I actually have quit a different opinion here then most. There is no evidence that routine blood work/EKG will prevent anesthetic complications in a young age population. The incidence of significant cardiac/metabolic problems that would have been picked up by these two is very small. Most young dogs with significant pathology of this type will have obvious abnormalities on physical exam. In addition, anesthetic deaths in young animals/people is due to idiosyncratic reactions that cannot be tested for or known in advance. I think it is a waste of time and money as well as torture (blood draw) that isn't needed. I think you all know me fairly well by now and know I would never take medical risk with otto. I refused the pre-procedure labs and EKG, but insisted on a physical
I also think that subcuticular closure is probably not required in this setting. The cosmetic result is slightly better, but I can't see why that would matter too much when you are covered with hair
In addition, the subcuticular suture (susually monocryl) actually causes a local inflammatory reaction which is quite itchy compared to the inert sutures such as nylon or prolene. I think subcuticular closure would be fine, don't get me wrong, but it is by no means "better". In addition, there is no need to request inhaled anesthetics, are just as effective and both have simmilar safety profiles.
In surgery, there are many, many ways to skin a cat so to speak. You will be wise going with what your surgeon is most comfortable with and not trying to make them do things differently for no good reason. If they like interrupted prolene sutures and propofol instead of SQ monocryl and inhaled anesthetics, go with what he/she is most familiar with.
For example with people, we don't do routine labs/EKG until people hit about 50
PS: the evidence that circumcision reduces HIV/AIDS risk is weak. Further study is required to substantiate the initial observations in africa in regards to this. There has been some evidence that penile cancers are less common in circumcised males, but that has recently been disputed.
Here I am stuck in the middle with you
I practice societal sanctioned assault