Ultrasound follow-up of adhesions after one-step laparoscopic abomasopexy for correction of left displaced abomasum in cattle

Year 2020, , 15 - 20, 29.07.2020

Goksen Cecen Ayalp , İsmail Altuğ Şen Nihal Yaşar Gül Satar , Sibel Tokoğlu Sert

https://doi.org/10.30782/jrvm.576554

Abstract

The objective of this study was to
evaluate the use of the ultrasound on the determination of the thickness of
adhesion at the abomasopexy point in cows which had undergone one-step
laparoscopic abomasopexy. Ten Holstein cattle with left displaced abomasum
(LDA) were included in the study. Animals were treated with one-step
laparoscopic abomasopexy whilst standing. Postoperative ultrasonographic
examinations were carried out starting immediately after surgery (day 0), and on
days 28, 90 and 120 by using a 5 MHz transducer frequency and also a linear
transducer. The thickness of the adhesion was measured between the abdominal
wall and the abomasum. Ultrasonographic image revealed the area of fixation on
day 0 as a mild distorted subcutaneous tissue. Heterogeneous hypo-echoic
irregular-shaped mass (adhesion) was observed between the abomasum and
abdominal wall on days 28, 90 and 120. Average thickness significantly (p
<0.05) increased from day 0 to day 28, but tended to decrease afterwards. The
average thickness of adhesion at the abomasopexy point was recorded as 20.47,
22.82, 22.34 and 21.92 mm on days on 0, 28, 90 and 120, respectively.

            The
ultrasonographic examination can diagnose and measure the adhesions between the
abomasum and the abdominal wall. During the study period, the adhesion
formation was followed up to the 120^th day, and in this period the
thickness of the adhesion tended to decrease. Long follow-up studies are
thought to be beneficial to determine the difference in adhesion thickness.

Keywords

LDA, one-step laparoscopic abomasopexy, ultrasound, adhesions, cattle

Supporting Institution

This study was financially supported by the Scientific Research Projects Unit of Uludag University by the project number KUAP(V)-2014/8.

Project Number

KUAP(V)-2014/8

Thanks

The authors would like to thank Hakan UZUN of Uludag University, School of Foreign Languages, İ. Taci CANGUL of Uludag University, Faculty of Veterinary Medicine, Pathology Department for linguistic reading of this manuscript.

References

• 1. Al-Bayati A. Development of abdominal adhesions after laparoscopic abomasopexy. (PhD Thesis) College of Veterinary Medicine, Justus-Liebig University Giessen, Giessen 2011:38-82.
• 2. Babkine M, Desrochers A. Laparoscopic Surgery in Adult Cattle. Vet Clin Food Anim. 2005;21:251–279.
• 3. Babkine M, Desrochers A, Bouré L, Hélie P. Ventral laparoscopic abomasopexy on adult cows. Can Vet Journal. 2006;47:343–348.
• 4. Barisani C. Evoluzione della tecnica di Janowitz per la risoluzione della dislocazione abomasale sinistra secondo Barisani. Summa 2004;5:35-39.
• 5. Braun U. Review ultrasonography in gastrointestinal disease in cattle. Vet Journal. 2003;166:112–124.
• 6. Christiansen K. Laparoskopisch kontrollierte Operation des nach links verlagerten Labmagens (Janowitz-Operation) ohne Ablegen des Patienten. Tierarztl Prax. 2004;32:118-121.
• 7. Connell J. Four Methods of Surgical Correction of Abomasal Displacement in the Cow. Iowa State University Vet. 1976;38:21-24.
• 8. Fecteau G. Peritonitis in the Ruminant. In: Large Animal Internal Medicine. 4th ed. Mosby, Elsevier, St Louis, 2008:850-855.
• 9. Freick M, Sieber I, Endtmann A, Passarge U, Passarge O. Laparoscopic reposition of the displaced abomasum in a dairy herd in Saxony (Germany) - a case series (Article in German). Tierärztliche Umschau. 2013;68: 311 – 321.
• 10. Grechenig W, Clement HG, Fellinger M, Schleifer P, Tesch PN. Ultrasound imaging and localization of metal implants. A clinical study. Unfallchirurg. 1996;22:117-123.
• 11. Janowitz H. Laparoscopic reposition and fixation of the left displaced abomasum in cattle. Tierarztl Prax Ausg G Grosstiere Nutztiere. 1998;26(6):308–313.
• 12. Mulon PY, Babkine M, Desrochers A. Ventral laparoscopic abomasopexy in 18 cattle with displaced abomasum. Vet Surg. 2006;33:347-355.
• 13. Newman KD, Anderson DE, Silveira F. One-step laparoscopic abomasopexy for correction of left-sided displacement of the abomasum in dairy cows. J Am Vet Med Assoc. 2005;227:1142-1147.
• 14. Newman KD, Harvey D, Roy JP. Minimally invasive field abomasopexy techniques for correction and fixation of left displacement of the abomasum in dairy cows. Vet Clin N Am-Food A. Philadelphia, 2008;24(2):359-382.
• 15. Ok M, Arıcan M, Turgut K. Ultrasonographic findings in cows with left and right displacement of abomasum. Revue Méd Vét. 2002;15:15-18.
• 16. Perotta JH, Ollhoff RD, Naylor Lisboa JA, de Barros Filho IR. One-step laparoscopy for the correction of left abomasal displacement in high-yielding Holstein dairy cows. Semina: Ciências Agrárias. 2017;38:1313-1322.
• 17. Schmidt G. Thieme Clinical Companions: Ultrasound. 3rd ed. Stuttgart, New York, Georg Thieme Verlag; 2007.
• 18. Thomas KL, Wilson DG, Bracamonte Jl, Carmalt JL, Luby CD. Quality of Adhesions After Sutured Paramedian vs. Laparoscopic Toggle Abomasopexy in an Ovine Model. Vet Surg. 2016;45:488–493.
• 19. Zografos GC, Simeonidis KM, Messaris EG, Parasi AS, Sotiriou HG, Dontas IA. Adhesion formation and intraperitoneal catheters: histologic findings in a rat model. Fertil Steril. 2005;83:516-518.