Lecture 14: Common Repro & Genital Sx Procedures II (Exam 2) Flashcards
What are the advantages of a C-section by En Bloc resection of the gravid uterus
- Min ax time
- Min potential for abdominal contamination
- Population control w/out secondary sx
When is En Bloc not recommended
If the fetuses are distressed, bradycardic, or hypoxic
What percent of px die b/c of pyometra
8% of px (57% after uterine rupture)
What other complications are found w/ pyometra
- Anorexia
- Lethargy
- Anemia
- Most complications resolve w/in 2 W
Describe the mass found in vaginal prolapse/hyperplasia/tumor
- Protruding mass may be large
- Origin of the mass is usually small
- Located on the vaginal floor cranial to the urethral orifice
What is uterine prolapse associated w/
Prolonged labor
During uterine prolapse what can hemorrhage lead too
Can lead to hypovolemic shock unless controlled quickly
Describe an En bloc resection OHE of the gravid uterus
- Exteriorize & isolate the ovarian pedicles
- Separate the broad lig from the uterus to the point of the cervix
- Manipulate fetuses in the vagina or cervix back into the uterine body
- Double or triple clamp the ovarian pedicles & uterus
How long should the time from clamping the uterus to removal of the neonates be
Less than 60 seconds
What are the different mastectomys
- Simple (one gland)
- Regional (several glands)
- Complete unilateral (entire chain on one side)
- Complete bilateral (Simultaneous removal of both mammary chains)
Describe what is going on in the pic
What does this radiograph show
Pyometra
What does this pic show
Pyometra
What does this pic show
Hydrometra
How long can pyometra sx be delayed
No more than a few hours esp in px w/ closed pyometra
What improves the prognosis in pyometra sx
When azotemia is corrected before sx
What are two important notes about surgical tech in a pyometra sx
- Don’t use a spay hook to locate & exteriorize the uterus b/c it may tear
- Don’t correct uterine torsion b/c this will release bacteria & toxins
What can be resected in pyometra sx
The cervix in addition to the ovaries, uterine horns, & uterine bodies
T/F: Oversew the cut edge in pyometra sx
False; dont oversew the cut edge
What % of px die w/ pyometra
- 5 to 8% despite appropriate therapy
- 57% after uterine rupture
