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
- 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.
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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.