One-step laparoscopic abomasopexy for correction of left-sided displacement of the abomasum in dairy cows

Four adult dairy cows in which a diagnosis of left-displaced abomasum (LDA) had been made underwent a 1-step laparoscopic abomasopexy (LA). The technique was performed with each cow positioned in dorsal recumbency. Two laparoscopic portals were created in the right paramedian area to identify the abomasum and direct insertion of the steel trocar and cannula into the abomasal lumen. A stainless steel toggle pin (with 2 lengths of suture attached to its midpoint) was inserted via the cannula into the abomasal lumen while the excess suture material remained exterior to the abdomen. The abomasum was deflated, and the excess suture material was withdrawn up to a preset marker on the suture to position the abomasum adjacent to the body wall. The suture was then tied to secure the abomasum in place. By use of this 1-step LA technique, LDA was successfully corrected in all 4 cows. The procedure is minimally invasive and allows viewing of the abomasum for correct positioning and fixation; it can be accomplished with the speed associated with the blind roll-and-tack technique. The 1-step LA technique may reduce the incidence of complications associated with traditional laparotomy and the blind roll-and-tack technique and could be a useful alternative procedure for the treatment of LDA in dairy cows.     

A comparison in 101 dairy cows of right paralumbar fossa omentopexy and right paramedian abomasopexy for treatment of left displacement of the abomasum

Right paramedian abomasopexy and right paralumbar fossa omentopexy appear to be the most widely used means of correcting left displacement of the abomasum in dairy cattle. We compared these two procedures in a prospective study of 101 cows with uncomplicated left displaced abomasum. The surgical treatment (right paramedian abomasopexy, n = 48; or right paralumbar fossa omentopexy, n = 53) was assigned randomly. Follow-up information was obtained, at regular intervals, from one week through six months following discharge from the hospital. Milk production, reproductive performance, surgical complications, and length of time retained in the herd after surgery were obtained for each animal. There was a trend in favor of the abomasopexy group in the one-month milk yield. There were no differences between procedures either in incisional complications, other problems noted at follow-up, or in the proportion dead/culled. Based on the milk yield at one month after surgery, we concluded that there may be a slight advantage to right paramedian abomasopexy in cows with uncomplicated left displaced abomasum.     

Factors influencing the survival of dairy cows after correction of left displaced abomasum

OBJECTIVE: To determine factors that influenced culling or death of cows with left displaced abomasum (LDA) subsequent to correction by a roll-and-toggle (R&T) procedure or via laparotomy. DESIGN: Cohort study. ANIMALS: 810 Holstein dairy cows with LDA. PROCEDURES: Data regarding method of repair and risk factors for survival after correction of LDA were collected during a 1-year period. Outcomes were compared at days 14 and 60 after LDA correction for 3 groups of cattle (veterinarians performed R&T [V-R&T], herd personnel performed R&T [H-R&T], and veterinarians performed surgical repair via laparotomy [V-Surg]). RESULTS: Survival rates 14 days after LDA correction for the V-R&T, H-R&T, and V-Surg groups were 87% (286/329), 81% (327/403), and 85% (66/78), respectively. At 60 days after LDA correction, survival rates for the V-R&T, H-R&T, and V-Surg groups were 79% (260/329), 71% (286/403), and 73% (57/78), respectively. Multivariable analysis indicated that factors positively associated with failure to remain in the herd at 60 days after LDA correction included current mastitis status, history of a previous LDA, high preoperative risk, and correction of LDA by herd personnel rather than by a veterinarian. CONCLUSIONS AND CLINICAL RELEVANCE: Correction of LDA by veterinarians via an R&T procedure yielded results that were generally comparable to those for correction by veterinarians via laparotomy. Although survival rates at days 14 and 60 after surgery differed significantly between the V-R&T and H-R&T groups, herd personnel in this study used the R&T procedure to correct LDA and achieved survival rates within the range for those of practicing veterinarians.     

