Changes

==Introduction==

==Introduction==

Vaginal hyperplasia describes the '''exaggerated response to oestrogens''' by the vaginal and vestibular mucosa resulting in '''excessive mucosal folding''' of the vaginal floor cranial to the external urethral orifice. Redundant tissue '''protrudes through the vulva''' as a mass.

Vaginal hyperplasia describes the '''exaggerated response to oestrogens''' by the vaginal and vestibular mucosa resulting in '''excessive mucosal folding''' of the vaginal floor cranial to the external urethral orifice. Redundant tissue '''protrudes through the vulva''' as a mass.

#Episiotomy is performed by incising skin dorsally from the commissure of the vulva midline and deepening through subcutaneous tissues to the vestibule.

#Episiotomy is performed by incising skin dorsally from the commissure of the vulva midline and deepening through subcutaneous tissues to the vestibule.

#The mass is lifted from the vaginal floor and the redundant vaginal tissue is '''amputated''' by making a transverse elliptical incision around the base.

#The mass is lifted from the vaginal floor and the redundant vaginal tissue is '''amputated''' by making a transverse elliptical incision around the base.

#The vaginal defect is closed with [[Suture Materials and Patterns|simple iterrupted absorbable sutures]] marking sure the external urethral orifice isn't involved.

#The vaginal defect is closed with [[Suture Patterns|simple interrupted]] [[Suture Materials|absorbable sutures]] marking sure the external urethral orifice isn't involved.

#The episiotomy is closed in 2-3 layers, involving the vestibular mucosa, the subcutaneous tissues and the skin.

#The episiotomy is closed in 2-3 layers, involving the vestibular mucosa, the subcutaneous tissues and the skin.

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[[Category:Reproductive Diseases - Dog]]

[[Category:Reproductive Diseases - Dog]]

[[Category:Female Reproductive System - Pathology]]

[[Category:Female Reproductive System - Pathology]]

[[Category:Expert Review - Small Animal]]

[[Category:Expert Review - Small Animal]]