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Minor surgical conti

Oct. 31, 2017
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Minor surgical conti

  1. འབྲུག་རྒྱལ་འཛིན་གཙུག་ལག་སློབ་སྡེ། རང་འབྱུང་འཐློན་བསྡེད་མཐློ་རིམ་སློབ་ྲྭ། སྤུ་ན་ཁ་རློང་ཁག། ལློད་སྦུད་ས། དློག་ཏྲར་་་འཇིགས་འབྡེལ་རློ་རྡེ། རང་འབྱུང་འཐློན་བསྡེད་མཐློ་རིམ་སློབ་ྲྭ། སྤུ་ན་ཁ་རློང་ཁག། ལློད་སྦུད་ས། Minor Surgery Continued
  2. CASTRATION IN DOG (Orchiectomy, Testectomy, Sterilization, Neutering) INDICATIONS:  Aggressive behavior of the dog  Neoplastic growth  Sever blunt penetrating or crushing injuries of testis  Chronic Orchitis  Enlarged prostate and perineal hernia  Prevention of breeding nuisance.
  3. Pre-anesthesia & Preoperative Antibiotic • Long acting antibiotic • Inject Xylazine and Atropine & wait for 10 mins. • Inject Ketamine after 10 mins. Top Up Preparation Prepare Top Up mixture of Diazepam and Ketamine in the ratio 1:2. Fix a butterfly scalpen vein on the cephalic vein for fluid therapy and top up.
  4. Preparation of Site: • Clip hairs around the scrotum and pre-scrotal areas and scrub the areas with Chlorohexidine
  5. SITE OF OPERATION: 1. Pre-scrotal site: 3 cm long incision on the midline in front of the scrotum. CONTROL: • Dorsal recumbency
  6. SURGICAL PROCEDURE Open Method Closed Method • Tunica Vaginalis is incised • Tunica Vaginalis is left intact
  7. • One tests is pushed forward and is held in position by left index finger and thumb and about 2-3 cm long incision is made in the skin un till white glistening Tunica Vaginalis is visible. • The testicle is now squeezed out and can be removed by any of the above methods: Pre-scrotal Technique Ligation of Spermatic Cord: Miller’s Know Wound Closure: Usual manner with absorbable suture material.
  8. UPWARD FIXATION OF PATELLA Normal Anatomy of Stifle Joint
  9.  The Condition occurs on the medial trochlea of the femur between middle and medial patellar ligaments. UPWARD FIXATION OF PATELLA Articular surface of patella
  10. Causes of UFP 1. Hereditary: Straight hind limb 2. Debility and poor condition 3. Trauma 4. Abrupt training 5. Laxity of patellar ligaments 6. Overextension of hind limb
  11. Clinical Symptoms of UFP  Animal keeps the limb in extension while walking.  Knuckling of fetlock  Resists reverse walk  Raises hind quarter of affected side and moves by swinging the limbs outward and forward.
  12. Treatment Control and anesthesia: Animal is restrained in lateral recumbency with affected limb towards the ground. The other limb is drawn forward and tied with forelimbs. • Sedative with Xylazine hydrochloride 0.1 mg/kg IM. • Subcutaneous and deep infiltration with 8 mL of 2% lidocaine hydrochloride over the medial and middle patellar ligaments
  13. Surgical Treatment: Open method Closed Method Closed method is widely used now a days. • In this method stab incision is made with B.P Blade immediately in front of medial tuberosity of Tibia. • Abscess knife is passed through V shaped groove between middle & medial ligament facing sharp end towards the ligament. Then transected facing knife toward operator.
  14. Post Operative Care • Rest the animal for 8-10 days • Infuse antibiotic gel or ointment into the incision
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