SOFT TISSUE SX 11

Question 1

what type of suture and needle should be used in bladder sx?

Answer 1

monofilament & swaged on: to avoid urine leaking out of needle hole or wicking our with suture

Question 2

describe steps to a cystotomy

Answer 2

-ventral
-isolate bladder
-stay sutures
-cystocentesis
-stab incision extended with metzebaum
-remove clots n debris
-closure: sweged on, monofilament, watertight
-leak test n omental wrap

Question 3

describe how to do a retrograde urohydropropulsion

Answer 3

-insert finger per rectum and press ventrally: occludes the urethra that sits just above the pelvis brin
-place catheter inside urethra, inject saline until you feel pressure buildup [in the srynge and caudal to finger]
-release pressure from finger: will allow stone to go back into bladder

Question 4

describe how to perform a prescrotal urethrotomy

Answer 4

[keep in mind this sx is not preffered! cystotomy+retrograde is better]

Question 5

what is the site of a urethrostomy in a dog?
cat?

Answer 5

dog: scrotal
cat: perineal

Question 6

Answer 6

Question 7

breed predisposition for urethral prolapse?

Answer 7

brachycephalic breeds

Question 8

describe the sx for a urethral prolapse

Answer 8

if manual resection doesnt work:
-put a tube thing in middle
-cute 25%, suture, cut 25%, suture
-may reccomend urethropexy or castration
[same technique as rectal prolapse hence picture]

Question 9

uroabdomen diagnosis: what would you see on serum biochem/urinalysis?
-urea?
-creatinine?
-potassium?
-haematuria?
-SG?

Answer 9

Question 10

diagnosing uroabdomen: you take a blood sample and abdominal fluid sample.
how do creatinine levels differ?

Answer 10

higher in abdominal fluid
[large molecule, cannot equilibreate with blood]
[potassium and urea will be high in both]

Question 11

tx of hyperkalaemia-induced arrythmias?

Answer 11

-IV fluids
-insulin-dextrose
-calcium gluconate
[said is an exam q!]

Question 12

uroabdomen diagnosis: what would you see on serum biochem/urinalysis?

Answer 12