if male dog midline incision what do you have to do extra
- Preparation of prepuce
- Preputial branches of caudal superficial epigastric
- Preputialis muscles
when to use paracostal
- give access to cranial abdomen
- combined with lateral throacotomy for trans-diaphragmatic procedures (omentalization of thorax)
- liver
- adrenals
how thick for biopsy sample for hollow organs
full thickness
- need to preserve: 10% formalin
- C/S ?
- impression smears?
liver is divided into
** Left division**
- Left lateral and medial lobes
- Papillary process of the caudate lobe
Central division
- Quadrate and right medial lobe
Right division
- Right lateral and caudate lobes
the left division of liver includes
- Left lateral and medial lobes
- Papillary process of the caudate lobe
Central division
- Quadrate and right medial lobe
Right division
- Right lateral and caudate lobes
the central division of liver includes
Left division
- Left lateral and medial lobes
- Papillary process of the caudate lobe
Central division
- Quadrate and right medial lobe
Right division
- Right lateral and caudate lobes
the right division of liver includes
Left division
- Left lateral and medial lobes
- Papillary process of the caudate lobe
Central division
- Quadrate and right medial lobe
Right division
- Right lateral and caudate lobes
4 ways to do partial biopsy of liver
suture fracture
finger fracture
punch
lobectomy
for complete liver lobectomy what is important
- Double ligation of blood vessel sealing device vessels and biliary ducts near the hilus
- Suture, TA stapler,
biopsy techniques for spleen
- FNA- not very helpful
- tru-cut needle
- excisional
how to do biopsy in intestine
- Full-thickness longitudinal incision
- Avoid mesenteric vasculature
- Stay suture placed in biopsy
- Appositional closure (longitudinal or transverse) engaging submucosa
blood supply to pancreas
- splenic artery
- cranial and caudal pancreaticoduodenal
how to biopsy pancreas
- carfully!
- suture fracture
- dissection and ligation
how to biopsy kidney
– Tru-cut needle biopsy
– Wedge biopsy
– Partial nephrectomy
– Nephrectomy
- careful for bleeding
- careful for renal function- want to diuresis to prevent clots
how to biopsy bladder
- full thickness
- +/- C/S
how to do biopsy of prostate
Exposure
– Extend incision caudally
– Stay suture in bladder
Technique
– Avoid prostatic urethra
– Tru-cut needle biopsy
– Wedge
– Subtotal prostatectomy
how to biopsy lymph node
- normally wedge with mattress suture closure
- remove whole LN- ligate vessels to avoid hemorrhage
ancillary techniques to cover defects in abdomen
omental patch
serosal patch
