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This Concept Map, created with IHMC CmapTools, has information related to: Necrotic intestinal loop in a calf requiring a resection & anastomoses, Transect the intestinal loop with the use of a scapel blade. Ensure the incision is perpendicular to the length of the intestine. In cases where lumen sizes are not equal, one side may be cut perpendicular and the other oblique to achieve an equal , uniform diameter. Step 7 Perform the end to end anastomoses by joining the two loops of intestine via the use of simple interrupted sutures than penetrates all layers of the mucosa around the lumen of the loop. (m.o), Perform the end to end anastomoses by joining the two loops of intestine via the use of simple interrupted sutures than penetrates all layers of the mucosa around the lumen of the loop. (m.o) Step 8 Perform the leak test by injecting a few mls of 0.9% saline cranial to the sutured loop to ensure a water tight seal is achieved to prevent peritonitis., The sutured loop of intestine can be covered with omentum to aide in the seal as well as healing. Step 10 Close the laparotomy incisison Refer to Laparotomy CMAP, Resection and Anastomoses Involves IntraOperative Procedure, Resection and Anastomoses Consists of Aetiology (m.o), Ligate the mesenteric arteries via the use of stay sutures and strangle knots to prevent haemorrhage. Pay careful attention to not compromise the blood supply of the healthy portion of intestines. Step 5 In the identified necrotic segment of intestine, 'milk' the intestinal contents away from the area to be resected. Clamps such as the Doyens or Carmalts can be used to elevate the segment and to prevent spillage that may lead to perotinitis., In the identified necrotic segment of intestine, 'milk' the intestinal contents away from the area to be resected. Clamps such as the Doyens or Carmalts can be used to elevate the segment and to prevent spillage that may lead to perotinitis. Step 6 Transect the intestinal loop with the use of a scapel blade. Ensure the incision is perpendicular to the length of the intestine. In cases where lumen sizes are not equal, one side may be cut perpendicular and the other oblique to achieve an equal , uniform diameter., Locate and identify the necrotic loop of intestine and exteriorize it. Be aware as cows have short fatty mesenteries. Step 3 Determine the length of the intestinal loop that needs to be resected. Colour, size and the pinch test can be used in this analysis., IntraOperative Procedure Step 1 Perform a laparotomy incision on the right flank of the animal to expose the GIT, Resection and Anastomoses Consists of Key points (m.o), Perform the end to end anastomoses by joining the two loops of intestine via the use of simple interrupted sutures than penetrates all layers of the mucosa around the lumen of the loop. (m.o) ???? Alternative suture methods (m.o), Resection and Anastomoses Consists of What is it ? (m.o), Resection and Anastomoses Consists of Anatomy (m.o), Determine the length of the intestinal loop that needs to be resected. Colour, size and the pinch test can be used in this analysis. Step 4 Ligate the mesenteric arteries via the use of stay sutures and strangle knots to prevent haemorrhage. Pay careful attention to not compromise the blood supply of the healthy portion of intestines., Perform the leak test by injecting a few mls of 0.9% saline cranial to the sutured loop to ensure a water tight seal is achieved to prevent peritonitis. Step 9 The sutured loop of intestine can be covered with omentum to aide in the seal as well as healing., Resection and Anastomoses Consists of Principles of Bovine Intestinal surgery (m.o), Perform a laparotomy incision on the right flank of the animal to expose the GIT Step 2 Locate and identify the necrotic loop of intestine and exteriorize it. Be aware as cows have short fatty mesenteries.