BradyCare

BradyCare BradyCare's passion for compassion helps animals in need and those who look after them.

Some surgical teaching is best filmed where the work is already being done every day.Dr. Ursula travelled to London to f...
02/06/2026

Some surgical teaching is best filmed where the work is already being done every day.

Dr. Ursula travelled to London to film BradyCare’s upcoming feline neutering module together with The Neuter Project, working alongside rescue cats undergoing neutering procedures.

During filming, the focus was not only the procedure itself, but the decisions surrounding it — patient positioning, surgical exposure, instrument handling, ligature placement, and maintaining a calm surgical flow throughout the surgery.

Feline neutering is often where surgeons first develop their tissue handling, efficiency, and surgical discipline.

These procedures may be common, but the teaching behind them still deserves structure, attention, and careful surgical reasoning.

Surgical learning develops through repetition, feedback, reflection, and time to understand the reasoning behind each su...
30/05/2026

Surgical learning develops through repetition, feedback, reflection, and time to understand the reasoning behind each surgical decision.

In clinical practice, balancing patient care, efficiency, teaching, and surgical flow is not always simple. Every clinic and every senior surgeon works within real time pressures and responsibilities.

That is why surgical growth cannot depend only on the moments when you are holding the scalpel.

At BradyCare, we believe a large part of surgical development also happens outside the operating room:
- through structured observation,
- mental rehearsal
- learning how to think through procedures step by step

Understanding the “why” behind surgery is part of learning surgery itself.

What helped you improve most during your first months in practice?

Flank or midline?Both approaches remain widely used in feline neutering — and both can work very well when supported by ...
25/05/2026

Flank or midline?

Both approaches remain widely used in feline neutering — and both can work very well when supported by careful tissue handling, appropriate exposure, and consistent surgical technique.

The flank approach is often appreciated for:
• efficient access in many routine feline neuterings
• easy postoperative wound visualisation
• reduced risk of abdominal organ exposure if wound breakdown occurs
• practical access in some lactating queens
• frequent use in high-volume neutering programmes

At the same time, there are important technical considerations:
• more limited abdominal visualisation
• reduced exposure can make pedicle retrieval more demanding
• access may become less straightforward in obese cats or enlarged uterine horns
• incision extension can be more limited if additional exposure becomes necessary

Many surgeons continue to prefer the midline approach because it offers:
• broader abdominal exposure
• easier extension when more access is required
• familiarity during surgical training
• comfortable access in more complex reproductive procedures

Current evidence suggests that surgical outcomes are influenced less by the incision location itself and more by the quality and consistency of surgical decisions around it

There is rarely one universal approach in surgery.
What matters most is understanding the reasoning behind each decision.

We would like to hear from you:
Which approach do you use most often in feline neutering — flank or midline — and what influences your choice?



References
• Coe RJ, Grint NJ, Tivers MS. Comparison of flank and midline approaches to ovariohysterectomy in cats. Journal of the American Veterinary Medical Association. 2006.
• Fossum TW. Small Animal Surgery. 5th ed. Elsevier.
• Johnston SA, Tobias KM. Veterinary Surgery: Small Animal. 2nd ed. Elsevier.
• BSAVA Manual of Canine and Feline Surgical Principles

Flank spays are routine for some surgeons and rarely used by others. And often, the choice is not only about preference....
18/05/2026

Flank spays are routine for some surgeons and rarely used by others.
And often, the choice is not only about preference.

It is about training, surgical flow, tissue access, visibility, patient selection, and what feels most reproducible in your hands and... of course, always taking animal welfare into account in every decision.

So we are curious:
• Do you normally choose a flank or midline approach in cats?
• In which situations do you prefer flank access?
• And for you, what part of flank spays requires the most surgical reasoning?

At BradyCare, we find these discussions valuable because experienced surgeons, new graduates, and students often observe different details during the same procedure.

Please let us know your views, questions or tips on this topic.

Most complications in bitch spays do not begin when the problem appears.They begin earlier — during tissue handling, lig...
16/05/2026

Most complications in bitch spays do not begin when the problem appears.

They begin earlier — during tissue handling, ligature placement, exposure, tension, visibility, or surgical planning.

The most commonly reported complications in ovariohysterectomy still include:
• ovarian pedicle haemorrhage
• postoperative bleeding
• incisional inflammation, seroma, or infection
• wound dehiscence
• ovarian remnant syndrome
• inadvertent ureteral trauma or ligation

And interestingly, many of them are linked to the same underlying factors:
Poor visualisation.
Inadequate tissue handling
Loss of anatomical orientation.

This is why complication prevention is not a “final check”.
It is built throughout the entire procedure.

