Exploratory Laparotomy

[av_layout_row min_height_percent=’75’ min_height_pc=’25’ min_height=’0′ border=” color=’main_color’ mobile=’av-flex-cells’ mobile_breaking=” mobile_column_order=” id=” custom_class=’max-width-shops’ template_class=” aria_label=” av_element_hidden_in_editor=’0′ av_uid=’av-3q67fr2′ sc_version=’1.0′]

[av_cell_three_fifth vertical_align=’top’ padding=’,50,,’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-padding=’20’ av-medium-padding_sync=’true’ av-small-padding=’20’ av-small-padding_sync=’true’ av-mini-padding=’20’ av-mini-padding_sync=’true’ background=’bg_color’ background_color=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” background_attachment=’scroll’ background_position=’top left’ background_repeat=’no-repeat’ link=” linktarget=” link_hover=” mobile_display=” mobile_col_pos=’0′ custom_class=” template_class=” av_uid=’av-3ombh72′ sc_version=’1.0′]

[av_one_full first min_height=” vertical_alignment=’av-align-top’ space=” row_boxshadow_width=’10’ row_boxshadow_color=” margin=’0px’ margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ mobile_breaking=” mobile_column_order=” border=” border_style=’solid’ border_color=” radius=” radius_sync=’true’ min_col_height=” padding=’,,,’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” column_boxshadow_width=’10’ column_boxshadow_color=” background=’bg_color’ background_color=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” background_position=’top left’ background_repeat=’no-repeat’ highlight_size=’1.1′ animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” link=” linktarget=” link_hover=” title_attr=” alt_attr=” mobile_display=” mobile_col_pos=’0′ id=” custom_class=” template_class=” aria_label=” av_uid=’av-3o3rtpa’ sc_version=’1.0′]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’35’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=’#005582′ id=” custom_class=” template_class=” av_uid=’av-d1vzj2′ sc_version=’1.0′ admin_preview_bg=”]
Exploratory Laparotomy
[/av_textblock]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’32’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=’#0079b9′ id=” custom_class=” template_class=” av_uid=’av-3jpllf2′ sc_version=’1.0′ admin_preview_bg=”]
What is an Exploratory Laparotomy?
[/av_textblock]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=” id=” custom_class=” template_class=” av_uid=’av-3iqub4e’ sc_version=’1.0′ admin_preview_bg=”]
The exploratory laparotomy, often referred to as the Ex Lap, is a diagnostic tool. The surgery is performed when the diagnostic tests readily available to a practitioner do not provide an explanation for the patient’s abdominal clinical signs. The ex lap can help you get answers and solve a problem.
[/av_textblock]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’32’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=’#0079b9′ id=” custom_class=” template_class=” av_uid=’av-3gaed7i’ sc_version=’1.0′ admin_preview_bg=”]
Situational Awareness
[/av_textblock]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=” id=” custom_class=” template_class=” av_uid=’av-3f187ji’ sc_version=’1.0′ admin_preview_bg=”]
The Ex Lap can be both lifesaving and money sparing when used appropriately and timely. The difficulty associated with this surgery is the level of associated uncertainty. Some questions you may be asking yourself are:

Will I find the foreign body (FB)? What if I don’t?
What if I find a tumour? What if I don’t?
Will the problem be beyond my skill level?

The key is for you and your client to be prepared, clearly there is no possible way to be prepared to surgically manage every possible scenario, but you can prepare for how you will handle different types of situations. You will either come out of the ex lap with the FB, with the diagnostic biopsies, maybe with pictures, samples and recommendation for referral or maybe a recommendation for euthanasia, but you will have an answer and a plan. You, your patient and your client will no longer be stuck in the ‘not knowing’.
[/av_textblock]

[/av_one_full][/av_cell_three_fifth][av_cell_two_fifth vertical_align=’top’ padding=’,,,50′ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-padding=’20’ av-medium-padding_sync=’true’ av-small-padding=’20’ av-small-padding_sync=’true’ av-mini-padding=’20’ av-mini-padding_sync=’true’ background=’bg_color’ background_color=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” background_attachment=’scroll’ background_position=’top left’ background_repeat=’no-repeat’ link=” linktarget=” link_hover=” mobile_display=” mobile_col_pos=’0′ custom_class=” template_class=” av_uid=’av-3eau2am’ sc_version=’1.0′]

[av_one_full first min_height=” vertical_alignment=’av-align-top’ space=” row_boxshadow_width=’10’ row_boxshadow_color=” margin=’0px’ margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ mobile_breaking=” mobile_column_order=” border=” border_style=’solid’ border_color=” radius=’15’ radius_sync=’true’ min_col_height=” padding=’0′ padding_sync=’true’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” column_boxshadow_width=’10’ column_boxshadow_color=” background=’bg_color’ background_color=’#EFFAFF’ background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” background_position=’top left’ background_repeat=’no-repeat’ highlight_size=’1.1′ animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” link=” linktarget=” link_hover=” title_attr=” alt_attr=” mobile_display=” mobile_col_pos=’0′ id=” custom_class=” template_class=” aria_label=” av_uid=’av-174wji’ sc_version=’1.0′]

[av_hr class=’invisible’ icon_select=’yes’ icon=’ue808′ font=’entypo-fontello’ position=’center’ shadow=’no-shadow’ height=’20’ custom_border=’av-border-thin’ custom_width=’50px’ custom_margin_top=’30px’ custom_margin_bottom=’30px’ custom_border_color=” custom_icon_color=” id=” custom_class=” template_class=” av_uid=’av-bturmm’ sc_version=’1.0′ admin_preview_bg=”]

[av_image src=’http://focusandflourish.com/wp-content/uploads/2022/11/ex-lap-300×300.jpg’ attachment=’3550′ attachment_size=’medium’ copyright=” caption=” image_size=’medium’ styling=” box_shadow=’none’ box_shadow_width=’10’ box_shadow_color=” align=’center’ font_size=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” hover=” blur_image=” grayscale_image=” fade_image=” appearance=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” transform_perspective=” transform_rotation=’,,,’ transform_scale=’,,’ transform_skew=’,’ transform_translate=’,,’ av-desktop-transform_perspective=” av-desktop-transform_rotation=’,,,’ av-desktop-transform_scale=’,,’ av-desktop-transform_skew=’,’ av-desktop-transform_translate=’,,’ av-medium-transform_perspective=” av-medium-transform_rotation=’,,,’ av-medium-transform_scale=’,,’ av-medium-transform_skew=’,’ av-medium-transform_translate=’,,’ av-small-transform_perspective=” av-small-transform_rotation=’,,,’ av-small-transform_scale=’,,’ av-small-transform_skew=’,’ av-small-transform_translate=’,,’ av-mini-transform_perspective=” av-mini-transform_rotation=’,,,’ av-mini-transform_scale=’,,’ av-mini-transform_skew=’,’ av-mini-transform_translate=’,,’ mask_overlay=” mask_overlay_shape=’blob’ mask_overlay_size=’contain’ mask_overlay_scale=’100%’ mask_overlay_position=’center center’ mask_overlay_repeat=’no-repeat’ mask_overlay_rotate=” mask_overlay_rad_shape=’circle’ mask_overlay_rad_position=’center center’ mask_overlay_opacity1=’0′ mask_overlay_opacity2=’1′ mask_overlay_opacity3=” link=” target=” title_attr=” alt_attr=” img_scrset=” lazy_loading=’disabled’ id=” custom_class=’yellow-bg’ template_class=” av_element_hidden_in_editor=’0′ av_uid=’av-38rj7ji’ sc_version=’1.0′ admin_preview_bg=”][/av_image]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’24’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=’#005582′ id=” custom_class=” template_class=” av_uid=’av-37q39b2′ sc_version=’1.0′ admin_preview_bg=”]

Get ready to perform an Ex Lap

[/av_textblock]

All the information you need.
Fully narrated surgical videos.
In depth guide and more.

