Judul : Teknik Operasi Episiotomy pada Hewan (Bedah Genitalia)
link : Teknik Operasi Episiotomy pada Hewan (Bedah Genitalia)
Teknik Operasi Episiotomy pada Hewan (Bedah Genitalia)
Episiotomy is a kyphosis and helps to stretch the perineum by cutting the obstruction to repair the vaginal mucosa, repair the ring septum, loosen the rectovaginal septum, muscle and fascia of the perineum.
This operation swings the incision from the perineum to the seguri to Langen direction and stops the rupture of the total perineum.
This surgical procedure is designed to widen the exit of the fetus and the slide is a natural tear action that will cause more pain than a tear caused by an episiotomy operation.
Episiotomy is performed according to indications: indications for the fetus and indications for the mother.
This operation is performed according to two techniques: medial and medial. Each technology has its strengths and weaknesses.
protection
An episiotomy is a purapa kyodan surgical incision at the lip of the vulva or an incision of the vulva that joins by making an upward incision from the dorsal aspect of the vulvar commissure.
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| Illustration of episiotomy |
An episiotomy is performed to remove the vagina.
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Dorsal episiotomy: external urethral catheterization (indicated by Kerberg arrow) and hemangiosarcoma transfer (indicated by arrow). |
But Neonatal Anesthesia in Dystocia in Geumtuna Episiostomy.
The episiotomy incision position is at the external dorsal commissure of the vulva century until it enters the vagina, very bad urethral tuberculosis.
Before the Thecarno dissection, the vestibular should be palpated with the fingers to dissect the urethral tuberculitis.
Surgical incision of the vulva mark during gynecological procedures when vulva mutation or assisted embryo production.
A normal vaginal birth involves intense contractions of the mother and pressure on the mother's part of the mother animal.
Absence of a sire without a saurian pattern suggests tearing in the perineal area. Therefore, an episiotomy may be decanted to prevent irregular crying that may occur during labor.
This can facilitate proper tear suturing (stitching) during nanay and tears that are naturally compressed during the nanay process. An episiotomy is performed to prevent posterior stretching of the muscles that may lead to prolapse.
An episiotomy may be performed when the fetal head is visible or when there is a gluteal protrusion that may be at the vulva.
Further pulling in this condition will delay tearing of the vulva. The need for previous episiotomy for proper presentation of the fetus is difficult for impairment.
Hint:
Regardless of the principle of surgical episiotomy, it is very serious to manage the trauma of vaginal exposure for both fetus and mother.
The basic premise is that surgical incisions are optimal for dilatations or lacerations. Indications for surgical episiotomy are indications for the fetus and indications for the mother.
Medudu with indications for embryos, embryos will be molded into hypoplastic vulva hulls and large embryos.
Additionally, a simple episiotomy is performed in cases of dystocia, where the fetus remains stuck in the vagina and is transferred by an older parent.
Sanhte who is the mother, sakada ababila kikandoan dissargaa and birikaa is a duo with indications to maintain strong perineal compression due to the expansion of the perineum which has not yet swollen during spontaneous vaginal discharge.
Generally, Kyogan episiotomy is almost always indolent because the technical elasticity of the pelvic floor is still lacking in primipara.
In addition, the induction of turkey calves is also due to the hardening of the perineum of the parents, the presence of a scar on the perineum that is lower than the shoulder of the nayedan, the naye of the sire and the soran perineum with a sciatica scar on the perineum. .
Tuzon operative episiotomy
The objectives of the study of episiotomy surgery in mother animals during the relaxation process are:
- Accelerates relaxation by widening the soft birth canal
- Accelerate visualization of the fetal head
- Control of perineal tears for prostheses sutures during surgical incision wound dressings
- Avoid spontaneous perineal tears
- Possibility of complete rupture of the perineum
- Tumors appear in the vulva and vagina
- Vaginal surgery
Advantages of episiotomy surgery
Episiotomy among others.
- Funding for repatriation in case of dystocia
- Relaxed prose is easy because parents are not relaxed when there is a crush and tension.
- The fetus can quickly enjoy the pleasure of emergency space
- An episiotomy produces a straight wound with a cut edge, while a spontaneous perineal tear is a jagged wound with a jagged wound. Therefore, it is easier to repair or suture a tear at the site of an episiotomy surgery than a normal tear.
Operational Technician
Episiotomy surgeons are divided into two types, namely.
