cesarean operation in standing buffalo,

Cesarean
Buffalo is suffering from uterine torsion of long duration which is not correct by rolling.
Desition taken to go for c-section, but
Buffaloes is susceptible to complications associated with recumbency of anesthesia including tympany, regurgitation and aspiration pneumonia. Accordingly it suggested that cesarean should be done in standing position
The operative site lower left flank region prepare by shaving and scrubbing, and local infiltration analgesia using 2% lignocaine is given at surgical site
The skin is incised and separated from the subcutaneous layer
The muscles are then incised ligating all the bleeding vessels.
The peritoneum which is a glistening white layer is cut by first making a nick with scissors and then guiding the cut by a finger placed underneath the skin.
The uterus is located and brought to the operative site by holding the uterus over a fetal leg
In this case it is not possible to bring the uterus to the operative site and under such conditions the uterus has to be incised in the abdominal cavity.
The fetus is removed as quickly as possible and the margins of the uterus are washed with sterile normal saline.
placenta has completely separated, it usually remains attached to the fetus and is removed along with the fetus.
furea bolus is placed inside the uterus before its final closure
Uterus is close with cat gut no.1 by Cushing and Lambert sutures

The uterus is replaced back in the abdomen after thorough washing. Shreds of tissue debris and contaminants that can inadvertently entered in peritoneum were removed by infusing the peritoneal cavity with normal saline and scooping out the contents manually .
The muscle and peritoneal layers are sutured using the same suture material and employing continuous suture pattern.
The skin is sutured employing simple cross mattress sutures using silk
Post surgical treatment given
IV fluids, antibiotics, painkiller, multivitamin, oral ecbolic were given for next 4days
Fly repellent sprey was applied on surgical wound
Thank you

Видео cesarean operation in standing buffalo, канала Dr. Sandip Pawar Veterinary M.V.Sc.