COMPARATIVE STUDIES ON VARIOUS SURGICAL APPROACHES TO TREAT UTERINE TORSION IN GRADED MURRAH BUFFALOES
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Date
2007-04
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SRI VENKATESWARA VETERINARY UNIVERSITY TIRUPATI - 517 502. (A.P.) INDIA
Abstract
ABSTRACT:
The present work was carried out to evaluate the various surgical approaches to
meal uterine torsion in graded murrah buffaloes. The cases presented to the Teaching
Veterinary Clinical Service Complex, N.T.R College of Veterinary Science, Gannavararn
with clinical signs of uterine torsion were selected at random to group the animals.
1-aparohysterotomy under triflupromazine hydrochloride sedation and local infiltration
anaesthesia was performed through right paramedian (Group I), mid ventral (Group 11)
and right lower flank oblique(Group 111) approach to evaluate clinical,
physi~logical,heamatological, biochemical and histopathological studies to establish
most convenient and successN technique. Laparohysterotomy performed through right paramedian incision, showed moderate hemorrhage, prolapse of bowels, easy exteriorization of uterus and it's
detorsion and minimum post operative infections. The spillage of uterine fluids into the
peritoneal cavity was moderate, while throuk:h mid ventral approach revealed easy
exteriorization of uterus with insignificant k~emorrhage, great difficulty in closing
abdominal wall and more spillage of uterine fluids into peritoneal cavity. Detorsion of
uterus was easy but revealed in more post operative infections. The principle limitation
with right lower flank oblique incision was the limited length of the abdominal wall
incision due to anatomical limitation. Exteriorization and detorsion of uterus were
difficult compared to right paramedian approach. Abdominal closure was not a problem
with this incision. The chances of postoperative infections and incisional hernia were
less. The average time of for laporohysterotomy procedure was 45 -60 ; 30 -45 and
45 -60 minutes in group I, I1 and 111 respectively Skin wound healed with first intension
type in all the cases. Administration of enrofloxacin, metronidazole and dextrose normal
saline postoperatively counteracted the fluid loss, dehydration and anaerobic bacterial
infections effectively. All the buffaloes showed normal functions as the post operative
period progresses. Most of the buffaloes showed slight to non painful edematous swelling
at laparotomy incision which regressed spontaneously. The mean rectal temperature, pulse rate and respiratory rate values in buffaloes suffering with uterine torsion showed highly significant increase (P< 0.01) in all the
groups. The mean haemoglobin, total erythrocyte count in buffaloes suffering with
uterine torsion showed highly significant decrease (P< 0.01) in all the groups and the
mean total leucocyte counts showed highly significant increase (PC 0.01) in all the
groups. The mean total protein, serum calcium, inorganic phosphorus values in buffaloes
suffering with uterine torsion showed a highly significant decrease (PC 0.01) in all the
groups. The mean C-reactive protein values showed a highly significant increase
(P< 0.01) in all the groups. All the parameters returned to the physiological range by 11"
post operative day. Histopatnological studies of the uterus proned for torsion revealed degeneration
and necrosis of endometrium and glandular structures, edema and infiltration of
inflammatory cells such as fibroblasts, macrophages, plasma cells and lymphocytes.
Administration of vitamin E and selenium preparations along with routine postoperative
medication in selected cases revealed speed and uncomplicated recovery in all the
buffaloes. To conclude the present work, all the surgical approaches yielded satisfactory
results where as the right paramedian approach showed superiority interms of easy
access, minimum post operative complications and less time to conduct operative
procedure compared to other approaches.
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