M. Doğa TEMİZSOYLU, Sırrı AVKİ, KÜRŞAD YİĞİTARSLAN

İneklerde sola abomasum deplasmanının Laparoskopik cerrahi İle sağaltımı

Bu araştırmada, laparoskopik repozisyon ve Toggle pin fikzasyonu ile tedavi edilen sola abomasum deplasmanlı 28 inekte, intra ve postoperatif bulguların değerlendirilmesi hedeflendi. Laparoskopik cerrahi iki aşamada gerçekleştirildi. Birinci aşamada, hayvan ayakta iken abomasum içine Toggle pin yerleştirildi ve hemen ardından gaz ve sıvı içeriği dışarı alınarak deplase olan abomasumun repozisyonu sağlandı. İkinci aşamada, hidrolikli operasyon masasına sırt üstü yatırılan ineğin abdominal boşluğundaki Toggle pin ipleri dışarı alınarak perkütanöz abomasopeksi gerçekleştirildi. Laparoskopik cerrahinin ilk aşamasında deplase olan abomasum, sol karın duvarı ile rumen arasında gözlenerek klinik tanı doğrulandı. Aşırı rumen dolgunluğu bulunan 7 inekte, Toggle pin ipinin laparoskopik olarak bulunması oldukça uzun sürdü. Laparoskopik abomasopeksi ile 27 olguda başarı sağlanırken (%96.42), bir olgunun postoperatif 5. günde öldüğü (%3.58) belirlendi.

Anahtar Kelimeler:

inek, sığır, cerrahi işlemler, cerrahi, rumen, ameliyat sonrası bakım, laparoskopi, abomasum

Treatment of left sided abomasal displacement in cattle by Laparoscopic surgery

This study was focused on evaluation of intra and postoperative findings after laparoscopic reposition and Toggle pin fixation of the left sided abomasal displacement in 28 cattle. Laparoscopic surgery was performed in two stages. The first stage was realized in the standing cow and following insertion of the Toggle pin into the abomasum, it was repositioned by draining gas and fluid contents. At the second stage, the cow was restrained ventrally on the hydrolic operation table and the abomasum was fixed percutaneously by exteriorizing the tips of Toggle pin suture, which were located in abdominal cavity. During the first stage of laparoscopy, abomasal displacement was confirmed by seeing the dilated abomasum existing between rumen and left abdominal wall. Grasping procedure of the Toggle pin sutures was difficult in seven cows due to distended rumen. In twenty-seven cow laparoscopic abomasopexy operation was found to be successful (96.42%). One cow had died at 5th day postoperatively (3.58%).

Keywords:

cows, cattle, surgical operations, surgery, rumen, postoperative care, laparoscopy, abomasum,

