Anesthesia and procedure
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Anesthesia
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Premedication
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Butorphenol – 0.2-0.4 mg/kg SC or IM
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Buprenorphine –5-15 microgm/kg IM
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Induction
- Propofol –4-6 mg/kg IV
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Maintenance
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Isoflurane or sevoflurane
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Bladder exteriorization from the abdomen
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Placement of incision on the bladder
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Cystotomy
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Caliculi from the bladder
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Place the animal in dorsal recumbency.
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Prepare ventral abdominal region and genital area for aseptic surgery.
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Incise skin and subcutis on the ventral midline.
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In male, incise skin and subcutis parallel and adjacent to prepuce. ( paraperputial skin incision)
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Identify and ligate preputial branches of caudal superficial epigastric artery in the subcutis.
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Incise linea alba from umbilicus to pubis and para preputial approach in male dogs.
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Identify bladder and isolate it by moistened laparotomy sponges.
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Place stay sutures on the bladder apex to facilitate manipulation.
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Make incision on the dorsal or ventral aspect of bladder away from ureters , urethra and between major blood vessels.
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Remove urine by suction or intraoperative cystocentesis before cystotomy.
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Examine bladder and mucosa for defects.
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Pass a catheter down the urethra to check for patency.
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Close the UB in a single layer using continuous suture pattern.
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If it is a two layer closure, suture the seromuscular layer by two continuous inverting suture lines (cushings followed by lembert).
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Last modified: Tuesday, 5 June 2012, 10:19 AM