Comparison of 2-step laparoscopy-guided abomasopexy versus omentopexy via right flank laparotomy for the treatment of dairy cows with left displacement of the abomasum in on-farm settings

OBJECTIVE: To compare characteristics and results of 2-step laparoscopy-guided abomasopexy versus omentopexy via laparotomy in the right paralumbar fossa for the treatment of dairy cows with a left displaced abomasum (LDA). DESIGN: Prospective clinical trial. 253 dairy cows with an LDA. PROCEDURES: All cows that were treated with omentopexy (n = 101) or 2-step laparoscopy-guided abomasopexy (152) from July 2005 through December 2006 were included. Presurgical, perisurgical, and postsurgical information was recorded by attending veterinarians. Producers were interviewed by telephone 7 and 60 days after surgery regarding the response of cows to surgery. Characteristics of and responses to the 2 surgical techniques were compared. RESULTS: At 7 days after surgery, the 2 groups of cows were not significantly different with respect to appetite, comfort, and milk yield; at 60 days after surgery, groups were similar with respect to milk yield, cull rates, and risk of relapse of LDA. Antimicrobial treatment in response to postsurgical pyrexia was necessary in only 20.4% (31/152) of cows that were treated with 2-step laparoscopy-guided abomasopexy. Mean duration (preparation and surgery) of 2-step laparoscopy-guided abomasopexy was significantly less than that of omentopexy (36 vs 74 minutes, respectively). CONCLUSIONS AND CLINICAL RELEVANCE: Results of 2-step laparoscopy-guided abomasopexy and omentopexy via laparotomy in the right paralumbar fossa were not significantly different. Compared with omentopexy, laparoscopy-guided abomasopexy was performed more quickly and required postsurgical administration of antimicrobials less frequently. Although these factors may be of economic consequence to veterinarians and producers, other aspects must also be considered when choosing between techniques.     

Left-side displacement of the abomasum in dairy cows at pasture

The presentation of approximately 40 dairy cows affected with left-side displacement of the abomasum (LDA) per annum in a cattle practice in East Gippsland, Victoria provided an opportunity to conduct a survey and case-control study of the disease in a grazing environment. The study, involving 37 dairy cows at pasture, revealed significant differences from the pattern of the disease occurring in the northern hemisphere where cows in older age groups, of larger frame size, higher production and fed high grain rations are at increased risk. Affected cows were diagnosed over a 10-month period and represented approximately 0.06% of the dairy cow population. Most cases were diagnosed in the early lactation period. Evidence for a genetic predisposition was suggested by the discovery that one sire generated a disproportionately large number (9) of the cows with LDA. Although affected cows were average producers in their herds, being a member of a high-producing herd was a significant risk factor.     

Comparison of laparoscopic-guided abomasopexy versus omentopexy via right flank laparotomy for the treatment of left abomasal displacement in dairy cows

OBJECTIVE: To compare results obtained by use of laparoscopyassisted abomasopexy versus omentopexy via right flank laparotomy for the treatment of dairy cows with left displaced abomasum (LDA). ANIMALS: 120 dairy cows with an LDA. PROCEDURE: In a prospective clinical trial, cows were randomly allocated to the abomasopexy group (laparoscopy-assisted abomasopexy) or to the control group (omentopexy via right flank). Data were obtained during the first 5 days after surgery and 6 weeks and 6 months after surgery. RESULTS: 59 of 60 cows in the abomasopexy group and all 60 cows in the control group were treated successfully. Median duration was shorter for the laparoscopic procedure (27.5 minutes), compared with that for the control group (38 minutes). Five cows in the abomasopexy group had wound complications and 2 had LDA relapses, compared with 2 wound complications and no relapses in the control group. During the 5 days after surgery, the abomasopexy group had a significantly higher increase in rate of energy intake and milk yield and a more rapid return to reference range for serum glutamic dehydrogenase activity and total bilirubin concentration, compared with results for the control group. CONCLUSIONS AND CLINICAL RELEVANCE: Success rates were almost equal for both methods. Advantages of the laparoscopic abomasopexy procedure include practicality, low risk of complications, and rapid postoperative recovery. Contraindications are cardiopulmonary diseases. Other disadvantages include the cost of the instruments and inability to perform the procedure in cows with abomasal adhesions.     