[/av_textblock]

[av_button label=’Purchase Workshop’ icon_select=’no’ icon=’ue800′ font=’entypo-fontello’ link=’memberpressproduct,5412′ link_target=” size=’large’ position=’center’ label_display=” title_attr=” size-text=’26’ av-desktop-font-size-text=” av-medium-font-size-text=” av-small-font-size-text=” av-mini-font-size-text=” margin=” margin_sync=’true’ padding=’10,80,10,80′ av-desktop-margin=” av-desktop-margin_sync=’true’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ color_options=’color_options_advanced’ color=’custom’ custom_bg=’#0078b9′ custom_font=’#0078b9′ btn_color_bg=’custom’ btn_custom_grad_direction=’vertical’ btn_custom_grad_1=’#000000′ btn_custom_grad_2=’#ffffff’ btn_custom_grad_3=” btn_custom_grad_opacity=’0.7′ btn_custom_bg=’#ffe57a’ btn_color_bg_hover=’custom’ btn_custom_bg_hover=’#ffe57a’ btn_color_font=’custom’ btn_custom_font=’#0078b9′ btn_color_font_hover=’custom’ btn_custom_font_hover=’#0078b9′ border=” border_width=” border_width_sync=’true’ border_color=” border_radius=” border_radius_sync=’true’ box_shadow=” box_shadow_style=’0px,0px,0px,0px’ box_shadow_color=” animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ hover_opacity=” sonar_effect_effect=” sonar_effect_color=” sonar_effect_duration=’1′ sonar_effect_scale=” sonar_effect_opac=’0.5′ css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” id=” custom_class=” template_class=” av_uid=’av-340jqbi’ sc_version=’1.0′ admin_preview_bg=”]

[av_button label=’Log In’ icon_select=’no’ icon=’ue800′ font=’entypo-fontello’ link=’page,5167′ link_target=’_blank’ size=’large’ position=’center’ label_display=” title_attr=” size-text=’26’ av-desktop-font-size-text=” av-medium-font-size-text=” av-small-font-size-text=” av-mini-font-size-text=” margin=” margin_sync=’true’ padding=’10,80,10,80′ av-desktop-margin=” av-desktop-margin_sync=’true’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ color_options=’color_options_advanced’ color=’custom’ custom_bg=’#0078b9′ custom_font=’#0078b9′ btn_color_bg=’custom’ btn_custom_grad_direction=’vertical’ btn_custom_grad_1=’#000000′ btn_custom_grad_2=’#ffffff’ btn_custom_grad_3=” btn_custom_grad_opacity=’0.7′ btn_custom_bg=’#ffe57a’ btn_color_bg_hover=’custom’ btn_custom_bg_hover=’#ffe57a’ btn_color_font=’custom’ btn_custom_font=’#0078b9′ btn_color_font_hover=’custom’ btn_custom_font_hover=’#0078b9′ border=” border_width=” border_width_sync=’true’ border_color=” border_radius=” border_radius_sync=’true’ box_shadow=” box_shadow_style=’0px,0px,0px,0px’ box_shadow_color=” animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ hover_opacity=” sonar_effect_effect=” sonar_effect_color=” sonar_effect_duration=’1′ sonar_effect_scale=” sonar_effect_opac=’0.5′ css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” id=” custom_class=” template_class=” av_uid=’av-lilzmx6i’ sc_version=’1.0′ admin_preview_bg=”]

[av_hr class=’invisible’ icon_select=’yes’ icon=’ue808′ font=’entypo-fontello’ position=’center’ shadow=’no-shadow’ height=’50’ custom_border=’av-border-thin’ custom_width=’50px’ custom_margin_top=’30px’ custom_margin_bottom=’30px’ custom_border_color=” custom_icon_color=” id=” custom_class=” template_class=” av_uid=’av-32myyry’ sc_version=’1.0′ admin_preview_bg=”]

[/av_one_full][av_one_full first min_height=” vertical_alignment=’av-align-top’ space=” row_boxshadow_width=’10’ row_boxshadow_color=” margin=’0px’ margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ mobile_breaking=” mobile_column_order=” border=” border_style=’solid’ border_color=” radius=’10’ radius_sync=’true’ min_col_height=” padding=’15,20,15,20′ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” column_boxshadow_width=’10’ column_boxshadow_color=” background=’bg_color’ background_color=’#effaff’ background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” background_position=’top left’ background_repeat=’no-repeat’ highlight_size=’1.1′ animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” link=” linktarget=” link_hover=” title_attr=” alt_attr=” mobile_display=” mobile_col_pos=’0′ id=” custom_class=” template_class=” aria_label=” av_uid=’av-311a9z2′ sc_version=’1.0′]

[av_hr class=’invisible’ icon_select=’yes’ icon=’ue808′ font=’entypo-fontello’ position=’center’ shadow=’no-shadow’ height=’20’ custom_border=’av-border-thin’ custom_width=’50px’ custom_margin_top=’30px’ custom_margin_bottom=’30px’ custom_border_color=” custom_icon_color=” id=” custom_class=” template_class=” av_uid=’av-alyowu’ sc_version=’1.0′ admin_preview_bg=”]

This content is designed for veterinary professionals. If you are a pet owner, please consult your vet if you have any questions about a surgery.

