Bovis ISSN 2398-2993

Abomasal displacement: non-surgical management

Synonym(s): Rolling and percutaneous fixation using the Grymer-Sterner toggle technique

Contributor(s): Gwen Rees , John Remnant

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Introduction

  • Left displaced abomasum (LDA) surgery is common in dairy cattle, and many different surgical and non-surgical techniques exist.
  • Each technique has various advantages and disadvantages.
  • The non-surgical techniques are considered here; rolling and the percutaneous fixation using the Grymer-Sterner toggle technique.

Uses

  • To correct left displacement of the abomasum in dairy cattle.
Advantages
  • Non-surgical correction is quick, cheaper than surgical correction and easy to perform.
  • The techniques are non-invasive and generally carry fewer risks of complication.

Disadvantages

  • Lower success rate than surgical correction, according to current literature (2017).
  • Rolling carries a high risk of recurrence.
  • Some risk of complications from 'toggle' technique if performed incorrectly, eg where toggle is poorly inserted and causes damage to other abdominal viscera.

Alternative techniques

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Time required

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Decision taking

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Requirements

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Preparation

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Procedure

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Aftercare

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Further Reading

Publications

Refereed Papers

  • Recent references from PubMed and VetMedResource.
  • Mueller K (2011) Diagnosis, treatment and control of left displaced abomasum in cattle. In Practice 33, 470-481.
  • Gordon P (2009) Roll and toggle correction of left displaced abomasum (LDA) – practical tips for success. Cattle Practice 17, 128–130.

Other sources of information

  • Grymer J & Sterner K E (2002) Grymer/Sterner toggle suture. Online resource and reference site for veterinarians. www.ldatogglesuture.com. Last accessed December 17th 2016.


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