Janta Surgery
Janta Surgery
CHAPTER - 1
INTRODUCTION AND COMMON TERMS USED IN SURGERY
Surgery: It is an art and practice of treating injuries, deformities and other disorders
by manual operations or instrumental appliances.
2. Antiseptic Surgery: The surgery, that insists upon a systemic use of antiseptics in
the performance of operations and dressing of wounds.
“Aseptic Surgery is better than Antiseptic Surgery.”
8. Tumour: A mass of new tissue having no physiological use, which persists and grows
independently of its surrounding structure
14. Yoke gall: Localised acute inflammation of skin and subcutis on the neck of cattle
due to constant friction caused by yoke
16. Dislocation: Displacement of a bone from its normal position in relation to a joint
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20. Burn: Injury caused by dry heat (fire, hot solid, electric current)
30. General anaesthesia: Drug induced reversible loss of sensory and motor functions
with unconsciousness due to depression of CNS
31. Local anaesthesia: Drug induced temporary loss of sensation in a limited area of the
body without impairment of consciousness
32. Sedation: A degree of CNS depression in which patient is awake but calm and free
from nervousness
34. Suture: A fine cord like structure used for closing the wound
38. Paracentasis: The perforation of a cavity of the body or a cyst, especially with a
hollow needle to remove fluid or gas
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OBJECTIVES OF SURGERY (“Why surgery is done”)
The principle objective of veterinary surgery is the restoration of animal’s functions to
as near normalcy as possible.
1. To eliminate life-threatening maladies: Choke, Intestinal obstruction, Cancer
2. To make animal less dangerous: e.g. Disbudding in calves, Debeaking in poultry
3. To hasten the recovery process: Suturing of wounds and fractures’ repair
4. Removal of Foreign Bodies: Rumenotomy in ‘Hardware disease’
5. To diagnose the disease: Exploratory laprotomy
6. For aesthetic purposes: Removal of supernumerary teats, Ear-cropping in dogs
7. Removal of a diseased part: Amputation of gangrenous tail
8. For economical reasons: Castration
CLASSIFICATION OF SURGERY
Surgery can be classified according to:
A. Nature of surgery
B. Region/system involved
C. Instruments/appliances used
A. Nature of Surgery: This encompasses (अंतर्गत) the following:
1. Restorative surgery: It is carried-out to restore the normal function of the body or
a part without substituting or discarding any part of the body. e.g. Rumenotomy
2. Extirpative Surgery: It involves the removal of a part. e.g. Hysterectomy (Removal
of uterus), Cystectomy (Removal of urinary bladder)
3. Plastic Surgery: It is done on aesthetic grounds or to restore disturbed function
and includes reconstructive surgery and cosmetic surgery.
a) Reconstructive surgery- It refers to restoration of a function/ normal appearance
by reconstructing defective organs or parts. e.g. Repair of recto-vaginal fistula.
b) Cosmetic surgery: The surgical procedure used to improve the beauty of animal.
e.g. Removal of a supernumerary teat
4. Replacement surgery: It means replacement of a diseased part by either a living
tissue (vascular graft), non-living material (heart valve) or dead tissue (bone graft).
5. Physiological surgery: It involves alterations in the normal physiological
mechanisms for the benefit of the whole body. e.g. Vascular shunts
6. Diagnostic surgery: It involves the surgery to arrive at a diagnosis. e.g. Biopsy,
Exploratory laprotomy, Paracentasis
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B. Region/system involved: Advancements in surgery have lead to this classification
and surgeons specialize on a particular region or system. e.g. Thoracic surgery,
cardiovascular surgery, orthopaedic surgery (The surgery that is done on joints or
bones), ophthalmic surgery, neurosurgery, uro-genital surgery etc.
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CHAPTER - 2
STERILIZATION IN SURGICAL PRACTICES
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The other chemicals used are Povidone iodine, mercurochrome, acriflavin and picric
acid. These other chemicals are routinely used as surface antiseptics. For killing of
spores, a composition of formalin 35 %, NaOH 10 gram dissolved in 1 litre can be
used successfully for operation theatre and other dressing material.
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CHAPTER - 3
INTRODUCTION TO SUPERFICIAL SURGICAL AILMENTS
(Abscess, Fistula, Sinus, Wounds, Gangrene, Cyst, Tumour)
ABSCESS
The abscess can be defined; as any closed cavity containing pus may be either
superficial or deep.
Aetiology: Trauma, Infection (Staphylococcus, Streptococcus, Clostridium, Corynebacterium)
TREATMENT
The immature abscess, which is hard to touch initially can be converted into mature
one by hot fomentation or by massaging counter irritant such as iodine ointment or
Iodex or Turpentine liniment or Blisters.
The mature abscess will be soft to touch and can be easily opened using scalpel knife
after confirmation. Incision should be made in lower area to facilitate drainage.
After evacuation of pus content, the cavity of abscess should be thoroughly washed
with KMnO4 solution followed by use of Tincture iodine to destroy the pyogenic
membrane.
The dressing should be continued till obliteration of dead space.
A course of antibiotics is recommended to avoid spreading of infection into the body.
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FISTULA
Any abnormal opening between two body cavities is known as fistula. The most
commonly seen fistulae are Salivary Fistula and Teat Fistula.
In salivary fistula, the Stenson’s duct/ salivary duct is ruptured at the angle of
mandible either due to traumatic injury or due to subcutaneous infection. Through
the ruptured duct there is continuous dribbling of saliva making the animal
sometimes off-feed also. The ruptured Stenson’s duct/ salivary duct can be isolated
and catheterized after sedating the animal and local infiltration of the site of rupture
of the duct. Through the catheter Lugol’s Iodine (20 ml) is infused on alternate days
to destroy the Parotid gland.
The teat fistula is commonly observed in goats, cattle and buffaloes. The teat canal
routinely get lacerated by barbed wire or thorny bushes, while jumping over fence or
during grazing, resulting in opening of the teat canal. Through the lacerated portion
there is a constant dribbling of milk. The lacerated teat canal is repaired in three
layers i.e. Mucosa, muscular portion and skin, layer-wise. The teat catheter is fixed to
avoid any leakage through suture line. A course of parenteral antibiotic or intra-
mammary infusion for at least five days is must to prevent mastitis.
SINUS
Any blind purulent tract with a constant tendency of oozing pus is known as sinus.
