Retention Suturing of the Bovine Vulva (Buhner’s Method) Flashcards

1
Q

buried purse-string suture
which simulates the action of the constrictor
vestibulae muscle

A

Buhner’s Method

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2
Q

indication

A

To retain vaginal or uterine
prolapse

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3
Q

form of restraint utilized

A

chute or crush,

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4
Q

T/F: this surgery may be performed while the animal is recumbent

A

T

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5
Q

anesthesia used

A

caudal epidural

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6
Q

best osmotic agent used

A

supersaturated soln of sugar -
hyperosmotic (absorbs fluids in the
swelling)

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7
Q

T/F: after cleaning the prolapse, the osmotic agent may be used. wait for the prolapse to be soft enough before inserting it back inside.

A

T

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8
Q

what should be done to prevent recurrence

A

place suture

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9
Q

______ skin incisions
about 1 cm long dorsal and
ventral commissures of the
vulva

A

Transverse

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10
Q

______
needle into the ventral incision.

A

Buhner’s or Gerlach’s perivaginal

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11
Q

what can be placed in the vagina to guide the needle

A

one hand

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12
Q

material that is:
⚫Tolerated better
⚫Can remain permanent
⚫The fibrous connective tissue in response to the
tape is often sufficient to prevent future prolapse.

A

Perivaginal suture tape

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13
Q

suture pattern used in closing the vulva

A

purse string suture

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14
Q

The resulting suture
encircling the vulva will admit
____ fingers = cannot be prolapsed.

A

2 to 3

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15
Q

The dorsal and ventral
skin incisions may be
closed with a ____ suture

A

simple interrupted

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16
Q

If the cow is close to calving, a ____ knot
is recommended – allows the suture to be
undone to reduce tension at the time of
parturition.

A

bow

17
Q

T/F: The suture may be permanent or temporary

A

T

18
Q

Uterine prolapse is common on what cattle type/breeds?

A

Dairy cattle,
PH carabao

19
Q

What muscle is stimulated by Buhner’s method

A

Constrictor vestibulae muscle