111.Uterine and cervical prolapse in swine

Question 1

Uterine prolapse incidence?

Answer 1

Uterine Prolapse

Incidence

Within 2 hours → several days after farrowing

Partial/completely turns inside-out: large mass from vulva; Anemic & pale

Question 2

Uterine prolapse prognosis?

Answer 2

Very Poor

Question 3

Options for treatment of uterine prolapse?

Answer 3

Options for treatment

1. Euthanasia → Preferred option
2. Amputation
3. Replacement

Question 4

Replacement method steps for uterine prolapse?

Answer 4

Replacement method

Performed if the uterus is not completely prolapsed

1. Sedate the animal and wait for 20 minutes
2. Prepare a clean towel or sheet
3. Clean & lubricate the uterine surface
4. Raise the sow by the hind legs
5. Drain the bladder with a large needle
6. Clean the uterus with warm physiological saline, examining for any damage

or necrosis

7. Wrap the uterus in a towel and apply gentle pressure
8. After 15 minutes, manipulation of the uterus is possible
9. With a clean, lubricated arm and a small bottle, replace the uterus
10. Oxytocin can be given after successful replacement of the uterus to ↑ uterine

tone.

If the replacement is not completed properly → prolapse again other options for

anaesthesia include GA or a lumbosacral epidural

Question 5

Cervical prolapse incidence?

Answer 5

Cervical Prolapse
Incidence
Weakening of the cervix’s supporting tissues
Predispositions: Pregnancy; Abdominal pressure

Question 6

Procedure for uterine prolapse?

Answer 6

Procedure

1. Restraint of the sow
2. Local anaesthesia is given under the skin and tissues
3. Clean and replace the cervix
4. Horizontal mattress suture is tied across the vulva (above figure)
5. Leave the tape 20-25cm long so that it can be removed before farrowing

Move the sow from the crate to the wooden floor before farrowing & elevate After

farrowing: Suture again

After weaning → The sow should be culled