Difference between revisions of "Small Animal Soft Tissue Surgery Q&A 02"
(Created page with "[[|centre|500px]] <br /> '''An eight-year-old St. Bernard is presented with signs of depression, abdominal distension and non-productive vomiting.''' <br /> <FlashCard questi...") |
|||
| (2 intermediate revisions by 2 users not shown) | |||
| Line 1: | Line 1: | ||
| − | + | [[|centre|500px]] | |
| − | |||
| − | |||
| − | [[ | ||
<br /> | <br /> | ||
| Line 14: | Line 11: | ||
|a1= | |a1= | ||
Gastric dilatation-volvulus. | Gastric dilatation-volvulus. | ||
| − | |l1= | + | |l1= |
|q2=Describe the initial presurgical therapy. | |q2=Describe the initial presurgical therapy. | ||
|a2= | |a2= | ||
| Line 20: | Line 17: | ||
Gastric decompression is achieved by passing a stomach tube, percutaneous needle trocarization or temporary gastrostomy. | Gastric decompression is achieved by passing a stomach tube, percutaneous needle trocarization or temporary gastrostomy. | ||
| − | |l2= | + | |l2= |
|q3=Describe the surgical correction of the problem, and name different surgical techniques to prevent recurrence. | |q3=Describe the surgical correction of the problem, and name different surgical techniques to prevent recurrence. | ||
|a3= | |a3= | ||
| Line 30: | Line 27: | ||
The stomach is secured in a normal position by attaching the pyloric antral region to the adjacent right abdominal wall. Gastropexy techniques include tube gastrostomy and circumcostal, belt loop and incision gastropexy. | The stomach is secured in a normal position by attaching the pyloric antral region to the adjacent right abdominal wall. Gastropexy techniques include tube gastrostomy and circumcostal, belt loop and incision gastropexy. | ||
| − | |l3= | + | |l3= |
</FlashCard> | </FlashCard> | ||
Revision as of 09:51, 30 August 2011
[[|centre|500px]]
An eight-year-old St. Bernard is presented with signs of depression, abdominal distension and non-productive vomiting.
| Question | Answer | Article | |
| What is the most likely diagnosis? | Gastric dilatation-volvulus. |
[[|Link to Article]] | |
| Describe the initial presurgical therapy. | Initial treatment consists of gastric decompression and treatment of shock. Gastric decompression is achieved by passing a stomach tube, percutaneous needle trocarization or temporary gastrostomy. |
[[|Link to Article]] | |
| Describe the surgical correction of the problem, and name different surgical techniques to prevent recurrence. | A standard midline laparotomy is performed and the stomach is repositioned and decompressed. Stomach contents are removed using a large stomach tube or through a gastrotomy incision. The viability of the stomach is evaluated and non-viable parts are resected. The spleen is repositioned and inspected. Splenectomy is performed if viability is in doubt. The stomach is secured in a normal position by attaching the pyloric antral region to the adjacent right abdominal wall. Gastropexy techniques include tube gastrostomy and circumcostal, belt loop and incision gastropexy. |
[[|Link to Article]] | |
