SpeedSpay I ns i ghtf r om DrHol l yBi r ket t I nc i s i onCr ani al t oLas tNi ppl es ACOMPLETESPAYI NLESSTI ME Onec ommonmi s t a k ewhe nl ea r ni ngpedi a t r i cc a ts pa y si s ma k i ngt hei nc i s i ont oof a rc r a ni a l l y .T hi sma k esi tmor e di f f i c ul tt or ea c ht heut er i nebi f ur c a t i on,whi c hl ea dst o ex t endi ng t o al ongeri nc i s i on.I ft he ni ppl e sa ppea r ‘ a na t omi c a l l yc or r ec t ’ , I ma k emyi nc i s i onj us tc r a ni a l t ot he l a s tni ppl esori nt her egi onj us tov ert hebl a dder .I ft he a na t omyi snott y pi c a l ,e . g. ,t hel a s tni ppl esa r ei na n unus ua l a r ea , I l ooka tov er a l l a na t omi c a l c onf or ma t i on. Pl ea s ewa t c ht hev i deoonourwebs i t e . BEFOREYOUST ART: POSI TI ONI NG LeaveLegsUnt i ed S t r et c hi ng a nd t y i ng c a t st ot het a bl es t r et c hesa nd t i ght ens t he e nt i r ec a t ,i nc l udi ng al lt he i nt e r nal l i game nt s !By s i mpl yl ea v i ng t he l egs unt i ed,t he l i ga me nt sa s s oc i a t edwi t ht heov a r i esa ndut er usr ema i n l oos ea nda l l owf orea s i erex t er i or i z a t i on–a ndt her ef or e s hor t eri nc i s i ons–dur i ngs ur ge r y . Ex c ept i onsi nI nc i s i onPl ac ement E x c ept i onst o pl a c i ng t he i nc i s i on mor ec a uda l l ya r e: pr egna ntc a t sa ndpos tpa r t um c a t s . I npr egna ntc a t s , t he ut er uss hi f t smor ec r a ni a l l y .I npos tpa r t um c a t st ha ta r e l a c t a t i ng,t heov a r i esa r emor ef r i a bl ea ndc a nea s i l yt ea r a pa r t . F ort hes ec a t s , I ma k emyi nc i s i ons omewher ei nt he mi ddl ebet weenumbi l i c usa ndl a s tni ppl es / pubi s . Pos i t i onwi t hT owel sorFl eec e I ns t ea doft y i ngt hel egst os ec ur et hec a t s ,s i mpl yus e t owel sorf l eec ea l ongt hec a t ’ ss i dest opr opi tup. L ea v e t hel egsr e l a x eda nduns ec ur ed. I ft hepa wsdr oopi nt he wa yofy ours ur gi c a l s i t e , t henl oos el yt i eort a pet hel egs j us ta sf a ra sy ouneedt oma i nt a i ny ours ur gi c a lf i el d. Remembert ha ts t r et c hi ngt hel egst i ght enst heut er i ne a nd ov a r i a nl i ga me nt s .T her ei sadi r ec tr el a t i ons hi p bet weent hes i z eofy ouri nc i s i ona ndhowea s i l yy ouc a n ex t er i or i z et heov a r i esa ndut er us . St ar twi t haSmal l I nc i s i on F orar out i nes pa y , t r ys t a r t i ngwi t ha.or/i nc hi nc i s i on. Vets c hools ur geonsa l wa y spr ea c ht ha ti nc i s i onshea l f r om s i det os i de , butt heydonotc ons i dert ha twes ut ur e endt oend, ort ha tc a t sf ee l pa i nf r om e ndt oe nd. As ma l l eri nc i s i on ha sma ny a dv a nt a ge s :s i gni f i c a nt l y s hor t er c l os ur et i me;gr ea t l yr educ ed s ur gi c a lt i me; r educ edt i s s uei nv ol v eme nt , a ndt hus , l e s spos t oper a t i v e di s c omf or t ;f a s t err ec ov er y ;l es sex pens eona nes t hes