C-Section in the Cow - Dr. Niehaus Flashcards
(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
True
Why do most surgeons prefer the LEFT flank (standing or recumbent) approach for C-sections in cattle?
The rumen on the left acts as a visceral retainer for abdominal viscera
What is the big advantage of ventral midline surgery?
We can get better exteriorization of the uterus
(T/F) All recumbent surgeries can be performed under general or local anesthesia. But, general anesthesia for recumbent surgeries is preferred
True
What is a disadvantage of the Left Flank Approach?
Limited uterine exteriorization
What are the contraindications of a Left Flank Approach?
- Dead or emphysematous fetuses
- Severely contaminated uterine fluid
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
Left Flank Approach
What approach is the following?
- Indicated when the uterine fluid is contaminated
- General anesthesia preferred
- Almost the entire gravid horn can be exteriorized
Ventral Midline Approach
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?
- 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