Shadowing Practice: Bitch Spay Video Uterine Disaster vet cpd® 28 - Learn English Speaking with Video
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1
Thank you.
2
Thank you.
3
Slide down the suspensory with your left index going around the kidney
4
and press down at insertion or hook under suspensory and push up.
5
Check you have good clearance of the ovary.
6
Now separate the uterus for better exposure.
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Form the first millers, nudge down, tighten and then raise the clamp, place the second ligature, which can either be a miller's or a surgeon's.
8
Thank you.
9
Thank you.
10
Release top clamp, mop up any blood and then raise ovarian clamp clamp.
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As we no longer have the pressure in the ovarian artery, either a millers or surgeons can be placed.
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Rotate this clamp by placing forceps in the handle.
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You can visualize the knot and see the tightness.
14
Thank you.
15
This is great.
16
We can check for bleeding and if any concerns, replace the clamp and add an extra ligature.
17
Easy peasy.
18
Better than the conventional way of hanging onto a thread of the pedicle.
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This is the scary traditional way to check for bleeding, not easy peasy, to reapply the clamp and add a ligation.
20
Swab removed, and now ligation of the broad ligament, but this one has no fat or vessels, so is just torn.
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Watching this carefully will help you with deeper ovaries, push down on the abdominal wall with your left hand and pinch the ovary.
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Once you have pinched the ovary, you can pull hard on it, as the vessels are protected by the suspensory and renal ligament.
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The ovary is a slippery sucker, hence the swab.
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Hold the ovary with your right hand, slide down the suspensory ligament with your left index finger near the insertion, hook your finger under and push the ligament upwards.
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There are two ligaments, suspensory and renal.
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Obviously, the renal runs to the cadenet knot break this as this protects the vessel.
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Walk the clamp down rather than forcing it.
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Clamp and separate the uterus.
29
Thank you.
30
Thank you.
31
Thank you.
32
Thank you.
33
Thank you.
34
Thank you.
35
But this is the way you are taught to check for bleeding.
36
Exteriorizing the pedicle from this position is very difficult.
37
The first ligature is a surgeon's, as this is less likely to cut through the uterus and than I usually follow with a Miller's.
38
Thank you.
39
Yep, that's not good.
40
It's cut clean through the uterus, but I will still use the knot to ligate the uterine vessels as it will not cut through these.
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I feel I need something a little extra for the vessels, so just place an extra surgeon's.
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I am just checking there is no visual bleeding from the user uterine stump, the swab I send in returns with minimum blood.
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So all good.
44
Thank you.
45
Thank you.
46
A simple interrupted was enough to finish the muscle layer, but to spice things up, I ran this into the fat.
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The advantage of this is the dead space closure.
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Also, when closing the fat, I will take a nick of the muscle, again to close the dead space, removing any chance of a seroma.
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I will be unable to tie off and run the this into the skin as the needle is too large.
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The only problem I am going to have is a large knot to cover.
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As we are starting with a new suture, the subdermal anchor is made above the large fat knot so as to hide it.
52
I went straight into the intradermals as I felt the skin knot would sit cordially before the intradermal entry point.
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I usually say two steps forward, one step back.
54
Thank you.
55
Thank you.
56
To help burial, pull with some force on the suture, but mainly push the skin over the knot with forceps.
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You're looking for that tug.
58
If it doesn't bury, retrace the needle out and try again.
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Woordenschat en spreektips bij deze les
Deze spreekles op niveau C1 is gebaseerd op de video “Bitch Spay Video Uterine Disaster vet cpd® 28”. Deze woorden komen het vaakst terug: clamp, knot, ligament, ovary, suspensory. Deze video bevat 58 zinnen en 636 woorden om na te spreken. Het gesproken deel duurt 18:57. Slechts 74% van de woorden hoort bij de 3.000 meest gebruikte Engelse woorden, dus de woordenschat is pittig.
Belangrijke woorden in deze video
De 15 moeilijkste woorden uit de video, met uitspraak en betekenis:
| Woord | Uitspraak | Betekenis |
|---|---|---|
| clamp zelfstandig naamwoord | /ˈklæmp/ | lijmklem, sergeant |
| knot zelfstandig naamwoord | /nɑt/ | knoop, knot |
| ligament zelfstandig naamwoord | /ˈlɪɡəmənt/ | ligament |
| ovary zelfstandig naamwoord | /ˈoʊvəɹi/ | eierstok, ovarium |
| suspensory zelfstandig naamwoord | draagverband, suspensoir | |
| bleed werkwoord | /ˈbliːd/ | bloeden |
| ligature zelfstandig naamwoord | /ˈlɪɡət͡ʃɚ/ | ligatuur, verbinding |
| renal bijvoeglijk naamwoord | /ˈɹi.nəl/ | renaal |
| swab zelfstandig naamwoord | /swɒb/ | watje, prop |
| forceps zelfstandig naamwoord | /ˈfoɹsɛps/ | pincet |
| suture zelfstandig naamwoord | /ˈsu.t͡ʃɚ/ | naad, hechting |
| uterine bijvoeglijk naamwoord | /ˈjutəɹaɪn/ | baarmoeder- |
| pinch werkwoord | /pɪnt͡ʃ/ | knijpen |
| needle zelfstandig naamwoord | /ˈniː.dəl/ | naald |
| cordially bijwoord | /ˈkɔɹd͡ʒəli/ | hartelijk |
Uitspraak om op te letten
- De klanken “sh” en “zh”: insertion /ɪnˈsɝʃən/, ligation /lɪˈɡeɪʃən/, visualize /ˈvɪʒuəˌlaɪz/
- Lange woorden — let op de klemtoon: ovarian /oʊˈvɛɹi.ən/, exteriorize /ɪkˈstɪɹi.əˌɹaɪz/
Klanken die Nederlandstaligen lastig vinden:
- Stemhebbende eindmedeklinker — /b/, /d/, /g/, /z/, /v/ niet verscherpen: bleed /ˈbliːd/, swab /swɒb/, exteriorize /ɪkˈstɪɹi.əˌɹaɪz/, visualize /ˈvɪʒuəˌlaɪz/, upwards /ˈʌpwɚdz/
- /æ/ — opener dan de Nederlandse “e”: clamp /ˈklæmp/, abdominal /æbˈdɑm.ə.nl̩/, anchor /ˈæŋ.kəː/
- /g/ — een harde plofklank, geen Nederlandse “g”: ligament /ˈlɪɡəmənt/, ligature /ˈlɪɡət͡ʃɚ/, ligation /lɪˈɡeɪʃən/, ligate /ˈlɪɡeɪt/
Zo oefen je met deze video
- Luister de hele video één keer zonder te spreken en noteer de woorden die je niet kent.
- Spreek zin voor zin na op normale snelheid en herhaal elke zin tot je ritme gelijk is aan dat van de spreker.
- Neem jezelf op en vergelijk met het origineel; let daarbij op woorden als clamp, knot, ligament.
Wat is de Shadowing-techniek?
Shadowing is een wetenschappelijk onderbouwde taalleermethode die oorspronkelijk is ontwikkeld voor professionele tolkentraining en gepopulariseerd door polyglot Dr. Alexander Arguelles. De methode is eenvoudig maar krachtig: je luistert naar native Engelse audio en herhaalt het onmiddellijk hardop — als een schaduw die de spreker volgt met slechts 1–2 seconden vertraging. In tegenstelling tot passief luisteren of grammaticadrills, dwingt shadowing je hersenen en mondspieren om echte spraakpatronen tegelijkertijd te verwerken en te reproduceren. Onderzoek toont aan dat het de uitspraaknauwkeurigheid, intonatie, ritme, verbonden spraak, luisterbegrip en spreekvaardigheid aanzienlijk verbetert — waardoor het een van de meest effectieve methoden is voor IELTS Speaking-voorbereiding en echte Engelse communicatie.