奶牛真胃左方变位手术前后血液生化参数的变化

为了解奶牛真胃左方变位(LDA)手术前后血液生化指标的变化,跟踪采集了100头围产期奶牛产后7、14、21和28 d尾静脉血液,后经确诊6例LDA患牛进行手术整复,并随机选择6头相应的健康牛为对照。通过检测12头牛手术前后1周血清中游离脂肪酸(NEFA)和β-羟丁酸(BHBA)等21项生化指标,调查患LDA奶牛机体能量代谢、肝功能和电解质状况,并分析手术前、后生化指标的变化。结果显示:术前多数患LDA奶牛机体能量负平衡指标升高,肝功能指标不同程度的升高,电解质变化不一;术后牛机体能量代谢指标多数恢复正常,肝功能指标部分恢复正常,部分仍升高,电解质多恢复正常。     

奶牛真胃变位发病规律的研究

为了阐明奶牛真胃变位的发病规律，对263例奶牛患有真胃变位的自然病例进行了研究。结果表明：真胃变位的发生与过食精料和高产奶牛有密切关系，2－4胎次体格健壮的、产后30天内的、11月份到来年的5月份奶牛发病率高。     

Bar suture (toggle pin) vs open surgical abomasopexy for treatment of left displaced abomasum in dairy cattle

Fifty-nine dairy cows with left displacement of the abomasum were randomly assigned to receive 1 of 2 treatments. Twenty-eight were treated by right paramedian abomasopexy via laparotomy, and 31 were treated by percutaneous fixation of the abomasum, using the bar suture or toggle pin technique. Comparisons of the 2 groups, at 4 follow-up examinations, yielded no significant differences in return to normal milk production, return to normal feed intake, mortality, culling rate, tissue reaction at the surgical site, or redisplacement up to 60 days into the subsequent lactation.     

Use of bovine somatotropin at the time of surgery for left displacement of the abomasum in dairy cows. Minnesota Dairy Practitioners Study Group

OBJECTIVE: To evaluate the effect of a single dose of recombinant bovine somatotropin (bST) on certain metabolic values, health, and milk production of dairy cows undergoing surgery for left displacement of the abomasum. DESIGN: Blinded clinical trial. ANIMALS: 413 cows with left displacement of the abomasum. PROCEDURE: A single 500-mg dose of bST was administered to dairy cows following surgery in field practice conditions for left displacement of the abomasum. A placebo of the same carrier without bST was administered to control cows in this blinded study. Metabolic and production responses in a short-term follow-up period were measured. RESULTS: Blood glucose concentrations in cows 3 to 5 days after surgery were statistically higher for treated cows than for control cows. A higher proportion of treated cows had improved urine ketone test results than did controls. Significant differences in other metabolic values, health, and milk production were not detected. CLINICAL IMPLICATIONS: Treatment of metabolically compromised cows with bST may have some positive effects, but further investigation is needed to confirm therapeutic value.     

Effect of preoperative administration of erythromycin or flunixin meglumine on postoperative abomasal emptying rate in dairy cows undergoing surgical correction of left displacement of the abomasum

Objective: To determine whether preoperative administration of erythromycin or flunixin meglumine altered postoperative abomasal emptying rate, rumen contraction rate, or milk production in dairy cattle undergoing surgical correction of left displacement of the abomasum (LDA). DESIGN: Nonrandomized, controlled clinical trial. ANIMALS: 45 lactating Holstein-Friesian cows with LDA. PROCEDURES: Cows were alternately assigned to an erythromycin (10 mg/kg [4.5 mg/lb], IM), flunixin (2.2 mg/kg [1.0 mg/lb], IV), or control group (n = 15/group). Treatments were administered once 1 hour before surgical correction of LDA. D-Xylose solution (50%; 0.5 g/kg [0.23 g/lb]) was injected into the abomasal lumen during surgery, and venous blood samples were periodically obtained to determine time to maximum serum D-xylose concentration. RESULTS: Abomasal emptying rate was significantly faster in cows treated with erythromycin (mean +/- SD time to maximum serum D-xylose concentration, 149 +/- 48 minutes) than in control cows (277 +/- 95 minutes) but was not significantly different between cows treated with flunixin (230 +/- 49 minutes) and control cows. Cows treated with erythromycin had significantly greater milk production, relative to production before surgery, on postoperative days 1 and 2 than did control cows. Cows in the erythromycin and flunixin groups had a significantly higher rumen contraction rate on the first postoperative day than did control cows. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that preoperative administration of a single dose of erythromycin increased abomasal emptying rate, rumen contraction rate, and milk production in the immediate postoperative period in cows undergoing surgical correction of LDA.     

