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    Complete Postparturient Uterine Prolapse in HF Cross Bred Cow

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    franky
    This document describes a case study of complete postpartum uterine prolapse in a 9-year-old HF crossbred cow. The prolapsed uterus was replaced under epidural anesthesia and Bhuner's vulval sutures were applied. However, the prolapse recurred within 12 hours. The sutures were then removed and the uterus was replaced again. Hypocalcemia is believed to play a role in uterine prolapse by causing uterine atony. While vulval sutures aim to prevent reprolapse, they may also cause straining and facilitate reoccurrence within the animal. The cow recovered after the second replacement without sutures.

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    Complete Postparturient Uterine Prolapse in HF Cross Bred Cow

    Uploaded by

    franky
    87 views2 pages
    This document describes a case study of complete postpartum uterine prolapse in a 9-year-old HF crossbred cow. The prolapsed uterus was replaced under epidural anesthesia and Bhuner's vulval sutures were applied. However, the prolapse recurred within 12 hours. The sutures were then removed and the uterus was replaced again. Hypocalcemia is believed to play a role in uterine prolapse by causing uterine atony. While vulval sutures aim to prevent reprolapse, they may also cause straining and facilitate reoccurrence within the animal. The cow recovered after the second replacement without sutures.

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    This document describes a case study of complete postpartum uterine prolapse in a 9-year-old HF crossbred cow. The prolapsed uterus was replaced under epidural anesthesia and Bhuner's vulval sutures were applied. However, the prolapse recurred within 12 hours. The sutures were then removed and the uterus was replaced again. Hypocalcemia is believed to play a role in uterine prolapse by causing uterine atony. While vulval sutures aim to prevent reprolapse, they may also cause straining and facilitate reoccurrence within the animal. The cow recovered after the second replacement without sutures.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    87 views2 pages

    Complete Postparturient Uterine Prolapse in HF Cross Bred Cow

    Uploaded by

    franky
    This document describes a case study of complete postpartum uterine prolapse in a 9-year-old HF crossbred cow. The prolapsed uterus was replaced under epidural anesthesia and Bhuner's vulval sutures were applied. However, the prolapse recurred within 12 hours. The sutures were then removed and the uterus was replaced again. Hypocalcemia is believed to play a role in uterine prolapse by causing uterine atony. While vulval sutures aim to prevent reprolapse, they may also cause straining and facilitate reoccurrence within the animal. The cow recovered after the second replacement without sutures.

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    International Journal of Science and Research (IJSR)

    ISSN (Online): 2319-7064


    Index Copernicus Value (2013): 6.14 | Impact Factor (2013): 4.438

    Complete Postparturient Uterine Prolapse in HF


    Cross Bred Cow
    Shwetha. K. S1, Premkumar. R2, Kantesh Jaller3, Imamahusen R Gudur4, Narasimha Murthy5,
    Krishnaswamy .A6
    1
    Ph.D Scholar, Department of Veterinary Gynaecology and Obstetrics, Veterinary College, Hebbal, Bangalore-560024, India

    Abstract: A case of complete uterine prolapse in 9 years old HF cross bred cow was presented to Department of Veterinary
    Gynaecology and Obstetrics, Veterinary College, Hebbal, Bangalore. The uterine prolapse was replaced to normal position under
    epidural anesthesia followed by application of Bhuner's vulval sutures. The reoccurrence of the prolapse was noticed again by next 12
    hours. The Bhuner's vulval sutures were removed and the prolapse was again repositioned to normal position.

    Keywords: Uterine prolapse, Epidural analgesia, Bhuner's vulval suture.

    1. Introduction animal had completed the gestation period and experienced


    dystocia during delivery which was relieved by a veterinarian
    Prolapse or eversion of the uterus may be called casting of by following mutation procedures. A live female calf had
    the "wethers" or casting of the "calf bed". It is observed been delivered and about an hour later, the owner observed
    most commonly in the cow and ewe, occasionally in sows complete uterine prolapse with the membranes still attached.
    and rarely in dogs, cats and mares. It occurs most often The veterinarian was called again who on examination
    immediately after parturition and occasionally up to several immediately referred the case for further treatment.
    hours afterward. In rare cases, it may occur 48 to 72 hours
    after parturition (Roberts, 1971). On presentation, the animal was in standing posture with a
    completely prolapsed uterus hanging upto a point below the
    2. Case History and Observation hock joint. The placenta was intact and soiled, the animal
    appeared restless, and exhibited intermittent abdominal
    A cross bred HF cow aged about nine years in her fifth contractions. The prolapsed mass appeared pink in colour
    lactation was referred to the Department of Veterinary with mild edema and did not exhibit any tears or lacerations.
    Gynaecology and Obstetrics, Veterinary College, Hebbal, Physical examination of the cow revealed a normal colored
    Bangalore, with the complaint of complete uterine prolapse conjunctiva, temperature, pulse and respiratory rate.
    of about four hours duration. The owner reported that the

