C-Section in the Cow - Dr. Niehaus Flashcards

1
Q

(T/F) The epidural will hopefully help desensitize the perineal region and decrease straining, which can actually make the surgical procedure easier, and associated with fewer complications

A

True

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2
Q

Why do most surgeons prefer the LEFT flank (standing or recumbent) approach for C-sections in cattle?

A

The rumen on the left acts as a visceral retainer for abdominal viscera

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3
Q

What is the big advantage of ventral midline surgery?

A

We can get better exteriorization of the uterus

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4
Q

(T/F) All recumbent surgeries can be performed under general or local anesthesia. But, general anesthesia for recumbent surgeries is preferred

A

True

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5
Q

What is a disadvantage of the Left Flank Approach?

A

Limited uterine exteriorization

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6
Q

What are the contraindications of a Left Flank Approach?

A
  • Dead or emphysematous fetuses
  • Severely contaminated uterine fluid
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7
Q

What approach is the following?
- Incision in left flank 6-8 inches ventral to transverse processes of lumbar vertebrae
- Incision should be made large enough to extract the fetus
- Vertical or Oblique

A

Left Flank Approach

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8
Q

What approach is the following?
- Indicated when the uterine fluid is contaminated
- General anesthesia preferred
- Almost the entire gravid horn can be exteriorized

A

Ventral Midline Approach

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9
Q

The sheep’s uterus has been closed with an inverting pattern following C-section. What are the advantages of the use of inverting patterns for uterine closure?

A
  • It achieves a better seal than appositional patterns
  • It buries the suture, leaving less suture exposed in the abdomen
    - which decreases the incidence of adhesions
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