has drastically reduced surgical time and recovery time for patients.
- Andy recently underwent training in the use of SOP locking plates for the repair of fractured bones. SOP plates are the only locking plate system specifically designed for veterinary patients.
- We have begun working with Ultrasound4pets. They are very experienced veterinary surgeons and have further qualifications in internal medicine, ultrasonography and cardiology. Working with them means that our standard of care can only increase as our diagnostic abilities are improved.
- We have changed our surgical preparation procedures to include ChloraPrep® Patient Preoperative Skin Preparation. Chloraprep is used widely by the NHS for iv catheter placement and surgical preparation procedures and has been shown to provide rapid, prolonged and proven effect against microorganisms such as MRSA. Check that your vet is using ChloraPrep®. We also changed our surgeon scrubbing guidelines to include Sterillium®, an alcohol based hand scrub with proven superior surgical disinfection. It also contains an emollient meaning our surgeons' hands are a lot softer!
- We carry out audits of our surgeries and procedures to ensure our clinical outcomes are acceptable.
- We hold regular Continuing Professional Development meetings for our staff to improve our clinical knowledge database.