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Over a 5-year period, 20 adult Holstein cows were admitted to the New York State College of Veterinary Medicine because of complications following blind-stitch percutaneous abomasopexy for correction of left-displaced abomasum. Of the 20 cows, 16 were treated surgically, 2 were treated medically, and 2 were admitted to the pathology service for necropsy. Complications associated with the blind-stitch technique included peritonitis, cellulitis, abomasal displacement or evisceration, complete forestomach obstruction, and thrombophlebitis of the subcutaneous abdominal vein. Because of the various complications associated with blind-stitch percutaneous abomasopexy, we concluded that it is not an appropriate procedure for correction of left displaced abomasum in valuable cattle, but may be used as an alternative for salvage in less valuable cows.
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Case report: Complications after using the "blind-stitch" method in a dairy cow with a left displaced abomasum: treatment, outcome, and economic evaluation.
Front Vet Sci
November 2024
Clinic for Ruminants and Swine, Faculty of Veterinary Medicine, University of Leipzig, Leipzig, Germany.
Article Synopsis
- - A 4th lactation dairy cow had complications after an unsuccessful treatment for a left displaced abomasum (LDA) using the "blind-stitch" method, leading to abnormal health signs and inflammation at the incision site.
- - After administering antibiotics and fluids, the cow underwent a laparotomy and omentopexy surgery to resolve adhesion issues, and was monitored before being discharged two weeks later.
- - The cow produced 18,000 kg of milk post-treatment, with total costs for both interventions at 1,207 €, alongside an estimated revenue loss of 4,168 € due to complications, highlighting the need for careful method selection for LDA corrections.
Over a 5-year period, 20 adult Holstein cows were admitted to the New York State College of Veterinary Medicine because of complications following blind-stitch percutaneous abomasopexy for correction of left-displaced abomasum. Of the 20 cows, 16 were treated surgically, 2 were treated medically, and 2 were admitted to the pathology service for necropsy. Complications associated with the blind-stitch technique included peritonitis, cellulitis, abomasal displacement or evisceration, complete forestomach obstruction, and thrombophlebitis of the subcutaneous abdominal vein.
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