Exam 1 - Feline Orchiectomy Flashcards
What is the role of the surgeon during prep?
do the local block
What is the role of the assistant surgeon during prep?
help with all aspects and get the scalpel blade from the center island before scrubbing
What is a neuter?
removal of animal’s reproductive organs - male or female
What is an open orchiectomy?
tunic is incised, structures ligated separately
What is a closed orchiectomy?
Tunic is not incised, vessels, vas deferens etc. ligated together
What feline orchiectomy procedure will we be doing in class?
closed, scrotal procedure
What is the surgeon responsible during the orchiectomy procedure?
incision, find and remove the first testicle, leave open to heal by second intention
What is the assistant surgeon responsible for during the orchiectomy procedure?
incision, find and remove the second testicle, and leave open to heal by second intention
How do you prep a patient for a closed, scrotal orchiectomy?
Put the patient in dorsal recumbency and tape the hind limbs forward. Clip or pluck the testicles and a small distance around the scrotum. Use the aseptic surgical prep technique on the clipped/plucked area
When should the inratesticular block be done?
After one surgical scrub
How should you drape a patient for a closed scrotal orchiectomy?
Lay one huck towel over the tail and then place a paper drape with a small fenestration
How do you perform a closed, scrotal orchiectomy?
Manually push the testicle into the scrotal area. Incise the scrotum down to the level of the parietal layer of the vaginal tunic with a #10 blade. Enlarge the incision and push out the testicle. Strip off the fascia around the cord manually or with gauze. Auto-ligate the cord with a pedicle tie using the overhand technique and a Halsted mosquito hemostat. Transect the testis and remove leaving a .5 cm tag. Use thumb forceps to check for bleeding. Once approved, place back into the scrotum and repeat with the other testicle
If the tunica albuginea is incised, what should be done?
It will be an open castration so clamp the tunic and continue as if it were a closed castration