Shared Flashcard Set

Details

LA Sx
Castration: Sx technique
92
Veterinary Medicine
Professional
03/10/2012

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
What is the difference btw open & closed castration?
Definition
O: Common vaginal tunic incised prior to removal of testicle
C: Testicle removed by dividing entire spermatic cord including common vaginal tunic at one time
Term
Eq: The usual routine is to remove the testicle w/ a(n) ______.
Definition
Emasculator
Term
What do emasculators do?
Definition
Crush the cord proximally & cut distal to the crushed area
Term
What is sometimes done prior to cutting the entire cord & common vaginal tunic? What does this do?
Definition
A ligature is placed; Closes the opening which has been made into the peritoneal cavity & compresses the spermatic a.
Term
In open castration, what is done with the tunic after the testicle is removed?
Definition
Left in place or removed
Term
What does open castration allow for (compared to closed)?
Definition
More effective compression of the blood supply prior to division by the emasculator
Term
Describe local anesthesia for a standing equine castration.
Definition
Line block most V aspect of each side of scrotum; LA injected into parenchyma of each testicle
Term
What happens to the LA injected into the equine testicular parenchyma?
Definition
Carried to pampiniform plexus, nn. in close proximity are blocked
Term
Eq: Is it easier to inject LA directly into the spermatic cord or into the testicular parenchyma?
Definition
Testicular parenchyma
Term
For equine castration, what is the 1st incision?
Definition
Scrotal skin + Dartos m. on V aspect of both testicles
Term
For an open equine castration, where is the tunic incised? What is done immediately prior?
Definition
Slightly D to anterior pole of each testicle; Bluntly separate tunic from CT
Term
In open equine castration, what is done once the testicle is forced through the incision in the tunic?
Definition
Break through mesorchium w/ a finger, btw vas deferens & testicle
Term
What should be considered when open castration is performed on a mature stallion?
Definition
Ligating vascular component of SC
Term
Where is the emasculator applied in open equine castration?
Definition
to te vascular (Cr) component w/ cutting edge distally
Term
Where is the cutting edge of every emasculator?
Definition
On the same side as the nut
Term
The emasculator should always be placed so that the nut on the emasculator is _____.
Definition
Close to the testicle (distal; nut to nut)
Term
Eq: How should the emasculator be placed wrt the SC?
Definition
Perpendicular to the long axis
Term
Eq: What is important not to do when the emasculator is closed to cut the cord?
Definition
Do not apply tension to the cord
Term
Eq: What should be considered wrt incision size?
Definition
Incisions should be large enough for adequate ventral drainage
Term
Eq: Is it necessary to remove the median septum of the scrotum to ensure adequate V drainage?
Definition
No
Term
Eq: What should be made sure of before leaving the premises or allowing the animal to leave?
Definition
Wait until hemorrhage has stopped
Term
When equine castration is performed in lateral recumbency, which testicle is removed 1st?
Definition
Lower
Term
What can be used to remove the testicles in a recumbent horse?
Definition
Henderson castrating tool
Term
For what animal was the Henderson Castrating Tool initially introduced?
Definition
Bovine
Term
What is the Henderson castrating tool?
Definition
A clamp w/ jaws @ Rt angles to the long axis, designed to be attached to a variable speed battery-operated drill
Term
To use the Henderson castrating tool in a horse, is the vaginal tunic invaded?
Definition
No
Term
The Henderson castrating tool is used to clamp the _____, and the drill is activated to _____.
Definition
SC; twist the SC until it breaks
Term
What is different about equine castration with primary closure?
Definition
More time consuming, requires sterile technique & general anesthesia, more expensive
Term
In horses, when is primary closure routinely used?
Definition
Unilateral cryptorchid to remove the unretained (descended) testicle
Term
What are 2 equine castration techniques w/ primary closure?
Definition
Removal of only the testicle; Removal of testicle + major portion of scrotum
Term
Removal of only the testicle + primary closure is mainly used on _____ horses, whereas removal of the testicle plus a major portion of the scrotum + primary closure is mainly used on _____ horses.
Definition
Younger; Mature
Term
Eq: For removal of the testicle + primary closure, where is the first incision made?
Definition
Over the SC just Cr to the scrotum
Term
Eq: For removal of the testicle + primary closure, what is done once the testicle/epididymis are delivered through the tunic?