The sinuses can be seen over udder, limbs and abdominal walls. The tract of sinus
can be cleared by using Tincture Iodine under pressure. A course of antibiotics is
recommended for early healing.
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WOUNDS
Break in the continuity of skin due to injury (as from violence, accident or surgery), is
called wound. The underlying tissue may also got damaged.
1. Incised wound: It is caused by sharp edged object (like scalpel or B. P. blade) during
surgery. If blood vessels get cut then there may be heavy bleeding.
Treatment: First of all, the injured blood vessels are pressed with artery forceps.
After this, that spot is cleaned with sterilise gauze and antibiotic with sterilise gauze
and antibiotic powder is applied on that spot and then the wound is sutured. After
that, antiseptic dressing (ASD) is done daily. If the wound is contaminated by dust or
soil then it should be cleaned with NSS (Normal Saline Solution).
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2. Contused wound: It is caused by some blunt object (like stick). A little bit of
bleeding may occur in contused wound.
Treatment: Antiseptic dressing (ASD)
4. Lacerated wound: It is caused by some sharp nail or wire. This type of wound is
irregular and jagged (दाांतेदार).
Treatment: First of all, it is cleaned with antiseptic solution. After that dressing is
done with antiseptic or antibiotic powder i.e. Terramycin or Nebasulph or M&B
antiseptic cream. If lacerated wound occurs in teat than it is called lacerated teat;
which should be sutured.
6. Virulent wound (Poison Wound): It is caused by the biting of rabid dog. Due to
biting, virus remains there and can cause the disease of rabies.
Treatment: After cleaning properly, antiseptic dressing is done followed by post bite
rabies vaccination.
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8. Burn wound: It is caused by extreme heat, flame, contact with heated objects,
chemicals or electricity shock.
Treatment: The mixture of zinc oxide powder and liquid paraffin (1:10) is applied
on the wound. The dressing is done with Soframycin or Burnol antiseptic cream.
Antihistaminic drugs and DNS can be given to save patient from shock.
9. Granulated wound: The pink coloured wound, which is showing tendency to heal.
Granulated wounds are found in diseases like Actinomycosis and Actinobacillosis.
Treatment: Antiseptic dressing with Tr. Iodine and Lugol’s iodine is done. Besides it,
Potassium iodide 8 – 10 gram for 5 days orally; is given.
1. Horn wound: It occurs due to avulsion or fracture of horn core. It can be treated in
the following ways -
The bleeding from the horn can be checked by either local haemostat e.g. Tinc.
Benzoin co., Tinc. Ferric Chloride or if there is complete separation, hot iron rods can
be used to check the bleeding or systemic haemostat such as Chromostat.
For antiseptic dressing, BIPP or ZIPP are very effective.
If there is a necrosed wound, then use of Glycerine and Magsulf paste is very useful.
If maggots are present in the injured horn phenyl mixed with mustard oil (1:4) is
suggested.
2. Teat wound: Teat wounds usually take longer time for healing due to their
anatomical and managemental problems. The immediate treatment is the use of
antiseptic and anti-inflammatory creams e.g. as Inflamin (Indian Herb), Voveran gel,
Betnovet-N etc. to control the inflammation. In long standing cases, where surface of
wound is necrotic and black in color, then carbolic acid, hydrogen peroxide, copper
sulphate is used to remove the necrosed portion, followed by antiseptic dressing
with BIPP or ZIPP.
3. Hoof wound: Hoof wound are managed by using combination of phenyl and mustard
oil after flushing of the hoof with Condy’s (KMnO4) solution. The FMD lesions can be
controlled by use of Topicure (Natural Remedies) spray. The overgrown hoof can be
trimmed by hoof -cutter to prevent some of hoof problems.
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4. Tail wound: The wounds over tail also take longer time for healing. The wounds of
tail can be effectively dressed with Charmil, Himax, and Lorexane etc. Some time
cases are presented in form of tail injury following recent accident, then bleeding can
be checked by local haemostat like KMnO4 crystals, Tinc. Benzoin co., Tinc. Ferric
Chloride etc.
Dry gangrene of tail can be managed in early cases by messaging of counter irritants
such as Iodine ointment (Iodex®), Turpentine liniment. If necrosed or gangrene
portion get infected then, dry gangrene will get converted into moist one. From moist
gangrene, there will be foul smelling discharge, loss of hairs and sensation. Such type
of gangrene is treated by docking or amputation of the tail.
PARTS OF WOUND
A wound has two parts - Contents of wound and wall of wound.
1. Content of wound: The quantity of pus in the wound is called content of wound.
2. Wall of wound: The area of skin around the contents is called the wall of wound.
It has three parts – Central zone, Ischemic zone and zone of reaction
a. Central zone: It is that part of the wall which is near the contents of wound. There are
dead tissues in that part and sometimes its colour gets blue.
b. Ischemic zone: It is the outer part of the central zone and blood circulation and
vitality of tissue is low in this zone.
c. Zone of Reaction: It is the outer part of Ischemic zone and there is acute inflammation
and pain.
HEALING OF WOUND
1. Healing by First Intention: First intention healing occurs under ideal conditions.
Wound heal rapidly with no separation of the edges. Healing by first intention occurs
when there is no infection in the wound. Due to the absence of infection, wounds heal
rapidly.
2. Healing by Second Intention: Second intention healing occurs when a wound fails
to heal by primary union. It generally occurs in large wound in which infection has
caused breakdown of sutured wound. This type of wound is also known as
contaminated wound.
4. Healing Under Scab: During the healing of small wound , a scab comes over it. When
wounds heal properly then scab gets peeled off. This is called healing under scab.
INTERNAL WOUND
Internal wounds are the wounds in which skin remains intact but the underlying
tissue got damaged. This type of wound results from some blunt object like stick. The
injury to the underlying tissue will results in rupture of blood vessels causing
discoloration of skin.
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If the extravasated blood becomes encapsulated, it is termed as haematoma and
sometimes muscles got damaged and pus accumulates there, which is termed as
abscess. Urinary bladder rupture due to obstructive urolithiasis is also a type of an
internal wound.
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CYST
Cyst can be defined as ‘painless uniform soft fluctuating swellings containing
serous/watery fluid inside it'. OR
“A sac or any closed cavity lined by epithelium and contains watery or serous fluid.”