Peritoneal fluid analysis in dairy cows with left displaced abomasum and abomasal volvulus

Peritoneal fluid (PF) was evaluated in 40 cows with left displaced abomasum (LDA) and 15 cows with abomasal volvulus (AV). PF was obtained by abdominocentesis at the right ventral abdomen at admission. Simultaneously, a blood sample was taken from the jugular vein. Biochemical and cytological variables in blood and PF specific for ischaemia, inflammation and cell damage were compared. Total protein, albumin, glucose and cholesterol were normal in PF of cows with LDA and AV. Although L-lactate increased in both groups, cows with AV had significantly higher values (LDA: 1.47/0.69/2.68 mmol/l; AV: 6.45/4.55/12.89 mmol/l (median/1. quartile/3. quartile)). D-dimer (LDA: 0.50/0.22/0.88 mg/l; AV: 1.11/0.40/1.85 mg/l) and LDH (LDA: 663/437/943 U/l; AV: 1099/750/1439 U/l) were only increased in PF of cows with AV. The number of leucocytes was normal; however, significantly more peritoneal neutrophils appeared necrotic or apoptotic after AV. PF of cows with abomasal displacement showed distinctive features of ischaemia and inflammation. Characteristics of haemostatic dysfunction and cell damage were mainly evident in PF of cows with AV. The results suggest that anti-inflammatory therapy is indicated in each cow with abomasal displacement. Additionally, medical treatment should be directed to prevent complications of ischaemia and reperfusion in cows with AV.     

Evaluation of rumen transfaunation after surgical correction of left-sided displacement of the abomasum in cows

OBJECTIVE: To evaluate rumen transfaunation after surgical correction of left-sided displacement of the abomasum (LDA) in cows. DESIGN: Prospective clinical trial. ANIMALS: 20 multiparous cows with LDA. PROCEDURES: Cows with LDA were treated surgically (day 0). On days 0 (immediately after surgery) and 1, 10 cows each received 10 L of rumen fluid (transfaunated group) or 10 L of water (control group) via a stomach tube. Postoperative dietary dry-matter intake and milk yield of each cow were recorded daily for 5 days, beginning immediately after surgery. Blood and rumen fluid samples were collected prior to surgery and on days 1, 3, and 5 after surgery. Serum nonesterified fatty acid and beta-hydroxybutyrate concentrations were measured. Volatile fatty acid and ammonia concentrations and pH of rumen fluid were determined. Urine specimens were collected and tested for ketones at 8 AM and 4 PM. Cows with ketonuria were treated with 50% dextrose solution administered i.v. at the time ketonuria was first detected. Cows with ketonuria were treated twice daily until ketonuria resolved. RESULTS: All cows survived and completed their lactation. Daily and cumulative dry-matter intake and milk yield of cows in the transfaunated group were significantly greater than those of cows in the control group. Cows in the transfaunated group had significantly lower serum concentrations of beta-hydroxybutyrate and significantly lower acetate-to-propionate ratios in rumen fluid on day 1 after surgery, compared with cows in the control group. Cows that received transfaunate required a significantly lower total volume of dextrose administered i.v. than control cows. CONCLUSIONS AND CLINICAL RELEVANCE: Benefits of rumen transfaunation of cows after surgical correction of LDA included a lesser degree of ketonuria, greater feed intake, and higher milk yield, compared with nontransfaunated cows.     

