Surgical affections of uterus and its treatment
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Affections of uterus
Atresia or occlusion of the OS uteri
- This condition may be due to a neoplasm or cicatricial contraction.
- In renders impregnation difficult or impossible.(implantation)
Treatment
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Wounds of the Uterus
- It may be confined to its mucous membrane or extend more deeply and perforate abdominal cavity.
- Gravid uterus may be rupfused by violent impact of the abdominal wall against a fixed object.
Treatment
- Rupture during gestation, all that can be done is to treat for internal haemorrhage.
- Non perforating wounds inflicted at the time of parturition are treated by antiseptic irrigation and antiseptic cpessaries.
- When the organ is perforalted, these is no effective treatment for the condition.
- The administration of sedative medicine to allay straining may help to bring about spontaneous recovery.
- When haemorrhage is profuse, measures to assest it are indicated.
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Metrorohagia
- Haemorrhage from the uterus is usually the result of a round inflicted during parturition.
Prognosis
Treatment
- Cold douches over the loins.
- Injections of cold or very hot water into the uterus
- Packing the uterus and vagina with sterilized cloths
- Hypodermic injection of adrenalin or pituitrin - more effective
- Packing material should be removed after 24 hrs.
- Uterus should be irrigated with suitable antiseptic solution.
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Metritis
- Inflammation of uterus due to presence of pathogenic bacteria, local inflammation, febrile disturbance, offensive muco – parculent dischange from the vagina.
Treatment
- Repeated irrigation by antiseptic solutions, antiseptic pessaries
- Administering suitable medicine internally, including pericillin
- In chronic cases autogenous vaccine is indicated
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Pyometra
- Pus formation in the uterus. It is opened and closed pyometra.
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Pyometra - Dog
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Technique
- Perform laparotomy.
- The ant ovarian ligament is cut.
- Ligature the anterior utero – ovarian vessels.
- The ovary is disconnected from its anterior attachment.
- Posterior uterine anteries are ligatured and cut in level with the cervix.
- Broad ligament of the uterus is torn to liberate the uterine cornea.
- Apply two clamps anterior to the cervix and cut in between them to finally disconnect and remove the uterus with the ovaries.
- The stump can be either closed by inversion sutures when the calmp is removed.
- The laparotory wound is sutured.
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Pyometra - Cat
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- Complication -- stump pyometra
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Stump pyometra
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Uterine torsion
- Condition uncommon in dogs and cats. The ravid or non-gravid uterus can rotate clockwise or counter-clockwise from 90° to more than 200°.
- Cause: jumping during or running late in pregnancy, active fetal movements, premature uterine contraction
- Treatment: ovariohysterectomy and c-section if viable fetuses are present.
Uterine prolapse
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Possible mechanisms: excessive relaxation and stretching of pelvic musculature, uterine atony due to metritis, incomplete separation of placental membranes, severe tenesmus, post partum contractions intensified by oxytocin release during lactation.
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Treatment: if animal is in good condition manual reduction maybe attempted. Sterile gauze soaked in warm sterile saline placed around the uterus. General or epidural anesthesia is usually necessary.
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Extensive uterine devitalization needs ovariohysterecomy after reduction of prolapse. If reduction is not possible the uterus is amputated and stump reduced.
Uterine rupture
Treatment
- Ovariohysterectomy uncommon in dogsand cats. One or both the horns may proloapse during prolonged labour or upto 48 hours after parturition when the cervix is extremely dilated.
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Last modified: Friday, 1 July 2011, 12:04 PM
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