PDF

___

1.Cameron REB, Dyk PB, Herdt PB, Kaneene JB, Miller R, Bucholtz F, Leisman JS, Vanderhaar MJ, Emery RS: Dry cow diet, management, and energy balance as risk factors for displaced abomasum in high producing dairy herds. J Dairy Sci, 81, 132-139, 1998.
2.Geishauser T: Abomasal displacement in the bovine: A review on character, occurrence, aetiology and pathogenesis. J Vet Med A, 42, 229-251, 1995.
3.Zadnik T, Mesaric M, Reichel P: A review of abomasal displacement- clinical and laboratory experiences at the clinic for ruminants in Ljubljana. Slov Vet Res, 38, 193-208, 2001.
4.Van Winden SCL, Kuiper R: Left displacement of the abomasum in dairy cattle: Recent developments in epidemiological and etiological aspects. Vet Res, 34, 47-56, 2003.
5.Breukink HJ: Etiologie en pathogenese van de lebmaagdislocatie. Tijdschr Diergeneeskd, 102, 611-618, 1997.
6.Aslan V, Ok M, Boydak M, Sen I, Birdane FM, Alkan F: The study on the relationship of abomasal displacement and fatty liver syndrome in dairy cows. Tr J Vet Sci, 13, 77-82, 1997.
7.Shaver RD: Nutritional risk factors in the etiology of the displaced abomasum in dairy cows: A review. J Dairy Sci, 80, 2449-2453, 1997.
8.Cable CS, Rebhun WC, Fubini SL, Erb HN, Ducharme NG: Concurrent abomasal displacement and perforating ulceration in cattle: 21 cases (1985-1996). J Am Vet Med Assoc, 212, 1442-1445, 1998.
9.Samsar E, Akmn F: Abomasum Deplasmanlarn. In, Veteriner Özel Cerrahi. 235-240, Medipres, Malatya, 2002.
10.Roussel AJ, Cohen ND, Hooper RN: Abomasal displacement and volvulus in beef cattle: 19 cases (1988-1998). J Am Vet Med Assoc, 216, 730-733, 2000.
11.Braun U, Flückinger M, Götz M: Comparison of ultrasonographic and radiographic findings in cows with traumatic reticuloperitonitis. Vet Rec, 135, 470-478, 1994.
12.Braun U: Ultrasonography in gastrointestinal disease in cattle. Vet J, 112-124, 2003.
13.Braun U, Pusterla N, Schönmann M: Ultrasonographic findings in cows with left displacement of the abomasum. Vet Rec, 141, 331-335, 1997.
14.Braun U, Wild K, Guscetti F: Ultrasonographic examination of the abomasum of 50 cows. Vet Rec, 140, 93-98, 1997.
15.Ok M, Arican M, Turgut K: Ultrasonographic findings in cows with left and right displacement of abomasum. Revue Vet Med, 1, 15-18, 2002.
16.Nord HJ, Boyd WP: Diagnostic laparoscopy. Endoscopy, 26, 126-133,1994.
17.Steiner A: The surgical treatment of left-sided abomasal displacement in the cow: A literature review. Schweiz Arch Tierheilkd, 138, 353-360, 1996.
18.Roy JP, Harvey D, Belanger AM, Buczinski S: 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. J Am Vet Assoc, 232, 1700-1706, 2008.
19.Lee I, Yamagishi N, Oboshi K, Yamada H: Left paramedian abomasopexy in cattle. J Vet Sci, 3, 59-60, 2002.
20.Pearson H: The treatment of surgical disorders of the bovine abdomen. Vet Rec, 92, 245-254, 1973.
21.Van der Velden MA: The treatment of left abomasal displacement in cattle. Tijdschr Diergeneeskd, 116, 445-453, 1991.
22.Wilten J: Paramedian laparotomy followed by abomasopexy as treatment method for displacement of the abomasum in productive dairy cattle. Tijdschr Diergeneeskd, 108, 544-546, 1983.
23.Hull BL: Closed suturing technique for correction of left abomasal displacement. Iowa State Vet, 34, 142-144, 1972.
24.Tithof PK, Rebhun WC: Complications of blind-stitch abomasopexy: 20 cases (1980-1985). J Am Vet Med Assoc, 189, 1489-1492, 1986.
25.Gymer J, Sterner KE: Percutaneous fixation of left displaced abomasum using a bar suture. J Am Vet Med Assoc, 12, 1458-1461, 1982.
26.Kelton DF, Garcia J, Guard CL, Dinsmore RP, Powers PM, Smith MC, Stehman S, Ralston N, White ME: Bar suture (toggle pin) vs open surgical abomasopexy for treatment of left displaced abomasum in dairy cattle. J Am Vet Med Assoc, 193, 557-559, 1988.