[/av_textblock]

[av_hr class=’invisible’ icon_select=’yes’ icon=’ue808′ font=’entypo-fontello’ position=’center’ shadow=’no-shadow’ height=’20’ custom_border=’av-border-thin’ custom_width=’50px’ custom_margin_top=’30px’ custom_margin_bottom=’30px’ custom_border_color=” custom_icon_color=” id=” custom_class=” template_class=” av_uid=’av-2vd38mm’ sc_version=’1.0′ admin_preview_bg=”]

[/av_one_full][/av_cell_two_fifth][/av_layout_row][av_section min_height=” min_height_pc=’25’ min_height_px=’500px’ shadow=’no-border-styling’ bottom_border=’no-border-styling’ bottom_border_diagonal_color=’#333333′ bottom_border_diagonal_direction=” bottom_border_style=” padding=’default’ margin=” custom_margin=’0px’ av-desktop-custom_margin=” av-medium-custom_margin=” av-small-custom_margin=” av-mini-custom_margin=” svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_flip=” svg_div_top_invert=” svg_div_top_front=” svg_div_top_opacity=” svg_div_top_preview=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_flip=” svg_div_bottom_invert=” svg_div_bottom_front=” svg_div_bottom_opacity=” svg_div_bottom_preview=” color=’main_color’ background=’bg_color’ custom_bg=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attach=’scroll’ position=’top left’ repeat=’no-repeat’ video=” video_ratio=’16:9′ video_mobile_disabled=” overlay_enable=” overlay_opacity=’0.5′ overlay_color=” overlay_pattern=” overlay_custom_pattern=” scroll_down=” custom_arrow_bg=” css_position_z_index=” av-desktop-css_position_z_index=” av-medium-css_position_z_index=” av-small-css_position_z_index=” av-mini-css_position_z_index=” av-desktop-hide=” av-medium-hide=” av-small-hide=” av-mini-hide=” id=” custom_class=” template_class=” aria_label=” av_element_hidden_in_editor=’0′ av_uid=’av-2uio7by’ sc_version=’1.0′][/av_section]

[av_hr class=’invisible’ icon_select=’yes’ icon=’ue808′ font=’entypo-fontello’ position=’center’ shadow=’no-shadow’ height=’20’ custom_border=’av-border-thin’ custom_width=’50px’ custom_margin_top=’30px’ custom_margin_bottom=’30px’ custom_border_color=” custom_icon_color=” id=” custom_class=” template_class=” av_uid=’av-2mpk6ce’ sc_version=’1.0′ admin_preview_bg=”]

[av_video src=’https://youtu.be/TB1s704rGLI’ mobile_image=” attachment=” attachment_size=” format=’16-9′ width=’16’ height=’9′ conditional_play=” id=” custom_class=” template_class=” av_uid=’av-2l97j4e’ sc_version=’1.0′]

[av_hr class=’invisible’ icon_select=’yes’ icon=’ue808′ font=’entypo-fontello’ position=’center’ shadow=’no-shadow’ height=’20’ custom_border=’av-border-thin’ custom_width=’50px’ custom_margin_top=’30px’ custom_margin_bottom=’30px’ custom_border_color=” custom_icon_color=” id=” custom_class=” template_class=” av_uid=’av-2gnrt9a’ sc_version=’1.0′ admin_preview_bg=”]

[av_button label=’Purchase Workshop’ icon_select=’no’ icon=’ue800′ font=’entypo-fontello’ link=’memberpressproduct,5412′ link_target=” size=’small’ position=’center’ label_display=” title_attr=” size-text=’25’ av-desktop-font-size-text=” av-medium-font-size-text=” av-small-font-size-text=” av-mini-font-size-text=” margin=” margin_sync=’true’ padding=’10,85,10,85′ av-desktop-margin=” av-desktop-margin_sync=’true’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ color_options=’color_options_advanced’ color=’custom’ custom_bg=’#0078b9′ custom_font=’#0078b9′ btn_color_bg=’custom’ btn_custom_grad_direction=’vertical’ btn_custom_grad_1=’#000000′ btn_custom_grad_2=’#ffffff’ btn_custom_grad_3=” btn_custom_grad_opacity=’0.7′ btn_custom_bg=’#ffe57a’ btn_color_bg_hover=’custom’ btn_custom_bg_hover=’#ffe57a’ btn_color_font=’custom’ btn_custom_font=’#0078b9′ btn_color_font_hover=’custom’ btn_custom_font_hover=’#0078b9′ border=” border_width=” border_width_sync=’true’ border_color=” border_radius=” border_radius_sync=’true’ box_shadow=” box_shadow_style=’0px,0px,0px,0px’ box_shadow_color=” animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ hover_opacity=” sonar_effect_effect=” sonar_effect_color=” sonar_effect_duration=’1′ sonar_effect_scale=” sonar_effect_opac=’0.5′ css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” id=” custom_class=” template_class=” av_uid=’av-2fk7ce6′ sc_version=’1.0′ admin_preview_bg=”]

[av_hr class=’invisible’ icon_select=’yes’ icon=’ue808′ font=’entypo-fontello’ position=’center’ shadow=’no-shadow’ height=’20’ custom_border=’av-border-thin’ custom_width=’50px’ custom_margin_top=’30px’ custom_margin_bottom=’30px’ custom_border_color=” custom_icon_color=” id=” custom_class=” template_class=” av_uid=’av-2d7nkry’ sc_version=’1.0′ admin_preview_bg=”]

[/av_section][av_section min_height=” min_height_pc=’25’ min_height_px=’500px’ shadow=’no-border-styling’ bottom_border=’no-border-styling’ bottom_border_diagonal_color=’#333333′ bottom_border_diagonal_direction=” bottom_border_style=” padding=’default’ custom_margin=’0px’ custom_margin_sync=’true’ av-desktop-custom_margin=” av-desktop-custom_margin_sync=’true’ av-medium-custom_margin=” av-medium-custom_margin_sync=’true’ av-small-custom_margin=” av-small-custom_margin_sync=’true’ av-mini-custom_margin=” av-mini-custom_margin_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” color=’main_color’ background=’bg_color’ custom_bg=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” attach=’scroll’ position=’top left’ repeat=’no-repeat’ video=” video_ratio=’16:9′ overlay_opacity=’0.5′ overlay_color=” overlay_pattern=” overlay_custom_pattern=” custom_arrow_bg=” css_position_z_index=” av-desktop-css_position_z_index=” av-medium-css_position_z_index=” av-small-css_position_z_index=” av-mini-css_position_z_index=” id=” custom_class=” template_class=” aria_label=” av_element_hidden_in_editor=’0′ av_uid=’av-8ff6se’ sc_version=’1.0′]
[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’28’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=’#1c1c1c’ id=” custom_class=” template_class=” av_uid=’av-9mbon2′ sc_version=’1.0′ admin_preview_bg=”]
Pre-Surgical Considerations:
[/av_textblock]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=’989′ size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=” id=” custom_class=” template_class=” av_uid=’av-2id0vz2′ sc_version=’1.0′ admin_preview_bg=”]
Indications for performing an Ex Lap:

Suspected FB that can not be confirmed with available diagnostic tools.
Scope of injuries need to be determined (and treated) after abdominal trauma has been sustained.
Unresolvable GI/abdominal issues (chronic diarrhea/vomiting) with symptomatic treatment.
Advanced diagnostic tests not available in a timely fashion.

