Emergency Guide: How to Handle Dog Intestinal Obstructi

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Surgical Treatment

Preoperative: Prior to surgery, intravenous fluids are administered to correct any fluid and electrolyte imbalances, address dehydration, and manage pain effectively.

Operative Procedure: The abdomen is shaved and disinfected. A 5cm incision is made along the linea alba. The tissue is then separated, and the abdominal cavity is opened. The abnormal segment of the intestine is identified, pulled out of the abdomen, and a cut is made at a location where the blood supply is minimal. After thoroughly cleaning the mucus and sand from the intestine, the segment is sutured continuously and buried. The abdominal cavity is flushed, and the incision is closed. Postoperative fluid therapy is provided to correct any acidbase imbalances, manage pain, and initiate systemic antiinfection treatment for 5 days. The patient is then allowed to start with a small amount of liquid food after fasting for 36 hours, and the sutures are removed 8 days postsurgery.

Following obstruction, the dog may experience vomiting and loss of gastric juices, leading to inflammation and edema of the intestinal wall. This results in significant fluid loss and severe dehydration. As the intestines begin to recover and absorb fluids postsurgery, the nature of electrolyte imbalances can change in the opposite direction. Therefore, it is crucial to closely monitor all vital signs postsurgery to prevent any unforeseen complications.

During the antiinfection phase, anaerobic bacterial infections should be considered. In addition to broadspectrum antibiotics, medications such as metronidazole or tinidazole, which are effective against anaerobic bacteria, can be used. In cases of peritonitis, abdominal lavage and drainage can be performed through a drain tube.

In the event of sepsis, corticosteroids like prednisone, vitamin C, and glucose can be administered for detoxification. Concurrently, symptomatic treatments such as cardiac support should be provided. Postsurgery, the dog should be kept on a 2day fasting regimen. During this period, nutritional support can be provided through intravenous amino acids.

Furthermore, it is essential to supplement with vitamins such as vitamin C and vitamin B. After 2 days, the dog can be fed nutritional supplements and liquid foods.

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