In domestic animals cysts are of various types. The most common is parasitic cysts
followed by ‘retention cyst'. The location of parasitic cyst is variable and depends
upon the type of parasite present in the body. The common location of the cysts is
lungs, brain, liver, ovary and different sites of skin.
In the skin, cyst can be located at various regions and the most common are
mandibular cysts. These cysts can be controlled by regular deworming of the
animals.
The other types of cysts are known as retention cyst can be formed by failure of
physiological function of that particular organ e.g. The salivary cyst can be observed
below the tongue and in the mouth cavity due to blockage of opening and
accumulation of the saliva. This types of swellings/cysts are not true cysts, but due to
accumulation of saliva there will be physiological as well as functional disturbance of
the affected organ. In cases of ranula (salivary cyst below the tongue) there will be
difficulty in movement of the tongue and the animal will unable to take the feed. If it
is inside the mouth cavity, then there will be difficulty in the mastication. These false
cysts can be corrected by application of Glycerine-Magnesium sulphate paste. The
true cyst can be controlled by eliminating the cause.
These cysts, if present in the lungs, then they will cause respiratory distress and
coughing. Similarly, if present over the brain area, then it will result into circling
movement especially in goats and the condition is known as GID. If the affected organ
is liver, then the animal will show signs of anorexia and debility conditions. If cyst is
involving the ovary, then the animal will show signs of anoestrous.
These parasitic cysts can be diagnosed on the basis of history and clinical signs and
the diagnosis is confirmed by means of radiography and angiography. After
confirmation of diagnosis, they are removed from the vital organs by surgical
intervention. Therefore, such types of cysts not only require regular deworming of
the animal body, but also require complicate surgical intervention and sometime,
even surgical methods fail to take the cyst out. The cases of cyst also show
recurrence even after complete removal. The cyst is present in form of the swellings
that is why it should be differentiated from abscess, hernia and tumours.
Line of Treatment: Drainage of the cyst, irrigation with antiseptic solution followed
by dressing with tincture iodine
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GANGRENE
Gangrene is the death of tissue in a living body, caused by a bacterial infection
resulting from a blockage of the blood supply to the affected tissue. e.g. Tail gangrene
TAIL GANGRENE
1. Tail gangrene is rotting of tail due to failure of blood supply.
Aetiology: Trauma, Infection (Infection may spread upto spinal cord and cause
paralysis; if the treatment is delayed), Ischemia
Symptoms: Alopecia and loss of sensation at the site, Line of demarcation between
healthy and gangrenous part
Treatment: Amputation of tail proximal to gangrenous part (Tail docking)
TUMOUR (NEOPLASM)
Neoplasm: The word neoplasm means new growth. It means formation of new
tissue. A neoplasm is caused by a purposeless multiplication of living cells.
Tumours can be classified into two types - Benign Tumour and Malignant Tumour
i. Benign Tumour: A benign tumour does not recur after removal. It is not harmful can
be easily removed through operation. Its treatment can be done by any of the
following techniques -
a) Ligation: A tight ligature is applied at the base of tumour so as to cut off its blood
supply. The tumour sloughs off within about ten days. After that ASD is done.
b) Firing: The tumour is clamped below its base and the red-hot iron is applied so as to
remove the tumour. After that ASD is done.
c) Surgical Removal: Tumour can be removed through operation. Care should be taken
to remove all the tumour cells and if the surrounding lymph glands are involved they
should also be removed. After that, antiseptic treatment should be given.
ii. Malignant Tumour: Malignant tumours (cancer), grow rapidly and give rise to
secondary tumours in their vicinity as a result of neoplastic elements carried through
the blood or lymph stream. Malignant tumours in the great majority of cases are
incurable. Its treatment can be done in following ways -
a) Radiotherapy: Repeated X-rays photographs reduce the growth of cells.
b) Surgical removal: Treatment is useless in the case of malignant tumours, but
temporary relief may be given by total excision of the tumour by surgery.
c) Chemical Therapy: Chemicals like -6 Merceptopurine, -6 Diaminopurine, -6 Folic
acid antagonists are used as chemical therapy. Sometimes, all the three drugs are
used in combination and sometimes only one is used.
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CHAPTER – 4
INFLAMMATION
Inflammation: A reaction that produces redness, warmth, swelling and pain as a result
of infection or injury. It is a protective mechanism.
TYPES OF INFLAMMATION
Inflammation is of two types:
1. Acute Inflammation: It is caused by a severe irritant i.e. so strong that defence
mechanism of body cannot face it. The swelling will be of red colour and painful.
2. Chronic Inflammation: It is caused by mild and frequently repeated attack of an
irritant and the defence mechanism of body can face it. The swelling will not be so
red and painful as acute.
Sr.
Organ Inflammation
No.
1. Mouth (Buccal cavity) Stomatitis
2. Tongue Glossitis
3. Gum Gingivitis
4. Pharynx Pharyngitis
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5. Nasal mucous membrane Rhinitis
6. Larynx Laryngitis
7. Trachea Tracheitis
8. Bronchi Bronchitis
9. Alveoli Alveolitis
10. Lungs Pneumonia
11. Oesophagus Oesophagitis
12. Stomach Gastritis
13. Intestine Enteritis
14. Liver Hepatitis
15. Urinary bladder Cystitis
16. Urethra Urethritis
17. Vagina Vaginitis
18. Udder Mastitis
19. Glans penis Balanitis
20. Cervix Cervicitis
21. Bone Osteitis
22. Meninges Meningitis
23. Kidney Nephritis
24. Conjuctiva Conjunctivitis
25. Cornea Keratitis
26. Ear Otitis
27. Joints Arthritis
28. Uterus Metritis
29. Uterine endometrium Endometritis
30. Testis Orchitis
31. Sinus Sinusitis
32. Muscle Myositis
33. Skin Dermatitis
34. Fallopian tube Salpingitis
35. Endocardium Endocarditis
36. Pericardium Pericarditis
37. Myocardium Myocarditis
38. Artery Arteritis
39. Vein Phlebitis
40. Peritoneum Peritonitis
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OUTCOME OF INFLAMMATION
2. The possible outcomes of inflammation are: -
1. Resolution: The complete restoration of the inflamed tissue back to a normal status
is known as resolution. The fluid accumulates inside the swelling but slowly this
exudate gets absorbed in muscles and inflammation terminates.
