Learn from a high quality, high volume spay neuter surgeon to increase your efficiency and confidence.

Learn from a high quality, high volume spay neuter surgeon to increase your efficiency and confidence.

Lactating dog spays have their own nuances, rules, and challenges. This course address each of these aspects and fully prepares the student to successfully spay a lactating dog with a midline incision, without disturbing the milk supply. *This is a masterclass that assumes that fundamental dog spay courses have already been completed*

Postpartum and lactating cat spays have their own nuances, rules, and challenges. The presence of a milk supply affects your incision placement, and the uterus is friable which means that tissue handling needs to be adjusted. This course address each of these aspects and fully prepares the student to successfully spay a postpartum and/or lactating cat with a midline incision, without disturbing the milk supply. *This is a masterclass that assumes that fundamental cat spay courses have already been completed*

Pregnant cat spays require special attention due to the distended uterus and more prominent ovarian and uterine vessels. This course addresses the unique rules and challenges associated with pregnant cat spays in a direct and easy-to-follow manner. *This is a masterclass that assumes that fundamental cat spay courses have already been completed*

Pregnant dog spays require special attention due to the distended uterus and more prominent ovarian and uterine vessels. This course addresses the unique rules and challenges associated with pregnant dog spays in a direct and easy-to-follow manner.

Pediatric cat spays include patients that are two to four months in age. Using efficient techniques in pediatric spays are particularly important as they prevent significant body temperature loss in small patients with less body fat. This course identifies the differences and specific considerations to keep in mind while performing pediatric cat spays. *This is a masterclass that assumes that fundamental cat spay courses have already been completed*

Pediatric dog spays include patients that are two to four months in age. Using efficient techniques in pediatric spays are particularly important as they prevent significant body temperature loss in small patients with less body fat. This course identifies the differences and specific considerations to keep in mind while performing pediatric dog spays. *This is a masterclass that assumes that fundamental dog spay courses have already been completed*

Giant breed and obese spays are considered some of the most intimidating dog spays. However, a methodical approach to each type of surgery is possible and effective. Giant breed spays require some adjustments to ensure that both the ovaries as well as the uterine bifurcation can be exteriorized through a smaller incision. Obese spays need to be treated with care as tissues can be both friable and slippery. This course addresses the unique challenges of giant breed and obese dog spays. *This is a masterclass that assumes that fundamental dog spay courses have already been completed*

Cryptorchid cat neuters can be both simple or troublesome in nature. This course provides examples of both abdominal and inguinal cryptorchid neuters. Multiple examples are given as there are a variety of possible situations regarding the location of retained testicles. This course sheds light on different tips and strategies to make any cryptorchid neuter successful and efficient.

Cryptorchid dog neuters can be both simple or troublesome in nature. This course provides examples of both abdominal and inguinal cryptorchid neuters. Multiple examples are given as there are a variety of possible situations regarding the location of retained testicles. This course sheds light on different tips and strategies to make any cryptorchid dog neuter successful and efficient. *This is a mastery course and assumes that related Foundational Course material has been completed.*

Complications can happen to any veterinarian who performs surgery. This course serves to prepare veterinarians to recognize and correct surgical complications that can arise during a cat spay or neuter. Intra-op complications such as dropped pedicles, torn pedicles, torn uteruses, etc. are covered in this course. This course also includes how to recognize, diagnose, and repair post-operative hemoabdomens in cats.

Complications can happen to any veterinarian who performs surgery. This course serves to prepare veterinarians to recognize and correct surgical complications that can arise during a dog spay or neuter. Intra-op complications such as dropped pedicles, torn pedicles, torn uteruses, etc. are covered in this course. This course also includes how to recognize, diagnose, and repair post-operative hemoabdomens in dogs.

The course explains why every spay/neuter patient should receive a tattoo after surgery. Different ways to store tattoo paste are shown. The preferred locations of tattoos are included in this course. How to effectively place a tattoo is also demonstrated.

This course explains HQHVSN incision placement and length that allow the surgeon to safely complete the surgery using a short incision. Not only is a shorter incision beneficial to the patient, but also for the surgeon and surgical team. Ideal incision placements for dog spays, scrotal neuters, cat spays, cat neuters, and cryptorchid neuters are included. Efficient incision closure techniques are also provided, including a specific closure technique that can be used with smaller incisions (about 2cm long).

The Modified Miller's knot course outlines how to place a Modified Miller's knot, using step-by-step instructions. This course also includes ways you can practice this knot using household or items found in a veterinary hospital. Instructions for both left handed and right handed surgeons are included. Where, how, and how many Modified Miller's knots are used at surgical sites for spays and neuters are also explained - including correct way to place a single Modified Miller's knot on every dog pedicle. Learning the Modified Miller's knot and its uses eliminates the need for circumferential and transfixing knots.

This course explains the ideal way to position cats and dogs for spay or neuter surgery. Goals of patient positioning are outlined and explained. Alternatives to v-top tables and tying down patient legs are demonstrated. Positioning techniques illustrated in this course are both more ergonomically friendly and allow for better visualization of ovaries.

This course demonstrates how to effectively perform autoligation of the ovarian vessels during cat spays. Autoligation is a safe and efficient technique to use for all cat spays, no matter the reproductive status. Multiple ways to set up and complete the knot are included, as well as troubleshooting techniques. A specific tip to ensure that the knot slips off of the instrument smoothly is also explained. Autoligation is a foundational skill for HQHVSN (high quality, high volume spay neuter) surgeons.

This course is a step-by-step demonstration of effective use of a spay hook. These techniques are appropriate for dog spays, cat spays, and abdominal cryptorchid neuters. Although the surgeon may be familiar with using a spay hook, this a specific technique with an excellent success rate. Finding and exteriorizing the uterus is often the rate-limiting factor of surgical efficiency, therefore using an efficient fishing technique has a significant effect on overall efficiency.

The course demonstrates how to safely and effectively neuter a dog using a scrotal approach. With a scrotal approach, the incision is made over the scrotum as opposed to the pre-scrotal area. The scrotal approach is less fatiguing to the surgeon's hands, is easier to close, and has been shown to reduce the chance of postoperative self-trauma by patients.

Exteriorization and visualization of canine pedicles during a dog spay procedure is drastically improved by manually rupturing the suspensory ligament. This technique is traditionally taught by "strumming" the ligament. However, with small incisions, it is not possible for the surgeon to insert a hand into the abdomen to perform this technique. This course demonstrates how to effectively rupture the suspensory ligament when the ovary is outside of the abdomen. This technique is advantageous because if the ovarian pedicle tears after the suspensory is ruptured, the surgeon can visualize the tear and address it accordingly. This course describes a step-by-step manner to successfully rupture the suspensory ligament during a dog spay.

Routine and in heat cat spays are the most common variations of cat spays that are encountered in clinical practice. This course demonstrates entire cat spay procedures using the skills included in foundational courses - small incisions, fishing, autoligation, modified Miller's knot placement, and small incision closure. *This is a mastery level course that assumes foundational coursework has been completed.*

Routine and in heat dog spays are the most common variations of dog spays that are encountered in clinical practice. This course demonstrates entire dog spay procedures using the skills included in foundational courses - patient positioning, small incisions, fishing, rupturing the suspensory ligament, modified Miller's knot placement, and incision closure. *This is a mastery level course that assumes foundational coursework has been completed.*