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Surgical management of uterine prolapse in a postpartum doe.

Introduction

Uterine prolapse is a complication found in third stage of labour and common in cow and ewe, lesser in doe and least in sow, mare and bitch (Arthur et al., 1989). It occurs several hours after parturition and non-hereditary (Roberts, 1971). This paper presents post-partum uterine prolapse and its management in a goat.

History

A three year old primiparous non-descript doe was brought with prolapsed uterus soon after kidding 6 hours ago. History revealed delivery of two male fetuses after prolonged labour and severe straining, resulting in prolapse. The doe looked dull and weak and physiological parameters were within normal range. The mucous membrane appeared slightly congested. The prolapsed uterus was highly oedematous and contaminated with debris and faeces (Fig. 1).

Treatment

The treatment was planned after giving epidural anaesthesia using 2 ml of 2% Lignocaine. After achieving obstetrical analgesia, prolapsed uterus was cleaned of adhered placenta, faecal material and debris manually using warm normal saline. The debridement of necrotic lesion was done.

The doe was kept in standing position and prolapsed uterine mass was replaced by gentle handling and manipulation to minimize scope of tearing and haemorrhage. After replacing uterus in situ retention sutures of vulva using horizontal mattress suture technique with nylon were taken to prevent reoccurrence (Fig. 2).

The doe was treated with Inj. DNS 500 ml, Inj. Ceftriaxone 1 gm, Inj. Melonex (a) 0.5 mg/kg body weight (3 ml), Inj Calcium borogluconate 80 ml intravenously daily for three days. The retention sutures were removed after three days of treatment.

Discussion

Animal with uterine prolapse, if managed properly can conceived again without problem (Pothiappan et al., 2013). There is less complications, if animal is treated early and extended duration leads to poor prognosis. Type and duration of case, damage to uterus and contamination affect prognosis (Wachida and Kisani, 2011). Complications develop when lacerations, necrosis and infections are present or when treatment is delayed. Shock, hemorrhage and thrombo embolism are potential sequelae of prolonged prolapse (Noakes et al., 2001). In this case the animal recovered uneventfully with restoration of reproductive status.

References

Arthur, G.H., Noakes, D.E. and Pearson, H. (1989). Veterinary Reproduction and Obstetrics. 6th edn. ELBS, Bailliere Tindall, London, UK. p. 175.

Noakes, D.E., Perkinson, T.J. and England, G.C.W. (2001). Post Parturient Prolapse of the Uterus. Arthur'sVeterinary Reproduction and Obstetrics. Saunders, p. 333-38.

Pothiappan, P., Sureshkumar, R., Vijay Kumar, H. and Dhanan Jaya Rao, G. (2013). Postpartum uterine prolapse in a non-descript doe and its management. Indian Vet. J. 90: 66-67.

Roberts, S.J. (1971). Veterinary Obstetrics and Genital Diseases, 2nd edn. C.B.S. Publisher and Distributors, Delhi. p. 308-13.

Wachida, N. and Kisani, A.I. (2011). Uterine Prolapse in a Doe Goat: A Case Report. International J. Anim. Vet. Advan. 3: 135-37.

J. J. Parmar (1), R.G. Kantia (2) and U.Y. Kothamdi (2)

Department of Surgery and Radiology College of Veterinary Science and Animal Husbandry Anand Agricultural University (AAU) Anand--388001 (Gujarat).

(1.) Assistant Professor and Corresponding author. E-mail: jigneshparmar2000@gmail.com

(2.) Post Graduate Scholar

(a)--Brand of Intas Animal Health, Ahmedabad
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Article Details
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Title Annotation:Short Communication
Author:Parmar, J.J.; Kantia, R.G.; Kothamdi, U.Y.
Publication:Intas Polivet
Article Type:Report
Geographic Code:9INDI
Date:Jul 1, 2014
Words:518
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