2. Suppuration: The inflammation that is produced by bacteria; results in pus
production that leads to formation of abscess.
3. Gangrene: The severe inflammation results in massive death of tissue i.e. known as
gangrene.
4. Fibrosis (Induration): In fibrosis, there is large amount of tissue destruction, that
cannot be regenerated completely by the body. The fibrous tissue accumulates on the
affected area then swelling becomes hard, it is termed as induration. It occurs mostly
in working bullocks.
5. Chronic inflammation: In acute inflammation, if the injurious agent persists then
chronic inflammation will ensue.
TREATMENT OF INFLAMMATION
A. Cold and Astringent Application: Cold and astringent application are used in the
treatment of acute inflammation. Cold water and the bandage dipped in cold water
will serve the purpose.
1. Ice-pack application: Ice, in the plastic or rubber bags is applied on the affected
area.
2. Application of white lotion/lead lotion (Astringent lotion) – By application of white
lotion the affected area can be kept cool for a long time. The composition of
Astringent lotion is –
Composition of White Lotion
Lead Acetate 1 Part
Zinc Sulphate 3 Part
Distilled Water 80 Part
Bandage dipped in astringent lotion is tied on the affected area, and if we pour the lead
acetate lotion on it, it remains cool for a long time.
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B. Hot fomentation (सेंक): Hot fomentation will change the chronic inflammation into
acute inflammation. Hot fomentation can be done by following methods –
1. Hot Water Irrigator: In this method, water is heated at 104 - 1120 F and then it is
poured on the affected area with the help of irrigator. By pouring hot water; chronic
inflammation changes into acute inflammation.
2. Hot Water Bandage: Bandage dipped in hot water is tied on the affected area. To
keep it warm, hot water is poured continuously. This will change the chronic
inflammation into acute inflammation.
3. Hot Poultice: Hot poultice of treacle is tied on the affected area. Some magnesium
sulphate or sodium chloride is poured in it to keep it warm for some more time.
4. Infrared lamp: It is a specific type of lamp. After switching it on, it is kept in front of
the affected area. It makes that area warm.
5. Firing: Firing is done to change the chronic inflammation into acute inflammation.
a) Rubefacients: These drugs increase blood supply if applied or massaged and change
chronic inflammation into acute inflammation.
I. Weak Tr. Iodine: Camphor liniment
II. Iodine ointment: Ammonia camphor liniment
III. Lugol’s ointment: A.B.C. Liniment (Aconite Belladona Camphor)
IV. Methyl Salicylate: Used for making liniment (25% M.S.) and ointment (5% M.S.).
b) Blisters: The ointment made up of Vaseline and irritant drugs is called blister. It
should be rubbed vigorously. The blisters should not be used on joints. Hairs should
be clipped before applying blisters. e.g. 1:8-Mercury blister, 1:6 Cantharidin blister
c) Firing: Firing is also used to change chronic inflammation into acute inflammation.
Firing is of five types:
1. Superficial line firing: Firing iron flat is used in this method. Red hot iron is applied
on the affected area in the form of a line, lines should be parallel to each other. This
iron is put on the skin until it gets a line of brown colour. Iron-flat must not cross
skin.
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2. Superficial point firing: Firing iron point is used in this method. Red hot firing iron
point is applied on the affected area and it is kept there until the skin got brown
colour.
3. Objective firing: Any instrument can be used in this method. Red hot instrument is
applied on the affected area and it is kept there until the skin got brown colour.
4. Needle Point Firing: In this type of firing, long and thin needle is used. The heated
needle is applied on the affected area until it reaches to the bone after crossing skin
and muscles.
5. Penetrating Point firing: Red hot firing iron point is put on the affected area until
the skin got burnt and subcutaneous tissues are seen.
(a)Seton (Strip of linen or the like, introduced beneath the skin by a knife or needle) -
After maturation of abscess, it is incised at two places; one above and one below
the site. These cuts should be parallel to each other. After draining pus completely,
a gauze dipped in irritant solution is tied from outside. It is called ‘Seton’. After
tying it, pus evacuates from dependent parts.
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CHAPTER – 5
INTRODUCTION TO DENTAL CARE
Due to enlarged molars, the animal will show restricted rumination, salivation
through mouth and will pass undigested faeces. There will be gradual loss of body
condition of the animal due to enlarged molar. There can be sometime grunting
sound also. The enlarged molars can be diagnosed after examination of the mouth
cavity after sedating the animals. The enlarged molars are cut with tooth cutter and
the remaining portion is rasped with tooth-rasper. The mouth cavity, after cutting
and rasping of enlarged molar should be washed with KMnO4 solution.
The ruminants can become off-feed due to oedema of the oral/buccal-pappilae. Due
to oedema, the papillae become turgid and painful and the animal will be partially
off-feed. The examination of the mouth cavity will reveal turgid, elongated papillae.
The oedema of the buccal papillae can be revealed by applying glycerine-magsulf
paste and using non-steroidal anti-inflammatory drugs along with antibiotics.
Dental caries is uncommon in cattle and occasional case are observed in buffaloes
and camels. Clinical signs include salivation, difficulty in mastication and simple
indigestion. On inspection of the mouth, a characteristic foul smell is a usual feature
in camels and buffaloes. Pain is evident because most cases are reported at last stage.
Dental extraction by rotation of the affected tooth under local anaesthesia is easily
performed. Daily cleaning of the oral cavity with light potassium permanganate
solution (1:1000) is usually the only post-extraction treatment given in such cases.
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CHAPTER – 6
INTRODUCTION TO HOOF MANAGEMENT
Some common affections of hoof in farm animals are – Sand cracks, Thrush & canker.
1. Sand Cracks: A condition in which cracks come on the hoof wall. The cracks can
either start at the bearing surface and progress up the foot or start at the coronet and
go down.
Etiology: Coronet injury, improper trimming, kicking sharp objects
Signs of sand cracks: The split in the hoof wall is obvious. Infection in these cracks
will result in discharge of blood or pus.
Treatment: Corrective trimming and shoeing to prevent the portion of the hoof wall
around the crack from bearing weight. If there is some kind of exudates (blood/pus)
oozing out from cracks, then clean the affected area properly (2% CuSO4 can be used)
followed by ASD. Pressure bandage is tied after antiseptic dressing.