i a a nds ur gi c a l s uppl i es . SPAYI NCI SI ONS Caudal Pl ac ement I mpr ove wi t h Pr ac t i c e,Ext end I nc i s i on i f Nec es ar y S t a r ty ours pa yi nc i s i on l owe rormor ec a uda l l yt ha n wha ti st a ughti nv ets c hool . I fy ouwer et a ughtt obegi n nea rt he umbi l i c us ,t he n don’ t .I ns t ea d,ma k ey our i nc i s i onmor ec a uda l l y . Idi dnots i mpl ys t a r tma k i ngs ma l li nc i s i onsoneda y .F or me ,t he t ec hni que ev ol v ed.Onc e I bec a me mor e c omf or t a bl e wi t ht i s s ue ha ndl i ng s ot ha t Ic oul d ex t er i or i z ewel l , t he nmyi nc i s i onsbec a mes ma l l er . OneSi z eDoesNotF i tAl l Ius ua l l y pl a c e my i nc i s i on a tt he c a uda la bdomen, r oughl yov ert hebl a dderr egi on. I ba s emyi nc i s i ona tt he c r a ni a lpor t i onoft hebl a dderi nt hec a uda lpor t i onof t hea bdomen.Ca t s ’ bodyt y pe sa ndc onf i gur a t i onsv a r y , s oIl ooka tt hei rs ha pea ndpr opor t i ons .S omec a t sa r e l onger -s omec a t sha v et hei rni ppl esa ndumbi l i c usi n s t r a ngea na t omi c a lpl a c es ,s oy ouc a nnots ol el yr e l yon ma r k er s . Ones i z edoesnotf i ta l l . Remembert ha ti fy ous t a r ts ma l l ,y ouc a na l wa y sex t end t hei nc i s i on.Is omet i mesex t endi ft heov a r i esf eelt oo “ t i ght ”t oex t er i or i z e ,a nd i fIha v ec onc er nt ha tt i s s ue mi ghtt ea r .Wi t hpr a c t i c eoni nc i s i onpl a c eme nta ndus i ng s ma l li nc i s i ons ,y ouwi l lf i ndt ha tmos ts pa y sa r eea s yt o ex t er i or i z ewi t hl i t t l eef f or tt hr oughas ma l l i nc i s i on. 1t h F e r a l C a t S p a y / Ne u t e r P r o j e c t 4 0 0 11 9 8 S t r e e t S W, S u i t e3 L y n n wo o d , WA9 8 0 3 6 6 7 3 1 4 2 5 6 7 3 C A T S( 2 2 8 7 ) f e r a l c a t p r o j e c t . o r g SpeedSpay Pas s i ngt heSpayHook: “ LI STENTOYOURGUT” •Wi t ht hehookf a c i ngt hebodywa l l ,godownones i de t i ght l ya l ongt hebodywa l l . Whe ny ouf ee lt hehookha s hi tbot t om, t ur nt hehookt owa r dst hemi dl i ne . T he r ea r ea l wa y se x c ept i onst os ma l li nc i s i ons ,s ous e y ourbe s tj udgme nt .Onegood r ul e:i fy ou f eely ou s houl ddos omet hi ngdi f f er ent l yory ouf ee l uns a f e , t hen l i s t e nt oy our s e l f .Don’ ts ec ondgue s s .I mpl eme ntt hos e c ha nge st ha ty ouf eel a r enec es s a r y . •Now s l a ntt hea r m oft hes pa yhooka bout45degr ees i ns t ea dofs t r a i ghtupa nddown.Mov et hehooks l i ght l y t owa r dst hec ent eroft hea bdomen.E l ev a t et hehook k eepi ngi ts l a nt eda t45degr ees . F orpedi a t r i cs pa y s , I r a r el yex t endt hei nc i s i ont of i ndt he ut er uswi t ht hes pa yhook .T heut er usc a na l wa y sbe f oundi nak i t t ent hr oughas ma l li nc i s i on.I tj us tt a k e s pr a c t i c e , pa t i enc ea ndgoodt ec hni que . •Of t en, y oudonotr et r i ev et heut er i nehor n, buti ns t ea d el ev a t