Page 200 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition

Chapter 14 · Surger y of the lung
Chapter 14 · Surgery of the lung

➜ OPERATIVE TECHNIQUE 14.1 CONTINUED
VetBooks.ir Complete lobectomy

1
Triple-ligate the pulmonary arterial supply and transfix with 3 metric (2/0 USP) or 2 metric (3/0 USP) non-
absorbable suture material.
2 Transect the pulmonary artery between the two distal sutures.
3 Carefully dissect the venous supply and ligate in a similar fashion.
4 Dissect the bronchus free and transect it between two pairs of crushing forceps.

PRACTICAL TIP

Sterile cotton-tipped applicators can be useful for gently teasing and
bluntly isolating the artery, vein and bronchus

5 Remove the affected lobe.

6 Preplace a series of interrupted horizontal mattress sutures (3 metric (2/0 USP) or 2 metric (3/0 USP) non-
absorbable suture material) in the bronchus before placing sutures to seal the bronchus.
7 Oversew the distal tissue using a simple continuous pattern (1.5 metric (4/0 USP) or 2 metric (3/0 USP) absorbable
suture material).

Preplacement of interrupted horizontal mattress sutures in the bronchus. The mattress sutures are then tied and
the end of the bronchus is oversewn using a simple continuous pattern.

Closure
See Chapter 11.

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