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This Concept Map, created with IHMC CmapTools, has information related to: case 2 vishal - nearly completed, Pre- Operative Procedure Includes Anesthesia and Analgesia (m.o), Pre-Requisite Knowledge Consists of Caslick's Index, Ensure stitch is not too ventral or loose to avoid interference with breeding or laceration of the Stallion's Penis respectively. Note Avoid Excessive penetration of the Stallion's Penis during natural cover in Mares with Caslick's Operation using a stallion/breeding roll, Pre- Operative Procedure Includes Prophylactic treatment (m.o), Caslick's Vulvoplasty Involves Intra-Operative Procedure, Pre- Operative Procedure Includes Surgical scrub (m.o), Pre-Requisite Knowledge Consists of Vulval Conformation, General Information consists of Equipment (m.o), To avoid excessive stress on the suture line at its ventral end during a breeding or speculum exam, a breeder's stitch may be inserted at the most ventral part of the Caslick's closure. Step 5 Desensitive area where stitch is placed and infiltrate2cm in all directions., General Information consists of Anatomy of the Mare Reproductive System, Post-Operative Procedure Includes Suture removal (m.o), Post-Operative Procedure Includes Potential Complications (m.o), Caslick's Index Includes Caslick's Index Calucation (m.o), Caslick's Vulvoplasty Requires General Information, Using tissues scissors, remove a ribbon of muscosa, approximately 3mm wide from each vulvar labium. Step 2 Trim the tissue by using forceps to grasp ribbon of tissue and apply downward pressure to stretch the area (m.o), Desensitive area where stitch is placed and infiltrate2cm in all directions. Step 6 Using a sterile umbilical tape, place a single interrupted sutrure at the most ventral part of the Caslick's closure, Pre-Requisite Knowledge Consists of Indications (m.o), Trim the tissue by using forceps to grasp ribbon of tissue and apply downward pressure to stretch the area (m.o) Or Use a scalpel blade to incise the local anesthetic bleb to create a fresh edge, Caslick's Vulvoplasty Involves Post-Operative Procedure, Trim the tissue by using forceps to grasp ribbon of tissue and apply downward pressure to stretch the area (m.o) Step 3 Remove the ribbon of tissue and appose the raw edges using a simple continuous suture pattern. (m.o)