LA repro surgery (Freeman)

Question 1

Castration indications

Answer 1

• safety
  
  • horse
  • other horses
  • people

Question 2

most castrations done at

Answer 2

12 months

Question 3

horse must be up to date on

Answer 3

vaccines

Question 4

rucumbent castration

Answer 4

• IV anesthesia
• better access
• time consuming
• safe for surgeon

Question 5

open castration

Answer 5

• refers to initial incision
  
  • skin and vaginal tunic

Question 6

closed castration

Answer 6

• refers to initial skin incision
  
  • skin only

Question 7

make your incision about 1/2 cm from

Answer 7

• median raphe
  
  • most depend part of scrotum, good for drainages

Question 8

advantage of closed castration

Answer 8

• potentially less contamination
• potentially less likely to become infected

Question 9

Emasculators

Answer 9

• serra
• Reimer
  
  • crushes the cord and then cuts the cord

Question 10

‘the rule’

Answer 10

nut to nut

• nut of emasculator towards testicle
• put nut on crimp side

Question 11

castration aftercare

Answer 11

• walking exercise at least 2X daily
  
  • reduces swelling
• don’t ride horse for 5-7 days
• hydrotherapy optional
• don’t need antibiotics
• 5-6 days of NSAIDS
• Digital opening of incision if large amount swelling

Question 12

Complications castration

Answer 12

• swelling
• infection
• hemorrhage
• evisceration
  
  • bowel
  • omentum
• Severe pain
• unaltered behavior
• hydrocele
• urethral transection
• peritonitis

Question 13

breed disposition for hernias

Answer 13

• standardbreed
• maybe gaited horses….?

Question 14

Cryptorchidism

Answer 14

• abdominal or inguinal
• hormal assay
• ultrasound

Question 15

what comes before the testicle?

Answer 15

gubernaculum

Question 16

Laparoscopy

Answer 16

• general/standing anesthesia
• +/- insufflation with CO₂
• placement of scope
• instrument portals

Question 17

The retained testicle is always

Answer 17

smaller than the descended one

Question 18

Squamous cell carcinoma

Answer 18

• most common penile dz
• can met to lungs
  
  • can’t do chest rads
• TX by sx
  
  • reefing
  • amputation

Question 19

Penile trauma

Answer 19

• kick
• support penis, get swelling out

Question 20

Caslick’s

Answer 20

• epioplasty
• pneumovaginal
• age-related
• poor perineal conformation
  
  • urine pooling
  • perineal injuries

Question 21

Urethral extension

Answer 21

• correction for urine pooling

Question 22

Perineal lacerations

Answer 22

• 3rd degree
  
  • rectovaginal laceration
  • rectovaginal fistula
• Risk factors
  
  • first foal
  • unassisted
• WAIT 30 days before repair! (Not an emergency repair)

*not life threatening because it doesn’t go into the peritoneum

Question 23

Ovariectomy

Answer 23

• tumor
• doesn’t work for behavoir correction
• laparoscopic

Question 24

Cesarean section

Answer 24

• consider other approaches first
  
  • assisted vaginal delivery
  • controlled vaginal delivery
  • fetotomy
• time (= 90 minutes to save foal)
• hemorrhage from uterine incision