Definition
Ligament of the epididymis is cut to free the E & T from the tunic
Term
Eq: For removal of the testicle + primary closure, what is done after the lig. of the epididymis is cut?
Definition
Vascular elements of the SC are isolated, ligated, & cut
Term
Eq: For removal of the testicle + primary closure, what is done once the SC is cut?
Definition
VD is cut to free the testicle so it can be removed
Term
Eq: For removal of the testicle + primary closure, what is done once the testicle is removed?
Definition
Tunic & SQ are closed w/ suture; Skin closed w/ SQ pattern
Term
Eq: For removal of the testicle plus a major portion of scrotum + primary closure, describe the 1st incision.
Definition
Elliptical skin incision centered over the median raphe, includes skin of scrotum
Term
Eq: For removal of the testicle plus a major portion of scrotum + primary closure, what is done after the skin incision is made?
Definition
SQ tissue divided along the margins of the elliptical skin incision & scrotum removed
Term
Eq: For removal of the testicle plus a major portion of scrotum + primary closure, what is done once the scrotum is removed?
Definition
SCs ligated & cut; testicles removed
Term
Eq: For removal of the testicle plus a major portion of scrotum + primary closure, how is dead space reduced after testicle removal?
Definition
Deeply placed sutures
Term
Eq: For removal of the testicle plus a major portion of scrotum + primary closure, what is done after closure of dead space?
Definition
SQ tissue closed; Skin closed w/ SQ pattern
Term
In bovine castration, how is the testicle accessed?
Definition
Remove V 1/3 of scrotum or Vertical incisions over each testicle
Term
In bovine castration, which method of accessing the testicle is more commonly used in younger animals?
Definition
Removing V 1/3 of scrotum
Term
In bovine castration, how is removal of V 1/2 of scrotum accomplished?
Definition
Pulling downwards on most V aspect of scrotum & using a knife to make a horizontal incision through the skin & median raphe
Term
In bovine castration, is V drainage better w/ removal of V 1/3 of scrotum or vertical incisions over each testicle?
Definition
Vertical incisions over each testicle
Term
In bovine castration, how are vertical incisions over each testicle most commonly done?
Definition
Pulling distally on the skin of the scrotum, inserting a knife just distal to the lateral aspect of one testicle, forcing the knife through the median raphe to exit through the skin on the opposite side & then forcing the knife distally to produce an anterior & posterior skin flap
Term
What is the procedure used for steers that might be entered in livestock shows? Is it more or less time consuming?
Definition
Incisions through the skin over each testicle in a sagittal direction; more time-consuming
Term
In bovine castration, what are the 5 methods for removal of testicles?
Definition
Traction w/ tunics intact; Traction after incision of tunics; Emasculator; Scraping SC to divide it; Henderson castration tool
Term
In bovine castration, what is indicated to improve Sx drainage following removal of the testicles?
Definition
Removal of excess SQ tissue & fat
Term
In bovine castration, when using an HCT, hemorrhage is _____ with _____ drainage.
Definition
Minimal; Normal
Term
In bovine castration, how are testicles removed by scraping the SC to divide it?
Definition
Tension applied to SC by pulling on testicle; knife used to scrape SC to fray & divide it
Term
In bovine castration, how are the testicles removed w/ an emasculator? Is it used for open or closed castration?
Definition
Crush & cut rather than pulling to divide the spermatic vessels; Either
Term
In bovine castration, traction to remove the testicles w/ the tunics intact is suggested for animals _____ in weight
Definition
<500lb
Term
In bovine castration, traction after incision of the tunics to remove the testicles is suggested for animals _____ in weight.
Definition
>500lb
Term
In bovine castration, to begin removal of testicles by traction, _____.
Definition
Grasp each testicle separately
Term
In bovine castration, when using traction w/ tunics intact, apply controlled traction until _____.
Definition
Cremaster m., vaginal tunic, spermatic vessels rupture
Term
In bovine castration, with controlled traction & tunics intact, spermatic vessels _____ & _____.
Definition
Rupture; Retract into the inguinal region
Term
In bovine castration, why is it not advised to jerk rather than using slow traction?
Definition
Jerking results in rupture of the testicular a. in the peritoneal cavity rather than in the area of the inguinal canal, causing excessive internal hemorrhage
Term
In bovine castration, why is traction after incision of the tunics suggested for animals >500lb?
