Exam 1 - Canine Orchiectomy

Question 1

What technique is used in lab for a canine orchiectomy?

Answer 1

closed, pre-scrotal procedure

Question 2

What is the role of the surgeon in the canine orchiectomy?

Answer 2

incision, find and remove the left testicle (first), close the skin layer

Question 3

What is the role of the assistant surgeon in the canine orchiectomy?

Answer 3

find and remove the right testicle (second testicle) and close the subcutaneous layer

Question 4

What prep is done for a canine orchiectomy?

Answer 4

clip, antiseptic scrub, intratesticular block, and finish scrub

Question 5

What is the draping protocol for a canine orchiectomy?

Answer 5

place 4 huck towels, the first in front of you, and a paper drape - make sure to cut fenestration after placing it

Question 6

How do you start a canine orchiectomy?

Answer 6

Push the testicle into the pre-scrotal area under the median raphe, then incise down to the level of parietal layer of the vaginal tunic

Question 7

How do you know that you have reached the parietal layer of the vaginal tunic when making your prescrotal incision?

Answer 7

you will see a fat globule

Question 8

Once you see the fat globule, what should you do?

Answer 8

enlarge the incision and push out the testicle

Question 9

After the testicle is pushed through the incision, what is the next step?

Answer 9

Strip off the fascia around the cord

Question 10

You have finished stripping off the fascia around the cord, how do you finish the procedure on this testicle?

Answer 10

Place three rochester-carmalt forceps on the cord 0.5 cm apart. Place a Miller’s knot in the crushed area of the most proximal forceps. Place a transfixation ligature in the location of the second forceps after you have moved it distally up the cord. Finally transect in between the first and second forceps, grab the cord with Brown-Adson forceps, remove the Rochester- Carmalts, check for hemostasis and place back into the sheath

Question 11

What type of suture is used for a canine orchiectomy?

Answer 11

Polydioxanone 2-0 or 3-0

Question 12

How many layers is the closure for a canine orchiectomy?

Answer 12

2-layer closure

Question 13

What type of suture is used to close the incision site?

Answer 13

Polyglecaprone 25 (2-0 or 3-0)

Question 14

What pattern is used to close the superficial subcutaneous layer? The intradermal layer?

Answer 14

Simple continuous and intradermal with a buried knot