Page 212 - Manual of Equine Field Surgery

208 MALE UROGENITAL SURGERIES

I •

.
. I

f

Figure 37-6 The sides of the incised urethra are

sutured to the epithelium using an interrupted pattern.

Figure 37-3 Triangular skin incision used in

William's technique for amputation. .,,.,_ .flJC.~

.·,-·

Figure 37-4 Intraoperatjve view of the triangular

skin incision used i11 William's technique for amputa-

.
tion. Figure 37-7 The base of the penis is transected so that
the dorsal aspect is slightly longer than the ventral aspect.

Figure 37-5 A longitudinal incision is made into the Figure 37-8 The tunica albuginea is closed to com-

lumen of the urethra. press the corpus cavernosurn.

thral mucosa, minimizes dead space, and helps cavernosum to compress the vascular spaces using

control hemorrhage from the corpus spongio- a simple interrupted pattern with No. 0 or No. 1

sum. When this layer is closed, a simple continu- absorbable suture (Figure 37-8). The first suture

ous pattern with absorbable suture material is is placed on rnidline, and the subsequent sutures

bisect the halves (Figure 3 7-9). The sutures should
used.

The penis is then transected at the base of the be closely spaced. Generally, seven or eight sutures

triangle i11 an oblique manner so that the dorsal are used. Blood loss from the corpus cavernosum

aspect of the penis is slightly longer than the can be extensive, and this seal should be checked

ventral aspect (Figure 3 7 - 7). Branches of the carefully after release of the tourniquet.

dorsal artery and veins of the penis are ligated. The subcutaneous tissue deep to the skin is

The tunica albuginea is closed over the corpus closed to the tissue just deep to the urethral