Castration

Question 1

Removal of Both Testicles, Regardless of Location

Answer 1

Castration

(aka Orchiectomy, Orchidectomy)

Question 2

Routine Surgical Approach for Castration

Answer 2

Pre-Scrotal

_*Pre-Scrotal- Standard Approach to Castration_

*Scrotal Approach- Used for Mature Large Breed Dogs

Inguinal/Abdominal Approach- Cryptorchid Testicles

Question 3

Surgical Approach for Castration Described Below:

Shave, Prep, and Drape Prescrotal Region

Stand on “Wrong Side”

Advance Testicle to Prescrotal Position

Incise over Testicle on Midline

Pop Testicle through Incision

Strip Fat and Fascia from Tunic with Gauze

Fully Exteriorize Testicle

Answer 3

Prescrotal Approach

Question 4

Technique used for a ______ Castration in a Dog:

Fully Exteriorize Testicle via Pre-Scrotal Approach

Apply Clamps (Three Clamp Technique)

Double Ligate Pedicle- Millers Knot in Proximal Crush, 2nd Ligature: Transfixing

2-0 Absorbabe Monofilament Suture

Divide Pedicle

Same Technique for Contralateral Testicle via the Same Skin Incision

Answer 4

Closed

Question 5

Suture Used to Ligate the Pedicle during Castration

Answer 5

2-0 Absorbable Monofilament

Question 6

Pattern and Suture Type used to Close the Skin following Castration

Answer 6

Cruciate or Intradermal Pattern

3-0 Monofilament Absorbable/Nonabsorbable

Question 7

Technique used for an ______ Castration in a Dog:

Incise through Parietal Tunic, Expose Testicle

Technically Entering Abdominal Cavity

Extend Incision with Scissors

Ligate Components Separately- Vascular Components, Parietal Tunic, Cremaster, Ductus Deferens

Answer 7

Open

*Big Difference between and Open vs. Closed Castration- You are Excising through the Parietal Tunic and you are Exposing the Testicle Underneath in an Open Castration

If you are Performing a Closed Castration and you misjudge the depth of your incisions you can sometimes lacerate the Parietal Tunic and the Closed Castration will become and Open Castration

Question 8

True/False: Whether you are doing a Closed or Open Castration, be able to Identify the parts of the Spermatic Cord

Answer 8

True

Question 9

______ Castration:

Answer 9

Closed

Question 10

______ Castration:

Answer 10

Open

*Because you are Ligating things Individually- Less Risk of Ligature Slipping and Decreased Risk of Abdominal Hemorrhage

Question 11

Technique used for _____ Castration:

Pluck Scrotum, prep Perineal Region

Tense Skin over Scrotum

Incise and push Testicle through Incision

Closure- Heal by Second Intention

Answer 11

Feline

*With Cats, rather than Closing anything Primarily, you are going to Leave it open and let it heal by Second Intention

Question 12

Knot Technique used in Closed Castration of Felines shown Below

Answer 12

Overhand Knot Technique

Question 13

Name Four Complications of Castration

Answer 13

Scrotal Bruising or Hematoma- Most Common

Hemorrahge- Inadequate Ligation

Infection

Dehiscence