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The bitch spay is regarded by many surgeons as one of the hardest procedures to do. Some can be very easy with lots of exposure, some can be very difficult with no exposure and with pedicles that just want to fall in pieces and bleed. The triple clamp technique was around at the time we use to inject blood into stifles for a cruciate repair ! Isn't time we reviewed this procedure? I will show some variety in technique, but i evolved the bulk of the technique, by trying to eliminate errors that thousands of new grads have made over the years and also the difficult spays I have encountered. While the number of subscribers, goes up. I will continue to make these videos. One aspect of the bitch spay that makes it so difficult sometimes, is the diversity of uterine size, exposure, friability etc so the more you watch, the more prepared you will be. Surgeries like splenectomy, gdv, enterectomy etc are generally all the same in each dog, once yo have done one, you can do them all, where as the bitch spay isn't. Many surgeons will work out of hours confidently, but are terrified of bitch spays, because they have had a very difficult one, a confidence killer !!