eal i ga me nt ous s t r uc t ur e .T hi si st he br oa d l i ga ment .Gr a s pi twi t hy ourf i nger sofoneha nd a nd r emov et hehook . Whi l es t i l l hol di ngt hel i ga me nt , us et he ot herha ndt oi ns er tt hehookdownwi t ht hehooks i de f a c i ngt hel i ga menta ndt henl i f tup. T hi sus ua l l yel ev a t es a ndex t er i or i z est hehor n. T heex c ept i oni st ha ti fy ouf eelt ha tpa s s i ngt hehooki s c a us i nga nyt i s s uet r a uma , t he nbya l l mea ns , ex t endt he i nc i s i on. Of t en, t heny ouwi l l v i s ua l i z et heut er usa ndnot needt hes pa yhook . Onc et heut er usi sex t er i or i z ed, y ou c a ndet er mi newhet hert opr oc eedt hr oughy ouri ni t i a l i nc i s i onorex t end. •I ff ora nyr ea s ony out hi nks omet hi ngdoesnotf eel r i ght orf eel st oot i ghtt ol i f twi t ht hehook ,t hent r us ty our i ns t i nc t s .S T OPt hepa s s ,l ett het i s s uef r ee ,a ndt hent r y a ga i n. Nev erc ompr omi s ei fs omet hi ngdoesnotf eel r i ght . T hi si swhyr ev i ewi nga na t omyc omesi nha ndy ,s uc ha s s eei ngt hepos i t i onoft heur et er s . TI PS FOR EXTERI ORI ZI NG THE UTERUS USI NGTHESPAYHOOK Knowt heAnat omy: I dent i f yi ngt heUt er usbyT ouc h •Rev i ew t hea na t omy ,i dea l l ywi t h ac a da v er ,i ft he oppor t uni t ya r i s es . ( F r e s hma ny ea rwa sal ongt i mea go. ) I fpa s s i ngt hes pa yhooki sr epea t edl yuns uc c es s f ul ,y ou c a nex t endt hei nc i s i ona nddi gi t a l l ypa l pa t et hea r ea . Y ou wi l lf eelt heut er uswi t hy ourf i nger .T hes k i l lt oi de nt i f y t heut er usbyt ouc ht a k est i met odev el op,buti twor k s v er ywe l l . •Pa yc l os ea t t e nt i ont owher et heut er usl i e si nr el a t i on t oev er y t hi ngs ur r oundi ngi t .S t udyi t spos i t i oni nt he a bdomen a nd t r a c ei ta l lt hewa yt ot hes us pe ns or y l i ga me nta nd ov a r i a n pedi c l e bl ood s uppl y .Keep i n mi ndwher et heut er uss houl dbewhenus i ngt hes pa y hook . TI PSFOREXTERI ORI ZI NGANDSECURI NG THEOVARY •S eewhe r et heov a r i a nbl oods uppl yor i gi na t es , i nc a s e y ouev erneedt ogohunt i ngf ory ourpedi c l es . Ti s s ueCondi t i on Onc eI ex t er i or i z et hef i r s thor n, I ha ndl ei tc a r ef ul l yt oget as ens eoft het i s s ue ’ sc ondi t i on.T i s s uec ondi t i on a nd ha ndl i ngv a r i esf ora nygi v enut er us . •Re v i ewwher et heur et er sl i es oy ouk nowhowt oa v oi d t he m. •Ont hec a da v er ,t r yus i ngt hes pa yhookondi f f er ent s t r uc t ur es ,l i ga ment s ,ur et er s ,et ct of ee lt hedi f f er enc e whe ny our et r a c twi t houtbei nga bl et os eet hem. 2t h F e r a l C a t S p a y / Ne u t e r P r o j e c t 4 0 0 11 9 8 S t r e e t S W, S u i t e3 L y n n wo o d , WA9 8 0 3 6 6 7 3 1 4 2 5 6 7 3 C A T S( 2 2 8 7 ) f e r a l c a t p r o j e c t . o r g SpeedSpay Gr as pt heOvar y Cl ampt heOvar y/ Hor n Hol di ngt hehor nbe