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Surgical management of uterine prolapse in a cow.

Introduction

Uterine prolapse occurs when the previously gravid horn invaginate after delivery of fetus and protrudes from vulva. This condition is frequently associated in ruminants with dystocia and hypocalcaemia (Noakes et al., 2002; Roberts, 1986). Most cases occur within a few hours after delivery and condition is more common in dairy cows than other species (Odegaard, 1977). Uterine prolapse is a rare condition that is difficult to manage in equines (Roberts, 1986). Arthur et al. (1999) reported uterine prolapse as a common problem during 3rd stage of labor. During prolapse sometimes fetal membranes may also be found.

History

A 9 year old cow was presented with history of hanging mass from vaginal orifice. Animal was in a state of acute pain. Vaginal examination revealed red and hot, hard prolapsed mass. It was diagnosed uterine prolapse. The animal had severe tenesmus, everted uterine mass soiled with dirt, faeces and straws. The prolapsed mass was inflammed, edematous, lacerated with necrosis of fetal membrane. The animal had rapid and weak pulse and respirations, pale mucus membrane, severe depression, anorexic and restlessness.

Surgical Management

Epidural anesthesia was achieved with 2% Lignocaine hcl. The hanging prolapsed mass with dirt and debris (Fig. 1). Soiled was washed with luke warm water and potash solution (Fig. 2). Cold ice packs were applied. The mass was gently pushed in with pressure through vaginal opening until prolapsed mass regained its normal position (Fig. 3). After correctly pushing the prolapsed mass inside, vulva was sutured with Buhners sutures (Fig. 4). Post-operatively cow was prescribed 5 x 10 lac IU Procaine penicillin G and 5 g Dihydrostreptomycin intramuscular daily for 5 days. The retaining sutures were removed one week later the recovery was uneventful.

Results and Discussion

The usual procedure for correction of uterine prolapse is its reduction by a gentle massage, reposition and retention by application of purse string sutures. (Jean and Anderson 2006; Borobia-Belsue, 2006). A one/two-fingers opening should be left when tying purse string (Jean and Anderson, 2006; Borobia-Belsue, 2006) according to animal size. However, surgical correction is often necessary due to various damages of prolapse (large oedema, laceration, rupture, infection and necrosis). In our study, application of Buhners sutures for management of uterine prolapse was found to effective without any complications. After epidural anesthesia, prolapsed mass was repositioned with fist pressure slowly or alternatively using both hands. The rupture of vaginal wall in association with uterine prolapse has been reported in bovines (Andres, 1971). Although, uterine prolapse and its complications have been well discussed in literature, no reference of type of complication observed in buffalo is available (Miesner and Anderson, 2008). The losses subsequent to postpartum uterine prolapse can be minimized to a great extent through appropriate interventions (Roberts, 1986). Thus, it is recommended that prompt and accurate treatment subsequent to post-partum uterine prolapse is imperative for a favorable prognosis with regard to the fertility of buffaloes.

References

Arthur, G.H., Noaks, D.E., Person., H. and Parkinson, T.J. (1999). Veterinary Production and Obstetrics, 7th Edition.

Borobia-Belsue, J. (2006). Replacement of rectal prolapse in sows. Vet Rec 158: 380

Noakes, D.E., Parkinson, T.J., England, G.C.W. and Arthur, G.H. (2002). Arthur's veterinary Reproduction and Obstetrics. 8th Ed., Elsevier Sci. Ltd., p.490-95.

Roberts, S.J. (1986). Veterinary Obstetrics and Genital Diseases, 3rd Ed., SJ. Roberts-Woodstock, NY, p. 481-359.

Odegaard, S.A. (1977). Uterine prolapse in dairy cows. Acta Vet Scand. 63: 1.

Jean, G.S. and Anderson, D.E. (2006). Anesthesia and Surgical Procedures in Swine. In: Straw BE, Zimmerman JJ, D'Allaire S, Taylor DJ: Diseases of Swine. Blackwell Publishing, p. 1107-29.

Andres, J. (1971). Prolapse and rupture of the vaginal wall and uterus in a cow. Schweiz. Arch. Tierheilkd. 113: 320-23.

Miesner, M.D. and Anderson, D.E. (2008). Management of uterine and vaginal prolapse in the bovine. Vet. Clin. N. Amer. Food Anim. Pr. 24: 409-19.

D.M. Makhdoomi (1), Mohsin Ali Gazi (2), H.K. Batacharya (3) and K.A. Sofi (3)

Department of Veterinary Clinics Faculty of Veterinary Sciences and Animal Husbandry Sher-e-Kashmir University of Agriculture Science and Technology (SKUAST-K) Shuhama, Alusteng Srinagar--190006 (Jammu and Kashmir)

(1.) Professor/ Head and Corresponding author. E-mail: dmmakhdoomi@gmail.com

(2.) Veterinary Officer

(3.) Assistant Professor, Clinics
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Title Annotation:Short Communication
Author:Makhdoomi, D.M.; Gazi, Mohsin Ali; Batacharya, H.K.; Sofi, K.A.
Publication:Intas Polivet
Article Type:Report
Geographic Code:9INDI
Date:Jul 1, 2014
Words:706
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