19 - Surgical Potpourri Flashcards
Rectal prolapse occur secondary to
Rectal masses
What to do if the prolapse is not associated with a mass and is reducible
Anesthetized, reduce prolapse, purse strings suture
If the rectal tissue
It can be soaked in 50% dextrose to helpe it shrink
Where is the purse string suture placed
At the mucocutaneous junction just inside of the anal scat
What should be done if hard feces is present
Enema or digital rectal evacuation
For recurrent prolapse of healthy tissue what can be performed
Colopexy
Colopexy
Abdominal approach, colon is retracted cranially until it is straighten out and under mild tension , the peritoneum, trans versus abdominal along the left abdominal wall are incised in horizontal direction, colon is scarified and the colon is sutured to the exposed muscle of the abdominal wall with 2- 0
How can you determine the thickness of the seromuscular layer
Pinch the colon wall
Abdominal hernias are classified by
Anatomical location, origin, state of their contents
Umbilical hernias result form
Failure of the umbilical ring closure
Common hernias are usually repaired at the time with
Gonadectomy
A scrotal hernia is the extension of
Inguinal hernia into the scortum
Femoral hernias occur through the
Femoral canal caudolateral to the inguinal ring
Perineal hernias occur with
Laxity/dailure of the pelvic diaphragm
Diagnosis of hernia is often possible wiht
palpation
In a painful hernia patient how should you diagnose
Ultrasound
Strangulated intestine could result in
Sepsis and endotoxic shock
Animals with traumatic abdominal wall or prepubic tendon hernias may have
Lung contusions, arrhythmias, fractures , or even disruption of the urinary tract
When abdominal hernia do not contain incarcerated or strangulated viscera that can be approached
With an incision directly over the hernia
If the abdominal hernia contains viscera that are entrapped or strangulate what approach
Double approach - abdominal and hernaial
Traumatic abdominal wall hernias can be approached
Over the hernia directly or through the abdomen
Perineal hernia results from
Weakness of the levator ani and coccyges muscles
The levator ani and coccyg
