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USA: U.S. Dermatologist Lowell Ackerman has discovered and used pictures from this website in his Veterinary Dermatology book 

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Surgical Correction of Pyometra in a 10yr old bitch
One of the biggest reasons for neutering a bitch early in life is to prevent this common disease of the uterus. It only ever happens in entire bitches usually over the age of 6 years. A sudden onset enlargement of the abdomen, listlessness, thirst and sometimes a vulval discharge are the usual signs of the disorder. The bitch rapidly becomes weak and will die if not operated on soon. The uterus is removed in the same way as for a routine spay except that the uterus is about 50 - 100 times bigger and the stress on the body is great. With careful attention to anaesthetic monitoring and extensive use of i/v drips we can save most cases these days. 25 yrs ago survival was as low as 50%, now we expect better than 90%. Bitches neutered young will never have this problem.


Surgical entry via the right flank


Removal of the enormous uterus.


Removed uterus lying next to the patient


Wound closure

The bitch may need extra care during recovery but once the wound has healed she should have a now lease of life and, because she is now neutered, will not be troubled with reproductive problems in the future.

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