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Juvenile Pubic Symphysiodesis (JPS)

Surgical Procedure

Juvenile Pubic Symphysiodesis is a surgical procedure performed on a puppy that exhibits early onset of hip dysplasia but is still in his/her juvenile bone growth spurt period. The surgical technique is used to prevent chronic hip dysplasia which would occur if the early development is left unchecked.

In this minimally invasive surgery, the ligamentous attachment between the left and right pubic bones is cut to rotate the pelvic bone outwards. The outward rotation allows for more coverage of the hip socket over the ball joint of the femur. As the dog grows the pelvic bones of the hip will fuse with the joint correctly aligned.

Process overview

Pre-Surgery Preparations

All procedures require pre-operational bloodwork. Food and water is restricted 8 to 12 hours prior to surgery to prevent possible aspiration due to vomiting. Depending on the case and procedure, additional diagnostic tests may be required for example EKG, Xray, or ultrasound. We may also recommend an anesthesia specialist if necessary to oversee the anesthesia and health monitoring of your pet.

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During Surgery

Your pet will given a sedative to facilitiate preparation of the surgical site and placement of IV cather. The next step is to provide oxygen, fluids, and thermal support. All medical equipment or apparatus will then be connected so as to monitor your pet's vital signs. Your pet is then anesthetized (induced) and appropriate pain management (epidural, local anesthetic, constant rate infusion/CRI) is administered as needed. We will continue to regulate and monitor your pet throughout the procedure.

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Immediately following the procedure, we continue to administer fluids and observe your pet for a few hours until your pet is fully awake. Discharge instructions will be provided during which all your post-op questions will be answered by the doctor and your pet is able to go home to start his/her recovery process. Follow-up post-operative exams and post-operation pain medication is provided.

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