t weenmyf i nge r s , I s l i deorwa l kmy f i nger st owa r dt heov a r ya ndc l a mpt hepr operl i ga me nt . T he nIs l i deov erwi t hmyt humba ndi ndexf i ngera nd gr a s pt heov a r y ,pi nc hi ngbel ow ont hepedi c l ea r ea . Wi t ht hi st ec hni que , i fs omet hi ngf r i a bl et ea r s , I ha v et he ov a r yi nmyf i nge r sa ndwi l l notl os ei t . Onc et hepedi c l ei sex c i s edf r ee , Ius et hec l a mpf r om t he pr ope rl i ga me ntt oc l a mp t he bl ood s uppl y on t he hor n/ ov a r yt o pr ev ent bl ood l os s unt i ls ur ger yi s c ompl et e . Don' tPul l t heHor n MAKI NGTHI NGSEASI ERWHENLI FEI SN' TPERFEFCT Is e es omev et st r yt opul lupt hepedi c l ebypul l i ngon t hehor n. T hi sa ppr oa c hc a nt ea rt heov a r ya wa yf r om t he pr operl i ga me nt ,ac ompl i c a t i ont ha twi l ll engt heny our s ur ger ya ndi nc r ea s ey ours t r e s s . Chec ki ngOvar i anPedi c l es GENERALTI PSFORSPAYS: •I fy ouev erl os ea nov a r i a npedi c l eorwa ntt odoubl ec hec kt hepedi c l e sf orbl eedi ng, us et he“ na t ur a l gui de ”of t hebr oa dl i ga ment .T hebr oa dl i ga me nta t t a c hest ot he s i desoft heut er i nes t ump, s os i mpl yi de nt i f yt hel i ga ment a t t a c hme ntt ot heut er usa nd f ol l ow i tdown t o ea c h ov a r i a npedi c l e . Br eakDownSus pens or yLi gament Ihol dt he ov a r yunt i lIc ompl et el ybr ea kdown t he s us pens or yl i ga ment .Wi t hmyf r eeha nd,Ii s ol a t et he s us pens or yl i ga me nta ndt r yt ot ea ri tf r ee . I fi tdoesnot t e a rea s i l y ,Ius ea not hera ppr oa c h.Whi l es t i l lgr a s pi ng t heov a r y ,Is hi el dt hepedi c l ebl oods uppl ywi t hmy i nde xf i ngera ndpus ht hes us pe ns or yl i ga mentout wa r d wi t hmyt humb. Wi t has c a l pe l bl a de , I ma k eat i nyni c ki n t he l i ga ment ,whi c ha l l ows me t o ea s i l yt ea rt he r e ma i ni ngl i ga ment . •I na n emer genc y( hemor r ha ge) ,y ou ha v ea l r ea dy ex t ended t hei nc i s i on.Onc ey ous eewhe r et hebr oa d l i ga mentc our s es ,i tma ybeea s i es tt opl a c ey ourf i nger downi nt hea r eaa ndf eel y ourl i ga t ur es . Bec a r ef ul nott o t ea ra ny t hi ng; ge nt l yl i f tupt hepedi c l ewi t hy ourf i nger s . •Anot hermet hodIha v eus edi st o“ wa l k ”c l a mpsonei n f r ontofa not hera l ongt hebr oa dl i ga mentunt i l I r ea c hmy l i ga t ur e s .Bec a r ef ul ,bec a us et hebr oa dl i ga me ntc a nbe v er yf r i a bl ea ndt hi n. Can' tBr eakt heSus pens or yLi gament ? I ft her ei sev erar e a s ont ha ty oudonotbr ea kf r eet he s us pens or yl i ga me nt , t heny oumus tt r a ns f i xt hepedi c l e . E nc i r c l i ng l i ga t ur esa r ound a pedi c l e wi t ha ni nt a c t s us pens or yl i ga menta r e nots ec ur e .T her ei ss t r ong t e ns i onont hel i ga mentc our s i nga tadi f f er enta ngl e t ha nt hepedi c l ev e s s el s uppl y . Bl adderI nt er f er enc e I ft hebl a