You are presented with an adult dairy cow heavily pregnant with an LDA. If you are equally comfortable with all surgeries to correct the displacement this is the best approach:
- Toggle
- Right paramedian
- Left flank abomasopexy
- Right flank omentopexy
Left flank abomasopexy
What is the most common reason for a right flank celiotomy in dairy cattle?
LDA
In beef cattle the most common indication for a R flank celiotomy is C-section
The most common life threatening complication following surgical correction of an abomasal volvulus in a cow using a right flank approach is:
abomasal atony
For treatment of abomasal displacement in a cow during gestation, what is the procedure of choice?
left paralumbar abomasopexy or omentopexy
right flank is occupied by gravis uterus
What is the preferred location for a right paramedian abomasopexy?
20 cm caudal to xiphoid process and 5-10 cm to the right of ventral midline
T/F: Only a small percentage of cows will redevelop an LDA following rolling and medical treatment
False
75% of cows will redevelop an LDA following rolling and medical treatment
When rolling a cow with LDA, you must start with the cow on its ________ side
right
A dairy cow has a heart rate of 100 beats/minute, has been off feed for 36 hours and is only passing mucus. During palpation, a viscus 10cm in diameter is palpated on the right side at the brim of the pelvic inlet, laboratory findings from a venous blood/gas showed a pH of 7.43. During auscultation and percussion a ping is found and showed on this animal. The ping is covering the right paralumbar fossa and rib 13 to 11. What is the most likely diagnosis?
- Cecal impaction
- Abomasal volvulus
- Intussusception of the small intestine
- Cecal dilation
- Cecal volvulus
Cecal volvulus
Would recommend right flank celiotomy and typhlotomy