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수의외과학 실습- Anal sacculectomy, Herniorrhaphy,digit amputation, FHO

저작시기 2014.04 |등록일 2014.09.17 | 최종수정일 2014.09.18 한글파일한글 (hwp) | 7페이지 | 가격 2,000원

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목차

1. Anal sacculectomy - closed technique
2. Perineal Hernia Repair(Herniorrhaphy)
3. Digit amputation
4. Femoral head and neck ostectomy(FHO)

본문내용

1. Anal sacculectomy - closed technique
3) Surgical Treatment & techniques
- Closed technique > Open technique
: This is because (a)the external anal sphincter m. is not transected, and (b)the lumen of the anal sac remains closed, preventing contact between secretions and adjacent tissues.
① Preoperative Management
- Anal sacculitis, abscessation, or fistulation should be treated for several days.
* Inflammation & fibrosis가 남아있으면 anal sphincter에 손상 입을 확률이 높아진다. 일시적, 영구적 fecal incontinence가 속발적으로 발생할 수 있다.
② Anesthesia
- Premedication: diazepam(midazolam) + hydromorphone(morphine, buprenorphine)
- Induction: Propofol(+/- Ketamine w/ diazepam)
- Maintenance: Isoflurane+Fentanyl+Hydromorphone+Medetomidine+Ketamine
③ Ventral recumbency w/ the tail fixed dorsally over the back. Elevate the pelvis & pad the hind legs when using a perineal position.
④ Palpate the anal sacs & extent by placing the index or middle finger in the rectum and the thumb over the sac. Manually evacuate feces.

참고 자료

Small Animal Surgery 4th edition, Tgeresa W.Fossum, Elsevier, pp.285-286, pp.551-573, pp.1305-1316
http://www.vetsurgerycentral.com/fho.htm
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