1. Medial episiotomy
The surgical technician enters the vagina with a straight cut less than an inch toward the anus. Meanwhile, the muscles that are cut during an episiotomy with this technique are m. Transversa Perini, m. Bulbocavernosis, m. Bulbokosijil and M. Ileococci.
2. Lateral or medial episiotomy
Surgical technician with an oblique incision on one side of the vagina to remove the rectal sphincter muscle. The incision starts from the midline of the vagal vestibular fossa to the posterior midline between the sciatic spine and the anus.
A median incision of the Jimtuni is easy to make and repair, but if torn it does not cause pucumana to injure the anus. It means tearing in the anus.
Although the incision between the gymatuna is more difficult to squeeze, the best drainage is the sphincter of the rectal sphincter and the gymatuna is closest for episiotomy purposes.
Pre-operation
The first step that can be taken before the episiotomy operation is to perform physical maintenance of the animal.
Another thing that should be done before implantation for an episiotomy domain intended to control cases other than dystocia is a broad spectrum antibiotic such as a 2 hourly induced cephalosporin with the first class of sympumi opera 2.
Then, the field of work was treated irrationally. The vagina is irrigated with an antiseptic liquid. Animals that have ventral stools on the ventral side may receive an enema (administration) prior to surgery or using a square bag around the anus.
The following preparation tools are used during canine episiotomy surgery.
- Sterile reservoir tool
- A pair of sterile gloves
- Scissors episiotomy
- Sterile case
- Saliva 5 ml
- lidocaine 2%
- Aquadest
- DTT Air Power
Anesthesia used is local anesthesia, epidural anesthesia or general anesthesia. If the episiotomy is performed with a margin, the skin and muscles can be blocked using lidocaine or bupivacaine at a dose of 0.2 ml/kg body weight. or epidural anesthesia using 2% procaine or xylocaine.
An antiseptic such as povidone iodine or chlorhexidine is applied to the perineal area. The perianal position of the animal is established.
operation
The surgical stages of an episiotomy include:
- Animals were combed as usual and placed in the perineal position (extended on the abdomen) for surgery under anesthesia.
- Doyen intestinal forceps (non-makari tsingan clamp) straighten, then probe each side of the vulvar lip at the perineal midline (midline).
- To avoid contaminating the left and right sides of the baric section, cut the dorsal blade toward the anus.
- The sampang incision was then deepened using sterile scissors to reach the mucosa and vaginal wall.
- Meleju constantly watches and spells using hemostats, electrocoagulation or pairing.
- After all the process is done, continue while sewing with three layers of stitches.
- The vaginal mucosa is sutured with a simple continuous or interrupted suture technique with 3-0 catgut suture.
- The subcutaneous tissue and mucosa were sutured and the skin was sutured with non-absorbable sutures and opened 7–10 days later.
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| Not a carved out area. |
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Place a hooked intestinal forceps on each side of the incision area. |
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| Make a cut in the back and then towards the anus. |
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| Musculoskeletal, subcutaneous and cutaneous. |
To control the severity of Sengagem, the operating area is immediately compressed daily with warm compresses.
After the operation
Among others are measures that can be given to patients to improve their recovery after surgery.
- Selat Kekelanan now feeds on the paradox of topical antibiotics
- Surgical wound cleaning:
Complexity
An episiotomy can cause pain, bleeding, swelling, bruising or infection. The rectal incision or episiotomy wound is closed even if it is not sutured together with the cycle.
In Zeumtuna terns, there are plenty of small, non-direct gerjal wounds, but if the tear is deep, wide, or short of breath, fatigue can cause a major problem.
reference
Fubini S and Norma D. 2004. Livestock Surgery. Other St. Louis.
Morano, S, Emanuela M, Daniel P, Davide L, Sergion C and Nicolas R. 2006. Randomized comparison of suture techniques for episiotomy and tear repair after spontaneous vaginal delivery. Journal of Minimally Invasive Gynecology, Vol 13, n. 5. 457–462
Rigi, N, Kerman-Sarawi F, Saroneh RM, and Abedian Z. 2011. Cold and brief episiotomy pain interferes with mood and daily activities. Shiraz E Medical Journal, Vol. 12, number 2; 87-92
Scott, JR 2005. Episiotomy and vaginal trauma. Renal Obstet Clin N Am Vol 32; 307–321
Sudisma, IGN. 2006. Veterinary Surgery and Technical Operations. Pelva Saree Denpasar
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