Right Flank Celiotomy Flashcards
How does a food bolus travel through the GIT to the abomasum?
Oral Rumen Reticulum Omasum Abomasum
Where is the urinary bladder located?
Pelvic inlet
What are the causes of LDA
1) abomasal atony (increased via, hypocalcemia, metritis, mastitis)
2) decreased rumen volume
3) calving
What direction does the abomasum move in LDA?
Transverse and to the left
What clinical signs do you expect to see with LDA?
Refuse grain
Normal temp (no infection)
Still passing feces
Tympani in left flank (ping)
How do you treat an LDA?
Right flank omentopexy
Left flank abomasopexy
Right paramedical abomasopexy
Toggle pin technique
What nerve blocks can be used for right flank omentopexy?
Proximal paravertebral block (T13-L2)
Distal paravertebral block (T12-L2)
Inverted L
Line block
To which side do you cast a cow with a LDA?
Cast onto right side and rotate into dorsal recumbency
What are your ddx for right sided ping?
RDA Abomasal volvulus Cecal dilation/volvulus Intussusception Pneumorectum Gas in uterus Gas in spiral colon Pneumoperitonium
If you have a ping which goes from right paralumbar fossa to 8th rib, what do you suspect?
RDA/dilation
If there is a ping only in right paralumbar fossa what do you suspect?
Cecal dilation/volvulus
How do you treat a simple RDA displacement?
Medically with:
Ca
Dextrose
Exercise
Or surgically
What position is the animal placed in for celiotomy?
Left lateral recumbency and trimmed on the right side
What muscle layers will you cut through in. Celiotomy?
Cutaneous Trunci m.
EAO
IAO
Transverse abdominal oblique
What suture pattern is used to close the cecum?
Inverting ( lambert or crushing)
2 layer closure
