& Management / Disease
Investigation & Management / Techniques:
||Rectal papilla removal in
||This description is based on
that given by Jenkins (2004) (B602.22.w22).
- Anaesthetise the rabbit. See: Treatment and Care
- Anaesthesia and Chemical Restraint - Lagomorph Anaesthesia
- Place the rabbit in dorsal recumbency with the pelvis slightly
- Dilate the anus to provide surgical access:
- Either: Have an assistant insert a human nasal speculum or
veterinary canine vaginal speculum into the anus and hold it there.
- OR: place several stay sutures around the anus, and have an
assistant keep gentle traction on these.
- Use sharp dissection or radiosurgery to remove the papilloma.
- Make sure the whole of the papilloma is removed. (B600.9.w9,
- If the papilloma is large, removing it in sections may make
closure easier. (B602.22.w22)
- Suture the mucosa.
- Suture in a simple continuous pattern.
- Use 5-0 or 6-0 absorbable suture material.
|Appropriate Use (?)
- For the removal of anorectal papillomas, if these do not
spontaneously regress. (B600.9.w9,
|Complications/ Limitations / Risk
- The tissue of the papilloma is friable and bleeds easily. (B602.22.w22)
- If some of the papilloma is left behind at surgery, it may recur. (B600.9.w9,
- Recurrence may occur even following complete removal. (V.w125)
|Equipment / Chemicals required and Suppliers
|Expertise level / Ease of Use
- This procedure should only be
carried out by an individual with appropriate clinical training and practical
experience. This would usually be a veterinarian.
The costs of a surgical operation include those associated with: (J15.30.w1)
- Pre-operative diagnostics (e.g. radiography, ultrasonography, blood
- Perioperative medication (e.g. analgesics, antibiotics, fluids).
- Surgical preparation (of the operating theatre and the patient,
including staff time).
- Consumables and equipment.
- Time of the surgeon and assistant(s).
- Post-operative hospitalisation.
|Legal and Ethical Considerations
In some countries there may be
legislation restricting the use of this type of technique to licensed veterinarians. For
example in the UK: "The Veterinary Surgeons Act 1966 (Section 19) provides,
subject to a number of exceptions, that only registered members of the Royal College of
Veterinary Surgeons may practice veterinary surgery." (See: LCofC1
- RCVS Guide to Professional Conduct 2000 - Treatment of
Animals by Non-Veterinary Surgeons).
||Debra Bourne MA VetMB PhD
||Molly Varga BVetMed DZooMed MRCVS