Prevalence of endotoxemia in healthy postparturient dairy cows and cows with abomasal volvulus or left displaced abomasum

Left displaced abomasum (LDA) and abomasal volvulus (AV) occur most commonly in postparturient dairy cows. Our main hypothesis was that endotoxemia occurred more frequently in the peripheral blood of cows with LDA or AV than in healthy cows because increased luminal pressure in AV or LDA, or the presence of a hemorrhagic strangulating obstruction in AV, may have injured the abomasal mucosa, thereby facilitating translocation of luminal endotoxin into the circulation. Therefore, our main objective was to compare the prevalence and magnitude of endotoxemia in healthy postparturient cows with the prevalence and magnitude of endotoxemia in cows with AV and LDA. We examined 60 adult dairy cows in early lactation that were diagnosed with AV (n = 15) or LDA (n = 15) or were healthy on physical examination (control group, n = 30). Jugular venous blood was obtained from cows in all 3 groups, and right gastroepiploic venous blood was obtained during surgical correction of AV and LDA immediately after repositioning of the abomasum. Platelet-rich plasma endotoxin concentrations were measured with a chromogenic limulus amoebocyte lysate assay. Endotoxin was detected in jugular vein plasma in 50% (15/30) of control cows; however, the prevalence of endotoxemia was significantly lower (P < .05) in cows with AV (7%, 1/15) or LDA (20%, 3/15). Endotoxin was detected simultaneously in right gastroepiploic and jugular vein plasma in only 1 cow with LDA and 0 cows with AV. Contrary to our hypothesis, we conclude that endotoxemia is infrequently present in postparturient dairy cows with AV or LDA.     

Changes in the feed intake, pH and osmolality of rumen fluid, and the position of the abomasum of eight dairy cows during a diet-induced left displacement of the abomasum

During the last six weeks of the dry period, eight Holstein-Friesian cows were fed a restricted amount of grass silage; after calving, a mixture of maize silage and concentrates was offered in a feeding regimen designed to induce a displacement of the abomasum. In the first month after calving, the cows were monitored for the following variables: feed intake and composition, milk production, the position of the abomasum, and the pH and osmolality of the rumen contents. In five of the eight cows, a left displacement of the abomasum occurred between four and 21 days after calving in the absence of other diseases. The displacement was temporary, lasting between five and 36 consecutive hours and one or two days in two of the cows (floaters), and for three or more days in the other three. Before these three cows developed the displacement, their abomasum was 4.3 to 7.9 cm higher, its contents had a higher mean osmolality (+19.2 mosmol/kg), and the ratio of roughage to concentrates in their feed was lower (-0.87) than in the three cows that did not develop clinical signs of a displaced abomasum. There were no significant differences in these variables between the floaters and the healthy cows.     

奶牛真胃右方变位超声声像图特征的研究

比较分析了临床健康的荷斯坦奶牛和真胃右方变位奶牛(未发生真胃扭转)的真胃B超声图像的特征,旨在探讨采用B超体外探测诊断奶牛真胃右方变位的可行性。采用3.5MHz的扇形探头和线阵探头,对长春市某奶牛场5头典型真胃右方变位荷斯坦奶牛和10头身体状况良好的荷斯坦奶牛分别对其右侧第12~8肋间及其肋弓后缘和其腹底进行超声探查,采集并分析获得的B超声像图。正常情况下,真胃壁表现为1条弱回声细线,分层不明显,真胃内容物整体表现为混合型回声,偶尔可观察到呈弱回声的波浪状褶皱结构的真胃皱襞。右方变位后,由于真胃体积增大,真胃沿腹壁向后、向背侧延伸,可到达肋弓和背中线位置,内容物表现为气体和液体的混合状态,超声检查时更容易探及真胃皱襞。对所有病牛都采取剖腹探查进行了确证。结果表明,在B超声像图中,真胃右方变位前、后声像图特征明显,容易与前胃及其他邻近组织、器官区分开,B超可用于真胃右方变位奶牛及健康奶牛的鉴别诊断。     

Risk factors for abomasal displacement in dairy cows.