dderi nt er f er eswi t h ex t er i or i z i ng oneoft he hor ns , ones t r a t egyi st os i mpl ypus ht hebl a dderl a t er a l l y t owa r dt hebodywa l lont hes i dewher ey oua r ewor k i ng. E x a mpl e: i fy oua r et r y i ngt oex t er i or i z et hel ef thor n( r i ght hor na l r ea dyr emov eda ndl i ga t ed)butt hebl a dderi si n t hewa y , ont hemi dl i nea ndpus hi ngt hel ef tov a r ydown, s i mpl ydi s pl a c et hebl a dderwi t hy ourf i ngera l l t hewa yt o t hel ef ts i de . S uddenl yt hel ef thor na ndov a r yf r eesup. Pl ac eLi gat ur es Br ea k i ng down t he s us pens or yl i ga menti s ol a t est he pedi c l ev e r yi s ol a t eds ot ha tt hel i ga t ur est i ght endown a nds ec ur ewel l .Onc et hes us pe ns or yl i ga me nti sf r ee ,I pl a c el i ga t ur es . Us i ngonl yonec l a mpont hev a s c ul a t ur e , Ipl a c eonel i ga t ur epr ox i ma lt ot hec l a mp. Nex tIl oos en t hec l a mp, ‘ wa l ki t ”di s t a l l yont hepedi c l ea ndpl a c ea n a ddi t i ona ll i ga t ur e .When bot hl i ga t ur esa r es ec ur e ,I s epa r a t et hepedi c l e . Cl ampt heOvar y/ Hor n T hepr oc edur et omov et hebl a ddera l s owor k sf ors ma l l i nt es t i nest ha ta r ei nt hewa y .I nt hi sc a s e ,Ipus ht he i nt es t i nesordi s pl a c et hem c r a ni a l l y .Don’ ts t r uggl ewi t h t hem i ny ourwa y . 3t h F e r a l C a t S p a y / Ne u t e r P r o j e c t 4 0 0 11 9 8 S t r e e t S W, S u i t e3 L y n n wo o d , WA9 8 0 3 6 6 7 3 1 4 2 5 6 7 3 C A T S( 2 2 8 7 ) f e r a l c a t p r o j e c t . o r g SpeedSpay Sec ur i t ySut ur es RESPECTt heTi s s ues A good r ul eoft humb f orbot ht heov a r i a na nd t he ut er i nes t umpsi st of i r s tpl a c ea ne nc i r c l i ngl i ga t ur e , a nd t he nf ol l ow wi t hat r a ns f i x i ngl i ga t ur edi s t a l l y . Y ourf i r s t l i ga t ur ea c t sa sa“ s a f et y”l i ga t ur et ha twi l lnott ea r t hr ough t he t i s s ue c a us i ng pot ent i a lhemor r ha ge of f r i a bl et i s s ue . •Whe nmov i ngf r om t heov a r i est ot heut er i nebody , t a k e t i met oa s s es st het i s s uec ondi t i on, a ppr e c i a t ehowmuc h ha ndl i ngi ss a f ea ndhowmuc hy ouc a ns t r et c ht heut er us t oex t er i or i z et hebody . •Nev ers t r et c h orpul lon t heut er i nehor nswi t ht he c l a mps . Nev erpul l f r om t heendsnea rt heov a r i es . Y oua r e mor el i k el yt ot ea rt heut er usa ndl os ei t . I ns t ea d, godown t hehor nst ot heut e r i nebodya ndl i f tf r om t her e ,hol di ng y ourf i nger sont heut er usi t s el f .T hi spl a c e sl e s st ens i on ont he nt i r eut er us . Cr eat eRoom t oWor k Bypl a c i ngonee nc i r c l i ngl i ga t ur ef i r s t ,y ouc a nc utf r ee t he r es toft he t i s s ue .I n ot herwor ds ,pl a c ey our t r a ns f i x i ng l i ga t ur ea f t ers epa r a t i ng t he s t umps .T hi s gi v esea s i era c c es sf orpl a c i ngot herl i ga t ur e s ,bec a