Vet360 Vet360 Vol 06 Issue 02 | Page 20

SURGERY Article sponsored by Petcam ® Prescrotal incision technique For those dogs undergoing the prescrotal incision technique, a No. 15 scalpel blade on a No. 2 Bard- Parker handle was used to incise the prescrotal skin. The incision was made just cranial to the scrotum and continued cranially 2 to 5 cm, depending on the dog’s size, until the incision was of sufficient length to allow the testicles to be exteriorised (Figure 2). The parietal tunic was left intact.  Fig 3. The prescrotal incision was closed with 2-0 polyglactin 910 suture in an interrupted intradermal pattern. Scrotal technique Fig 2. The prescrotal incision was made just cranial to the scrotum and continued cranially 2 to 5 cm, depending on the dog’s size, until the incision was of sufficient length to allow the testicles to be exteriorized. For the scrotal technique, a No. 15 scalpel blade on a No. 2 Bard-Parker handle was used to make a The first testicle was delivered through the prescrotal incision; fascia was stripped from the spermatic cord to allow the testicle and spermatic cord to be fully exteriorized for a closed castration technique. Two curved Kelly haemostats were used to crush the tissues of the spermatic cord proximal to the testicle. The spermatic cord was transected distal to the second haemostat with a No. 15 scalpel blade. The most proximal haemostat was removed, and ligature of 2-0 polyglactin 910 (Vicryl—Ethicon) suture was secured with a Miller’s knot in the area previously crushed by the haemostat.  The remaining haemostat was subsequently removed, and the remainder of the spermatic cord was placed back into the incision after checking for haemorrhage. The procedure was repeated for the second testicle. The incision was closed with 2-0 polyglactin 910 suture in an interrupted intradermal pattern (Figure 3) vet360 Issue 02 | MAY 2019 | 20 Fig 4. For the scrotal technique, the first testicle was delivered through a scrotal incision near the median raphe.