Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Surgery and Anesthesia test 1 > Equine Uterine and ovarian surgery > Flashcards

Equine Uterine and ovarian surgery Flashcards

1
Q

Ovariectomy indications

A

ovarian disease

behavior

genetic

uterine malformation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

REBA

7 yo pony mare with stallion like behavior for 6 months, have not observed in heat

repro exam: left ovary >10 cm diameter, right ovary very small

U/s left ovary cystic appearance

DDx for large ovary? DDx for small ovary

A

Large ovary: hematoma, abscess, neoplasia, cyst

small ovary: anestrus, functional tumor on other ovary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

REBA

7 yo pony mare with stallion like behavior for 6 months, have not observed in heat

repro exam: left ovary >10 cm diameter, right ovary very small

U/s left ovary cystic appearance

CBC/chem: WNL

Progesterone: low

Testosterone: high

inhibin: high

What does REBA have

A

Granulosa cell tumor

secretes inhibin>testosterone>estrogen

other ovary nonfunctional

rarely malignant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

REBA

7 yo pony mare with stallion like behavior for 6 months, have not observed in heat

repro exam: left ovary >10 cm diameter, right ovary very small

U/s left ovary cystic appearance

CBC/chem: WNL

Progesterone: low

Testosterone: high

inhibin: high

She has granulosa cell tumor

What are the surgical options?

A

Colpotomy

laparoscopic removal

flank incision

ventral celiotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Surgical choice for : Best client’s best horse for granulosa cell tumor

A

laparoscopic

less hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

surgical choice for: a backyard “rescued” mare (low dollar value) that gets an attitude with each heat cycle

A

colpotomy

cheap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Colpotomy

A

remove fecal ball or end of uterus-hold off feed

vaginal incision left open-keep cross tied

ovarian pedicle crushed-incomplete crush can lead to hemorrhage

risk of peritonitis, abscesses

colic postop-prevent with mineral oil prepop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Flank laparotomy

A

standing

may be able to reach ovaries from one side

best for smaller ovaries

crush pedicle or use stapler

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Complications of flank laparotomy

A

hemorrhage-keep quiet for 2-3 days

incisional problems-edema, dehiscence

peritonitis

colic-prevent with mineral oil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Ventral laparotomy

A

oblique paramedian

direct visualization of pedicle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

complications of ventral laparotomy

A

hemorrhage-esp with tumors

peritonitis, incisional infection

incisional hernia-stall rest 4-6 weeks

colic-prevent with mineral oil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

laparoscopy

A

standing

hemorrhage is controlled-coagulation

may need bilateral approaches

small incisions

preferred technique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

complications of laparoscopy

A

colic-gas insufflation

incisional problems-related to size of ovary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ramona

8 yo QH mare

8 mo gestation

colic signs: intermittent, moderate

vaginal exam: normal, cervix closed

rectal exam: band running over top of uterus from left to right, band running on right ventrally, foal seems to be further forward than normal, impaction of small colon and twisted to the right

What’s going on?

A

uterine torsion

typical presentation

8-9 mo gestation

normal vaginal exam

clockwise torsion

DDx colic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Tx options for uterine torsion

A

detorse using fetus

roll

sx: flank, ventral midline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

uterine torsion: detorse using fetus

A

vaginal approach, grab foal, rock foal until torsion corrects

usually can’t get to foal because cervix is not open

17
Q

uterine torsion: roll

A

roll the mare to catch up with the uterus

in direction of torsion

repeat rectal to confirm detorsed

complications: uterine rupture, recurrence (camelids)

18
Q

Uterine torsion: flank surgery

A

standing through PLF

complications: uterine tear, peritonitis, incisional problems

19
Q

uterine torsion: ventral midline

A

if big foal, big horse, damaged uterus, emphysematous fetus

easier for C-section and repair of uterus

20
Q

Uterine torsion Prognosis

A

mare survial: 73-84%, with no impairment on fertility

foal survival-54-70% if alive at time of surgery, may have maladjustment syndrome

better survival if <320 d gestation at time of torsion, able to correct via flank incision

21
Q

Uterine torsion in Camelids

A

more like cows-later gestation with vaginal twist

tx: rolling, female does it on their own, C-section

22
Q

Cesarean section: semielective

A

planned C-section: anticipated dystocia, poss trauma to mare

dying mare: quick delivery, sterility not crucial, low flank approach just after mare is anesthesized

23
Q

Cesarean section: semiemergency

A

dead foal: need to remove witin 3-4 hours of membrane rupture

24
Q

Cesarean section: emergency

A

foal alive or poss alive

need to remove within 45-60 min of membrane rupture

25
Q

cesarean section details

A

ventral midline

good anes team

start caudal to umbilicus and extend forward

find limb

exteriorize so stable

pack off abdomen, stay sutures on uterus

chains ready, foal team ready, cut

tilt horse or table

hemostatis stitch to control hemorrhage-close uterus in 2 layers, don’t suture in placenta

26
Q

Cesarean section: post op

A

oxytocin until placenta is expelled

watch feet for laminitis

Abx +NSAIDS 3-5d

uterine lavage after 12-24 h

exercise

montiro manure

27
Q

Cesarean section: complications

A

related to trauma of dystocia and manipulation: uterine, cervical or vaginal tear; interstinal bruising; postpartum straining; retained placenta

related to sx: incisional complications, anes complications, retained placenta, hemorrhage from uterine incision, myopathy, uterine adhesions

28
Q

cesarean section: prognosis

A

foal-low

mare high decreased fertility

29
Q

C-section Camelids

A

ventral midline or left flank

if no cria within 10 min of starting manipalution

always check for twin

placenta easier to remove

excellent future fertility

30
Q

peripartum hemorrage

A

includes external iliac a, uterine a & its branches

often older mares

if external to broad ligament, will bleed out

if internal to broad ligament, may live

31
Q

peripartum hemorrhage clin sxa

A

colic

anxious

pale

inc HR

dec Temp

weakness

blood on abd tap

32
Q

peripartum hemorrhage: tx

A

r/o colic

fluids: hypertonic, blood

aminocaproic acid, formalin

don’t stress or rebreed

referral

33
Q

causes of uterine rupture

A

dystocia (esp camelids)

uterine torsion

hydroamnois

normal delivery

34
Q

uterine rupture

A

dorsal aspect

palpate per vagina

peritonitis

hemorrhage if large

death after lavage

supportive therapy

Refer’

35
Q

hysterectomy

A

rare

pyrometric

tumor

macerated fetus

structural anomaly

36
Q

uterine cyst

A

interfere with implantation

DDY preg

TX: laser ablation

37
Q
A

Surgery and Anesthesia test 1 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions