Repair of left displaced abomasum in a cow with the TPS procedure using makeshift equipment

Due to the need for veterinary intervention when surgery is required correct a case of left displaced abomasum (LDA) in cattle, less expensive alternative procedures have been developed. The toggle-pin suture (TPS) procedure offers lot benefits, as it minimally invasive with high success rate. purpose this report show that possible perform TPS an available and low-cost material. It about recurrent indigestion had lasted 15 days 7-year aged Holstein dairy cow. Examination digestive system revealed overload rumen decreased motility, but most significant clinical finding was area tympanic hyper-resonant “ping” heard on side flank, mainly middle dorsal aspect abdomen at level 9th 12th intercostal space, by auscultation percussion exam. decision made proceed repair because poor body condition cow, which may not survive surgery. Then, we proceeded supportive treatment order prepare cow repair, scheduledfor next day. received infusion NaCl 0.9% glucose 5%, general tonic injected via IM route. improvised equipment consisted of: medium trocar/cannula diameter 10 mm be used puncture, cm push rod, 5 rods using tube bovine artificial insemination (5 diameter), lined fishing line (USP n°1) tie rods. Iodine tincture 10% disinfection puncture site antisepsis. cast her right rolled onto back, front rear legs were inserted separately. Auscultation simultaneous wall between umbilicus xyphoid ventral midline detection “ping”, reveal location trocarization. After local anesthesia applied elected trocarization points, two incisions 1 each skin abdominal muscle. through incised points into then, abomasum; trocar removed cannula place. A bar placed pushed abomasal lumen. then removed, leaving Similarly, second from first. Some liquid allowed escape prior removal cannula; afterwards, gauze put threads, tied tightly. lateral recumbency stand. recommended daily diet consists 2 kg wheat bran l water, while avoiding roughage 3 4 days, achieve emptying. day, started defecating large amounts; got up easily good reflex appetite. We continued anti-inflammatory (flunixin) antibiotic (amoxicillin) drugs. In addition, neostigmine administered promote small intestine motility. Starting Day six, , began feeding vetch-oat hay (3 twice day). week later, showed decrease appetite activity well presence purulent discharge site. This probably due peritonitis caused leakage fluid peritoneal cavity, led us prescribe penicillin/streptomycin treatment. At same time, cut nylon thread suspected responsible tissue reaction. With persistence slight discharge, final injection Naxcel® administered, following improved significantly, however, remained firm palpation. Over course 60 monitoring, no problems, indicating our experiment. conclude use inexpensive fixation method easy safe veterinarians practicing countries limited resources. However, recommend smaller gauge rods, opt silk (4-5 USP) rather than rod fixation.