Pediatric scrotal castration in a puppy

Anesthetize the patient and provide appropriate analgesia. Place the patient in dorsal recumbency, clip the scrotum of hair, and perform a surgical scrub.

Grasp the first testicle between your thumb and index finger.

Make a scrotal incision over the testicle, exteriorizing it with digital pressure.

Apply gentle traction to the testicle and spermatic cord while stripping the fat and fascia from the spermatic cord.

The hemostat tie is performed just as in cats by passing the tip of the hemostat under the spermatic cord and rotating the tip around the cord. Open the jaws of the hemostat as the distal (testicle) end of the cord is advanced around and into the hemostat jaws and clamped.

Transect the cord between the clamp and the testicle with a scalpel blade or scissors.

Push the knot off of the tip of the hemostat, and tighten the knot to ensure its security.

The second testicle is pushed into the skin incision, and the same procedure is repeated. The incision is left open to heal by second intention. Provide appropriate postoperative patient care.