The third edition of ‘The Cutting Edge, Basic Veterinary Surgery Techniques’ has been prepared by various veterinary lecturers at the Utrecht University Faculty of Veterinary Medicine, the University of Ghent, and the Royal Veterinary College of the London University. Its goal is to teach students the essential art of surgery without having a specific species in mind. This edition is designed for an open-access web-based platform. Students worldwide will be able to use the information for their benefit while improving their surgical knowledge and skills.
The ‘Cutting Edge 3’ provides veterinary students and new graduates tools to grasp the principles of surgery, along with a discussion of the limitations and complications of surgical procedures. It should not be regarded as a complete reading text for all surgical problems and techniques but merely a basis for the inexperienced surgeon. Other textbooks will be able to provide more advanced techniques.
Previously published work by Dr. Wim Klein, Dr. Marianne Tryfonidou, Dr. Rien van de Velden, Dr. Peter Stolk, Prof Herman Hazewinkel, Prof Astrid Rijkenhuizen, Dr. Ruud Keg, and Prof Ludo Hellebrekers is updated and expanded. We value their expertise and thank them for their previous work. Mr. Joop Fama is thanked for supplying many of the photographic materials used in this book. The ‘Cutting Edge 3’ is an improvement of the Cutting Edge 2 (2006) and is translated initially from the first edition ‘Leren Opereren’ (2005).
We want to acknowledge the help of Dr. Jos Ensink, Dr. Wim Back, Dr. Herman Jonker, and Dr. Stefan Cokelaere for their support of the equine and production animal sections.
Parts of this publication were previously published on Vetvisuals (www.vetvisuals.com), and we would like to thank André Romijn, from Roman House Publishers Ltd and Kathryn Jenner for their support.
Jolle Kirpensteijn & Gert ter Haar
Chief Editors
jollenl@gmail.com & gterhaar@anicura.com



Dr. Gert ter Haar is from the Netherlands and studied veterinary medicine at the Faculty of Veterinary Medicine in Utrecht. He graduated in February 1997 with differentiation in Small Animal Medicine and Surgery. After having worked for a few months in private practice, Gert accepted a Clinical Rotating Internship position at the Department of Clinical Sciences of Companion Animals at the Utrecht University, followed by a Residency in Small Animal Surgery from September 1998 – September 2001 in the same Department. In September 2001, he became Assistant Professor in Veterinary Surgery at the university where he trained, dealing mainly with Ear-, Nose- and Throat (ENT) and upper airway diseases. In July 2002, he passed the surgical specialist certifying examination held in Vienna and became a Diplomate of the European College of Veterinary Surgeons. He then became Head of the Department of ENT at the University of Utrecht in February 2003. Also, in 2003 he became the secretary of the International Veterinary Ear, Nose and Throat Association (IVENTA), a specialist association affiliated with the World Small Animal Veterinary Association (WSAVA). His research on hearing in dogs led to his Ph.D. thesis, a 220-page book entitled “Age-related hearing loss in dogs.” in 2009. On the same day, he became President of the IVENTA and the representative of the IVENTA to the WSAVA. He gave over 200 national and international lectures on ENT medicine & surgery, hearing research in dogs, and soft tissue/reconstructive surgery in dogs and cats. He joined the Royal Veterinary College’s surgical team in London, the United Kingdom, in September 2011, where he is working as a senior lecturer in soft tissue surgery and head of the ENT department and ENT, Audiology and Brachycephaly clinics. In 2017, Gert started working in private practice for Anicura in Utrecht, The Netherlands. His current research involves a hearing loss in dogs and cats and brachycephalic obstructive airway syndrome.
Dr. Jolle Kirpensteijn graduated from the Utrecht University Faculty of Veterinary Medicine, Holland in 1988 and finished an internship in small animal medicine and surgery at the University of Georgia in the United States of America in 1989. After his internship, he completed his residency training in small animal surgery and a master’s degree at Kansas State University, USA. The residency was followed by a fellowship in surgical oncology at the Colorado State University Comparative Oncology Unit, USA. In 1993, Jolle returned to Europe to accept a surgical oncology position and soft tissue surgery at Utrecht University. In February of 2005, he was appointed Professor in Surgery at the University of Copenhagen and in August 2008 Professor in Soft Tissue Surgery at Utrecht University. Jolle is a Diplomate of the American and European College of Veterinary Surgeons. Jolle received the title Founding Fellow in Surgical Oncology (2012) and Minimally Invasive Surgery (Small Animal Soft Tissue) (2017) of the American College of Veterinary Surgeons (ACVS). In September 2013, Jolle accepted the Chief Professional Relation Officer position at Hills Pet Nutrition in the USA. Here, he played an integral role as the interface between the company and the profession at large. In 2018, he was promoted to the Chief Professional Veterinary Officer position in the US, where he leads all professional activities in the United States. Jolle has published over 100 peer-reviewed articles, given more than 250 lectures worldwide, and has received the prestigious BSAVA Simon Award in 2007, Hills Voorjaarsdagen Excellence in Healthcare Award in 2009, WSAVA President’s Award, and honorary membership to the Netherlands Association of Companion Animal Medicine (NACAM) in 2017. His main clinical and research interests are professional social media and digital innovations, surgical oncology, and endoscopic & reconstructive surgery. Check out his podcasts at purrpodcast.net and globalveterinarysurgery.net