2. Thrush and canker: These two affections are commonly associated with a horse’s
frog. The most common of the two is thrush, which is a bacterial infection that occurs
on the hoof of a horse, specifically in the region of the frog. Canker in the horse is an
infectious process that causes a chronic hypertrophy of the horn producing tissues of
the equine hoof. In contrast to thrush, which is a necrotic or tissue-destroying
process, canker creates abnormal tissue growth and is described as a hypertrophic
pododermatitis. Canker is less common, and it is much more challenging to treat.
Etiology: Fusobacterium necrophorum is the causative organism of thrush in horses,
and occurs naturally in the animal’s environment – especially in wet, muddy or
unsanitary conditions such as unclean stall and grows best with low oxygen.
Symptoms: The most obvious sign of thrush is usually the odor (bad smell) that
occurs when picking out the feet. Additionally, the infected areas of the hoof will be
black in colour and will easily break or crumble when scraped with a hoof pick.
Treatment:
1. Twice-daily picking of the feet, taking special care to clean out the two collateral
grooves and the central sulcus.
2. The feet may then be scrubbed clean using a detergent and/or disinfectant and
warm water followed by antiseptic dressing.
3. If there is pus, then dressing is done with 10% formalin.
4. After dressing, put the dressing box shoes on it, this shoe prevents the frog part
from unhygienic things.
5. Injection of broad spectrum antibiotics is also given to animal.
Prevention: Horses with thrush, or those at risk for contracting it, are best kept in a
dry, clean environment.
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CHAPTER – 7
FIRST AID MANAGEMENT OF FRACTURE
3. Fracture: Fracture may be defined as any break in the continuity of the bone and its
matrix.
CLASSIFICATION OF FRACTURE
4. Broadly, fracture can be classified into two main types –
1. Closed Fracture - It can be further sub typed into various categories depending
upon the line of Fracture (transverse, longitudinal, oblique, spiral and comminuted),
injury of the surrounding tissue (complete or incomplete). In Complete fracture both
cortices of bone are involved, but in incomplete type, only one cortex is fractured.
This type of fracture is most commonly seen in young animals.
2. Open or Compound Fracture - The Fracture may cause injury to the surrounding
muscles, nerves, vessels etc., and in some cases it may become open and this type of
fracture is known as Compound Fracture.
COMPLICATIONS OF FRACTURE
It can be mal-union, delayed union, and non-union.
1. Delayed union: The normal time of fracture healing in an adult animal is 6-8 weeks,
but when this time exceeds, then the union is known as delayed union.
3. Mal-union: When the immobilizing technique is either weak or loose, then the union
will take place at a particular angle, but not in a straight line, this type of union is
known as angular deformity or mal-union.
If the Fractured bone is immobilized in an adequate manner, then healing will take
place in the following sequences:
1. Hematoma formation
2. Soft Callus formation
3. Hard Callus formation
4. Remodelling phase
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1. Hematoma Formation: During fracture, the blood vessels both internal and external
get teared off, resulting in oozing of blood in between the fractured end and in the
surrounding tissue. This blood will get clot to form a large hematoma at the fractured
site. This hematoma acts as bridging structure between two fractured end and act as
an scaffold for invading blood vessels and fibroblasts. This stage is known as
Hematoma Formation.
2. Soft Callus Formation: After formation of hematoma, the environment will decide
about the formation of fibrous callus or cartilaginous callus. The bone cells, either
from ruptured periosteum or endosteum migrate into the hematoma. These cells are
pluripotent. If oxygen concentration is higher, they will get converted into cartilage
cells otherwise remain as bone cells. These cells get trapped into the fibrin mess of
the hematoma to form soft callus. If migration of cells is from periosteum, then the
callus is known as external callus. If it is from the endosteum, then the callus is
known as internal callus.
3. Hard Callus Formation: The soft callus so found, get mineralized to get converted
into hard callus, the main minerals are calcium, phosphorus, phosphates and
carbonate. The main source of these minerals is external i.e. from diet. This hard
callus is solid bridge between the two fractured ends.
4. Remodelling phase: The hard callus formed is a solid mass, but under the influence
of hormones (Calcitonin, Parathyroid and Cholecaleciferol) becomes porous. The
osteoblastic and osteoclastic activities in this hard callus will results into the
formation of Haversian system, medullary cavity and spongy bone, and this process
usually takes 6 to 8 weeks time.
CLINICAL SIGNS
Following are the main clinical signs, seen in cases of fracture -
Inability to bear weight on the affected limb
Swelling at the Fracture site
The cases can be diagnosed by means of radiography
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IMMOBILIZING TECHNIQUES
Out of all these techniques, the plaster cast is most commonly used technique for
repair of the lower long bones (metatarsus and metacarpus). Hanging pin cast for
radius and ulna. Transfixation for tibia (middle long bones). For upper long bones i.e.
humerus and femur intramedullary pinning and nailing is common in practice.
For application of plaster cast, usually three layers are applied, the first layer is of
padding material in form of cotton. Second layer is of reinforcing material i.e. splints
may be iron, aluminium and wooden. The third layer is of cementing layer. The most
common cementing material is plaster of paris. The plaster of paris can be used in
bandage form under the trade name of Velroc (Johnson & Johnson), Gypsona, Real
cast and Saffix. The cementing layer is usually applied in three or four layers and it
should be upto the hoof of the animal to get good results. Such types of plaster cast
are known as heavy cast. This heavy cast has certain disadvantages i.e. it is very
heavy, get spoiled by water and radio-opaque. To overcome these problems, now a
days, light plaster cast is in common use. These light casts are light in weight, water
proof and radiolucent, but they are difficult to remove.
PROGNOSIS
Prognosis will depend upon type of Fracture i.e. open or closed, duration of Fracture
and type of technique involved. The prognosis is considered grave in cases of open
Fracture and long duration cases. The animals having tendency to get up have good
prognosis. For open Fracture, usually a window is created into the plaster cast for
daily antiseptic dressings.
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CHAPTER – 8
FIRST AID MANAGEMENT OF BLOAT
PRIMARY BLOAT
7. It is usually frothy type of bloat, which occurs due to excessive production of gas in
rumen.
