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Prolapse

The document discusses the management of bovine prolapse, detailing types, grades, and etiological factors contributing to the condition. It outlines a management approach based on the '3 R's'—reduction, reposition, and retention of the prolapsed mass, along with supportive therapy. Factors affecting the success of treatment are also highlighted, including the duration of the case and the severity of tissue trauma.

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girishnashikkar
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15 views11 pages

Prolapse

The document discusses the management of bovine prolapse, detailing types, grades, and etiological factors contributing to the condition. It outlines a management approach based on the '3 R's'—reduction, reposition, and retention of the prolapsed mass, along with supportive therapy. Factors affecting the success of treatment are also highlighted, including the duration of the case and the severity of tissue trauma.

Uploaded by

girishnashikkar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Management of Prolapse in

Bovine

Dr. Ajeet Kumar

Professor cum Chief Scientist


Department of Veterinary Gynecology and Obstetrics
Bihar Animal Sciences University, Patna, Bihar
ajeetvet@yahoo.com
Types : Prolapse
• Prepartum -
– Non pregnant – Cystitis, Weak muscles, Wind sucking
vagina
– Pregnant – Intra abdominal pressure, Hormones
• Postpartum
Grades : Prolapse
• Grade 1
– Mild prolapse of vaginal mucosa in sitting or
recumbence position
• Grade 2
– Prolapse of vagina in standing with UB involved
• Grade 3
– Vagina, Cx visible
• Grade 4
– Prolongation of grade 3 with trauma and necrosis
Etiological Factors
1. Predisposing Factors
– Hypocalcaemia
– Paresis
– Chronic disease
– Cystitis
– Increased abdominal Pressure
– Endoparasites
– Moldy feed
2. Hormonal imbalance
3. Prolonged dystocia
4. Fetal traction
5. Fetal oversize
6. Retained placenta
Management of Prolapse : 3 ‘R’
• Epidural anaesthesia

• Extensive cleaning – mild KMnO4, Betadine soln.


• Reduction of prolapsed volume -
– Drainage of Urine
– Reduction of edema – Hypertonic sol., Vasoconstrictor
– Lifting of prolapsed mass
• Use of local desensitizer and antiseptic lubrication
Management of Prolapse contd..
• Reposition of prolapsed mass

• Retention of Prolapsed mass


– Rope truss
– Bottle truss
– Buhner’s suture
– Caslik operation
• Supportive therapy
– Sedative
– Antibiotics
– Calcium
– Energy source
Factors affecting Success
• How protracted the case is?
• Mishandling ??
• Necrosis / Trauma to tissues
• Appropriate techniques
• Severity of straining
• One of the frustrating cases for vets

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