tpvets_logo.jpg (2726 bytes)TOA PAYOH VETS

Date:   07 January, 2010  
Focus: Small animals - dogs, cats, hamsters, guinea pig & rabbits.

Toa Payoh Vets Clinical Research
Making veterinary surgery alive
to a veterinary student studying in Australia
using real case studies and pictures

Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
First written: Dec 11, 2009

This article on Gastrotomy may be of interest to 4th year vet students who will be getting their most interesting year. The 4th year is said to be the hardest year, according to one Murdoch University graduate.

The video was created a young lady, Daphne who had interned at Toa Payoh Vets and would start her veterinary medicine studies in 2010 in Australia. I asked her if she would do a video and thought she would have no time for me. She was 20 years old and would have lots of distractions. There was no money for her.

But she created a first draft and I was impressed.   

Jan 6, 2010

Hi Dr Sing,

I have done the video but the narration is a bit soft but I haven't found out how to make is louder.. I couldn't send it to you through email as the file is too big so i uploaded it onto youtube so you can see it. I will delete and edit it to your preference. So please take a look at it and give me your comments(:

Creation of educational videos for veterinary medicine is a new profession and there is practically nobody in this world, as far as I know, doing it.  She has a skill which could make her money, if she is into money-making.

It is an excellent piece of work for the education of veterinary students on gastrotomy. The emphasis should be on the surgical method. It is difficult for you since you have had not seen it done.

The following are my comments:

1. Echoes during the narration.
2. Positioning of microphone may have caused the voice to be soft or you are soft-spoken lady. You need to breathe in, relax and speak?.
3. There are gaps of silence.
4. Maybe too many slides of the actual surgery? 

5. Try again.

Introduction -  Puppies are like toddlers. They just cannot be trusted and will swallow any object any time. In this case, a 3-month-old German Shepherd puppy pounced onto the caregiver's hairband while she was bending down to clean the poop from his crate. Immediately, the hairband was swallowed. Would it be passed out? It costs money to get it out and after waiting for 5 days, the owner decided to get the surgery done.

Some script like above.  

Middle - the gastrotomy
End - the outcome

Basically, the stomach is incised at the avascular area. There are 3 layers of the stomach wall. These are incised and the incisionis around 2 cm. The hairband is pulled out. First, the submucosal layer is stitched with inverting sutures, then the two other layers are stitched twice with inverting sutures. The stomach is put back into the abdomen. The muscle layer is stitched with simple interrupted sutures. The skin layer is stitched with horizontal mattress sutures. 

Do not erase this first production.

P.S I notice one similar habit from cat too.

tpvets_logo.jpg (2726 bytes)Toa Payoh Vets
 Clinical Research

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All rights reserved. Revised: January 07, 2010

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