Aetiology
1. Excessive intake of immature green leguminous fodder like berseem result in frothy
bloat
2. Excess intake of soluble carbohydrates (finely ground grains)
3. Less intake of dry roughage/fibrous food
4. Sudden change in feed etc
Symptoms
1. Enlargement of left flank
2. Anorexia, dullness, depression,
3. Dyspnoea, increased respiration rate and heart rate,
4. Tympanic sound on percussion,
5. Ruminal motility is initially increased and atony in later stages
Treatment
Withdrawal of food and water for first 24 hours
1. Give carminative mixture - Turpentine oil 30-60 ml and mustard oil 400 -500 ml,
orally as drench
2. Use of Bloatosil @ 50 – 100 ml as drench in frothy bloat
3. Correction of rumen pH
4. Massage of left flank and exercise
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SECONDARY BLOAT
It is usually dry bloat, which occurs due to failure of eructation of free gas.
Aetiology
1. Oesophageal obstruction (choke)
2. Vagus indigestion
3. Traumatic reticulo-peritonitis (TRP),
4. Tetanus,
5. Diaphragmatic hernia,
6. Allergy,
7. Hypocalcaemia etc
Symptoms
1. Enlargement of left flank,
2. Anorexia, dullness, depression,
3. Abdominal pain (grinding of teeth, kicking at belly, rolling on the ground),
4. Dyspnoea, increased respiration rate and heart rate,
5. Tympanic sound on percussion,
6. Ruminal motility is initially increased and atony in later stages
Treatment
1. Trocarisation of rumen with trocar –cannula to give relief from pressure
2. Pass stomach tube or probang to remove gas from rumen.
3. Give 500 ml – 1000 ml liquid paraffin or sweet oil to adult cattle or buffalo.
4. Give injection oxytetracycline @ 15 – 20 ml, intra-ruminally
5. Antihistaminics – Injection Avil/ Cadistin/ Anistamin @ 5 – 10 ml IM
6. Exploratory rumenotomy in severe/non-responsive tympany
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CHAPTER – 9
FIRST AID MANAGEMENT OF HAEMORRHAGE
(Greek word “Haima”=blood; “Rhegnumai”=to break forth (brust out suddenly)
Depending upon the source there are different methods or arresting haemorrhage
e.g. if it is from the capillary, then simple pressure by gauge is sufficient to control it.
Such type of bleeding usually is seen during different surgical interventions. The
bleeding from arteriole or venule can be checked by application of haemostat (artery
forceps). If the bleeding is from the major vessels, then application of ligature such as
silk is to control the bleeding. If haemorrhage is internal e.g. from liver or spleen,
mesentery, then systemic haemostat such as adrenochrome (Chromostat) and
vitamin k (Menadione or Capillin) should be given. The internal bleeding can also be
checked by using drugs such as ethamsylate. If the bleeding is from the vagina, then
Alum crystals mixed in ice-cold water can be used to control it. If haemorrhage is
from caruncles, then packing of vaginal passage with surgical-drapes followed by
intravenous use of calcium is required. If the bleeding is from teat mixed with milk,
then it can be checked by the use of formalin 10 % or Styplon boli.
During performing surgery, bleeding from the hard tissues can be checked by firing.
During removal of tumours bleeding can be checked by electrocautery. To
compensate the body fluid and blood losses due to haemorrhage different body fluids
and hematinics such as iron, copper, cobalt, Vitamin-C, Vitamin B-complex is
recommended. Otherwise there remains a possibility of haemorrhagic shock.
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If haemorrhage does not stopped, it can cause following complications:
1. A haematoma (localized collection of blood outside the blood vessel) may be formed.
2. Excessive bleeding may cause shock to animal.
3. Tissue anoxia may occur due to haemorrhage.
4. Bacterial growth- growth of bacteria will be more there.
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CONTROL AFTER OPERATION
After operation, bleeding due to any injury can be controlled in following ways:
a) Pressure Bandage
b) Cold water irrigation
c) By using Tr. Ferric chloride
d) Inj. Chromostat 20-40ml IM
e) Tab. Chromostat 10 tablets b.i.d.
f) Inj. Zakshot 20-40 ml IM
g) Package/plugging of Wound – Apply the medicated plug in the wound and remove
plug after 24 hours.
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CHAPTER – 10
AFFECTIONS OF EYE
Affections of Eye - The common affections of eye in domestic animals are -
1. Conjunctivitis
2. Dermoid
3. Corneal ulcer
4. Corneal opacity
5. Glaucoma
6. Staphyloma
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4. Corneal Opacity: It is a disease of cornea in which cornea becomes opaque due to
which vision of animals is greatly reduced.
Treatment: Application of Hydrocortisone eye ointment after washing of eyes in
combination with parenteral administration of injection Dexona - 1 ml and injection
penicillin - 1 lac I.U.
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CHAPTER – 11
AFFECTIONS OF HORN
1. Broken Horn: The horns of the animals get broken during fight, and cause bleeding.
This condition is known as broken horn.
Treatment: Clean the site with any antiseptic solution e.g. savlon 1:100. If there is
still bleeding; then dress the wound with Tr. Ferric chloride or Tr. Benzoin
compound. After 1 or 2 days, dress the wound with any antiseptic powder (like
Sulphonamide powder). If necessary then liquid paraffin can also be applied on the
wound. When wound starts healing, then dressing is done with BIPP.
2. Horn cracks: It is a condition; in which horns get cracks and they bleed. Its
treatment is also done with ASD if possible then uses those medicines which work as
astringent.
3. Horn Cancer: It is a very common condition. The horns become shaky (ढीला) and fall
off. A foul smelling discharge is noticed. When the horns fall off or are amputated the
typical cauliflower like growth are seen.
Treatment: Following treatment should be done -
Dress the swelling with magnesium sulphate or liquid paraffin.
Dressing is done with silver nitrate or CuSO4 because these have caustic effect.
Firing iron flat or firing iron point is heated red-hot and applied on the base of
horn to cut the swelling.
Swelling can be separated by ligation.
A vaccine is also prepared but only for experimental animals.
Prevention: By debudding
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CHAPTER – 12
SUTURE MATERIALS AND TECHNIQUES
Sutures can be defined as artificial reduction, alignment and fixation of cut tissues by
external support. The external support to wound is provided by different suture
materials. An ideal suture material must possess certain qualities i.e. it must be free from
bacteria, should be stable, should not have capillary action, must have sufficient
coefficient of friction and less tissue reactive.
