Download Atlas of Large Animal Surgery by A.W. Kersjes, F. Nemeth PDF

By A.W. Kersjes, F. Nemeth

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Intestinal clamps are placed on the apex of the bladder and the urachus [113], and the apex is transected between the two Chapter 4 THE A B D O M E N / Abdominal wall 4-2 33 114 clamps. Plate 114 shows the incised bladder, the mucosa of which appears to be normal. The bladder is closed with a Schmieden intestinal suture, and oversewn with a Lembert seromuscular suture in a continuous or simple interrupted pattern [115] using absorbable material. Finally, the abdominal wall is sutured as described for umbilical herniorraphy (see 4-1).

Surgery. An assistant restrains the goat in dorsal recumbency in his lap: the goat's head is held under one arm and the limbs grasped firmly together. The scrotal skin and both spermatic cords are locally infiltrated with suitable analgesic solution. The tip of the scrotum is tightly stretched distally and is amputated [189]. This allows both testicles to emerge into the incision. The testicle is grasped with a tenaculum forceps and the tunica dartos is stripped from the vaginal tunic with a gauze sponge [190].

The transversalis fascia and peritoneum are elevated and lifted with thumb forceps, and incised with a scalpel; care must be taken not to incise underlying viscera. The incision is enlarged dorsally and ventrally with scissors [128]. Each incision in the separate layers of the abdominal wall is shorter than the preceding one. The wound is closed in three or four layers. The peritoneum and transversalis fascia are closed together with the transversus muscle using a simple continuous suture. The oblique muscles are closed together using simple interrupted sutures.

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