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Consent to Perform Ovariohysterectomy (Spay), Feline



  VetBooks.ir  Patient name:_________________________________
         Pet owner’s name:_____________________________  Med rec #____________
         Best contact during/after procedure (e.g., cell phone number):____________________


         INTRODUCTION                                           having assessed that the anticipated benefit is greater than the
         We want to make sure that you understand the planned surgical   anesthetic risk.
         procedure to be performed on your pet. You should know why the
         surgery has been suggested, what the potential benefits are for   FORESEEABLE RISKS TO THE PROCEDURE
         your pet, and the most common/important risks of the operation.   An ovariohysterectomy is considered a routine surgery, and the overall
         Alternatives to this surgery, when applicable, will be discussed with   risk is low. Nevertheless, it is a significant operation that requires entry
         you. It is also important that you recognize that medicine is not an   into the abdominal cavity and as such, it requires careful aftercare,
         exact science, and that the outcome cannot be guaranteed. We   even in cats that seem to recover quickly. Complications related
         encourage you to ask us as many questions as required for you   to surgery are not common but can include excessive bleeding,
         to make a well-informed decision.                      bruising, and infection. There is a very low risk that abdominal
                                                                organs could herniate, or protrude, past the abdominal muscles
         BENEFITS/OPTIMAL OUTCOME OF THE PROCEDURE              or even through the skin. It is important to follow postoperative
         Ovariohysterectomy (also known as spay) is the surgical removal of   instructions to restrict activity and prevent your cat from licking at
         a cat’s uterus and ovaries, performed under general anesthesia. This   the incision to lower the risk of these complications. While other
         procedure is performed to eliminate the possibility of reproduction.   surgical complications are possible, they are very rare.
         It also prevents uterine cancer, infection of the uterus (pyometra),
         and lowers the risk of mammary cancer.                 Other anticipated risks specific to your pet:___________________

         EXPLANATION OF THE PROCEDURE                           _________________________________________________________
         During this procedure, the cat is anesthetized, and then the abdomen
         is shaved and cleaned before making a surgical incision. The ovaries
         are located and freed from the surrounding tissues, and the blood   ALTERNATIVES TO THE PROCEDURE
         supply  to  the  ovaries  is  tied  off  with  sutures.  The  blood  supply   Some surgeons may prefer to do an ovariectomy, which is removal
         to the uterus  is  also  located and  tied  off with  sutures,  and  the   of the ovaries without removal of the uterus. If done properly, this
         uterus and ovaries are removed. The incision is closed in multiple   procedure confers no additional risk compared to an ovariohyster-
         layers with suture. Pain medication is given during the procedure,   ectomy where the ovaries and uterus are removed. The decision to
         and additional pain medication may be given after the procedure   perform either procedure depends on the surgeon’s training and
         depending on your cat’s needs. Pain medication is often sent home   preference. If you have questions about this alternative, please feel
         to make the cat more comfortable over the next few days as she   free to ask prior to your cat’s surgery.
         recovers from surgery.
            Additional procedures planned for your pet at the same time   AUTHORIZATION
         as the feline ovariohysterectomy:                      By signing this form below, you agree that:
                                                                •  You understand how/why the procedure is likely to help your
         ____________________________________________________________  pet
                                                                •  You understand what will be done to your pet during the
         USE OF SEDATIVES OR ANESTHESIA                           procedure
         Feline ovariohysterectomy requires the use of general anesthe-  •  You understand the known risks that accompany the procedure,
         sia, which causes your cat to become unconscious. Although   and also understand that unforeseen complications may occur
         anesthesia is performed routinely with good outcomes, it does   •  You understand that the procedure may not produce the results
         bring risks, including a very small risk of death. These risks are   we hope to achieve
         increased for animals with severe disease. To reduce these   •  You understand the alternatives to this procedure for your pet
         risks, your animal will be supplied with extra oxygen, and will be   •  You agree that you have been given time to ask questions regard-
         monitored closely during both anesthesia and during recovery from   ing the procedure, that these have been answered satisfactorily,
         anesthesia. The decision to perform this procedure is based on   and that you are free to decline the procedure.















                     From Cohn and Côté: Clinical Veterinary Advisor, 4th edition. Copyright © 2020 by Elsevier Inc. All rights reserved.
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