2. Non-absorbable suture material: These are those materials which does not get
dissolved in the body tissue; hence they are removed after healing is complete. These
include cotton, nylon, silk, linen, metal like stainless steel, aluminium.
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There are different thickness and diameters of different suture materials ranging
from 8/0 upto 5 (5 is the thickest). 8/0 to 6/0 are used for microsurgery. Suture
material having no. 2, 3, 4 are used for large animal surgery, while suture material
no. 1 is used for small animal surgery. Suture material no. 3 is routinely used for
performing rumenotomy and caesarean section, while 3/0 is used for surgery of teat
and urinary systems. The suture material with no. 1 is routinely used for surgery of
canine and felines.
A. Apposition Sutures: These sutures are used to bring about apposition of wound on
skin and muscle.
1. Continuous sutures : These are of three types -
a) Simple continuous sutures
b) Purse string sutures
c) Continuous lock-stitch sutures
2. Interrupted sutures : These are of three types -
a) Simple Interrupted sutures
b) Mattress Interrupted suture – Horizontal mattress, Vertical mattress
c) Cruciate sutures
B. Inversion Sutures: These sutures are used to bring about inversion of wound edges
and to bring them together. These are useful in suturing of hollow organs having
serous layers like GIT and uterus. These sutures prevent leakage of contents of
hollow organs. The serous layer has fast healing tendency when brought in
apposition. These are of three types –
a) Cushing sutures
b) Connell sutures
c) Lambert sutures
Suturing of muscles and internal organs is done with non cutting suturing needle
while suturing of skin is done with cutting suturing needle.
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CHAPTER – 13
INTRODUCTION OF POST OPERATIVE MANAGEMENT
Postoperative care of the patient influences, to a greater extent, the outcome of
surgery irrespective of the procedure being major or minor. Post operative
complications can be minimized to a larger extent by monitoring the patients till
complete recovery occurs.
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CHAPTER – 14
APPLICATION AND USES OF VARIOUS ANTISEPTICS, LOTIONS, OINTMENTS AND
TINCTURES IN SURGICAL PRACTICE
1. Calamine lotion: It is used to relieve pain, itching and discomfort from minor skin
irritations. It is also used to dry the oozing and weeping caused by irritation.
2. White lotion: It has sedative, refrigerant and analgesic action. It is used topically on
sprained tendons and muscles, and to treat various inflammatory conditions of skin.
3. Boric acid lotion: Boric acid has mild antibiotic properties against fungal or
bacterial infection. Boric acid eye lotion is used to cleanse or irrigate the eyes. Boric
acid provides soothing relief from eye irritation.
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C. COMMON OINTMENTS USED IN SURGICAL PRACTICE
1. Iodine ointment: It has counter irritant action and it is used in treatment of
swelling, sprains, contusion, fibrous wound surface
2. Zinc oxide ointment: It has antiseptic action and used in treatment of superficial
wounds and ulcers.
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CHAPTER – 15
SOME COMMON SURGICAL CONDITIONS
AFFECTIONS OF JOINTS
Treatment: If the case comes before 48 hours, then it is cured by cold application.
Cold water or lead lotion is used for it. Cotton dipped in lead lotion is bandaged on
that spot, lead lotion are poured again and again to keep that spot cool.
If the case comes after 48 hours, then it is cured by hot application. Iodex, iodine
ointment, T.T. oil or camphor liniment is applied on the spot.
DISLOCATION
Aetiology 1. Trauma/injury
Symptoms 1. Pain
2. Deformity
3. Immobility of affected joint
4. Shortening or apparent lengthening of limb
5. Radiography for diagnosis.
Treatment 1. Reduction and extension
2. Anti-inflammatory
3. Analgesics
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DEHORNING/DEBUDDING
Dehorning means removal of the horn either in normal state or diseased conditions.
Dehorning is required to make the animal docile. In large animals, the horn can be
affected with cancerous growth resulting in death of the animal. Although, horns are
the main organs of defense in wild animals, but in domesticated animals, it can injure
its own calf or the owner. Therefore, it is considered necessary in productive animal
to remove its horn so that its maximum energy is utilized for production and
reproduction, both. In some animals, the horns are thick and overgrown resulting in
pressing of underlying skin and other tissues. In these cases, due to constant pressing
by the horn the wound become very deep and can be infested with maggots,
becoming a constant source of irritation. In such cases also partial removal of the
overgrown horn is required.
For removal of the horn either cornual or ring block is required because the core of
the horn is richly supplied by both nerves and blood vessels. After achieving proper
analgesia, the horn is amputated from its base. In small calf, local infiltration is
sufficient to remove the bud of the horn. In a new born calf, the
debudding/dehorning is required within a week after birth. In cross bred calf the
body temperature is also checked to rule out any blood protozoan infection and to
avoid side effects of the hot debudder.
In adult animal, the horn is amputated from its base using obstetrical wire or electric
saw. The bleeding is checked either by hot iron or burn by potassium permanganate
crystals. Bleeding from small capillaries can be checked by local hemostat e.g. alum,
tinc. Benzoin complex, tinc. Ferric chloride. If possible, after amputation the frontal
sinus should be covered by overlying skin to avoid sinusitis. Postoperatively, the
amputated horn should be dressed daily with povidone iodine, ZIPP or BIPP till its
complete recovery.
In overgrown horn, the horn is cut usually from the first whirl towards the tip of the
horn, using obstetrical wire or saw. In those cases where thick base used to press the
underlying skin and tissue, in those cases only this pressed portion of the horn is cut
transversely using obstetrical wire or saw, taking care of internal core of the horn
should not be exposed.
In calves the debudder is used for removal of the bud of both sides. Postoperatively,
any antiseptic fly repellent cream is applied till its complete healing. In small calves,
the usual time of wound healing is 2 to 3 weeks. Postoperatively a full course of anti
inflammatory and antibiotics should be given in both small and adult animals.
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TAIL DOCKING
Docking of the tail is a routine operation in farm animals. Although, the tail is
considered very useful for cleaning and protecting the body parts, but sometimes,
due to irreparable injuries and in accidental cases, the tail get so much injured that
its amputation is required. In some cases, as cosmetic measures also its amputation
is done. In some disease conditions also, such as gangrene and necrosis, tail
amputation is required.