Definition
Tunic is tough
Term
In bovine castration, for traction after incision of the tunics, what is done once each testicle is grasped?
Definition
Isolate it from surrounding CT & incise the tunic
Term
In bovine castration, for traction after incision of the tunic, what is done once the testicle is prolapsed?
Definition
Apply controlled traction to the testicle to rupture the spermatic vessels in the inguinal region
Term
Because traction after tunic incision is performed in larger bulls w/ larger testicular vessels, _____ is a greater concern.
Definition
Excessive peritoneal hemorrhage
Term
In bovine castration, with traction after incision of the tunics, what is done following removal of the testicle?
Definition
Tension is applied to the tunic & as much of it as possible is surgically removed
Term
Name 3 “other“ bovine castration methods.
Definition
Emasculatome; Elastrator bands; Chemical castration w/ irritant
Term
Use of an emasculatome is a method of _____ castration.
Definition
Bloodless
Term
An emasculatome is used to _____ without _____.
Definition
Divide the spermatic vessels; Incising the skin
Term
With use of an emasculatome, how long does it take for the testicles to atrophy?
Definition
~6wk
Term
What type of emasculatome is the standard?
Definition
Burdizzio
Term
What accessory is recommended for an emasculatome?
Definition
Knee bracket
Term
Since the skin is not broken w/ use of an emasculatome, _____ is not a problem.
Definition
Tetanus
Term
What is the first step when using an emasculatome?
Definition
Grasp the scrotum proximal to the testicles
Term
When using an emasculatome, what is done once the scrotum is grasped?
Definition
One SC is forced laterally so that the vessels in the SC can be divided w/o affecting the vessels in the median raphe
Term
When using an emasculatome, what is done once the SC is forced laterally?
Definition
The emasculatome is applied & closed to crush & divide the testicular vessels
Term
When using an emasculatome, what is done once the testicular vessels are crushed & divided?
Definition
The emasculatome is moved 1-2cm proximal or distal to the initial crush & closed again
Term
What does the use of elastrator bands involve?
Definition
Placement of a very small, tough elastic band around the scrotum just proximal to the testicles
Term
What is the effect of using elastrator bands?
Definition
Blood supply interruption --> Testicles slough
Term
What is one con of the use of elastrator bands?
Definition
Tetanus is more common w/ this method compared to others
Term
In what cows is chemical castration suggested?
Definition
Newborn calves
Term
How is chemical castration performed in bovines?
Definition
Irritants are injected directly into the testicle
Term
What is the effect of chemical castration in the bovine?
Definition
Inflammatory reaction --> Testicular atrophy
Term
What is the method of ovine/caprine castration?
Definition
Removal of bottom 1/3 of scrotum to gain access; Traction to testicle (w/i tunics)
Term
What should be considered wrt castration of older goats?
Definition
Sometimes go into shock if castrated using same methods as used in cattle; Best to use sedation & LAs; Consider ligation of spermatic vessels
Term
What should be checked for before performing porcine castration? How?
Definition
Inguinal hernias; Handler applies P to chest & abdomen - increased abdominal P --> protrusion of intestines through external inguinal ring
Term
In pigs, _____ removal of the testicles is the only described technique.
Definition
Surgical
Term
Should an emasculatome be used for equine castration?
Definition
No
Term
The 2 options for porcine castration are _____ & _____.
Definition
Open; Closed
Term
What is different about open castration in pigs (compared to closed)?
Definition
Continue the incision through the tunic; Leave the tunics
Term
The first step of porcine castration is _____.
Definition
Skin incisions over each testicle
Term
For closed porcine castration, what is done after the skin incisions are made?
Definition
Free the testicle from the CT & remove
Term
How is the porcine testicle removed?
Definition
Grasp & pull to break supporting structures in the abdomen; grasp the testicle & scrape SC until it divides; grasp T & cut SC w/ side cutters
Term
When pulling the testicle to break supporting structures in the pig, which direction should you pull in and why?
Definition
Cd'ly to prevent stretching the inguinal ring & predisposing a hernia
Term
What is castration technique for mature boars?
Definition
Closed; Cut entire SC including tunic w/ emasculator
Supporting users have an ad free experience!