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HOOK
Caretta caretta

Loggerhead

Admitted:     5/13/01     Released October 2001
 
Weight: 37.8 kg
SCL: 63.0 cm
SCW:  64.5 cm 
THE 
STRANDING
This turtle has a large hook imbedded in the lower left mandible (jaw), with the end protruding from the mouth. Hook remains in a defensive position, using  the front flippers as shields.
She was caught in a pound net in Core Sound, NC.
THE TREATMENT Hook was taken to the NC State School of Veterinary medicine to have the hook removed. 
The turtle received such care as; radiographs, eshophagotomy, hook removal, and endoscopy.
.
Radiographs show the hook wrapped around the trachea.  Endoscopy revealed several small pieces of shell in the esophagus, and larger pieces of shell and food in the stomach.
Surgical Report,
courtesy of the 
NC STATE
College of
Veterinary Medicine
Surgery was performed by Dr. Greg Lewbart and assisted by student Cheryl Hoggard, and others of the 'turtle team'.

The Sea Turtle was placed in dorsal recumbency, and the ventral neck prepped with povidone iodine solution.

The hook was manipulated from the oral cavity and a1.5 cm horizontal incision was made over the hook, in a skin groove.
The esophagus was exposed using a blunt dissection. 
The end of the hook could not be palpated because it was imbedded in the hyoid bone rostrally.

A 5 mm esophagotomy was made longitudinally using a #11 blade.
The hook was grasped with pin pullers and wiggled free of the hyoid bone.
the end of the hook was retracted caudally and the barb cut off with pin cutters.
The eye of the hook was grasped in the oral cavity, but could not be extracted because of the remaining bend in the hook could not be pulled around the hyoid apparatus.

The eye of the hook was cut off with pin cutters, and the hook extracted normograde through the esophagotomy.
The wound was flushed with sterile saline.

The esophagus was not closed primarily.  The subcutaneous tissues were closed with 3-0 maxon in a simple continuous pattern.
The skin was closed with 4-0 maxon in a intradermal pattern.

The turtle was anesthetized with Ketamine (180 mg) and Medetomidine (1800ug),
both given IV; and maintained on Sevoflurane for surgery.
This was reversed with Atipamezole (9000ug) given IM, then 9000 ug more given IV.
Then 4mg Butorphanol SQ post operatively.

Post Surgery We will monitor the incision site (on ventral neck)  for swelling or discharge.
The wound will be flushed and cleaned as needed.
A soft diet will be offered for the first two weeks.
She has begun to accept some food.
She no longer keeps her flippers in a defensive position.
And just when she thought it was safe its antibiotic time.
Sept 2001 Hook receives tags and has blood drawn for final ok before release.