Intestines and Rumen

Question 1

Intestinal resection and anastomosis

Answer 1

• Exteriorize and pack it off
• Use doyens
• Pay attention to blood supply
• Cut through on the greater curvature
• Pay attention to arcuate arteries

Question 2

Rumenotomy indications

Answer 2

• Foreign bodies
• Intra-ruminal mass/abscesses
• Grain overload
• Toxic materials
• Esophageal disease (Epizootic hemorrhagic disease example) to bypass the esophagus
• Abomasal impaction

Question 3

Standard left flank approach reasons

Answer 3

• Rumenotomy ?

Question 4

Left flank rumenotomy - how to fixate the rumen?

Answer 4

• Rumen fixation
• Suture rumen to skin
• Stabilize rumen with forceps or stay sutures
• Rumen boards or loops
• Give atropine or glycopyrrolate

Question 5

Risks of left flank rumenotomy

Answer 5

• Peritonitis

- Want to minimize it

Question 6

Closure for left flank rumenotomy

Answer 6

• Double layer closure of the rumen
• Want to invert closure
• Sterile technique and remaining sterile

Question 7

When to give antibiotics for rumenotomy?

Answer 7

• Pre and post

Question 8

Which sac of the rumen do you enter for a rumenotomy?

Answer 8

• Dorsal sac of the rumen

Question 9

Rumenostomy

Answer 9

• making a permanent opening

Question 10

Rumenostomy for chronic bloat considerations

Answer 10

• Rumen decompression recommended to facilitate manipulation during surgery

Question 11

Who tends to get chronic bloat?

Answer 11

• Weaned calves who get pneumonia
• Impingement of esophagus based on mediastinal lymph node enlargement
• Vagal indigestion due to respiratory disease

Question 12

Trocharization

Answer 12

• In emergency situation can be life saving
• Go to left paralumbar fossa
• Pop through first
• Prep in the paralumbar fossa and pop into the rumen
• Screw in to pull the rumen next to the body wall
• He takes gauze to wrap it around to tighten it up
• Don’t pull it out for a week because you need to let the rumen adhere to the body wall

Question 13

His stages for creating a fistulated cow

Answer 13

• Use a template to cut a hole in the skin
• prefers to cut through the muscle instead of gridding
• Suture very well to the skin
• He does two stages (suture rumen to the body wall)
• Second day go in and cut the hole out of the rumen to place a fistula