Bovis ISSN 2398-2993

Caslick operation

Synonym(s): vulval surgery

Contributor(s): Ash Phipps , John Tulloch

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Introduction

  • The surgical procedure used most commonly to correct pneumovagina is the Caslick vulvoplasty.
  • The condition of pneumovagina Pneumovagina, is where there is the involuntary aspiration of air into the vagina, caused by inadequate vulval lip closure as a result of poor vulval conformation  and/or injury (commonly from the previous parturition) such as a vaginal tear.
  • The aspiration of air and other material (in particular fecal material due to the anatomical location) can result in chronic reproductive tract inflammation, infection and infertility.
  • Correction of pneumovagina is multifactorial, but Caslick's operation remains the most common surgical treatment.

Uses

Advantages

  • Relatively easy procedure to carry out.
  • Minimally invasive procedure.
  • When used under the correct circumstances; it is an effective procedure for the treatment of pneumovagina.

Disadvantages

  • Repeated surgical procedures are not necessarily fair to the cow and welfare should be a consideration.
  • The Caslick's operation requires repeated opening and repair for breeding and parturition.
  • This repeated cycle can result in excessive scarring, loss of labial tissue and plasticity, and eventual failure of the technique (particularly when excessive labial tissue is removed over time).

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good: low incidence of complications.
  • Good for return to breeding function

Further Reading

Publications

Refereed Papers

  • Recent references from PubMed and VetMedResource.
  • Prado T M, Schumacher J & Dawson L J (2016) Surgical Procedures of the Genital Organs of CowsVeterinary Clinics of North America: Food Animal Practice 32 (3), 727-752 PubMed.

Other sources of information

  • Dugdale D, Blachard T & Munroe G (2017) Vulva: Caslick operation [online] Last accessed 20th November 2017. Available at www.vetstream.com.
  • Fubini S L & Ducharme N (2004) Farm animal surgery. 1st edn. Elsevier Health Sciences, St Louis, Missouri, USA.


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