A stable exposure of the pedicle, deliberate ligature placement, controlled traction, careful inspection before release, and structured closure technique all reduce risk long before recovery begins.

Good surgery is not the absence of complications by chance.
It is the result of reproducible decisions made consistently, step by step.

We discuss these principles in depth throughout the BradyCare bitch spay module, with a strong focus on surgical reasoning, tissue protection, and complication prevention.

References:
Burrow et al., 2005
Belluzzi et al., 2021
WSAVA Reproduction Guidelines, 2024
Bohling, 2020
Adin, 2011

15/05/2026

A bleed during a bitch spay can change the atmosphere in seconds.
And one of the hardest parts is that stress can quickly narrow your thinking.

In this conversation, Gabi shares a moment many surgeons recognise but rarely talk about openly: becoming focused on one suspected bleeding point, while losing the broader surgical overview.

What changed the situation was not panic or speed, but returning to a structured approach:

• improve exposure
• reassess each pedicle and the uterine stump systematically
• use anatomical checkpoints
• keep communication open with the anaesthesia team
• ask for support early if needed

One detail we discuss in the video is how a swab placed caudal to the kidney can help assess whether a pedicle is still bleeding before continuing to search elsewhere.

These moments are difficult, but they are also where surgical structure matters most.
The goal is not to avoid every challenge, the goal is to respond systematically when one occurs.

This is a central part of how we approach surgical teaching in the BradyCare Bitch Spay Course: breaking procedures down into reproducible steps, checkpoints, and decision-making patterns that remain reliable under pressure.

Every surgeon has cases that stay with them.Soon, we’ll share a case report on intra-abdominal haemorrhage following a b...
11/05/2026

Every surgeon has cases that stay with them.

Soon, we’ll share a case report on intra-abdominal haemorrhage following a bitch spay, specifically related to ovarian pedicle bleeding.

It’s a situation that can become critical very quickly, even in routine procedures and one that deserves careful surgical discussion.

Have you ever experienced this type of complication?

Are there specific points you would like us to cover in the case discussion?
Any practical advice, surgical considerations, or decision-making strategies you think are important?

Let us know!

09/05/2026

Do you use splash blocks during your bitch spays?

A splash block is a simple local analgesia technique using lidocaine during surgery.

As soon as we identify the ovarian pedicle, we apply lidocaine directly onto it. We then infiltrate the linea alba before closure.

This helps reduce pain during surgery and can improve comfort in the early recovery period.

Because lidocaine acts quickly — usually within around 90 seconds — timing is important.

Good preventative pain management is part of every surgery and supports better recovery.

We demonstrate this technique in our bitch spay module, including where and when we apply the splash block.

So don’t wait any longer – visit our website. (link in bio)

If you’re new here, you might be wondering who’s behind BradyCare. Or perhaps, who is Dr Ursula Goetz?Well, Dr. Ursula G...
05/05/2026

If you’re new here, you might be wondering who’s behind BradyCare. Or perhaps, who is Dr Ursula Goetz?

Well, Dr. Ursula Goetz is the founding veterinarian behind BradyCare; a charity built to make structured surgical education accessible.

Her work is grounded in over 20 years of small animal surgical practice,
and in teaching veterinarians across very different clinical environments.

This matters, because surgical learning does not happen in ideal conditions.
BradyCare reflects that reality. Her approach is structured, explicit, and practical.

We focus on how decisions are made during surgery; not only on the sequence of steps.
• making each step intentional and reproducible
• reducing tissue handling through planning
• maintaining consistency when conditions are not ideal

There is no judgement in this process. You work from where you are, and build clarity through structure.

This is the standard behind BradyCare.
If this is the kind of surgical learning you are looking for,
you can follow our work here.

Have you ever looked at a suture packet and wondered what all the codes mean? There is a lot to read. Let´s decode it to...
27/04/2026

Have you ever looked at a suture packet and wondered what all the codes mean?
There is a lot to read. Let´s decode it together.

In surgery, this can cause confusion when you ask for suture material.
However, you only need a few key details:

1. What suture size?
Different systems→ Same meaning: thickness

➡️ USP (American):
Whole numbers = thicker | More zeros = finer
Thicker ← 3 — 2 — 1 — 0 — 2-0 — 3-0 — 4-0 → Finer

➡️ Metric (EU):
Higher number = thicker
2 > 1.5 > 1
You are choosing thickness.

2. Which Material?
absorbable + type
PDS / Monocryl / Vicryl

3. What type of Needle?
Taper → soft tissue
Cutting → tougher tissue
Needle Size → match thickness to tissue

In Summary you need:
Size + Material + Needle
Example: “3-0 PDS, taper needle please.”
Everything else = Rarely relevant in routine surgery.

Let us know in the comments if this was helpful to you.

suturematerial

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