Periparturient Period Flashcards
What species most commonly gets a vaginal prolapse?
Cows
What 2 breeds of cow most commonly get a vaginal prolapse?
Herefords
Shorthorns
NOTE: Heritable, you should cull these animals
Why shouldn’t you re-breed a cow that has a vaginal prolapse?
Because it is heritable. Should cull them instead.
How many grades of vaginal prolapse are there?
4
What is a Grade 1 vaginal prolapse?
Floor of vagina protrudes intermittently.
What is a Grade 2 vaginal prolapse?
Floor of vagina protrudes permanently.
What is a Grade 3 vaginal prolapse?
Cervix and most of vaginal floor protrude.
What is a Grade 4 vaginal prolapse?
2nd or 3rd degree that has been exposed long enough to cause necrosis/fibrosis.
What is the treatment of a vaginal prolapse in a cow?
Reduction
NOTE: Oven mitts! Keep your fingers together so you don’t damage the tissues.
How does sugar help when reducing a prolapsed vagina?
Uses osmosis to help reduce edema and make it easier to reduce the prolapse.
What are 4 techniques to help prevent recurrence of a vaginal prolapse?
Buhner technique
Halstead technique/Horizontal mattress
Bootlace
Jorvet prolapse kit
What is the Buhner technique for preventing recurrence of a vaginal prolapse?
Using the Buhner needle you pass umbilical tape, up the sides and around the top of the vagina, then tie it shut.
NOTE: Remember you need to untie before calving or you can have bigger problems.
What is the Halstead technique for preventing recurrence of vaginal prolapse?
Horizontal mattress across the vagina with umbilical tape and the Buhner needle.
NOTE: Used for grade 1 and2 prolapses.
What grade vaginal prolapse is the Halstead technique used for?
1 or 2
What is the bootlace technique for preventing recurrence of vaginal prolapse?
Create suture loops and criss-cross umbilical tape over the vagina and tie down.
What grade vaginal prolapse is the bootlace technique used for?
Good for a grade 4.
What is the Minchev technique for preventing recurrence of vaginal prolapse?
Replace the prolapse, and then use stents and suture through the body wall to hold the uterine vault in place.
NOTE: Can calve through this.
What is a big downside to the Minchev technique?
Lots of inflammation and aftercare.