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Mammary
                                  glands surgery


                     The mammary glands
MG – Modified skin glands –female functional


•Glandular tissue – divided into 2 main halves
•separated by a complete septum.


•The suspensory apparatus and blood and nerve
supply – independent of each other.
Suspensory ligament
Section of mammary glands
Nervous stimulation on udder
Anatomy




 So one half can be easily removed in diseased
  condition without affecting the other.
 Each half---------- Cranial quarter
         ---------- Caudal quarter
Anatomy of mammary glands


 2 quarters of each half- independent glandular
  tissue but common blood and nerve supply and
  lymph drainage.( B.S.-ext. pudic and perineal)-
  inguinal nerve
Structure of MG
 From outside to inside
  – teat consist of
  1.Skin(E,D)
 2.Muscular layer-M-
  (outer longitudinal and
  inner circular which
  extends distally –
  spincter of the teat
  canal-S.)
 3. fibrous layer-
  binding layer for
  muscle with mucosa.-
  C
 4. mucus mem-
  longitudinal and
  transverse folds-
  intersect – form
  pockets or recess-Mc
 Bacteria resides
Structure of MG
   At distal- mucosa-rose flower like folds pattern- rosette of
    Furstenberg.----- R
   Duct system – 2 parts
   1.teat sinus/cistern
   2. streak canal.(pappilary duct)
Structure of MG
          Teat cistern – separated
           from gland
           cistern – annular fold-A
          Ventrally the rostte of
           Furstenberg
           separates teat cistern
           from the streak canal.
          Closing mechanism –
           rostte of Furstenberg-
           sphincter muscle-
           prevents milk leakage
           and entry of microbes.
Anaesthesia
   Surgery of MG- ring block- 10-12 ml lignocaine
    2%


   Posterior epidural block.


   Spinal anaesthetics
Supernumery teats
   Supernumery teats – teats in between normal
    teats
   Removed for – cosmetic- interfere with
                        milking procedure.
                      - unfit character for breeding
   2 elliptical incisions- close with non-absorbable.

   FUSED TEATS- skin are fused- without
    involving teat canal or muscles.
   Divided surgically and cutaneous wound
    sutured
Teat laceration
 Teat lacerations
 Higher in
  goats(pendulous
  udder and long
  teats)
 Etio-Direct injury
 Superficial wounds –
  general principles
Teat laceration

 Large wounds – involving skin and
  muscularis but not mucosa. suture
 Deep lacerations – involve mucosa,
  a complete longitudinal tearing.
Teat laceration
   Ring block – tourniquet –
    check haemorhage and
    milk inflow into cistern.
   Teat siphon inserted –
    debridement is properly
    done
   Close the mucosa –
    simple continuous-
    atraumatic needle.
    Finally skin
Teat lacerations
 Check leakage to
  ensure a proper
  sealing –fistula may
  form later.
 Antibiotic preparation
  into teat.
 Polyethy- catheter –
  mastitis.
Teat Fistula
 Teat cistern and teat
  surface- milk flows in
  lactating animals.
 Aquired and rarely
  congenital.
 Best treated during
  dry period.
Teat Fistula
 If very small- mild chemical cauterization.
 If large- reconstructive surgery. If inflamed
  delay the operation since chance of
  recurrence.
 Repair-2 elliptical incisions – debridement
  and undermining- close.
Papilloma/warts
 Papilloma/warts- finger-like
 Isolated or multiple projections
 Ligate at the base – drops off.-if not
  surgical.
LACTOLITHS:
 LACTOLITHS:
 Teat cistern liths due to mineral deposits.
 Concretions and rarely as organized
  calculi.- obstruction to milking. Lodged at
  teat orifice.
 If small removed by teat orifice by milking.
 Mosquito forceps if large.or use teat
  bistoury to slit the contracted sphincter.
Polyp

 Polyp:
 Pea sized growth- attached to wall of teat
 cistern-clamped and removed by alligator
 forceps.
Teat spider :(memberanous obstruction)

                         Congenital    Aquired
 Teat  spider :         Improper      Injury,
  (memberanous
                         development   tumour or
  obstruction)
                         of teat       infection
 Congenital or
  aquired                Milk pocket   present
                         usually not
 Symptom:               present
 Obstruction to milk    Treatment     Rewarding
  flow                   not           and
                         rewarding     prognosis is
                                       good
Teat spider :(memberanous
          obstruction)
 Milk pocket-fluctuating milk above the
  obstruction.
 In congenital- milk pocket is absent.
  Treatment is not rewarding. If the milk
  pocket is palpated prognosis is good.
 Hudson ‘s teat spiral is introduced with 3-4
  revolutions.
 Milk also prevents the stricture
  formation.do not milk it completely.
Reference
 Reference: RPS Tyagi, Ruminant surgery
Questions???

