Surgery of the Urinary Bladder Flashcards
always work on the __ side of the bladder
ventral
ureters run through the __ligaments of the bladder
lateral
you can cut the __ ligament of the bladder but not the __
median, lateral ligament
signs of lower urinary tract disease
pollakiuria
stranguria
dysuria
3 most common causes of LUT in dogs
UTI (most common)
Uroliths
Neoplasia - TCC
calcium oxalate crystals cannot be __ and require __
dissolve, surgery
if no suspected UTI then you may give __ antibiotics but if UTI is suspected or confirmed then you may give __ antibiotics
prophylactic, therapeutic
always have the ___ draped in
vulva/prepuce
cystotomy sx steps
rads first
- ventral midline celiotomy -> caudal 1/2 of abdomen
- perform exploration
- Pack off, isolate instruments and have suction ready
- on the ventral side, stab incision
- extend with metzenbaum scissors
- remove stones
- flush retrograde then antegrade
- closure
- RADS
ideal suture type for bladder
absorbable
monofilament
taper needle
mucosal defects of the uroepithelium heals by __ days and the bladder wall regains tensile strength in __ days
5, 14-21
__ of recurrent canine cystoliths are suture related
10%
__ absorption pattern matches bladder healing pattern
why do some vets choose PDS?
UTI
bladder neoplasia
bladder wall compromised
the holding layer for closure is the __and the ideal suture engages the __ but does not penetrate the lumen
submucosa, submucosa
