NUTRITION
Figure 1 . Preparation of the surgical site . The left side of the neck is preferred as the oesophagus runs more on this side in the proximal neck . ( All photos courtesy of Dr . Marc Hirshenson .)
Figure 2 . Insert the haemostatic forceps into the oral cavity , down to the cervical oesophagus . Push downwards on the handle to lever the tip of the haemostat against the oesophagal wall and skin of the neck to make a " point ". Using a scalpel blade , cut down directly onto the tip of the haemostat " nibbling " through the skin and oesophageal wall .
Figure 3 . Gently push the haemostatic forceps through the small incision . Once through , open the forceps to stretch the opening and grasp the distal portion of the tube . Insert the tube tip snugly into the forceps to maintain a smooth profile . vet360
Issue 01 | MARCH 2018 | 32