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Mammary glands power point by Dr. Rekha Pathak senior scientist IVRI

  • 1. Mammary glands surgery The mammary glands MG – Modified skin glands –female functional •Glandular tissue – divided into 2 main halves •separated by a complete septum. •The suspensory apparatus and blood and nerve supply – independent of each other.
  • 4.
  • 6.
  • 7. Anatomy  So one half can be easily removed in diseased condition without affecting the other.  Each half---------- Cranial quarter  ---------- Caudal quarter
  • 8. Anatomy of mammary glands  2 quarters of each half- independent glandular tissue but common blood and nerve supply and lymph drainage.( B.S.-ext. pudic and perineal)- inguinal nerve
  • 9. Structure of MG  From outside to inside – teat consist of 1.Skin(E,D)  2.Muscular layer-M- (outer longitudinal and inner circular which extends distally – spincter of the teat canal-S.)
  • 10.  3. fibrous layer- binding layer for muscle with mucosa.- C  4. mucus mem- longitudinal and transverse folds- intersect – form pockets or recess-Mc  Bacteria resides
  • 12. At distal- mucosa-rose flower like folds pattern- rosette of Furstenberg.----- R  Duct system – 2 parts  1.teat sinus/cistern  2. streak canal.(pappilary duct)
  • 13. Structure of MG  Teat cistern – separated from gland cistern – annular fold-A  Ventrally the rostte of Furstenberg separates teat cistern from the streak canal.  Closing mechanism – rostte of Furstenberg- sphincter muscle- prevents milk leakage and entry of microbes.
  • 14. Anaesthesia  Surgery of MG- ring block- 10-12 ml lignocaine 2%  Posterior epidural block.  Spinal anaesthetics
  • 15.
  • 16. Supernumery teats  Supernumery teats – teats in between normal teats  Removed for – cosmetic- interfere with milking procedure. - unfit character for breeding  2 elliptical incisions- close with non-absorbable.  FUSED TEATS- skin are fused- without involving teat canal or muscles.  Divided surgically and cutaneous wound sutured
  • 17. Teat laceration  Teat lacerations  Higher in goats(pendulous udder and long teats)  Etio-Direct injury  Superficial wounds – general principles
  • 18. Teat laceration  Large wounds – involving skin and muscularis but not mucosa. suture  Deep lacerations – involve mucosa, a complete longitudinal tearing.
  • 19. Teat laceration  Ring block – tourniquet – check haemorhage and milk inflow into cistern.  Teat siphon inserted – debridement is properly done  Close the mucosa – simple continuous- atraumatic needle.  Finally skin
  • 20. Teat lacerations  Check leakage to ensure a proper sealing –fistula may form later.  Antibiotic preparation into teat.  Polyethy- catheter – mastitis.
  • 21.
  • 22. Teat Fistula  Teat cistern and teat surface- milk flows in lactating animals.  Aquired and rarely congenital.  Best treated during dry period.
  • 23. Teat Fistula  If very small- mild chemical cauterization.  If large- reconstructive surgery. If inflamed delay the operation since chance of recurrence.  Repair-2 elliptical incisions – debridement and undermining- close.
  • 24. Papilloma/warts  Papilloma/warts- finger-like  Isolated or multiple projections  Ligate at the base – drops off.-if not surgical.
  • 25. LACTOLITHS:  LACTOLITHS:  Teat cistern liths due to mineral deposits.  Concretions and rarely as organized calculi.- obstruction to milking. Lodged at teat orifice.  If small removed by teat orifice by milking.  Mosquito forceps if large.or use teat bistoury to slit the contracted sphincter.
  • 26. Polyp  Polyp:  Pea sized growth- attached to wall of teat cistern-clamped and removed by alligator forceps.
  • 27. Teat spider :(memberanous obstruction) Congenital Aquired  Teat spider : Improper Injury, (memberanous development tumour or obstruction) of teat infection  Congenital or aquired Milk pocket present usually not  Symptom: present  Obstruction to milk Treatment Rewarding flow not and rewarding prognosis is good
  • 28. Teat spider :(memberanous obstruction)  Milk pocket-fluctuating milk above the obstruction.  In congenital- milk pocket is absent. Treatment is not rewarding. If the milk pocket is palpated prognosis is good.  Hudson ‘s teat spiral is introduced with 3-4 revolutions.  Milk also prevents the stricture formation.do not milk it completely.
  • 29. Reference  Reference: RPS Tyagi, Ruminant surgery