How many BOAS cases are you seeing now?

RE: BOAS Surgeries in house

Ciarao79 — Wed, 10 May 2023 22:38:51 GMT

We do all ours in-house, all go home the same day. Thankfully most of our brachys are getting old with no influx of new pups. Haven't seen a puppy Pug in over 4 years and an English Bulldog pup in even longer. I think people are finally wising up in our part of the woods. Even Frenchie pups seem to be a thing of the past. Just get the very odd referral from another practice (we're a 1st opinion practice), when actual referral is cost prohibitive. Definitely something we wouldn't refer as a 1st opinion practice. Do nose, soft palate and saccules as necessary. I think electrocautery is your friend with this surgery.

RE: BOAS Surgeries in house

David Mills — Thu, 02 Feb 2023 23:50:48 GMT

Saccules are almost always secondary to everything else. It’s rare as hens teeth to not need to do nares and SP. Can’t think of a case just needing nares. I have never done saccules and they carry the greatest risk of post op bleeds.

one note of caution - assess the larynx. If it’s collapsed in any way don’t touch them, you won’t solve a thing and they need a perm tracheostomy.

RE: BOAS Surgeries in house

Braden Collins — Thu, 02 Feb 2023 23:02:15 GMT

Any combination those, though generally I'll do those plus tonsils. I am hoping to learn palate thinning soon

RE: BOAS Surgeries in house

niall morton — Thu, 02 Feb 2023 20:00:35 GMT

If you’re operating to improve the breathing I would consider it boas sx. However, due to risks on recovery, I’d prefer any patient to be getting everything they need under first ga. The only times I’ve done nares only is in puppy shin tzu’s and Persian cats.

RE: BOAS Surgeries in house

Ceri Gruffudd Jones — Thu, 02 Feb 2023 19:00:28 GMT

Those who do the surgery, what do you consider as BOAS surgery? Nares? Soft palate? Laryngeal saccules? Or all 3? We’ve done a few nares but not many palates and no saccules.

RE: BOAS Surgeries in house

Charlotte French — Wed, 01 Feb 2023 15:47:05 GMT

Thanks Braden- wow-one every 2 weeks!-still clearly an issue out there- but good to hear that people are tackilng these successfully in general practice-looking forward to welcoming you onto the course

RE: BOAS Surgeries in house

Braden Collins — Wed, 01 Feb 2023 13:38:13 GMT

I do them as we're about 2 hours from the nearest referral centre so a drive that far carries more risk than local surgery. I've signed up to the improve course so looking forward to improving my treatment of these cases. Averaging about 1/fortnight so a steady flow of cases.

RE: BOAS Surgeries in house

David Mills — Sat, 28 Jan 2023 23:01:21 GMT

One of the biggest referral “cons” I recent times. Apparently they make up about 60pc of a university referral centres income. £4k is frankly outrageous.

Do them first. We’ve never had a complication immediate post op (n>200) They go home the same day.

Anyone who doesn’t neuter at the same time - ouch.

RE: BOAS Surgeries in house

niall morton — Sat, 28 Jan 2023 19:29:20 GMT

Do plenty in house. Happy with procedure and think any good surgeon could turn their hands to it.

RE: BOAS Surgeries in house

Julie Innes — Fri, 27 Jan 2023 15:13:41 GMT

We tend not to do the surgeries in house, as we have limited aftercare facilities (not 24 h). Lack of confidence is also a factor, though!

RE: BOAS Surgeries in house

Charlotte French — Fri, 27 Jan 2023 13:48:27 GMT

Hi Everyone. Thanks for the feedback-very useful and good to hear that maybe things are changing for the better. Just in case anyone is interested, the BOAS course we are running has been developed with Cambridge Vet School team- lots of discussion around surgical cases..some of the funds go directly back to their research..just putting it out there!

https://improveinternational.com/uk/coursedate/brachycephalic-obstructive-airway-syndrome-boas/

RE: BOAS Surgeries in house

Robert Wilson — Fri, 27 Jan 2023 13:27:59 GMT

I will happily do surgery in house, not seeing many at the moment.

RE: BOAS Surgeries in house

Neil Wheadon — Thu, 26 Jan 2023 23:39:42 GMT

I get the impression that clients are gradually wising up to this, so less cases. I’m seeing a number of Old Time Bulldogs which is a big improvement

Neil

RE: BOAS Surgeries in house

Cool — Thu, 26 Jan 2023 16:39:49 GMT

I would happily do them but I have not done one yet