OBJECTIVE: To determine whether various periparturient events or 305-day milk production during the previous lactation period were associated with abomasal displacement in dairy cows. DESIGN: Retrospective, case-control study. ANIMALS: 75 pairs of case and control cows from 3 university-owned and 3 commercial dairy herds. PROCEDURE: Cows with abomasal displacement were matched with control cows on the basis of herd of origin, breed, age, and calving date. Frequency of specific periparturient events during the period from 2 weeks prior to parturition to diagnosis of abomasal displacement, as well as milk production during the preceding lactation period, were compared between case and control cows. RESULTS: Multivariate analyses indicated that case cows were significantly more likely to have had retained placenta, ketosis, a stillborn calf, metritis, twins, or parturient paresis than were control cows. Dystocia, mastitis, and milk production during the previous lactation period were not associated with abomasal displacement. CLINICAL IMPLICATIONS: Results indicated that a variety of periparturient events were associated with development of abomasal displacement among dairy cows.     

Comparison of abomasal luminal gas pressure and volume and perfusion of the abomasum in dairy cows with left displaced abomasum or abomasal volvulus

OBJECTIVE: To compare abomasal luminal gas pressure and volume and perfusion of the abomasum in dairy cows with a left displaced abomasum (LDA) or abomasal volvulus (AV). ANIMALS: 40 lactating dairy cows (25 with an LDA and 15 with an AV). PROCEDURE: Abomasal luminal gas pressure and volume and pulse oximetry values for the caudal portion of the dorsal ruminal sac and abomasal wall were measured during laparotomy. Abomasal perfusion was assessed on the basis of abomasal O2 saturation (pulse oximetry) before correction of the LDA or AV. Abomasal perfusion was also assessed after correction of the LDA or AV by measuring venous O2 saturation in the right gastroepiploic vein and calculating the abomasal oxygen-extraction ratio. RESULTS: Abomasal luminal gas pressure and volume were higher in cattle with an AV than in cattle with an LDA. Abomasal O2 saturation was lower and abomasal oxygen-extraction ratio higher in cattle with an AV, compared with values in cattle with an LDA. In cows with an AV, lactate concentration in the gastroepiploic vein was greater than that in a jugular vein, whereas no difference in lactate concentrations was detected in cows with an LDA. Abomasal luminal gas pressure was positively correlated (r, 0.51) with plasma lactate concentration in the gastroepiploic vein and negatively correlated (r, -0.32) with abomasal O2 saturation determined by use of pulse oximetry. CONCLUSIONS AND CLINICAL RELEVANCE: Abomasal perfusion decreases as luminal pressure increases in cattle with an AV or LDA.     

浅谈奶牛皱胃变位治疗的体会

在现代奶牛饲养中 ,皱胃变位的发病率呈增高趋势 ,这给奶牛饲养业造成了很大的损失。生产中经常遇到这类病例 ,治疗多例后积累了一些经验。在此提出仅供同行们参考。1　病因及症状奶牛皱胃变位可分为左方变位和右方变位。临床上以左方变位较多。本病多因皱胃弛缓加上产生腹压骤降而多发于高产奶牛的产后期。精料饲喂过多可引起皱胃弛缓。而妊娠后期随着胎儿的增大 ,逐渐将瘤胃向上抬高及向前推移 ,使皱胃被迫向左方移走。当母牛分娩后 ,腹压骤然下降 ,瘤胃恢复原位下沉 ,把皱胃压到瘤胃的左方。表现为顽固性消化不良 ,食欲不振 ,只采食少量…     

猪伪狂犬病的流行情况和预防措施

伪狂犬病是危害养猪业健康发展的主要疾病之一。但自 1 998年以来 ,本病已成为黄埔区母猪繁殖障碍常见的传染病之一。主要引起哺乳仔猪的大量死亡、母猪流产、死胎、木乃伊、不育。现将 1 998年 4月至 1 999年 6月几个猪场猪伪狂犬病的流行情况和防制措施报告如下。1　发病情况1 998年 4月至 1 999年 3月期间 ,黄埔区先后有 4个猪场发生类似情况 :几窝 2～ 3日龄哺乳仔猪有 3～ 5头突然表现震颤 ,不能吮乳 ,继而卧地不起 ,四肢作游泳状 ,2日之内全窝发病 ,病程 2～ 3天 ,全部死亡。随后的 1 5天内 ,发病和死亡集中在 3～ 1 4日龄阶段的仔猪 …