What is trocar-2?

Feb 28, 2018


    Trocars are also used near the end of the embalming process to provide drainage of bodily fluids and organs after the vascular replacement of blood with embalming chemicals. Rather than a round tube being inserted, the three sided knife of the classic trocar would split the outer skin into three "wings" which was then easily sutured closed in a less obtrusive way. It is attached to a suction hose (which usually is attached to a water aspirator). The process of removing gas, fluids, and semi-solids from the body cavities and hollow organs using the trocar is known as aspiration. The instrument is inserted into the body two inches to the left and two inches up from the navel. After the thoracicabdominal, and pelvic cavities have been aspirated, the embalmer injects cavity fluid into the thoracic, abdominal and pelvic cavities using a smaller trocar attached via a hose which is connected to a bottle of high index cavity fluid. The bottle is held upside down in the air so as to let gravity take the cavity fluid through the trocar and into the cavities. The embalmer moves the trocar in the same manner that he or she used when aspirating the cavities in order to fully and evenly distribute the chemical.

      After cavity embalming has been finished, the puncture is commonly sealed using a small, plastic object resembling a screw, called a trocar button.

     Trocars are widely used by veterinarians not only for draining hydrothorax, ascites, or for introducing instruments in laparoscopic surgery, but for acute animal-specific conditions as well. In cases of ruminal tympany (bloat) in cattle, a wide-bore trocar may be passed through the skin into the rumen to release trapped gas.In dogs, a similar procedure is often performed for patients presenting with GDV (gastric dilatation-volvulus) in which a wide-bore trocar is passed through the skin into the stomach to immediately decompress the stomach. Depending on the severity of clinical signs on presentation, this is often performed after pain management has been administered but prior to general anaesthesia. Definitive surgical treatment involves anatomical repositioning of the stomach and spleen followed by a right-sided gastropexy.Depending on the severity, partial gastrectomy and/or splenectomy may be indicated if the relevant tissues have necrosed due to ischemia caused by torsion/avulsion of the supplying vasculature. 72-hour post-operative supportive care, fluid therapy and ECG monitoring for cardiac arrhythmias is highly recommended.