Pre-operative preparations:

Bloodwork (including electrolytes) and urinalysis to determine metabolic status of the patient.
Ensure the patient is hydrated and stable for general anesthesia

[/av_textblock]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’28’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=’#1c1c1c’ id=” custom_class=” template_class=” av_uid=’av-5l1x8u’ sc_version=’1.0′ admin_preview_bg=”]
What the client needs to know:
[/av_textblock]

This is a diagnostic tool
There is a good chance we will find something that we can solve
Biopsies will help us get to a diagnosis even if the problem is not grossly evident
The scope of the problem is beyond repair/ability – we will get biopsy and call to re-assess
The alternative is to get an ultrasound (timing, availability, costs)

[/av_textblock]
[/av_section]

[av_section min_height=” min_height_pc=’25’ min_height_px=’500px’ shadow=’no-border-styling’ bottom_border=’no-border-styling’ bottom_border_diagonal_color=’#333333′ bottom_border_diagonal_direction=” bottom_border_style=” padding=’default’ custom_margin=’0px’ custom_margin_sync=’true’ av-desktop-custom_margin=” av-desktop-custom_margin_sync=’true’ av-medium-custom_margin=” av-medium-custom_margin_sync=’true’ av-small-custom_margin=” av-small-custom_margin_sync=’true’ av-mini-custom_margin=” av-mini-custom_margin_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” color=’main_color’ background=’bg_color’ custom_bg=’#f8fcff’ background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” attach=’scroll’ position=’top left’ repeat=’no-repeat’ video=” video_ratio=’16:9′ overlay_opacity=’0.5′ overlay_color=” overlay_pattern=” overlay_custom_pattern=” custom_arrow_bg=” css_position_z_index=” av-desktop-css_position_z_index=” av-medium-css_position_z_index=” av-small-css_position_z_index=” av-mini-css_position_z_index=” id=” custom_class=” template_class=” aria_label=” av_element_hidden_in_editor=’0′ av_uid=’av-1uqlr4e’ sc_version=’1.0′]
[av_one_full first min_height=” vertical_alignment=’av-align-top’ space=’1′ row_boxshadow_width=’10’ row_boxshadow_color=” margin=’0px’ margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ mobile_breaking=” mobile_column_order=” border=” border_style=’solid’ border_color=” radius=” radius_sync=’true’ min_col_height=” padding=” padding_sync=’true’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” column_boxshadow_width=’10’ column_boxshadow_color=” background=’bg_color’ background_color=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” background_position=’top left’ background_repeat=’no-repeat’ highlight_size=’1.1′ animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” link=” linktarget=” link_hover=” title_attr=” alt_attr=” mobile_display=” mobile_col_pos=’0′ id=” custom_class=” template_class=” aria_label=” av_uid=’av-1rdwjni’ sc_version=’1.0′]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’35’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=’#005582′ id=” custom_class=” template_class=” av_uid=’av-1pkcpy6′ sc_version=’1.0′ admin_preview_bg=”]
Step by Step Ex lap
[/av_textblock]

[/av_one_full][av_one_third first min_height=’av-equal-height-column’ vertical_alignment=’av-align-middle’ space=’1′ row_boxshadow_width=’10’ row_boxshadow_color=” margin=’0px’ margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ mobile_breaking=” mobile_column_order=” border=” border_style=’solid’ border_color=” radius=” radius_sync=’true’ min_col_height=” padding=” padding_sync=’true’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” column_boxshadow_width=’10’ column_boxshadow_color=” background=’bg_color’ background_color=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” background_position=’top left’ background_repeat=’no-repeat’ highlight_size=’1.1′ animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” link=” linktarget=” link_hover=” title_attr=” alt_attr=” mobile_display=” mobile_col_pos=’0′ id=” custom_class=” template_class=” aria_label=” av_uid=’av-5zir8u’ sc_version=’1.0′]

[av_image src=’http://focusandflourish.com/wp-content/uploads/2022/10/Entity-page-Ex-Lap-V2-300×225.jpg’ attachment=’3309′ attachment_size=’medium’ copyright=” caption=” image_size=” styling=” box_shadow=’outside’ box_shadow_width=’10’ box_shadow_color=” align=’left’ font_size=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” hover=” blur_image=” grayscale_image=” fade_image=” appearance=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” transform_perspective=” transform_rotation=’,,,’ transform_scale=’,,’ transform_skew=’,’ transform_translate=’,,’ av-desktop-transform_perspective=” av-desktop-transform_rotation=’,,,’ av-desktop-transform_scale=’,,’ av-desktop-transform_skew=’,’ av-desktop-transform_translate=’,,’ av-medium-transform_perspective=” av-medium-transform_rotation=’,,,’ av-medium-transform_scale=’,,’ av-medium-transform_skew=’,’ av-medium-transform_translate=’,,’ av-small-transform_perspective=” av-small-transform_rotation=’,,,’ av-small-transform_scale=’,,’ av-small-transform_skew=’,’ av-small-transform_translate=’,,’ av-mini-transform_perspective=” av-mini-transform_rotation=’,,,’ av-mini-transform_scale=’,,’ av-mini-transform_skew=’,’ av-mini-transform_translate=’,,’ mask_overlay=” mask_overlay_shape=’blob’ mask_overlay_size=’contain’ mask_overlay_scale=’100%’ mask_overlay_position=’center center’ mask_overlay_repeat=’no-repeat’ mask_overlay_rotate=” mask_overlay_rad_shape=’circle’ mask_overlay_rad_position=’center center’ mask_overlay_opacity1=’0′ mask_overlay_opacity2=’1′ mask_overlay_opacity3=” link=” target=” title_attr=” alt_attr=” img_scrset=” lazy_loading=’disabled’ id=” custom_class=” template_class=” av_element_hidden_in_editor=’0′ av_uid=’av-1n96gqm’ sc_version=’1.0′ admin_preview_bg=”][/av_image]

[/av_one_third][av_two_third min_height=” vertical_alignment=’av-align-top’ space=” row_boxshadow=” row_boxshadow_width=’10’ row_boxshadow_color=” custom_margin=” margin=’0px’ av-desktop-margin=” av-medium-margin=” av-small-margin=” av-mini-margin=” mobile_breaking=” mobile_column_order=” border=” border_style=’solid’ border_color=” radius=” min_col_height=” padding=” av-desktop-padding=” av-medium-padding=” av-small-padding=” av-mini-padding=” svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_flip=” svg_div_top_invert=” svg_div_top_front=” svg_div_top_opacity=” svg_div_top_preview=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_flip=” svg_div_bottom_invert=” svg_div_bottom_front=” svg_div_bottom_opacity=” svg_div_bottom_preview=” column_boxshadow=” column_boxshadow_width=’10’ column_boxshadow_color=” background=’bg_color’ background_color=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” background_position=’top left’ background_repeat=’no-repeat’ highlight=” highlight_size=” animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” css_position=” css_position_location=” css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=” av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=” av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=” av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=” av-mini-css_position_z_index=” link=” linktarget=” link_hover=” title_attr=” alt_attr=” mobile_display=” mobile_col_pos=’0′ id=” custom_class=” template_class=” aria_label=” av_uid=’av-1kubbku’ sc_version=’1.0′]

