https://www.vetsurgeon.org/f/clinical-questions/25459/help-hamster-cheek-pouch-removal-booked-this-morning Hello all, Any tips on removing a cheek pouch in a hamster? It has repeatedly been impacted and the owner would like us to try to remove it. Any help would be appreciated! Thanks. en-USTelligent Community 10https://www.vetsurgeon.org/thread/175314?ContentTypeID=1Thu, 02 Mar 2017 00:40:24 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:00eb1f98-3c17-49aa-973a-a6e20153d2fbMark Rowland<p><a href="/cfs-file.ashx/__key/communityserver-discussions-components-files/88/IMG_5F00_9300.JPG"><img src="/resized-image.ashx/__size/550x0/__key/communityserver-discussions-components-files/88/IMG_5F00_9300.JPG" border="0" alt=" " /></a></p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/175313?ContentTypeID=1Thu, 02 Mar 2017 00:39:52 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:72d88479-9a92-46ed-9755-6b3f55c42a68Mark Rowland<p><a href="/cfs-file.ashx/__key/communityserver-discussions-components-files/88/IMG_5F00_9304.JPG"><img src="/resized-image.ashx/__size/550x0/__key/communityserver-discussions-components-files/88/IMG_5F00_9304.JPG" border="0" alt=" " /></a></p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/175312?ContentTypeID=1Thu, 02 Mar 2017 00:39:29 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:6e9250ac-c65b-4ec2-bc98-6480925b3debMark Rowland<p><a href="/cfs-file.ashx/__key/communityserver-discussions-components-files/88/IMG_5F00_9294.JPG"><img src="/resized-image.ashx/__size/550x0/__key/communityserver-discussions-components-files/88/IMG_5F00_9294.JPG" border="0" alt=" " /></a></p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/175311?ContentTypeID=1Thu, 02 Mar 2017 00:38:59 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:d7c8caea-8a6c-4699-9124-84b6d0ef3742Mark Rowland<p><a href="/cfs-file.ashx/__key/communityserver-discussions-components-files/88/IMG_5F00_9303.JPG"><img src="/resized-image.ashx/__size/550x0/__key/communityserver-discussions-components-files/88/IMG_5F00_9303.JPG" border="0" alt=" " /></a></p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/175230?ContentTypeID=1Tue, 28 Feb 2017 19:28:47 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:2f18ae24-0da3-4aed-bff8-b029b5f3dbbbMark Rowland<p>With the pouch everted, careful blunt dissection isolates the pouch from the surrounding mucosa and then I clamp it, place a transfixing suture and amputate. if Ive had to clear detritus first then it should be copiously flushed.</p> <p>Heals quickly post op. I suppose there is the potential for infection, it being the oral cavity so I cover with abs. Hoping to laser the next non neoplastic one to see how that speeds healing up but I can&#39;t say Ive had any post op problems with non neoplastic ones. The ones with lymphoma carry the risk of ongoing lymphoma I suppose but some clients want to keep &nbsp;going. Never had dead space issues.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/175225?ContentTypeID=1Tue, 28 Feb 2017 18:46:42 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:fa8b79e1-4478-4ad3-9081-9a38602f81cbMarie Kubiak<p>[quote user=&quot;Mark Rowland&quot;]</p> <p>Surgical removal is relatively easy if the pouch is everted. I have done so for lymphoma as well as chronic impaction issues. reduction is also a possibility so for repeated impactions and repeated gas to clear them, removal is an option.</p> <p>Goodluck</p> <div style="clear:both;"></div> <p>[/quote]</p> <p>How did you approach it? Did you resect just pouch and did this leave dead space between skin and pouch, or did you excise a portion of skin too? I&#39;ve never had to do this so would be good to know what you did and whether they had any problems post-op.</p> <p>Marie</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/175210?ContentTypeID=1Tue, 28 Feb 2017 14:10:30 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:69397ebd-01ca-4585-8702-f6a59cbf14b7Mark Rowland<p>Surgical removal is relatively easy if the pouch is everted. I have done so for lymphoma as well as chronic impaction issues. reduction is also a possibility so for repeated impactions and repeated gas to clear them, removal is an option.</p> <p>Goodluck</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/175209?ContentTypeID=1Tue, 28 Feb 2017 13:42:56 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:a612195a-7ee6-4a28-8df7-fd3de19ad3a9Judith Archbold<p>I don&#39;t think it would be in the hamster&#39;s best interest to remove its pouch. I would try to teach the owner how to gently evert the pouch to empty it as / when needed.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/175200?ContentTypeID=1Tue, 28 Feb 2017 09:16:47 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:a6ff2905-8b31-437c-8b33-ff257cea89ccMarie Kubiak<p>I wouldn&#39;t want to consider a pouch removal without being 100% convinced it was indicated as the potential for complications is high and it is not necessarily going to solve the issue. Can you persuade the owner to reconsider the plan and have it in for GA to examine pouch and teeth (ideally with endoscopy if available) plus cytology of pouch lining?</p> <p>I haven&#39;t ever had to do a surgical removal so not sure of technique I&#39;m afraid.</p> <p>Marie</p><div style="clear:both;"></div>