SL1 - Castration Flashcards

1
Q

indications for castration

A

population control

behavioral - libido/roaming, aggression, urine spraying

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2
Q

diseases that can be treated/prevented by castration

A

cryptorchidism

neoplasia

testicular torsion

testicular abscess

scrotal urethrostomy

prostatic diseases

perineal hernia

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3
Q

surgical approaches

A

pre-scrotal (dogs) - most common

scrotal

perineal

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4
Q

which appraoch is used in cryptrchid patients

A

inguinal or abdominal

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5
Q

indications for a scrotal with ablation approach

A

testicular/scrotal neoplasis

testicular/scrotal trauma

testicular torsion

scrotal urethrostomy

large mature pendulous scrotum

not for routine neuter

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6
Q

how should the patient be draped for a prescrotal approach (dog)

A

scrotum out of surgical field

2-3cm off midline

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7
Q

prescrotal approach

A

stand on wrong side

advance testicle

incision over testicle on medial raphe

exteriorize testicle

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8
Q

difference between open and closed castration

A

closed - do not penetrate PVT

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9
Q

advantages of closed castration

A

decreased risk scrotal hematoma

decreased postoperative swelling

quicker?

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10
Q

advantages of open castration

A

decreased risk of ligature slipping

decreased risk of abdominal hemorrhage

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11
Q

where should the proximal clamp be placed when using the 3 clamp technique during closed castration

A

1-2 cm from body wall

next 2 clamps 5mm apart

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12
Q

how should closed castration be closed

A

2 layers

deep fascia and SQ tissue

skin

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13
Q

why should the VVT be avoided in open castration

A

Hemorrhage!

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14
Q

T/F you can ligate ductus and vessels together

A

True

Ligate the PVT separately

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15
Q

complications associated with castration

A

scrotal hematoma

infection

hemorrhage

swelling/bruising - very common

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16
Q

feline ball hair should be ____ and not ______

A

feline ball hair should be plucked and not shaved

17
Q

how can the spermatic cord be ligated in feline closed castration

A

overhand knot

figure 8 knot

3/0 absorbable suture

18
Q

how many layers need to be closed in feline castration

A

none

allow to heal by second intention

19
Q

how does open castration differ from clsoed in felines

A

similar approach but dont strip fascia

incise PVT

digitally remove PVT from attachment

same ligature techniques or ductus deferens tie

20
Q

reported complications in felines

A

funiculitis

scrotal hematoma

scrotal abscess

priapism