Abdominal Sx Flashcards
indicated for umbilical hernias
umbilical herniorrhapy
uncomplicated hernia
reducible hernia
hernia w/ abscess
partially reducible hernia
abscess and hernia (complicated by incarceration, adhesion, or strangulation)
irreducible hernia
position for umbilical herniorrhapy
dorsal recum
analgesia for umbilical herniorrhapy
- cranial epidural analgesia w/ field block cranial to umbilicus
- GA
type of irreducible where there are adhesions between hernial contents and hernial sac (peritoneal fluid,, greater omentum, abomasum, LI)
hernia accreta
type of irreducible where there is incarceration of viscera by hernial ring
incarcerated hernia
best for hernia accreta or incarcerated hernia
amputation of internal hernial sac
closing for hernial ring
horizontal mattress or Mayo suture pattern
when all sutures have been inserted, ____________________ is applied on all sutures to close hernial ring
steady traction
best for reducible hernia
replacement of internal hernial sac
best for very large hernial ring
closure of hernial ring using alloplastic material (mesh)
material and pattern to hold mesh
non-ab; SI
suture mat for closure of ring (reducible)
- smooth non-ab
- monofilament nylon
- multifilament sheathed nylon
- stainless steel
SC tissue suture pattern
continuous to obliterate dead space
skin suture pattern
SI
in females, a _______________ is reco for support
belly bandage
T/F: restrict pre- and postop feed intake to reduce tension on wound edges
T
reasons for failure of repair
- sutures cutting thru tissues due to excessive tension
- sutures tied tightly
- ring too large
- margin of ring too rigid
- excess activity post-op
- infxn
post-op management for herniorrhapy
- systemic antibiotics 3-5 d
- water only for 2 days
- calf confinement
- wound cleaning (diluted povidone iodine)
herniorrhaphy complications
- seroma (leads to abscessation)
- hematoma
- dehiscence w/ prolapse of omentum (treat ASAP)
indicated for infxn of umbilical cord due to abscessation of urachus
resection of urachal fistula
can be used to determine the direction and depth of fistula
probe
anesth for resection of urachal fistula
- caudal epidural w/ field block cranial to umbilicus
- GA
position for resection of urachal fistula
dorsal rec w/ legs in extended position
in resection of urachal fistula, make and _______________ incision around umbilicus and extend parapreputially
elliptical
urachal fistulas often extend to serosa of the bladder
——> _____________
partial cystectomy
closing for bladder
Schmieden and Lembert
laparotomy in cattle is mostly carried out thru a _________ incision
flank
standard method for left flank is __________________ incision
through-and-through
local analgesia for laparotomy
infiltration, inverted L, paravertebral
suture pattern for peritoneum, transversalis fascia, transversus mm.
simple continuous
suture pattern for oblique mm.
SI (an or non-ab)
subcutis suture pattern
simple continuous (ab)
skin suture pattern
SI (non-ab)
usually executed by a true grid or a modified grid incision
right flank laparotomy
external oblique mm is split in the direction of its fibers (caudo-ventrally)
true grid
external oblique mm. is incised vertically
modified grid
layers of closing for left flank lapa
3-4
layers of closing for right flank lapa
4
rumenotomy indications
- removal of FB (traumatic reticulitis/reticuloperitonitis)
- severe rumen overload (ingestion of toxic plants)
- exploratory surgery (chronic tympany)
- removal of neoplasia
rumenotomy technique
left flank laparotomy
used to prevent peritoneal contamination
Weingart’s apparatus
suture pattern for rumen and reticulum
Schmieden, Lembert/Cushing (ab or non-ab)
etiology of LDA (left displaced abomasum)
- high BCS at parturition
- high concentrated feed intake (low fiber diet)
- sudden change of feed
- rearrangement of viscera after parturition
- dz (fatty liver, ketosis, metritis, mastitis, hypocalcemia)
conservative technique for LDA
rolling
LDA techniques
- omentopexy or abomasopexy by right paramedial laparotomy
- omentopexy thru left or right flank
- percutaneous abomasopexy
other term for percutaneous fixation
Utrecht method
position for percutaneous fixation
standing left flank
anesth for percutaneous fixation
paravertebral or local infiltration
closing for abomasum in percutaneous fixation
seromuscular purse string suture pattern
position for percutaneous fixation using a bar suture
right lat recum
anesth for percutaneous fixation using a bar suture
xyla (45-50 mg IV)
conservative treatment for RDA
- inc exercise
- provide access to fodder
- metaclopramide admin
- calcium borogluconate
RDA clinical signs
- pain ,bruxism
- tachycardia
- rumen stasis
- rectal palpation for further exam
- large, smooth, tense-walled viscus ventrally on right side
- metabolic alkalosis (early) and acidosis (late)
displacement always starts w/ a ________
flexio (displacement about a horizontal axis running cranio-caudally)
flexio is followed by _____________
rotation (abomasum turns about an axis perpendicular to its greater curvature)
cecotomy CS
- distention of right abdominal cavity
- dark and mucoid feces
- absence of feces in rectum
position for cecotomy
right flank lapa
closing for cecum
Schmieden and Lembert
most often observed in piglet
absence of anal opening
T/F: in male piglet, distention may not be evident because of recto-vaginal fistula wherein some evacuation may occur
F - female
