VSR 421: Regional Veterinary Surgery (2+1)

TREATMENT

• Conservative treatment – when animal is in good condition
• Administration of parasynpathomimetic drugs – (Neostigmine)
• Total dose of 12.5 – 2.5 mg s/c for every 3-4 hours for a period of 2-3 days
• A continuous drip of neostigmine (200 mg/10l normal saline)
• Saline purgatives alone or with liquid paraffin

Surgical treatment

• Caecotomy
  • Right flank laporotomy in  standing position
  • Exteriorise the free end of caecum
  • Milk out the caecal contents following caecotomy
  • Clean the caecal edges with normal saline
  • Suture with absorbable suture  with Cushing pattern followed by Lembert’s
  • If torsion is there, correction should be made
  • Reposition of the caecum into abdominal cavity
  • Laparotomy wound is closed in a routine manner
• Typhelectomy
  • In cases where the caecum is devitalized and necrotic, resection is indicated
  • After exteriorization of caecum through right flank
  • Intestinal clamps on the distal end of the ileum and proximal end of the colon should be placed.
  • Blood vessels supplying the caecum should be dorsally ligated and severed
  • The necrosed caecum in resected out and cut edges of ileum and colon are anastomosed by using synthetic absorbable suture material
  • Close the laporotomy incision in a routine manner
  • Partial resection is sufficient if only a part of caecum is necrosed

Post operative care

• Administration of broad spectrum antibiotics
• Adequate fluid therapy
• Prognosis is good following surgery