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Questions and Answers
What is the primary purpose of performing a vulval suture in cows?
What is the primary purpose of performing a vulval suture in cows?
- To enhance mating performance
- To prevent vaginal prolapse (correct)
- To facilitate urine flow
- To improve overall fertility
Which method is described as causing less discomfort to the patient during vulval suturing?
Which method is described as causing less discomfort to the patient during vulval suturing?
- Single interrupted suture
- Mattress-suture method
- Cross-lacing method (correct)
- Purse-string suture
What is the main indication for performing a medial patellar desmotomy in bovines?
What is the main indication for performing a medial patellar desmotomy in bovines?
- Surgical correction of tendon injuries
- Chronic lameness due to fractures
- Upward fixation of the patella (correct)
- Severe arthritis in the knee
How many straight ligaments of the patella are there in bovines?
How many straight ligaments of the patella are there in bovines?
What is the primary goal of a medial patellar desmotomy?
What is the primary goal of a medial patellar desmotomy?
What is the position of the animal during a medial patellar desmotomy?
What is the position of the animal during a medial patellar desmotomy?
In the cross-lacing method for vulval suturing, what material is used for the sutures?
In the cross-lacing method for vulval suturing, what material is used for the sutures?
Which ligament is cut during a medial patellar desmotomy?
Which ligament is cut during a medial patellar desmotomy?
What is the purpose of administering ammonium chloride after surgery?
What is the purpose of administering ammonium chloride after surgery?
When is clamping of the Foley's catheter initiated during the treatment protocol?
When is clamping of the Foley's catheter initiated during the treatment protocol?
What suture materials are used for closing the abdominal muscle layer and the skin?
What suture materials are used for closing the abdominal muscle layer and the skin?
What indicates the need for a cystotomy procedure?
What indicates the need for a cystotomy procedure?
What is the primary method used to check for the patency of the urethra post-surgery?
What is the primary method used to check for the patency of the urethra post-surgery?
What type of anesthesia is required for the cystotomy procedure?
What type of anesthesia is required for the cystotomy procedure?
What is the outcome expected after the removal of the Foley’s catheter?
What is the outcome expected after the removal of the Foley’s catheter?
What suture technique is used to close the incision on the bladder?
What suture technique is used to close the incision on the bladder?
What is the first step in severing the ligament during the surgical procedure?
What is the first step in severing the ligament during the surgical procedure?
Which method is particularly useful for uncooperative patients?
Which method is particularly useful for uncooperative patients?
During the open method, where is the linear incision made?
During the open method, where is the linear incision made?
What is used to manage the fascia during the open method procedure?
What is used to manage the fascia during the open method procedure?
What is indicated by a deep depression between the cut ends of the ligament?
What is indicated by a deep depression between the cut ends of the ligament?
What is a common post-operative complication after surgical procedures on the ligament?
What is a common post-operative complication after surgical procedures on the ligament?
What is the recommended post-operative care after the open method surgery?
What is the recommended post-operative care after the open method surgery?
Which step is NOT part of the blind method in lateral recumbency?
Which step is NOT part of the blind method in lateral recumbency?
What occurs when the patella is carried dorsally by slight manual pressure during a clinical examination?
What occurs when the patella is carried dorsally by slight manual pressure during a clinical examination?
Which ligaments connect the patella to the tibial tuberosity?
Which ligaments connect the patella to the tibial tuberosity?
What is the most suitable site for skin incision during the procedure?
What is the most suitable site for skin incision during the procedure?
In which direction does circling the animal with the affected limb outermost lessen symptoms?
In which direction does circling the animal with the affected limb outermost lessen symptoms?
Which type of anaesthesia is appropriate for this procedure?
Which type of anaesthesia is appropriate for this procedure?
What is a disadvantage of making an incision at Site No.2?
What is a disadvantage of making an incision at Site No.2?
What should be applied to the operational site before making an incision?
What should be applied to the operational site before making an incision?
What is the preferred local anaesthetic used during the surgery?
What is the preferred local anaesthetic used during the surgery?
What is the primary purpose of instilling Tr.Iodine into the incision?
What is the primary purpose of instilling Tr.Iodine into the incision?
During the blind method of surgery, where is the incision made?
During the blind method of surgery, where is the incision made?
Which technique involves cutting through a longer incision?
Which technique involves cutting through a longer incision?
What is the main drawback of Site No.3 for making an incision?
What is the main drawback of Site No.3 for making an incision?
What should be the orientation of the cutting edge when pushing the tenotom through the skin incision?
What should be the orientation of the cutting edge when pushing the tenotom through the skin incision?
When using the closed technique, how is the scalpel positioned before cutting the ligament?
When using the closed technique, how is the scalpel positioned before cutting the ligament?
What action should be taken if protruding fat tissue is observed during the procedure?
What action should be taken if protruding fat tissue is observed during the procedure?
What is the primary advantage of cystotomy for bladder stone removal?
What is the primary advantage of cystotomy for bladder stone removal?
Which method requires specialized instrumentation and experience to perform stone removal?
Which method requires specialized instrumentation and experience to perform stone removal?
What is a significant risk associated with laparoscopic cystotomy?
What is a significant risk associated with laparoscopic cystotomy?
