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This Concept Map, created with IHMC CmapTools, has information related to: Intestinal Surgery, A right paralumbar fossa laparotomy with the cow standing is the approach of choice. Restoration of normal anatomic position of the intestines is done more easily with the patient standing. prognosis varies with severity and duration of the lesion, Resection and anastomosis indications Necrosis, Surgical correction may be performed by end-to-end or side-to-side anastomosis of the intestine proximal to the atrestic segment to the rectum. Surgery is most easily performed with the calf under general anesthesia, but may be performed using a combination of sedation, epidural anesthesia,and line blocks complications peritonitis, obstruction of the anastomosis, diarrhea, dehydration, Death., Intestinal Obstruction procedure 1.Exteriorize and isolate the desired intestine from the abdomen and pack laparotomy sponges around the segment 2.Gently milk chyme from the lumen of the identified intestinal segment. This minimizes spillage of chyme during the enterotomy procedure. 3.To further minimize spillage of chyme, occlude the lumen at both ends of the isolated segment by having an assistant use a scissorlike grip with the index and middle fingers, approximately 4 to 6 cm on each side of the proposed enterotomy site.If an assistant is not available a Doyen (noncrushing intestinal forcep) or sterile bobypins can also be used to occlude the intestinal lumen. 4.Make a full thickness transverse stab incision in healthy appearing tissue distal to the foreign body. 5.Remove the foreign body using a hemostat and minimal damage to the intestinal wall 6. Closure is done using a monofilament absorbable suture on a swaged on taper needle. For medium and large dogs 3-0 polydioxanone (PDS) or polyglyconate (Maxon) suture should be used. For small dogs and cats 4-0 polydioxanone (PDS) or polyglyconate (Maxon) suture should be used. Consider a monofilament nonabsorbable suture (polypropylene or nylon) if the patient has an albumin level less than or equal to 2.0 g/dl. Never use chromic gut or gut for intestinal surgery. 7. An appostional suture pattern is preferred.Bites should be about 3 to 4 mm apart and 3 to 4 mm from the cut edges. Engage the submucosa in every suture bite—it is the holding layer for the intestinal wall. Accurate placement of the mesenteric sutures is essential. If the mesenteric border is difficult to see clearly, preplace 2 or 3 single interrupted sutures 8.Wrap a small amount of omentum around the enterotomy site., 3. rejoin open bowel ends in a matter to maximize healing depends on degree of blood supply, Rectal prolapse correction different grades of prolapse Grade I, Rectal prolapse correction different grades of prolapse Grade IV, Rectal prolapse correction use of Rectal Rings, Diseases occuring most commonly in calves such as Trichobezoars, INTESTINAL SURGERY these include Diverticula, Pre-op includes Management, Resection and anastomosis Goals 3. rejoin open bowel ends in a matter to maximize healing, INTESTINAL SURGERY these include Chronic Inflammation, Diseases which can be categorized into Diseases occuring most commonly in calves, Diseases occurring without age predilection such as Foreign body obstruction, INTESTINAL SURGERY these include Small Bowel Infection, Resection and anastomosis Procedures Stapled anastomosis, Resection and anastomosis complications Short bowel syndrome, peritonitis, obstruction of the anastomosis, diarrhea, dehydration, Death. prognosis guarded (poor for long term survival for productivity), Resection and anastomosis Types a.End to End