For these two methods, firstly, caudal analgesia (epidural block) is done followed by
application of rubber tourniquet at the base of tail to control the bleeding. The exact
site of the amputation depends upon the site of damage/injury/necrosis/gangrene.
Just above the affected portion of the tail, docking is done at the healthy portion in
between two coccygeal vertebrae. After feeling the inter-vertebral space either by
docking knife or by flap method amputation is done. The use of docking knife to cut
the tail in between two coccygeal vertebrae is a primitive method. By this method,
hemorrhage from the cut tail is usually controlled by the use of firing.
Now a days, usually, amputation is done by flap method. After deciding the site of
docking, a skin flap is made by reflecting the skin. The underline vessel i.e. two lateral
coccygeal veins and one ventral coccygeal artery are ligated and the tail is
disarticulated in between the two coccygeal vertebrae. The overlying flap of muscles
is closed by using chromic catgut no. 3 in a lockstitch pattern and skin by using silk
with interrupted horizontal mattress. A post operative care of daily antiseptic
dressing along with antibiotic and anti-inflammatory course is done for proper
wound healing at the site of amputation.
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TRAUMATIC RETICULO-PERITONITIS (TRP)
Aetiology 1. Ingestion of pointed metallic objects.
2. Common in bovine.
Symptoms 1. History of pica.
2. Recurrent tympany of rumen impaction not responding to
conservative treatment.
3. Fever, stiff gait, abducted elbows, arched back.
4. Hematology
5. Neutrophilia
6. X-ray exam for diagnosis.
Treatment 1. Rumenotomy
URINARY CALCULI
Aetiology 1. Vitamin A deficiency
2. Urinary tract infection
3. Hard salty water
Symptoms 1. Anuria or dysuria, Straining for urination, colic
2. Per- rectal examination reveals distended bladder
Treatment 1. Urethrotomy for removal of calculi
2. Catheterization of urethra
YOKE GALL
Aetiology 1. Rough yoke
2. Unpaired bullock
3. Hard work
4. Overloading
Symptoms 1. Painful, swelling over neck which may contain exudate followed by
pus(abscess) and fibrous tissue formation (induration)
Treatment 1. Complete rest
2. Anti-inflammatory drugs and antibiotics
3. Massage with iodine ointment.
4. Hot fomentation
5. Drainage of pus
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OESOPHAGEAL OBSTRUCTION (CHOKE)
Aetiology 1. Food material : Potato, Beet, Mango Seed, Apple, Water Melon
2. Foreign body : Stone, Piece Of Wood, Leather, Plastic, Polythene, Metal
Symptoms 1. Swelling and pain on palpation of oesophagus in ventral neck region.
2. Profuse salivation, inability to swallow.
3. Coughing Regurgitation of water after drinking.
4. Acute tympany in complete obstruction.
5. Failure to pass stomach tube and contrast radiography to locate the
obstruction in thoracic part.
6. Common in bovines.
Treatment 1. Trocarisation of rumen.
2. Antispasmodics.
3. Attempts to remove obstructed material through mouth or dislodge in
the rumen.
4. Oesophagotomy for obstruction in cervical region.
5. Rumenotomy if obstruction is near cardia.
OEDEMA
Aetiology 1. Fibrosis of liver
2. Cardiac failure
3. Renal failure
4. Parasites
5. Protein deficiency
Symptoms 1. Soft, painless doughy swelling which pits on pressure
2. Anaemia
3. Hypoproteinaemia
4. Facial examination
Treatment 1. Rest and salt free diet
2. Protein supplement
3. Anthelmintics
4. Ectoparasiticides
5. Liver tonics
6. Diuretics
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CASTRATION
Castration means disconnection of spermatic cord, making the animal unfit for both
libido and breeding. However, in vasectomy, only the vas deferens is disconnected
making the animal only unfit for reproduction, but maintaining its libido.
There are two methods of castration – Open method and Closed method.
In cases of cattle, the castration is advised prior to puberty (earlier is the better, but
sufficient time should be given for body growth). Keeping in view the temperament of
male cattle, the animal is sedated using tranquilizer (Siquil or Xylazine ). After
sedation the animal is restrained in right lateral recumbency. The animal is controlled
in such a way that its entire testicular area is properly exposed.
By closed method, which is routine in practice usually Burdizzo castrator is used. For
application of Burdizzo castrator over the spermatic cord over the testicles, the area is
properly secured and an antiseptic solution is applied. After putting some padding
material viz. cotton gauge, the spermatic cord is placed in between the jaw of the
Burdizzo castrator. For proper placement of Burdizzo castrator over the spermatic
cord, usually one testicle is pushed upward so that sufficient space is available. The
Burdizzo castrator is pressed and kept pressing for at least 5 minutes at the same
place. The same procedure should be applied at two to three sites over the spermatic
cord. The same procedure should be repeated for second testicle in the same manner,
making sure that both spermatic cords are disconnected from the testicles. At the site
of application of Burdizzo castrator, an antiseptic solution such as tincture iodine,
acriflavin, povidone iodine, mercuro-chrome is applied. The closed method of
application of Burdizzo castrator is usually successful at a particular age. The main
precautions kept in mind, while applying burdizzo castrator is not to injure either
penis or testis, only spermatic cord should be carefully pressed.
If the cattle crosses a particular age and its spermatic cord is thick, then castration is
done by removal of testicles itself. This method of removal of testicles by surgical
intervention is known as open method. For the open method, the animal is kept off-
feed and off-water for at least 24 hours. The cattle is sedated with xylazine or chloral
hydras. After proper controlling in right lateral recumbency and proper restraining
the local infiltration can be done towards the lateral side of the scrotum above the
testicles, if it is required. An incision is given on lateral side of scrotum to expose the
testicles. The outer covering of testicles, tunica albuginea is incised to expose the
spermatic cord and testicles. The spermatic cord is double ligated at two places and
transfixed properly using either chromic catgut or silk no 3. Then spermatic cord is
cut to remove the testicles, making sure that there should be not any bleeding. Same
procedure is repeated on other testicle also. The incised wound over the scrotum
should not be closed, but kept open to prevent edema formation due to accumulation
of fluid. A full course of antibiotic and anti-inflammatory drugs should also be given.
Light exercise, daily antiseptic dressing is advised till its complete healing.
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