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This Concept Map, created with IHMC CmapTools, has information related to: Hernia Repair, Umbilical Hernia Repair Surgery in Piglets Alternatives Non invasive method, Pre-operative Care Must involve 2 Physical Exam, Pre-operative Care Must involve 1 Distance Exam, Intra-Op Procedure Involves Step3: Closure of Body Wall Closed Method: Suture overlapping sutures with Nylon (see picture) Open Method: Suture Horizontal Mattress with Nylon (see picture), Step4: Closure of Subcutaneous Layer using Simple Continuous Suture with Catgut ???? NB: Elimination of dead space between tissue layers to avoid post-op infection & fluid buildup, Pre-operative Care Must involve Vet Prep, Intra-Op Procedure Involves Clamp all bleeding vessels with haemostats and soak up blood within surgical site with sterile gauze as procdure goes on, Restraint in order to Scrub Animal, Umbilical Hernia Repair Surgery in Piglets Alternatives Future Prevention, Step1: Elliptical Skin Incision over Fundas of Sac to remove excess skin/ abscesses/ ulcers NB: Males the prepuce is reflected to one side OR Special V shaped incision is made (see picture) (2 incisions meet anterior to prepuce opening) ???? Precautions: Male's Prepuce - Preputial diverticulum not incised, Restraint in order to Reduce and Score Hernia, Intra-Op Procedure Involves Step5: Closure of Outer Epidermis Layer using Simple Interupted Suture with Nylon or suture of choice (picture is Horizontal Mattress), Intra-Op Procedure Involves Step2: Blunt Dissection to clear the area to reach thick peritoneal hernial sac. Removal of sac by forcep grasping and small incision made into elevated sac excising down to muscles of body wall & to umbilical ring, Umbilical Hernia Repair Surgery in Piglets Involves Pre-operative Care, Step5: Closure of Outer Epidermis Layer using Simple Interupted Suture with Nylon or suture of choice (picture is Horizontal Mattress) ???? NB: Male Prepuce is assessed after complete closure using finger or blunt closed scissors to recheck no interference, 3 Pre Op Medications (see "calculations" for list of drugs used) requires knowing how to do Calculations (Doses/Rates), Intra-Op Procedure Involves Constant Monitoring of: 1 TPR & MM every 5 mins 2 Reflexes (top up with anaesthetic agent when seen) (monitoring chart attached), Restraint in order to Anesthetize/ IV Catheterization, Pre-operative Care Must involve 3 Pre Op Medications (see "calculations" for list of drugs used), 4 Fluid Therapy requires knowing how to do Calculations (Doses/Rates)