Abdominal Exploratory Sx

Question 1

What are the landmarks for an inverted L or 7 block?

Answer 1

(Just caudal to the last rib and under the transverse process of the lumbar vertebrae)

Question 2

Why should the caudal abdomen be explored first in an abdominal exploratory in cattle?

Answer 2

(The chances of there being something infected in the cranial portion of the abdomen is higher (traumatic reticulopericarditis) than something in the caudal portion, do not want to track cranial bacteria everywhere else you go)

Question 3

Sort the following surgeries into if you would perform a left or right paralumbar celiotomy for them.

• Abomasal surgery
• Intestinal surgery
• C-section
• Cecal surgery
• Rumenotomy

Answer 3

• Abomasal surgery (Either)
• Intestinal surgery (right)
• C-section (left)
• Cecal surgery (right)
• Rumenotomy (left)

Question 4

How far should your paralumbar celiotomy incision be caudal to the last rib and ventral to the transverse processes of the spine?

Answer 4

(4-6 cm caudal to the last rib and 6-8 cm ventral to the transverse processes)

Question 5

What layers are you going through in a right paramedian celiotomy?

Answer 5

(Skin, external sheath of rectus abdominis, rectus abdominis, internal sheath of rectus abdominis, and peritoneum)

Question 5

What layers are you going through in a right or left paralumbar celiotomy?

Answer 5

(Skin, EAO, IAO, transversus abdominis, and peritoneum)

Question 6

What cases are ventrolateral celiotomies used for?

Answer 6

(C-section or removal of emphysematous feti)

Question 7

What surgical approach is good for c-sections or removal of emphysematous fetus(es) in pigs and horses?

Answer 7

(Ventral midline celiotomy)

Question 8

What cases are left oblique celiotomies used for?

Answer 8

(C-section or removal of emphysematous feti)

Question 9

What cases are right paracostal approaches reserved for?

Answer 9

(Needing abdominal access in calves → better exposure)