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	<title>Michael Moyer, VMD &#187; Surgery Cat-e-gore-y</title>
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		<title>A funny thing</title>
		<link>http://bensalemvet.com/wordpress/?p=16</link>
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		<pubDate>Sat, 20 Feb 2010 23:59:37 +0000</pubDate>
		<dc:creator>Michael Moyer</dc:creator>
				<category><![CDATA[Surgery Cat-e-gore-y]]></category>
		<category><![CDATA[Vet School]]></category>

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		<description><![CDATA[Happened the other day in surgery.  We had a dog presented for spay in our student program, and she was discovered to have a large (3 by 2 by 1 inch) lump on her gum under her tongue.  It was attached by a very narrow stalk, but it was a very tough, fibrous attachment to [...]]]></description>
			<content:encoded><![CDATA[<p>Happened the other day in surgery.  We had a dog presented for spay in our student program, and she was discovered to have a large (3 by 2 by 1 inch) lump on her gum under her tongue.  It was attached by a very narrow stalk, but it was a very tough, fibrous attachment to the interdental space (inter=between, dental space=tooth gap).  A quick conference of the minds lead us to decide to remove it surgically before we continued onto the spay.  Since it was odd, I asked one of my students to take some pictures with my camera in &#8220;macro&#8221; mode (one never knows when close up high resolution photos of things icky might be useful for a lecture or a dull cocktail party).  Proceeding with the lump dissection, I encountered a bit of a snag;  I couldn&#8217;t fit a scalpel blade in the interdental space, where the root of the mass was originating.  And I couldn&#8217;t send for the laser for a while.  What to do?</p>
<p>You should know that surgery is sometimes a bit extemporaneous, and often quite physical.  Orthopaedics comes to mind.  In some surgeries, deft digital manipulation is the key to good outcome.  Or, sometimes, ya&#8217; gotta&#8217; rip it out.</p>
<p>Back to our mouth mass.  Having determined that our mass wanted to exit the mouth, but was temporarily unyielding to use of surgical tools, I began to stretch the attachment of the mass to the gum.  The three students watching were slightly troubled by the sound of stretching connective tissue;  my camera-wielding student was in close by my right shoulder, when the mass abruptly exited the stage, and somewhat forcibly ricocheted off the left hand of my photographer (I thought I had a better grip on it, really!).</p>
<p>We proceeded to the spay with our students, and at the end of the procedure, used a laser to finish the removal of the mass&#8217;s stalk.  It looks like it will be good news for the doggie, best news of all is that this sweet little pit mix has a great home.</p>
<p><a href="http://bensalemvet.com/wordpress/wp-content/uploads/2010/02/P1000295.jpg"><img class="alignnone size-medium wp-image-20" title="P1000295" src="http://bensalemvet.com/wordpress/wp-content/uploads/2010/02/P1000295-300x168.jpg" alt="Gingival Mass" width="300" height="168" /></a><a href="http://bensalemvet.com/wordpress/wp-content/uploads/2010/02/P1000306.jpg"><img class="alignnone size-medium wp-image-19" title="P1000306" src="http://bensalemvet.com/wordpress/wp-content/uploads/2010/02/P1000306-300x168.jpg" alt="Projectile" width="300" height="168" /></a></p>
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