ISSN 2398-2993      

Left displaced abomasum: surgical correction

obovis
Contributor(s):

Gwen Rees

John Remnant

University of Nottingham logo

Synonym(s): LDA, laparotomy and omentopexy / abomasopexy


Introduction

  • Left displaced abomasum (LDA) surgery is common in dairy cattle, and many different surgical and non-surgical techniques exist Which technique to use?.
  • The surgical techniques considered here are the two most common: right flank laparotomy and omentopexy/abomasopexy, and left flank laparotomy and right flank omentopexy/abomasopexy (Utrecht method).

Uses

  • To correct left displacement of the abomasum in dairy cattle.
Advantages
  • Current evidence suggests that surgical correction has a higher success rate that percutaneous ‘toggle’ methods or simply rolling the cow.
  • Surgery allows assessment of other viscera and confirmation of diagnosis.
Disadvantages
  • All abdominal surgery carries risk of post-operative infection.
  • Surgical correction is more expensive than ‘toggle’ or rolling.
Technical problems
  • Success rates increase with increasing surgeon experience.

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

  • Generally very good.
  • Short term success rates of 98.5% have been published.
  • Median survival time around 19 months.
  • Ketosis Ketosis with serum β–Hydroxybutyrate (BHBA) >1.2 mmol/L is associated with poorer prognosis.
  • Dystocia Dystocia at calving associated with poorer prognosis.

Further Reading

Publications

Refereed Papers

  • Recent references from PubMed and VetMedResource.
  • Reynen J L, Kelton D F, LeBlanc S J, Newby N C & Duffied T F (2015) Factors associated with survival in the herd for dairy cows following surgery to correct left displaced abomasum. J Dairy Sci 98, 3806-3813 PubMed.
  • Mueller K (2011) Diagnosis, treatment and control of left displaced abomasum in cattle. In Practice 33, 470-481.
  • Wittek T, Locher L F, Alkaassem A & Constable P D (2009) Effect of surgical correction of left displaced abomasum by means of omentopexy via right flank laparotomy or two-step laparoscopy-guided abomasopexy on postoperative abomasal emptying rate in lactating dairy cows. JAVMA 234 (5), 652-657 PubMed.
  • Roy J-P, Harvey D, Belanger A-M & Buczinsky S (2008) Comparison of 2-step laparoscopy-guided abomasopexy versus omentopexy via right flank laparotomy for the treatment of dairy cows with left displacement of the abomasum in on-farm settings. JAVMA 232 (11), 1700-1706.
  • Seeger T, Kumper H, Failing K & Doll K (2006) Comparison of laparoscopic guided abomasopexy versus omentopexy via right flank laparotomy for the treatment of left abomasal displacement in dairy cows. JAVMA 67 (3), 472-478.

Other sources of information

  • Steiner A (2006) Surgical Treatment of the Left Displacement of the Abomasum: An Update. Confercence Proceedings, World Buiatrics Congress XXIV.

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