us e t hec l a mpsa ndt i s s uea r emov edoutoft hewa y .T y i ng a r oundas i ngl ef or c epi smuc hea s i ert ha nt r y i ngt ot i e under nea t ht hr eec l a mpsa ndt hema s sofut er i net i s s ue . Wi t h mor e wor k s pa c e ,t he r es ul t i ng l i ga t ur ec a n be ma demor es ec ur e . WhenCl ampi ngi sCut t i ng E s pec i a l l yf orpos tpa r t um c a t s ,t i s s uema ybet oof r i a bl e t oc l a mp wi t houtt ea r i ng t he ut er us .T hi si sa gr ea t s i t ua t i on t o pl a c ea ne nc i r c l i ng l i ga t ur ef i r s twi t hout c l a mpi ng.Il i k et o us ec hr omi cc a t gutwhen t i s s uei s f r i a bl e , bec a us ei ti sl e s sl i k e l yt oc utt hr oughf r a gi l et i s s ue . T he nI us emyr egul a rs ut ur ef ort hes ec ondl i ga t ur e . Fr eei ngaUt er i neHor n I fy ouf r eeonehor nbutha v et r oubl eex t er i or i z i ngt he s ec ondone ,i tma ybet r a ppedundert hebl a dderor i nt es t i nes . T r ypus hi ngt hebl a dderov er( i fy ouneedl ef t hor npus hi tt ot hel ef tbodywa l l )orpus ht hei nt es t i nes c r a ni a l l y .Do t hi swi t houtex t endi ng t he i nc i s i on by pus hi ngf r om out s i det hebodywa l l , a si npa l pa t i on. T hi s of t enr el ea s est het r a ppedhor n. CL OSURE: MAKEI TAHAPPYENDI NG Sut ur ePat t er n S ma l li nc i s i onsr a r el yneed S Ql a y erc l os ur e .Cl os et he l i neaus i ngas i mpl ei nt er r upt edorc r uc i a t epa t t er n. Cl os e s k i nwi t has ubc ut i c ul a rpa t t er na ndbes ur et obur yy our k not . Addas potof t i s s uegl uet os ea l , i fdes i r ed. DoSi t upsf orBet t erAc c es s Les sTi me, Les sT r auma, Les sPai n Anot he rt i pt oex t er i or i z et heut er i nehor ni st oha v et he s ur ger yt ec hr emov et hema s ka ndpl a c et hec a ti nas i t upc r unc hpos i t i onwhi l ema i nt a i ni nga l ls t er i l ef i el ds . T hi sr e l a x est hel i ga ment sa ndwhe ny ougr a s ponehor n, t heot herex t er i or i z esmor eea s i l y . T he be s tt hi ng a boutbec omi ng pr of i c i e nta ts pa y s t hr oughas ma l l i nc i s i oni st ha tc l os i ngonl yr equi r esaf ew l i nea ls ut ur e s .I t ’ sa br eez e .Y ou s a v et i me whi l ey ou dr a s t i c a l l yr educ et i s s ue t r a uma a nd a s s oc i a t ed pa i n. I nc i s i onshea l s i det os i de , buts ut ur e sa nddi s c omf or tr un endt oend. Y ea r sa go, I r el i edont hes i t upc r unc hpos i t i on, butwi t h myi nc i s i onpl a c eme ntmor ec a uda l l ya ndmov i ngt he bl a dder whe n ne eded,Ir a r e l y need t hi s pos i t i on a ny mor e .T hi si s a gr ea tt ec hni que t ha tf a c i l i t a t es pe r f or mi ngma nyt y pe sofs pa y s . Keepi ti nmi nd. 4t h F e r a l C a t S p a y / Ne u t e r P r o j e c t 4 0 0 11 9 8 S t r e e t S W, S u i t e3 L y n n wo o d , WA9 8 0 3 6 6 7 3 1 4 2 5 6 7 3 C A T S( 2 2 8 7 ) f e r a l c a t p r o j e c t . o r g
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