LEC 3 - Ovariohysterectomy

Question 1

What are the landmarks for a spay?

Answer 1

Xiphoid to pubis. Far lateral, but you will drape just inside the mammary glands

Question 2

What is an important pre-op step before a spay?

Answer 2

Express the bladder

Question 3

Where should a spay incision be made in dogs?

Answer 3

Start just caudal to umbilicus, cranial third of the distance between the umbilicus and the pubis

Question 4

Where should a spay incision be made in cats?

Answer 4

Middle third of the way between umbilicus and pubis

Question 5

Where should the incision into the abdomen be made?

Answer 5

on the linea alba

Question 6

How do you make the incision into the linea alba?

Answer 6

hold scaple upside down and poke hole, then extend with scissors

Question 7

Which ovary is placed more cranially?

Answer 7

Right

Question 8

Which side of the body has the spleen?

Answer 8

Left

Question 9

What is the ligament that is more caudal on the ovary?

Answer 9

Proper ligament

Question 10

What ligament should be stretched/broken to expose the ovary?

Answer 10

Suspensory

Question 11

In what direction does the suspensory ligament run?

Answer 11

Extends cranially/dorsally from cranial pole of ovary

Question 12

In what direction does the vascular supply of the ovary rin?

Answer 12

Arises from the dorsal surface of the ovary and then goes almost directly dorsal to the caudal pole of the kidney

Question 13

What clamps are used on the pedicles?

Answer 13

3 carmalts if possible, if not then use 2 carmalts proximally and 1 kelly/crile distally

Question 14

What is the top clamp on the pedicle used for?

Answer 14

Cutting guide

Question 15

Where exactly is the first clamp placed on the pedicle?

Answer 15

Abdominal base of the pedicle

Question 16

What is the purpose of the first clamp on the pedicle?

Answer 16

Isolate/exteriorize pedicle, crush tissue to remove fat, and create groove for ligature to securely sit in

Question 17

When is this first clamp on the pedicle removed?

Answer 17

as 2nd ligature (circumferential) is placed and tightened

Question 18

Where is the second clamp placed on the pedicle?

Answer 18

Above first clamp rather close

Question 19

What is the purpose of the second clamp placed on the pedicle?

Answer 19

Facilitate cutting of pedicle, keep pedicle from retracting into abdomen after cut

Question 20

Where is the third clamp on the ovarian pedicle placed?

Answer 20

placed close to ovary on either side

Question 21

What is the purpose of the third clamp on the ovarian pedicle?

Answer 21

Helps manipulate ovary and stops hemorrhage from the uterine side of the pedicle after it is cut

Question 22

When should a transfixation ligature be placed on the ovarian pedicle? Where should it be placed?

Answer 22

Large pedicles, placed at the side of the first clamp crush

Question 23

How is the uterus elevated out of the body?

Answer 23

Caudally to visualize the cervix

Question 24

How is the uterus clamped?

Answer 24

Triple clamped similar to the pedicle

Question 25

What types of ligatures are placed in the uterus?

Answer 25

Circumferential will be placed on uterine body between cervix and bottom clamp. Transfixation will be placed at crush of first clamp.

Question 26

How do you look for a dropped pedicle on the right side?

Answer 26

Grasp duodenum and let the mesentery pull everything out of the way towards midline

Question 27

How do you look for a dropped pedicle on the left side?

Answer 27

Grasp the colon and let the mesocolon pull everything out of the way towards midline

Question 28

Where are the pedicles in relation to the kidney?

Answer 28

Just caudal to the caudal pole of the kidney

Question 29

Where is uterine bleeding located?

Answer 29

Dorsal to the bladder