We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Preoperative and Surgical Predictors of the Treatment Outcome of Dairy Cows with Right Abomasal Displacement—A Retrospective Study of 234 Cases.
- Authors
Proios, Ioannis; Grünberg, Walter
- Abstract
Simple Summary: The right displacement of the abomasum (RDA) is a common and potentially life-threatening disease of dairy cows. Affected cows require early diagnosis and timely surgical treatment. Cows at increased risk of developing complications and a possibly fatal outcome must be identified early in order to guide medical and economic decision making. In this retrospective study, the laboratory and clinical parameters of cows with confirmed diagnoses that were admitted and treated at a veterinary teaching hospital were studied. Treated cows were either classified as survivors (discharged alive) or non-survivors (died or euthanized during hospitalization), and investigated parameters were compared between groups. Cows that died or had to be euthanized showed more pronounced dehydration and increase in heart rate. Distensions of the bowels were more pronounced, and complicated twists of the forestomaches and stomach were more frequent in non-survivors than survivors. Cows unable to stand at the time of surgery all had a fatal outcome. A number of blood biochemical parameters were found to be associated with the treatment outcome and could therefore assist the early identification of cows requiring more intense peri- and postoperative care. The displacement of the abomasum to the right (RDA) is a common condition regularly encountered in dairy cows, which requires urgent surgical correction. The survival of the patient primarily depends on early diagnosis and timely treatment, but other factors contributing to the outcome have been discussed in the literature. The objective of this study was to identify preoperative clinical, hematological, as well as intraoperative parameters that are associated with the prognosis of cows with RDA or abomasal volvulus (AV). This retrospective study included patients admitted to a veterinary teaching hospital over a period of 6 years with a diagnosis of RDA or AV. A total of 234 cows were included, of which 193 were discharged after treatment and thus classified as survivors. In contrast, 41 cases died or were euthanized during or after surgery and were categorized as non-survivors. Non-survivors showed more severe dehydration, higher heart rate, lower sodium, as well as higher L-lactate and phosphorus concentration in their blood prior to surgery compared with the survivors. During surgery, the abomasum of non-survivors was markedly dilated and twisted more frequently than in survivors. The results presented here can facilitate the early identification of animals with poor prognosis requiring more intensive peri- and postoperative care.
- Subjects
ECONOMIC decision making; TREATMENT effectiveness; GUINEA pigs; IDENTIFICATION of animals; POSTOPERATIVE care; DAIRY cattle; MEDICAL decision making; PROGESTERONE
- Publication
Animals (2076-2615), 2023, Vol 13, Issue 18, p2887
- ISSN
2076-2615
- Publication type
Article
- DOI
10.3390/ani13182887