Abomasal Fistula/Volvulus

Question 1

What are the tx options for a LDA?

Answer 1

R flank omentopexy
L flank abomasopexy
R paramedian abomasopexy
Closed suture or bar techniques

Question 2

What is an abomasal fistula?

Answer 2

This is a hole in the abomasum that leaks fluid into the abdomen causing the body to not heal and react by producing granulation tissue.
Acidic fluid from the abomasum prevents wound healing and leads to infection

Question 3

What is the least reactive suture material?

Answer 3

Stainless steel

Question 4

In what way does an abomasal volvulus typically twist?

Answer 4

Counter clock-wise from behind and clock-wise from the right side

Question 5

What is the surgical correction for an abomasal volvulus?

Answer 5

Twist clockwise and perform a R flank omentopexy

Question 6

A purse string should be placed around which layer of the abomasum when placing a stomach tube?

Answer 6

The seromuscular layer

Question 7

In what directions do you push with your left forearm in order to move the abomasum clockwise?

Answer 7

Laterally, ventrally and caudally

Question 8

Once the volvulus is correct, pull the omentum until you see which structure?

Answer 8

The pylorus

This is how you know the volvulus is corrected

Question 9

What are three good prognostic indicators of post-op volvulus surgery?

Answer 9

Sternal
Good appetitie
Feces on the wall

Question 10

What are you suspecting if you hear a “ping” in the R paralumbar fossa?

Answer 10

Cecal dilatation

Question 11

What is the treatment for cecal dilatation?

Answer 11

Typhlotomy at the apex of the cecum