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14 Cards in this Set
- Front
- Back
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What should be done first when performing a castration
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Verify the presence of both testicles in scrotum
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What area is clipped for a castration
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Cd abdomen, medial thighs (clip prescrotal only)
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After draping the patient what is the next step
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Apply pressure on scrotum to advance one testicle as far as possible into prescrotal area
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After testicle is advanced where should the surgeon make the incision
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Incise skin and subcutaneous tissue along median raphe over displaced testicle, continue through spermatic fascia to exteriorize testicle
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Once the testicle is exteriorized what is done
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Strip spermatic fascia off testicle (tough)
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What layer is cut open during open castration
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Vaginal tunic, incise over testicle and ontinue with Metzenbaums halfway down to body
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During open castration what elements of the cord are separated and placed in hemostats
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1st hemostat - cremaster/tunic
2nd hemostat - Ductus deferens/vessels |
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During open castration what types of ligatures are placed around the DD/vessels, what is the next step
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Once encircling ligature, one transfixing ligature (through DD), place hemostat distal to last knot, transect spermatic cord, grasp with forceps and inspect for hemorrhage before placing back into tunic
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During open castration what types of ligatures are placed around the cremaster/tunic, what is the next step
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Place hemostat on cremaster mm just below cut in tunic, place encircling ligature around cremaster/tunic + transect
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When is open castration called for
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Dogs with larger testicles
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During closed castration where are hemostats and ligatures placed
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Hemostat placed just proximal to testicle, place 2 ligatures around entire spermatic cord + tunic
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During closed castration after ligatures are placed what is the next step
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Clamp just distal to ligatures, transect, grab with forceps, inspect for hemorrhage, place back into scrotum
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After performing a castration what suture pattern is used to close incision
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Inverted simple interrupted +/- skin sutures as needed
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When performing a castration which side of the dog do you stand on
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Right handed surgeons on left side of dog, left handed surgeons on right side of dog
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