Page 288 - Clinical Manual of Small Animal Endosurgery
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276   Clinical Manual of Small Animal Endosurgery






















                                      (a)





















                                      (b)

                              Fig. 10.2  (a) Use of a 4 mm endoscope to visualise filing of dental spurs in
                              a rabbit. (b) Endoscopic visualisation of the small oral cavity of a chinchilla.
                              The first right maxillary premolar is notably overgrown and forming a
                              painful buccal spur, and both upper and lower right dental arcades show
                              uneven dental wear. The oral cavity in small animals is narrow and difficult
                              to illuminate and visualise well without an endoscope.



                              compromise between endoscope diameter (and hence wound size), and
                              image quality and light transmission.
                                In contrast, there are clear advantages to the use of instrumentation
                              with small diameter and short shaft length in small exotic animal patients.
                              While the reduction in ‘invasiveness’ in terms of port-site wound size is
                              perhaps  overrated,  the  large  instrument  tips  of  many  standard  5 mm
                              laparoscopic instruments (used in humans and canines) are simply too
                              large to manoeuvre in the limited operating space available. Large instru-
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