[av_icon_box icon=’ue885′ font=’entypo-fontello’ title=’Step 1′ position=’left’ icon_style=’av-icon-style-no-border’ boxed=” font_color=” custom_title=” custom_content=” color=” custom_bg=” custom_font=” custom_border=” custom_title_size=’14’ av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” custom_content_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” heading_tag=” heading_class=” link=” linktarget=” linkelement=” id=” custom_class=” template_class=” av_uid=’av-1itsany’ sc_version=’1.0′ admin_preview_bg=”]
Liver Biopsy: Create a loop with the suture material (3-0 monofilament will work well). Ensnare the tip of a liver lobe with the suture loop.
[/av_icon_box]

[/av_two_third][av_one_third first min_height=’av-equal-height-column’ vertical_alignment=’av-align-middle’ space=’1′ row_boxshadow_width=’10’ row_boxshadow_color=” margin=’0px’ margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ mobile_breaking=” mobile_column_order=” border=” border_style=’solid’ border_color=” radius=” radius_sync=’true’ min_col_height=” padding=” padding_sync=’true’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” column_boxshadow_width=’10’ column_boxshadow_color=” background=’bg_color’ background_color=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” background_position=’top left’ background_repeat=’no-repeat’ highlight_size=’1.1′ animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” link=” linktarget=” link_hover=” title_attr=” alt_attr=” mobile_display=” mobile_col_pos=’0′ id=” custom_class=” template_class=” aria_label=” av_uid=’av-1hgze7i’ sc_version=’1.0′]

[av_image src=’http://focusandflourish.com/wp-content/uploads/2022/10/Entity-page-Ex-Lap-V22-300×214.jpg’ attachment=’3310′ attachment_size=’medium’ copyright=” caption=” image_size=” styling=” box_shadow=’outside’ box_shadow_width=’10’ box_shadow_color=” align=’left’ font_size=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” hover=” blur_image=” grayscale_image=” fade_image=” appearance=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” transform_perspective=” transform_rotation=’,,,’ transform_scale=’,,’ transform_skew=’,’ transform_translate=’,,’ av-desktop-transform_perspective=” av-desktop-transform_rotation=’,,,’ av-desktop-transform_scale=’,,’ av-desktop-transform_skew=’,’ av-desktop-transform_translate=’,,’ av-medium-transform_perspective=” av-medium-transform_rotation=’,,,’ av-medium-transform_scale=’,,’ av-medium-transform_skew=’,’ av-medium-transform_translate=’,,’ av-small-transform_perspective=” av-small-transform_rotation=’,,,’ av-small-transform_scale=’,,’ av-small-transform_skew=’,’ av-small-transform_translate=’,,’ av-mini-transform_perspective=” av-mini-transform_rotation=’,,,’ av-mini-transform_scale=’,,’ av-mini-transform_skew=’,’ av-mini-transform_translate=’,,’ mask_overlay=” mask_overlay_shape=’blob’ mask_overlay_size=’contain’ mask_overlay_scale=’100%’ mask_overlay_position=’center center’ mask_overlay_repeat=’no-repeat’ mask_overlay_rotate=” mask_overlay_rad_shape=’circle’ mask_overlay_rad_position=’center center’ mask_overlay_opacity1=’0′ mask_overlay_opacity2=’1′ mask_overlay_opacity3=” link=” target=” title_attr=” alt_attr=” img_scrset=” lazy_loading=’disabled’ id=” custom_class=” template_class=” av_element_hidden_in_editor=’0′ av_uid=’av-l9i2jii3′ sc_version=’1.0′ admin_preview_bg=”][/av_image]

[av_icon_box icon=’ue885′ font=’entypo-fontello’ title=’Step 2′ position=’left’ icon_style=’av-icon-style-no-border’ boxed=” font_color=” custom_title=” custom_content=” color=” custom_bg=” custom_font=” custom_border=” custom_title_size=’14’ av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” custom_content_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” heading_tag=” heading_class=” link=” linktarget=” linkelement=” id=” custom_class=” template_class=” av_uid=’av-1cbdxsu’ sc_version=’1.0′ admin_preview_bg=”]
Liver Biopsy: Pull the suture loop tight around the liver lobe tip, thereby strangulating the parenchyma and vessels. Cut the liver tissue leaving the suture material in situ. Place the liver sample in formalin.
[/av_icon_box]

[av_image src=’http://focusandflourish.com/wp-content/uploads/2022/10/Entity-page-Ex-Lap-V23-300×197.jpg’ attachment=’3311′ attachment_size=’medium’ copyright=” caption=” image_size=” styling=” box_shadow=’outside’ box_shadow_width=’10’ box_shadow_color=” align=’left’ font_size=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” hover=” blur_image=” grayscale_image=” fade_image=” appearance=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” transform_perspective=” transform_rotation=’,,,’ transform_scale=’,,’ transform_skew=’,’ transform_translate=’,,’ av-desktop-transform_perspective=” av-desktop-transform_rotation=’,,,’ av-desktop-transform_scale=’,,’ av-desktop-transform_skew=’,’ av-desktop-transform_translate=’,,’ av-medium-transform_perspective=” av-medium-transform_rotation=’,,,’ av-medium-transform_scale=’,,’ av-medium-transform_skew=’,’ av-medium-transform_translate=’,,’ av-small-transform_perspective=” av-small-transform_rotation=’,,,’ av-small-transform_scale=’,,’ av-small-transform_skew=’,’ av-small-transform_translate=’,,’ av-mini-transform_perspective=” av-mini-transform_rotation=’,,,’ av-mini-transform_scale=’,,’ av-mini-transform_skew=’,’ av-mini-transform_translate=’,,’ mask_overlay=” mask_overlay_shape=’blob’ mask_overlay_size=’contain’ mask_overlay_scale=’100%’ mask_overlay_position=’center center’ mask_overlay_repeat=’no-repeat’ mask_overlay_rotate=” mask_overlay_rad_shape=’circle’ mask_overlay_rad_position=’center center’ mask_overlay_opacity1=’0′ mask_overlay_opacity2=’1′ mask_overlay_opacity3=” link=” target=” title_attr=” alt_attr=” img_scrset=” lazy_loading=’disabled’ id=” custom_class=” template_class=” av_element_hidden_in_editor=’0′ av_uid=’av-l9i2jpwb’ sc_version=’1.0′ admin_preview_bg=”][/av_image]