27.Podpecan O, Hrusovar-Podpecan S: Treatment of left displacament cattle by rolling and percutaneous paramedian abomasopexy using toggle pin fixators of cornel. Slov Vet Res, 38, 327-332, 2001.
28.Raizman EA, Santos JE: The effect of left displacement of TEMİZSOYLU, AVKİ YİĞİTARSLAN abomasum corrected by toggle-pin suture on lactation, reproduction, and health of Holstein dairy cows. J Dairy Sci, 85, 1157-1164, 2002.
29.Rutgers LJ, Van der Velden MA: Complications following the use of the closed suturing technique for correction of left abomasal displacement in cows. Vet Rec, 113, 255-257, 1983.
30.Newman KD, Harvey D, Roy JP: Minimally invasive field abomasopexy techniques for correction and fixation of left displacement of the abomasum in dairy cows. Vet Clin Food Anim Pract, 24, 359-382, 2008.
31.Janowitz H: Laparoscopic reposition and fixation of the left displaced abomasum in cattle. Tierarztl Prax Ausg G Grosstiere Nutztiere, 26, 308-313, 1998.
32.Wittek T, Locher LE, Alkaassem A, Constable P: Effect of surgical correction of left displacaed abomasum by means of omentopexy via right flank laparotomy or two-step laparoscopy-guided abomasopexy on postoperative abomsal emptyin rate in lactating dairy cows. J Am Vet Med Assoc, 234, 652-657, 2009.
33.Babkine M, Desrochers A, Boure L, Helie P: Ventral laparoscopic abomasopexy on adult cows. Can Vet J, 47, 343-348, 2006.
34.Mulon PY, Babkine M, Desrochers A: Ventral laparoscopic abomasopexy in 18 cattle with displaced abomasum. Vet Surg, 35, 347-355, 2006.
35.Newman KD, Anderson DE, Silveira F: One-step laparoscopic abomasopexy for correction of left-sided displacement of the abomasum in dairy cows. J Am Vet Assoc, 227, 1142-1147, 2005.
36.Seeger T, Kumper h, Failing K, Doll K: Comparison of laparoscopic-guided abomasopexy versus omentopexy via right flank laparotomy for the treatment of left abomasal displacement in dairy cows. Am J Vet Res, 27, 472-478, 2006.
37.Bartlett PC, Kopcha M, Coe PH, Ames NK, Ruegg PL, Erskine RJ: Economic comparison of the pyloro-omentopexy vs the roll-and-toggle procedure for treatment of left displacement of the abomasum in dairy cattle. J Am Vet Med Assoc, 206, 1156-1162, 1995.
38.Robertson JM, Boucher WB: Treatment of left displacement of the bovine abomasum. J Am Vet Med Assoc, 149, 1423-1429, 1966.
39.Anderson DA, Gaughan EM, St Jean G: Normal laparoscopic anatomy of the bovine abdomen. Am J Vet Res, 54, 1170-1176, 1993.
40.Jones BD: Laparoscopy. Vet Clin North Am: Small Anim Pract, 20, 1243-1263,1990.
41.Jubb TF, Malmo J, Davis GM, Vawser AS: Left-side displacement of the abomasum in dairy cows at pasture. Aust Vet J, 68, 140-142 1991.
42.Lambert RD, Bernard C, Rioux JE: Endoscopy in cattle by the paralumbar route: technique for ovarian examination and follicular aspiration. Theriogenology, 20, 149-161, 1983.
43.Naoi M, Kouke E, Takahashi Y, Kido Y: Laparoscopicassisted serial biopsy of the bovine kidney. Am J Vet Res, 46, 699-702, 1985.
44.Steiner A, Zulauf M: Diagnostic laparoscopy in the cow. Schweiz Arch Tierheilkd, 141,397-399, 1999.
45.Temizsoylu D, Avki S, Yiğitarslan K: Abomasum deplasmanln ineklerde klinik, ultrasonografik ve laparoskopik bulgularnn karşnlaştnrnlmasn. Vet Cer Derg, 11, 5-9, 2005.
46.Boure L: General principles of laparoscopy. Vet Clin North Am: Food Anim Pract, 21, 227-249, 2005.
47.Babkine M, Desrochers A, Boure L, Helie P: Ventral laparoscopic abomasopexy on adult cows. Can Vet J, 47, 343-348, 2006.
48.Niehaus AJ: Surgery of the abomasum. Vet Clin North Am: Food Anim Pract, 24, 349-358, 2008.
49.Yiğitarslan K, Yavru N, Avki S: Abomasumun Sola Deplasmann Bulunan İneklerde Laparotomik Omentopeksi ile Laparoskopik Abomasopeksi’nin Klinik ve Laboratuvar Yanntlarnnnn Karşnlaştnrnlmasn. XI. Ulusal Veteriner Cerrahi Kongresi, 26-29 Haziran, Kuşadasn-Aydnn, 2008.