SL1 - Castration Flashcards
indications for castration
population control
behavioral - libido/roaming, aggression, urine spraying
diseases that can be treated/prevented by castration
cryptorchidism
neoplasia
testicular torsion
testicular abscess
scrotal urethrostomy
prostatic diseases
perineal hernia
surgical approaches
pre-scrotal (dogs) - most common
scrotal
perineal
which appraoch is used in cryptrchid patients
inguinal or abdominal
indications for a scrotal with ablation approach
testicular/scrotal neoplasis
testicular/scrotal trauma
testicular torsion
scrotal urethrostomy
large mature pendulous scrotum
not for routine neuter
how should the patient be draped for a prescrotal approach (dog)
scrotum out of surgical field
2-3cm off midline
prescrotal approach
stand on wrong side
advance testicle
incision over testicle on medial raphe
exteriorize testicle
difference between open and closed castration
closed - do not penetrate PVT
advantages of closed castration
decreased risk scrotal hematoma
decreased postoperative swelling
quicker?
advantages of open castration
decreased risk of ligature slipping
decreased risk of abdominal hemorrhage
where should the proximal clamp be placed when using the 3 clamp technique during closed castration
1-2 cm from body wall
next 2 clamps 5mm apart
how should closed castration be closed
2 layers
deep fascia and SQ tissue
skin
why should the VVT be avoided in open castration
Hemorrhage!
T/F you can ligate ductus and vessels together
True
Ligate the PVT separately
complications associated with castration
scrotal hematoma
infection
hemorrhage
swelling/bruising - very common
feline ball hair should be ____ and not ______
feline ball hair should be plucked and not shaved
how can the spermatic cord be ligated in feline closed castration
overhand knot
figure 8 knot
3/0 absorbable suture
how many layers need to be closed in feline castration
none
allow to heal by second intention
how does open castration differ from clsoed in felines
similar approach but dont strip fascia
incise PVT
digitally remove PVT from attachment
same ligature techniques or ductus deferens tie
reported complications in felines
funiculitis
scrotal hematoma
scrotal abscess
priapism