[av_icon_box icon=’ue885′ font=’entypo-fontello’ title=’Step 3′ position=’left’ icon_style=’av-icon-style-no-border’ boxed=” font_color=” custom_title=” custom_content=” color=” custom_bg=” custom_font=” custom_border=” custom_title_size=’14’ av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” custom_content_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” heading_tag=” heading_class=” link=” linktarget=” linkelement=” id=” custom_class=” template_class=” av_uid=’av-15s72pa’ sc_version=’1.0′ admin_preview_bg=”]
Intestinal biopsy: With a #15 blade make a small incision (about 1cm long) along the mesenteric border of the loop of bowel.
[/av_icon_box]

[av_image src=’http://focusandflourish.com/wp-content/uploads/2022/10/Entity-page-Ex-Lap-V24-300×225.jpg’ attachment=’3312′ attachment_size=’medium’ copyright=” caption=” image_size=” styling=” box_shadow=’outside’ box_shadow_width=’10’ box_shadow_color=” align=’left’ font_size=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” hover=” blur_image=” grayscale_image=” fade_image=” appearance=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” transform_perspective=” transform_rotation=’,,,’ transform_scale=’,,’ transform_skew=’,’ transform_translate=’,,’ av-desktop-transform_perspective=” av-desktop-transform_rotation=’,,,’ av-desktop-transform_scale=’,,’ av-desktop-transform_skew=’,’ av-desktop-transform_translate=’,,’ av-medium-transform_perspective=” av-medium-transform_rotation=’,,,’ av-medium-transform_scale=’,,’ av-medium-transform_skew=’,’ av-medium-transform_translate=’,,’ av-small-transform_perspective=” av-small-transform_rotation=’,,,’ av-small-transform_scale=’,,’ av-small-transform_skew=’,’ av-small-transform_translate=’,,’ av-mini-transform_perspective=” av-mini-transform_rotation=’,,,’ av-mini-transform_scale=’,,’ av-mini-transform_skew=’,’ av-mini-transform_translate=’,,’ mask_overlay=” mask_overlay_shape=’blob’ mask_overlay_size=’contain’ mask_overlay_scale=’100%’ mask_overlay_position=’center center’ mask_overlay_repeat=’no-repeat’ mask_overlay_rotate=” mask_overlay_rad_shape=’circle’ mask_overlay_rad_position=’center center’ mask_overlay_opacity1=’0′ mask_overlay_opacity2=’1′ mask_overlay_opacity3=” link=” target=” title_attr=” alt_attr=” img_scrset=” lazy_loading=’disabled’ id=” custom_class=” template_class=” av_element_hidden_in_editor=’0′ av_uid=’av-l9i2jyfn’ sc_version=’1.0′ admin_preview_bg=”][/av_image]

[av_icon_box icon=’ue885′ font=’entypo-fontello’ title=’Step 4′ position=’left’ icon_style=’av-icon-style-no-border’ boxed=” font_color=” custom_title=” custom_content=” color=” custom_bg=” custom_font=” custom_border=” custom_title_size=’14’ av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” custom_content_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” heading_tag=” heading_class=” link=” linktarget=” linkelement=” id=” custom_class=” template_class=” av_uid=’av-zacv5a’ sc_version=’1.0′ admin_preview_bg=”]
Intestinal biopsy: Using Metzenbaum scissors excise a FULL thickness strip of tissue, about 1mm wide, along one edge of the incision. Place the sample in the formalin jar.
[/av_icon_box]

[av_image src=’http://focusandflourish.com/wp-content/uploads/2022/10/Entity-page-Ex-Lap-V25-300×225.jpg’ attachment=’3313′ attachment_size=’medium’ copyright=” caption=” image_size=” styling=” box_shadow=’outside’ box_shadow_width=’10’ box_shadow_color=” align=’left’ font_size=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” hover=” blur_image=” grayscale_image=” fade_image=” appearance=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” transform_perspective=” transform_rotation=’,,,’ transform_scale=’,,’ transform_skew=’,’ transform_translate=’,,’ av-desktop-transform_perspective=” av-desktop-transform_rotation=’,,,’ av-desktop-transform_scale=’,,’ av-desktop-transform_skew=’,’ av-desktop-transform_translate=’,,’ av-medium-transform_perspective=” av-medium-transform_rotation=’,,,’ av-medium-transform_scale=’,,’ av-medium-transform_skew=’,’ av-medium-transform_translate=’,,’ av-small-transform_perspective=” av-small-transform_rotation=’,,,’ av-small-transform_scale=’,,’ av-small-transform_skew=’,’ av-small-transform_translate=’,,’ av-mini-transform_perspective=” av-mini-transform_rotation=’,,,’ av-mini-transform_scale=’,,’ av-mini-transform_skew=’,’ av-mini-transform_translate=’,,’ mask_overlay=” mask_overlay_shape=’blob’ mask_overlay_size=’contain’ mask_overlay_scale=’100%’ mask_overlay_position=’center center’ mask_overlay_repeat=’no-repeat’ mask_overlay_rotate=” mask_overlay_rad_shape=’circle’ mask_overlay_rad_position=’center center’ mask_overlay_opacity1=’0′ mask_overlay_opacity2=’1′ mask_overlay_opacity3=” link=” target=” title_attr=” alt_attr=” img_scrset=” lazy_loading=’disabled’ id=” custom_class=” template_class=” av_element_hidden_in_editor=’0′ av_uid=’av-l9i2k5gr’ sc_version=’1.0′ admin_preview_bg=”][/av_image]

[av_icon_box icon=’ue885′ font=’entypo-fontello’ title=’Step 5′ position=’left’ icon_style=’av-icon-style-no-border’ boxed=” font_color=” custom_title=” custom_content=” color=” custom_bg=” custom_font=” custom_border=” custom_title_size=’14’ av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” custom_content_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” heading_tag=” heading_class=” link=” linktarget=” linkelement=” id=” custom_class=” template_class=” av_uid=’av-tinsri’ sc_version=’1.0′ admin_preview_bg=”]
Intestinal biopsy: Close the biopsy site with a simple interrupted, full thickness, apposing (not crushing) pattern. I like to start the closure in the centre of the enterotomy and I use a 3-0 or 4-0 shorter acting monofilament suture material.
[/av_icon_box]

