OVH and OVE Flashcards
What are the preventative reasons that we desex animals?
- Pyometra 2. Mammary neoplasia 3. Uterine and ovarian tumours
Define the two options for desexing in animals:
Ovariohysterectomy - removal of both ovaries and uterus Ovariectomy (laparoscopic versus open) - can be done for animals without any uterine pathology - only removing ovaries
What are the basic steps involved in the patient clip?
Rib cage, flank folds, pubis
How should the patients be draped?
- Caudal to xiphoid 2. Cranial to nipples 3. Drape out nipples
What are the steps that are involved in the OVH and OVE procedure?
- Incision 2. Find uterus 3. Break suspensory ligament (ovary 1) 4. Break the suspensory ligament (ovary 1) 5. Ligate uterus 6. Close abdomen
Where should a stab incision be made?
Stab incision should be made through elevated linea alba and then extended cranially and caudally
Where can the uterine body be found?
Uterine body sits between the bladder and the colon
Name the structures shown in the diagram below:
How should the ovary be clamped?
2 below (proximal) and one above (distal) to the ovary
How should ovarian pedicles be ligated (include suture material as well in answer) ?
Use encircling ligatures and transfixing ligatures using 2/0 and 3/0 PDS
How should the uterus be ligated?
Transfixing ligatures around the uterine arteries and an encircling ligature just proximal to the cervix - transect just distally to ligatures
What are two things that should be checked for before closing the abdominal wall?
Check for haemorrhage and a sponge count should be conducted
What is meant by a “dropped pedicle”?
Caused by the ligatures being too loose or encircling ligatures slipping of or too much tissue incorporated in ligatures
How should abdominal walls be closed? (what layers and what pattern)
Using external rectus sheath - do not incorporate the muscle - use a simple continuous pattern