In what situation would tube cystostomy be most appropriately utilized?
In what situation would tube cystostomy be most appropriately utilized?
Which procedure is described as having a potential for lower risks compared to perineal urethrotomy?
Which procedure is described as having a potential for lower risks compared to perineal urethrotomy?
What is a disadvantage of performing cystotomy in adult horses?
What is a disadvantage of performing cystotomy in adult horses?
What exactly does tube cystostomy involve?
What exactly does tube cystostomy involve?
Which of the following methods is most commonly used for bladder stone removal?
Which of the following methods is most commonly used for bladder stone removal?
Flashcards
Cystotomy
Cystotomy
Surgical removal of bladder stones through an incision in the bladder wall.
Laparocystotomy
Laparocystotomy
The gold standard for bladder stone removal in horses, allowing for intact stone removal, bladder wall culture, and debris clearance.
Laparoscopic Cystotomy
Laparoscopic Cystotomy
A minimally invasive technique for removing bladder stones using specialized instruments and a small incision.
Pararectal Cystotomy (Gokel's Operation)
Pararectal Cystotomy (Gokel's Operation)
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Tube Cystostomy
Tube Cystostomy
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Urine Diversion by Foley's Catheter
Urine Diversion by Foley's Catheter
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Stone Busting
Stone Busting
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Lithotripsy
Lithotripsy
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Foley's catheter
Foley's catheter
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Ammonium chloride
Ammonium chloride
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Linea alba incision
Linea alba incision
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Cushing's inversion sutures
Cushing's inversion sutures
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Removal of contents and neoplastic growth
Removal of contents and neoplastic growth
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Positive contrast cysto-urethrography
Positive contrast cysto-urethrography
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Mattress sutures
Mattress sutures
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Vulval suture
Vulval suture
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Purse-string suture
Purse-string suture
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Cross-lacing method
Cross-lacing method
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Median straight ligament
Median straight ligament
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Medial Patellar Desmotomy
Medial Patellar Desmotomy
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Why perform Medial Patellar Desmotomy?
Why perform Medial Patellar Desmotomy?
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How is the animal positioned for Medial Patellar Desmotomy?
How is the animal positioned for Medial Patellar Desmotomy?
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Limb Positioning for Medial Patellar Desmotomy
Limb Positioning for Medial Patellar Desmotomy
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Anaesthesia for Medial Patellar Desmotomy
Anaesthesia for Medial Patellar Desmotomy
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Incision Site for Medial Patellar Desmotomy
Incision Site for Medial Patellar Desmotomy
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Site No. 1 for Incision
Site No. 1 for Incision
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Site No. 2 for Incision
Site No. 2 for Incision
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Site No. 3 for Incision
Site No. 3 for Incision
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Open vs. Closed Technique for Medial Patellar Desmotomy
Open vs. Closed Technique for Medial Patellar Desmotomy
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Stifle Lock
Stifle Lock
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Patellar Mobility
Patellar Mobility
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Blind Method
Blind Method
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Open Method
Open Method
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Tenotomy
Tenotomy
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Ligament Insertion
Ligament Insertion
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Tibial Tuberosity Depressions
Tibial Tuberosity Depressions
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Standing Approach
Standing Approach
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Blind Method in Lateral Recumbency
Blind Method in Lateral Recumbency
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Post-operative Care
Post-operative Care
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Post-operative Complications
Post-operative Complications
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Transaction of Incorrect Ligaments
Transaction of Incorrect Ligaments
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Penetration of Joint Capsule
Penetration of Joint Capsule
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Study Notes
Cystotomy
- Bladder stone removal can be done through the urethra (standing) or via cystotomy (general anesthesia).
- Gradual urethral dilation/sphincterotomy may assist stone removal in mares.
- Male stones are often removed via perineal urethrotomy or perirectal incision.
- Alternatives include stone-busting lasers, laparoscopy, and lithotripsy.
- Standing removal is most common and possible in the field.
Laparocystotomy
- Removal of stones via cystotomy under general anesthesia is the preferred method.
- Allows intact stone removal, bladder wall culture, and complete debris removal.
- Leaving debris can cause future issues.
- Bladder access is difficult in adult horses.
- Laparocystotomy is the most expensive option with a long recovery period.
Laparoscopic Cystotomy
- Reported removal method, requiring experience and specialized equipment.
- Stones need to be contained in a bag.
- Closure is difficult to prevent lumen penetration and future stone formation.
- Can handle stones up to 6-8cm.
Pararectal Cystotomy
- Less common but potentially cost-effective for large cystic calculi.
- Recent suggestion for lower risk than other procedures (PU).
Tube Cystostomy
- A urinary diversion/urethral bypass technique.
- A Foley's catheter is placed via a small incision into the bladder.
- Used in urethral obstruction, rupture, or ruptured bladder in small ruminants.
- Temporary or permanent, for urethral repair, acute urethral obstruction, or bladder cancer/neurogenic bladder atony.
- Provides an avenue for cysto-urethrography.
- Useful to assess issues like urethral obstruction, post-op healing, medical therapy evaluation, and when animal should urinate through the urethra.
- Used as an avenue to monitor urethral healing, assess medical therapy for calculi dissolution, and to determine when the animal should be encouraged to urinate through the urethra.
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