[av_image src=’http://focusandflourish.com/wp-content/uploads/2022/10/Entity-page-Ex-Lap-V26-300×225.jpg’ attachment=’3314′ attachment_size=’medium’ copyright=” caption=” image_size=” styling=” box_shadow=’outside’ box_shadow_width=’10’ box_shadow_color=” align=’left’ font_size=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” hover=” blur_image=” grayscale_image=” fade_image=” appearance=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” transform_perspective=” transform_rotation=’,,,’ transform_scale=’,,’ transform_skew=’,’ transform_translate=’,,’ av-desktop-transform_perspective=” av-desktop-transform_rotation=’,,,’ av-desktop-transform_scale=’,,’ av-desktop-transform_skew=’,’ av-desktop-transform_translate=’,,’ av-medium-transform_perspective=” av-medium-transform_rotation=’,,,’ av-medium-transform_scale=’,,’ av-medium-transform_skew=’,’ av-medium-transform_translate=’,,’ av-small-transform_perspective=” av-small-transform_rotation=’,,,’ av-small-transform_scale=’,,’ av-small-transform_skew=’,’ av-small-transform_translate=’,,’ av-mini-transform_perspective=” av-mini-transform_rotation=’,,,’ av-mini-transform_scale=’,,’ av-mini-transform_skew=’,’ av-mini-transform_translate=’,,’ mask_overlay=” mask_overlay_shape=’blob’ mask_overlay_size=’contain’ mask_overlay_scale=’100%’ mask_overlay_position=’center center’ mask_overlay_repeat=’no-repeat’ mask_overlay_rotate=” mask_overlay_rad_shape=’circle’ mask_overlay_rad_position=’center center’ mask_overlay_opacity1=’0′ mask_overlay_opacity2=’1′ mask_overlay_opacity3=” link=” target=” title_attr=” alt_attr=” img_scrset=” lazy_loading=’disabled’ id=” custom_class=” template_class=” av_element_hidden_in_editor=’0′ av_uid=’av-l9i2kboj’ sc_version=’1.0′ admin_preview_bg=”][/av_image]

[av_icon_box icon=’ue885′ font=’entypo-fontello’ title=’Step 6′ position=’left’ icon_style=’av-icon-style-no-border’ boxed=” font_color=” custom_title=” custom_content=” color=” custom_bg=” custom_font=” custom_border=” custom_title_size=’14’ av-desktop-font-size-title=” av-medium-font-size-title=” av-small-font-size-title=” av-mini-font-size-title=” custom_content_size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” heading_tag=” heading_class=” link=” linktarget=” linkelement=” id=” custom_class=” template_class=” av_uid=’av-m7v2ce’ sc_version=’1.0′ admin_preview_bg=”]
Intestinal biopsy: When the closure is complete, do a leak test before moving on.
[/av_icon_box]

[/av_two_third]
[/av_section]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=’989′ size=” av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=” id=” custom_class=” template_class=” av_uid=’av-l9higm17′ sc_version=’1.0′ admin_preview_bg=”]
Preferred instrumentation:

Laparotomy sponges
General instrument pack
Doyens
Abdominal retractor (especially in larger dogs)
Biopsy jar

Post-operative Considerations

The post-operative management will vary depending on what was found and done at surgery.
If the ex lap was routine with only biopsies needed then consider NPO for 8-12 hours
Manage the pain from the abdominal surgery
Antibiotics may not be necessary or only used for 24-72 if aseptic technique was followed in light of the GI biopsies and no signs of infection were noted at surgery.
The abdominal incision should be allowed to heal properly with minimal activity for a 2 week period.

[/av_textblock]
[/av_section]

It is difficult to depict a full exploratory laparotomy using pictures but the course registration includes a fully narrated video of an Ex Lap with all its biopsies. You can see my technique and I describe some important key points such as how to assess the gall bladder and view the dorsal gutters (where the kidneys and adrenal glands are located).
[/av_textblock]
[/av_section]

Price: $325 CAD

[/av_textblock]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’20’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=” id=” custom_class=” template_class=” av_uid=’av-e2j80u’ sc_version=’1.0′ admin_preview_bg=”]
How long does an exploratory laparotomy take?
The exploratory of the abdominal organs, once the approach is complete, only takes between 5 and 10 minutes, depending on how many anomalies there might be to observe and consider. However, taking the biopsies of the various organs can be time consuming. The abdominal incision is also of a significant length so closure can also take some time. An ex lap can easily take 60-70 minutes skin-to-skin (assuming no major anomalies found and all usual organs biopsied).

How long does it take a dog to recover from an ex lap?
The recovery from this surgery is very much dependent on what has been found at surgery and how ill the patient was going into surgery. However, the recovery tends to be speedy with a routine ex lap and biopsies in a stable patient. The abdominal incision will take approximately 2 weeks to heal.
[/av_textblock]
[/av_section]

[av_section min_height=” min_height_pc=’25’ min_height_px=’500px’ shadow=’no-border-styling’ bottom_border=’no-border-styling’ bottom_border_diagonal_color=’#333333′ bottom_border_diagonal_direction=” bottom_border_style=” padding=’default’ custom_margin=’0px’ custom_margin_sync=’true’ av-desktop-custom_margin=” av-desktop-custom_margin_sync=’true’ av-medium-custom_margin=” av-medium-custom_margin_sync=’true’ av-small-custom_margin=” av-small-custom_margin_sync=’true’ av-mini-custom_margin=” av-mini-custom_margin_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” color=’main_color’ background=’bg_color’ custom_bg=’#e3f0fb’ background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” attach=’scroll’ position=’top left’ repeat=’no-repeat’ video=” video_ratio=’16:9′ overlay_opacity=’0.5′ overlay_color=” overlay_pattern=” overlay_custom_pattern=” custom_arrow_bg=” css_position_z_index=” av-desktop-css_position_z_index=” av-medium-css_position_z_index=” av-small-css_position_z_index=” av-mini-css_position_z_index=” av-small-hide=’aviaTBav-small-hide’ av-mini-hide=’aviaTBav-mini-hide’ id=” custom_class=” template_class=” aria_label=” av_element_hidden_in_editor=’0′ av_uid=’av-al3u0e’ sc_version=’1.0′]
[av_one_fifth first min_height=’av-equal-height-column’ vertical_alignment=’av-align-middle’ space=” row_boxshadow_width=’10’ row_boxshadow_color=” margin=’0px’ margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ mobile_breaking=” mobile_column_order=” border=” border_style=’solid’ border_color=” radius=” radius_sync=’true’ min_col_height=” padding=” padding_sync=’true’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” column_boxshadow_width=’10’ column_boxshadow_color=” background=’bg_color’ background_color=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” background_position=’top left’ background_repeat=’no-repeat’ highlight_size=’1.1′ animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” link=” linktarget=” link_hover=” title_attr=” alt_attr=” mobile_display=” mobile_col_pos=’0′ id=” custom_class=” template_class=” aria_label=” av_uid=’av-8qzna6′ sc_version=’1.0′]

[/av_one_fifth][av_three_fifth min_height=” vertical_alignment=’av-align-top’ space=” row_boxshadow_width=’10’ row_boxshadow_color=” margin=’0px’ margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ mobile_breaking=” mobile_column_order=” border=’1′ border_style=’solid’ border_color=’#ffffff’ radius=’20px’ radius_sync=’true’ min_col_height=” padding=’20px,40px,0px,40px’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” column_boxshadow_width=’10’ column_boxshadow_color=” background=’bg_color’ background_color=’#1788c5′ background_gradient_direction=’horizontal_rev’ background_gradient_color1=’#1788c5′ background_gradient_color2=’#1788c5′ background_gradient_color3=” src=” attachment=” attachment_size=” background_position=’top left’ background_repeat=’no-repeat’ highlight_size=’1.1′ animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” link=” linktarget=” link_hover=” title_attr=” alt_attr=” mobile_display=” mobile_col_pos=’0′ id=” custom_class=” template_class=” aria_label=” av_uid=’av-pv4hq’ sc_version=’1.0′]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’27’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=’#ffffff’ id=” custom_class=” template_class=” av_uid=’av-5hu6ku’ sc_version=’1.0′ admin_preview_bg=”]
Subscribe to our newsletter and receive 15% off a workshop of your choice!
[/av_textblock]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’27’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=’#004d83′ id=” custom_class=” template_class=” av_uid=’av-d0dji’ sc_version=’1.0′ admin_preview_bg=”]
[gravityform id=”38″ title=”false” description=”false” ajax=”true”]
[/av_textblock]

