Exam 1 - Canine and Feline Ovariohysterectomy

Question 1

What is an ovariohysterectomy (OHE)?

Answer 1

removing the ovaries and uterus

Question 2

What is a spay?

Answer 2

to surgically remove the ovaries (and usually the uterus)

Question 3

Is an ovariohysterectomy an open or closed procedure?

Answer 3

Open - laparoscopy

Question 4

What is the role of the surgeon during the ovariohysterectomy?

Answer 4

Incision, find and remove the left ovary (first ovary), remove uterine body, and close body wall and skin layer

Question 5

What is the role of the assistant surgeon during the ovariohysterectomy?

Answer 5

find and remove the right ovary (second ovary), and close the subcutaneous layer

Question 6

How is a patient prepped for an ovariohysterectomy?

Answer 6

Clip wide margins, do a line block, and scrub protocol with aseptic technique

Question 7

How should a patient be draped for a ovariohysterectomy?

Answer 7

Place 4 huck towels - one between you and the patient first and use Backhaus towl clamps to secure
Place a large paper drape and cut a small fenestration in it. Use Lorna-Edna clamps to secure

Question 8

What is the approach for an ovariohysterectomy?

Answer 8

ventral midline incision

Question 9

Where should the incision be centered in an adult dog?

Answer 9

On the cranial third of the caudal abdomen

Question 10

Where should the incision be centered in prepubertal puppies and cats?

Answer 10

centered on the middle third

Question 11

When should you use a #10 blade on the incision in an ovariohysterectomy?

Answer 11

for cutting into the skin and subcutaneous tissue

Question 12

What is the use for metzenbaum scissors when making an ovariohysterectomy incision?

Answer 12

push cut subcutaneous tissues off of the body wall

Question 13

How do you incise into the linea alba for an ovariohysterectomy?

Answer 13

Tent up for a stab incision and then extend it

Question 14

What are the steps for an ovariohysterectomy from incision up until isolation of the ovary?

Answer 14

Locate the left horn and/or ovary with a spay hook or fingers
Palpate suspensory ligament
Break down suspensory ligament if needed for adequate exposure - usually don’t have to do in cats
Isolate ovary and find vasculature

Question 15

Where is the preferred site for suspensory ligament rupture?

Answer 15

craniodorsal attachment to the abdominal wall the furthest away from the important vascular structures

Question 16

How do you rupture the suspensory ligament?

Answer 16

Identify and hold the proper ligament
Identify the suspensory ligament at the cranial free border
Rupture the suspensory ligament in a controlled fashion - lateral to medial direction, close to the abdominal wall with your index finger

Question 17

What should be clamped prior to ligating?

Answer 17

The pedicle and the proper ligament

Question 18

What should the broad ligament be fenestrated with in a dog?

Answer 18

hemostat or Rochester-Carmalt forceps

Question 19

What should the broad ligament be fenestrated with in a cat?

Answer 19

hemostat or Bainbridge forceps

Question 20

What should the pedicle be clamped with, with how many clamps, and where?

Answer 20

2 Rochester-Carmalt or Bainbridge forceps proximal to the ovary (close to the abdomen)

Question 21

How many clamps should the proper ligament be clamped with and where?

Answer 21

1 clamp distal to the ovary

Question 22

What should the pedicle be ligated with (suture and ligation type) in the dog?

Answer 22

Polydioxanone 2-0 or 0
Miller’s knot at 1st forceps
Transfication ligature at 2nd forceps

Question 23

What should the pedicle be ligated with (suture and ligation type) in the cat?

Answer 23

Polydioxanone 2-0 or 3-0
Miller’s knot at the first forceps
Encircling ligature at 2nd forceps

Question 24

After knots and ligatures have been placed, what should be done next?

Answer 24

Transect the ovarian pedicle with Metzenbaum scissors or scalpel blade and evaluate hemostasis with thumb forceps (get surgeon to verify before releasing)

Question 25

After transecting the ovarian pedicle and before repeating the steps on the next ovary, what should be done?

Answer 25

tear the broad ligament to the uterine bifurcation

Question 26

What should the uterine body be ligated with (suture and ligation type) in the dog?

Answer 26

Polydioxanone 2-0 or 0 with a miller’s knot and a transfixation ligature

Question 27

What should the uterine body be ligated with (suture and ligation type) in the cat?

Answer 27

Polydioxanone 2-0 or 3-0 with a miller’s knot and a transfixation ligature

Question 28

What should the linea alba be closed with (suture and pattern) in the dog?

Answer 28

Polydioxanone (PDS/Monodox) 0 or 2-0 in a simple continuous pattern

Question 29

What should the linea alba be closed with (suture and pattern) in the cat?

Answer 29

Polydioxanone (PDS/Monodox) 2-0 or 3-0 in a simple continuous pattern

Question 30

What should the subcutaneous layer be closed with (suture and pattern) in the dog?

Answer 30

Poliglecaprone 25 (Monocryl/Monoswift) 2-0 or 3-0 in a simple continuous pattern with a buried not at the beginning of the suture

Question 31

What should the subcutaneous layer be closed with (suture and pattern) in the cat?

Answer 31

Poliglecaprone 25 (Monocryl/Monoswift) 3-0 or 4-0 in a simple continuous pattern with a buried not at the beginning of the suture

Question 32

What should the skin be closed with (suture and pattern) in the dog?

Answer 32

Poliglecaprone 25 (Monocryl/Monoswift) 2-0 or 3-0 in a buried intradermal pattern with a buried knot at the end

Question 33

What should the skin be closed with (suture and pattern) in the cat?

Answer 33

Poliglecaprone 25 (Monocryl/Monoswift) 3-0 or 4-0 in a buried intradermal pattern with a buried knot at the end

Question 34

What are the final steps to an ovariohysterectomy post skin closure?

Answer 34

Use tissue glue if needed to put the cut edges together and using a tattoo gun place a 1cm green line lateral to the incision