Standing surgery in the horse Flashcards
1
Q
Compare standing vs GA ?
A
2
Q
Indications?
A
- Castration
- Laparoscpy -> ovariectomy, cryptorchiectomy
- URT surgery -> ventriculectomy, vocal fold resection
- Sinus surgery
- Dental surgery
- Orthopaedic surgery
3
Q
Local anaesthesia for laparoscopy
A
- Local infiltration
- Intra-abdo infiltration
- Para-vertebral
4
Q
Laparoscopic Indications?
A
- Cryptorchidectomy
- Ovariectomy
- Granulosa cell tumour removal
- Abdo exploration
- Nephrospelnic space closure
5
Q
Describe laparoscopic cryptorchiectomy/ ovariectomy?
A
- Standing sedation + local block
- Secure haemostasis
- excellent wound healing
- Rapid return to exercise
6
Q
Indications for ovariectomy?
A
Behavioural
Colic/ abdominal pain
7
Q
Describe Granulosa cell tumours?
A
- Often secretory: raised testosterone, inhibin
- Stallion-like bhvr, anoestrus or continuous oestrus, normal cycling
- Enlarged ovary per rectum
- Characteristic US view
8
Q
Approach to ovariectomy in the olden days?
A
- Colpotomy
- Ventral midline approach
- Flank approach
9
Q
Difficulties of Ovariectomy ?
A
- Haemostasis
- Post-op pain
- Prolonged wound healing
- Evisceration
10
Q
Aftercare fo Ovariectomy lap?
A
4 days ABs and NSAIDs
1 weeks box rest & handwalking
3 weeks paddock rest
Gradual return to exercise
11
Q
Indications for abdo exploration?
A
- Recurrent colic
- Palpable abdo mass
- US finding
12
Q
Contra-indications to abdo exploration?
A
- Acute colic
- Intestinal distention
13
Q
Vocal cordectomy/ventroculectomy?
A
- +/_ laryngoplasty
- Incisional benefits
14
Q
Describe ventriculectomy?
A
- Excision of saccule (grasping forceps/transnasal burr)
- Ablation of laryngeal saccule (scar tissue forms within saccule)
15
Q
Laser cordectomy?
A
Laser used to excise vocal cords -> grasping forceps
haemorrhage
16
Q
Dorsal displacement of the soft palate?
A
- Laser cautery of the caudal part of the soft palate ?
- Repeated application at 2-4mm intervals
- total of 1000J