[/av_three_fifth][av_one_fifth min_height=” vertical_alignment=’av-align-top’ space=” row_boxshadow=” row_boxshadow_width=’10’ row_boxshadow_color=” custom_margin=” margin=’0px’ av-desktop-margin=” av-medium-margin=” av-small-margin=” av-mini-margin=” mobile_breaking=” mobile_column_order=” border=” border_style=’solid’ border_color=” radius=” min_col_height=” padding=” av-desktop-padding=” av-medium-padding=” av-small-padding=” av-mini-padding=” svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_flip=” svg_div_top_invert=” svg_div_top_front=” svg_div_top_opacity=” svg_div_top_preview=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_flip=” svg_div_bottom_invert=” svg_div_bottom_front=” svg_div_bottom_opacity=” svg_div_bottom_preview=” column_boxshadow=” column_boxshadow_width=’10’ column_boxshadow_color=” background=’bg_color’ background_color=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” background_position=’top left’ background_repeat=’no-repeat’ highlight=” highlight_size=” animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” css_position=” css_position_location=” css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=” av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=” av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=” av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=” av-mini-css_position_z_index=” link=” linktarget=” link_hover=” title_attr=” alt_attr=” mobile_display=” mobile_col_pos=’0′ id=” custom_class=” template_class=” aria_label=” av_uid=’av-1ywzu6′ sc_version=’1.0′]

[/av_one_fifth]
[/av_section]

[av_section min_height=” min_height_pc=’25’ min_height_px=’500px’ shadow=’no-border-styling’ bottom_border=’no-border-styling’ bottom_border_diagonal_color=’#333333′ bottom_border_diagonal_direction=” bottom_border_style=” padding=’default’ custom_margin=’0px’ custom_margin_sync=’true’ av-desktop-custom_margin=” av-desktop-custom_margin_sync=’true’ av-medium-custom_margin=” av-medium-custom_margin_sync=’true’ av-small-custom_margin=” av-small-custom_margin_sync=’true’ av-mini-custom_margin=” av-mini-custom_margin_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” color=’main_color’ background=’bg_color’ custom_bg=’#e3f0fb’ background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” attach=’scroll’ position=’top left’ repeat=’no-repeat’ video=” video_ratio=’16:9′ overlay_opacity=’0.5′ overlay_color=” overlay_pattern=” overlay_custom_pattern=” custom_arrow_bg=” css_position_z_index=” av-desktop-css_position_z_index=” av-medium-css_position_z_index=” av-small-css_position_z_index=” av-mini-css_position_z_index=” av-desktop-hide=’aviaTBav-desktop-hide’ av-medium-hide=’aviaTBav-medium-hide’ id=” custom_class=” template_class=” aria_label=” av_element_hidden_in_editor=’0′ av_uid=’av-l94j7xlj’ sc_version=’1.0′]
[av_one_fifth first min_height=’av-equal-height-column’ vertical_alignment=’av-align-middle’ space=” row_boxshadow_width=’10’ row_boxshadow_color=” margin=’0px’ margin_sync=’true’ av-desktop-margin=” av-desktop-margin_sync=’true’ av-medium-margin=” av-medium-margin_sync=’true’ av-small-margin=” av-small-margin_sync=’true’ av-mini-margin=” av-mini-margin_sync=’true’ mobile_breaking=” mobile_column_order=” border=” border_style=’solid’ border_color=” radius=” radius_sync=’true’ min_col_height=” padding=” padding_sync=’true’ av-desktop-padding=” av-desktop-padding_sync=’true’ av-medium-padding=” av-medium-padding_sync=’true’ av-small-padding=” av-small-padding_sync=’true’ av-mini-padding=” av-mini-padding_sync=’true’ svg_div_top=” svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50’ svg_div_top_max_height=’none’ svg_div_top_opacity=” svg_div_bottom=” svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50’ svg_div_bottom_max_height=’none’ svg_div_bottom_opacity=” column_boxshadow_width=’10’ column_boxshadow_color=” background=’bg_color’ background_color=” background_gradient_direction=’vertical’ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff’ background_gradient_color3=” src=” attachment=” attachment_size=” background_position=’top left’ background_repeat=’no-repeat’ highlight_size=’1.1′ animation=” animation_duration=” animation_custom_bg_color=” animation_z_index_curtain=’100′ parallax_parallax=” parallax_parallax_speed=” av-desktop-parallax_parallax=” av-desktop-parallax_parallax_speed=” av-medium-parallax_parallax=” av-medium-parallax_parallax_speed=” av-small-parallax_parallax=” av-small-parallax_parallax_speed=” av-mini-parallax_parallax=” av-mini-parallax_parallax_speed=” css_position=” css_position_location=’,,,’ css_position_z_index=” av-desktop-css_position=” av-desktop-css_position_location=’,,,’ av-desktop-css_position_z_index=” av-medium-css_position=” av-medium-css_position_location=’,,,’ av-medium-css_position_z_index=” av-small-css_position=” av-small-css_position_location=’,,,’ av-small-css_position_z_index=” av-mini-css_position=” av-mini-css_position_location=’,,,’ av-mini-css_position_z_index=” link=” linktarget=” link_hover=” title_attr=” alt_attr=” mobile_display=” mobile_col_pos=’0′ id=” custom_class=” template_class=” aria_label=” av_uid=’av-6i01v2′ sc_version=’1.0′]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’18’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=’#ffffff’ id=” custom_class=” template_class=” av_uid=’av-l94j8bbh’ sc_version=’1.0′ admin_preview_bg=”]
Subscribe to our newsletter
[/av_textblock]

[av_textblock textblock_styling_align=” textblock_styling=” textblock_styling_gap=” textblock_styling_mobile=” size=’27’ av-desktop-font-size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=’custom’ color=’#004d83′ id=” custom_class=” template_class=” av_uid=’av-l94j81o7′ sc_version=’1.0′ admin_preview_bg=”]
[gravityform id=”44″ title=”false” description=”false” ajax=”true”]
[/av_textblock]

[/av_one_fifth]
[/av_section]

Subscribe to our newsletter and receive 15% off your first online Workshop!

Price: $325 CAD

Workshops & Courses

Resources

Blog