    Uterine prolapse: Cow before and after replacement

    3. Treatment IM, Calcium Borogluconate 250ml Slow IV and Meloxicam


    15 ml IM. The cow was admitted for further observation and
    Following clinical examination, the cow was subjected for treatment.
    epidural analgesia (Lignocaine 2%, 6 ml), the soiled
    prolapsed uterus was washed thoroughly with warm water, The cow was again presented next day morning and the
    the intact placenta was removed manually and the uterus owner complained that the animal was again restless
    was raised and supported to the level of the vulva and was throughout the night and continued to intermitently strain
    replaced into the normal position as per the procedure and the vulva had bulged. The animal not taken any feed but
    described by Noakes et.al (2001). Bhuner's vulval sutures had passed urine and faces. The Buhner's sutures were
    (Buhner, E., 1958) were applied followed by Oxytocin 30 IU opened and immediately the uterus prolapsed outside the
    Volume 4 Issue 5, May 2015
    www.ijsr.net
    Paper ID: SUB154321 978
    Licensed Under Creative Commons Attribution CC BY
    International Journal of Science and Research (IJSR)
    ISSN (Online): 2319-7064
    Index Copernicus Value (2013): 6.14 | Impact Factor (2013): 4.438
    vulva. The prolapsed mass was again thoroughly washed 5. Acknowledgement
    with copious amounts of warm water and the mass lifted
    above the level of vulva, lubricated with small quantity of Authors are thankful to Dr. A. Krishna Swamy Professor
    water based lubricating gel and replaced back into the and head, Dr. Honnappa. T. G, Associate Professor, Dr. V.
    abdominal cavity as per the procedure followed earlier C. Murthy, Associate Professor and Dr.Sudha, Assistant
    occasion. Fortunately, the cervix was still found to be Professor, Department of Veterinary Gynaecology and
    opened and the prolapsed mass could be replaced back Obstetrics, Veterinary College, Hebbal, Bangalore-5600024.
    through the cervix. Following replacement, the uterine
    cavity was filled with around 15 liters of warm water and
    subsequently siphoned out. The animal was again treated
    References
    with 30 IU of oxytocin mixed in 5 % DNS, IV given slowly
    [1] Arthur, G.H., Noakes, D.E. and Pearson, H. (2001).
    over a period of 30minutes. The animal was also infused
    Veterinary Reproduction and Obstetrics. Bailliere,
    intravenously with 250 ml of 20 % calcium borobluconate
    Tindall, London.
    and another 250 ml subcutaneously. It was also injected with
    [2] Buhner.E. (1958), Simple surgical treatment of uterine
    oxytetracycline at the rate of 22mg /kg bwt. Closure of the
    and vaginal prolapse. FAO/SIDA follow up seminar on
    vulva with Buhner's sutures was however, not carried out
    Animal Repro.Nov.1972.
    this occasion and the animal again admitted for further
    [3] Odeguard, S.A. (1977). Uterine prolapse in dairy cows-
    observation. On vaginal examination twelve hours later, the
    A clinical study with special reference to incidence,
    cervix has considerably closed permitting only one hand to
    recovery and subsequent fertility. Acta Vet. Scand, Supp.
    pass through. The owner reported that the animal was active,
    63:1-124.
    had stopped straining and has started consuming feed and
    [4] Roberts .S.J.(1971). Veterinary Obstetrics and Genital
    water. the animal was discharged after another 12 hour later
    diseases. reprint 2004, 2nd edn.
    with a prescription of antibiotics.

    4. Discussion
    The presented case was fresh and the duration of the
    prolapse was very short (four hours), which helped us to
    replace to normal position without struggling much. The
    occurrence of uterine prolapse in this particular case seems
    to be affected by traction applied by the Veterinarian during
    delivery of the calf. In this particular case the reoccurrence
    of prolapse was could be due to straining caused by Buhner's
    vulval sutures which was applied previous day (Arthur et al.,
    2001). Hypocalcaemia plays an important role in
    pathogenesis of prolapse of genital tract (Robert, 1971)
    probably because of atony with prolapse created due to it.
    Odegaard (1977) is of the view that although the incidence is
    higher in heifers as compared to the animals up to fifth
    lactation and thereafter the incidence is higher again but it is
    the hypocalcaemia which play a dominant role.

    It has been customary to insert vulval sutures to prevent the


    possibility of reprolapse. This practice is controversial.
    Many consider that it serves no useful purpose since, if the
    prolapse has been replaced correctly, it should not reoccur. It
    may even stimulate the cow to strain, allowing the prolapse
    to reoccur within the animal and thus not be detected. Others
    consider that, provided the cow is re-examined 24hrs later
    and the sutures are removed, it can prevent the reoccurrence
    of a complete prolapse which will be much more difficult to
    replace a second time. In the present case the cow was
    recovered uneventfully after removal of the Bhuner's vulval
    sutures and replacing the uterus to normal position.

    In general, if Buhner's sutures are applied, it is advisable to


    reexamine the cow 24 hours after the reposition of the
    prolapsed uterus. Posterior portion elevation for 2-3 days,
    feeding laxative diet, hygienic is surrounding to the animal
    and check for invagination of the tip of the uterine horns are
    the important points to be followed to restore good fertility
    of the cow.

    Volume 4 Issue 5, May 2015


    www.ijsr.net
    Paper ID: SUB154321 979
    Licensed Under Creative Commons Attribution CC BY

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