Page 193 - Manual of Equine Field Surgery
P. 193

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Castration                                                                                                      189






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                                                                                                                                                                                                                                                                                                                                                                                                                                                     Figure                                                  34-17                                                 Typical                                              appearance                                                                   of                    the                          scrotal









                                                                                                                                                                                                                                                                                                                                                                                                                                                     region  and  sheath  on  the  fourth postoperative  day.







































                                                                    Figure                                                 34-16                                                  Typical                                              appearance                                                                   of  the                                           scrotal









                                                                    region  and  sheath  on  the  first postoperative  day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 '


























































                                                                     Excessive                                                         e









                                                                                                                                                                                                                                 er,
                                                                                                           lie
                                                                     comp                                                  ation,                                     with  oth                                                                                                                                                                                                            ca-








                                                                                                                                                            •
                                                                                                                                                                                          •
                                                                     tions                                     occurring                                                                 Ill                                                                                  2                            ost                         castrations










                                                                     occur                                      with                                                                                                                                                                             ications,                                                   but  the









                                                                                                                                                                                                                                                                                                                                                                                                n-
                                                                     sever                                                                             ote                                                                                              •          ations  makes  preve










                                                                     tion  and                                                     e                                                                                 on  important                                                                              •

















                                                                                                                                                                                                                                                                                                                                                                                                                                                        Figure                                                        34-18                                                  Excessive                                                            postoperative                                                                                   swelling                                                                                           I









                                                                                                                                                                                                                                                                                                                                                                                                                                                        caused  by excessive hemorrhage  and  edema                                                                                                                                                                                                                               formation.                                                                                                     '





























                                                                                                                                                      •
                                                                       Castration                                                                    IS                one                              of  the                                            most









                        ' .
                                                                                                                                                                                                                                                                       se                                                                                                                           er










                                                                       of complications  have been  described                                                                                                                                                                                                                          3,5-9


                                                                                                                                                                                                                                                                                                                                   •











































                                                                                                                                                                                                                                                                                      •
                                                                       Excessive                                                             edema                                               or                                                                                  IS  the                                         most                                      corn-










                                                                                                                                                            •
                                                                        rnon                                   castration                                                                complication.                                                                                                     ild                       scrotal                                             and








                                                                                                                                                                                                                                                                                                                                                •

                                                                        preputial                                                                                                                                                                                     castration                                                               IS                normal                                                                                                                                                                                                                                                                                                                                                                                                                                                  "








                                                                                                                                                                                                                                                                                                                                                                                •
                                                                              Figures                                                     34-16                                           and










                                                                                                                                     to                                                                                                                       er                                                                                              resolves









                                                                                                                                                                                                                                                                                                                                •
                                                                                                                                                                                                                                                                                                                                                                           ciated
                                                                        with                           •                                                                                                                                                                                                                       is  asso                                                                                                                    Figure                                                        34-19                                                 Excessive                                                            postoperative                                                                                   swelling                                               '
                                                                                                      Ill









                                                                        with                                       purulent                                                                                                                                                                                                 s                  urination,                                                                                                  resulting                                                   from                                  inadequate                                                                drainage                                                    and                           subsequent                                                                             -









                                                                         causes  lameness  or  reluctance  to exercise,                                                                                                                                                                                                                                          or does                                                                                   seroma  formation and  local                                                                                                                                                1n                                    on.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        •
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   fecti



















                                                                                                            •                                                                                                                                                                                                                  and

                                                                                                           IS                    abnormal                                                                          Figures                                                    34-18                                                                                34-19                                        •                                                                                                                                         '







                                                                                                                                                                                                             •
                                                                         Horses  with                                                                                excessive                                                                                                                                                                                    ave  the                                                                                 the                          horse's                                               comfort  level
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          •




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    •

                                                                                                         •
                                                                                               •
                                                                          •
                                                                         mcisions                                                             examined                                                                   and,                                  if                  necessary,                                                                                                                                                              scrotal  and  preputial                                                                                                                             region





                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          t drive
                                                                                                                                                                                                                                                                                                                                                                             •

                                                                          reo                                                                                                                                                                                                                                                                                        amage                                                                                  cial, but                                                 care  should  be taken  to  no                                                                                                                                                                                                       super-

                                                                                                                                                                                                                                                                                                                                                                                                                •




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    cludin
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       •
                                                                                                                                                                                                               •
                                                                          Postoperative                                                                                     exercise                                                   should  be                                                                   increased                                                              and                                                              ficial infect                                                                                               •                                                                                        er tissues,  in                                                                                                               g
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ions  1







                                                                                                                                                                                                                                                                                                                                                               •
                                                                                                                                                                                                                   ents administered  to                                                                                                                      increase                                                                                      the  abdomen .






                                                                                                                                                                                                                                                                                                                                                                                       ,/



























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