Written Exam - Left Flank Exploratory & Rumenotomy

Question 1

what are some indications for a left flank exploratory on the left side of a ruminant?

Answer 1

abomasal displacement

Question 2

what are 3 general reasons for a left flank exploratory in a ruminant?

Answer 2

1. abomasal displacements
2. rumenotomy
3. cesarean section

Question 3

what are some indications for a rumenotomy in a ruminant?

Answer 3

hardware disease, rumen impactions, toxic indigestion, grain overload, & reticular abscess

Question 4

what is the patient prep & positioning for a left flank exploratory?

Answer 4

right lateral recumbency with the left side up with the catheter in the left jugular vein - clip left paralumbar fossa from proximal tuber coxae to the distal fold of the flank to the 11th rib

Question 5

what muscles are incised in a left exploratory?

Answer 5

external abdominal oblique

internal abdominal oblique

transversus abdominus & peritoneum

Question 6

what should you be able to identify through palpation on a left flank exploratory?

Answer 6

left & right kidneys, spleen, reticulum, diaphragm, uterus, & urinary bladder

Question 7

what organs can be exteriorized/visualized in a left flank exploratory?

Answer 7

rumen, abomasum, jejunum, ileum, cecum, & spiral colon

Question 8

what is the purpose of handle sutures in a rumenotomy?

Answer 8

allows the assistant surgeon to stabilize the rumen for the lead surgeon, minimizes contamination