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This Concept Map, created with IHMC CmapTools, has information related to: Teat Cistern Laceration repair, Step 6 ???? The cow should then be milked as normal as the motion will assist in resolving any swelling., The mucosa should be closed using a simple continuous suture pattern utilising an absorbable 4-0 or 5-0 suture like vicyrl or monocryl. ???? Flushing with saline can be done at this point to ensure that there are no leaks and that there is proper positioning of ligatures, Step 4 (Closure of sub muscosa) ???? Closure of the sub mucosa should be done similarly to the mucosa, in that 4-0 absorbable, monofilament suture material should be utilised to perform a simple continuous suture, The skin should be closed using a near-far-far-near interuppted suture, using 2-0 or 3-0 non-absorbable sutures ???? If there is alot of tension on the incision, vertical mattress sutures can be done in place of some of the interupted sutures, TEAT CISTERN LACERATION REPAIR ???? ADDITIONAL NOTES: 1. Vertical lacerations have a better prognosis than horizontal ones 2. Lacerations that are not full thickness have a better prognosis than ones inot the teat cistern 3. Lacerations that invlove the teat body alone heal better than ones that inlvobe the sphincter, Step 2 ???? Next, a canula should be placed in the teat canal to assist in flushing later. NOTE: If hemostasis is a problem at this time, umbilical tape at the base of teat can be used as a tourniquet, Step 5 (Closure of skin) ???? The skin should be closed using a near-far-far-near interuppted suture, using 2-0 or 3-0 non-absorbable sutures, Step 3 (Closure of muscosa) ???? The mucosa should be closed using a simple continuous suture pattern utilising an absorbable 4-0 or 5-0 suture like vicyrl or monocryl., Step 1 ???? Following subsequent nerve blocks and sterile prep of the udder, the wound should be dedrided using a forceps and/or scalpel, to remove any devitalized tissue and foreign bodies.