Page 236 - Manual of Equine Field Surgery
        P. 236
     232                       FEMALE  UROGENITAL  SURGERIES
                         is reflected  ventrally  and removed  from  each side,                                                                     sorbable  suture  in  a  simple  continuous  pattern
                         with  the  triangle  apex pointing  cranially and  the                                                                     (Figure  42-7).  Deep  perineal  tissues  should  be
                         base  along  the  mucocutaneous  junction  of  the                                                                         apposed  with  No.  2-0  absorbable  suture  using  a
                         perineum  (Figure  42-6).  Closure  of  the  ventral                                                                       simple  interrupted  pattern.  Perineal  skin  is
                         vestibular  mucosal margins  should  be  performed                                                                         apposed  with  No.  0 nonabsorbable  suture  using
                         in  a  cranial-to-caudal  manner  with  No.  2-0  ab-                                                                      Ford interlocking  pattern  (Figure  42-8).
                                                                                                                                     '                                             ,  ,;»;. a  .;  •)'!11111  1111W   a;  ,,it  ~  ~--.
                                                                                                                                                                                                                   ,  '
                                                                                                                                                                                                                 "1"    ".  -
                                                                                                                                                                                                                    ' '  ""'
                                                                                                                                                                                                                     '",'
                                                                                                                                                                                                                       ' ~  ,,
                                                                                                                                                                                                                          '~   \
                                                                                                                                                                           B
                                                                                                                                                            Figure  42-6  A,  Proposed  area  of  vestibular
                                                                                                                                                            mucosa  to  be  removed  (dotted  lines)  for  perineal
                                                                                                                                                            body reconstruction.  B,  Caudolateral  view of  pro-
                                                                                                                                                            posed  area  of  vestibular  mucosa  to  be  removed
                          A                                                                                                                                 (dotted  lines) for perineal  body  reconstruction.
                                                                                                                                                        Figure  42-7  Cranial-to-caudal  closure  of  the
                                                                                                                                                        ventral vestibular  mucosa margin  using a simple  con-
                                                                                                                                                        tinuous  pattern.
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