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Dystocia due to Dicephalus Foetus

          A puluriparous HFcross cow with the history of unable to deliver the foetus even after 4 hours after the rupture of both water bags.They took their cows to local Vet, on per vaginal examination he came to know that there was a abnormal foetus inside the womb. He refered it to vet.poly clinic Madurai.


             A special call from the vet poly clinic, I went and careful vaginal examination
was carried out. On examination there was a dead foetus with double head, one head 
was right angle to another head in the shape of “L”.(photo).Then prompt decision 
was taken to conduct cesarean.(Lapro hystrotomy)


        1. Atmost important is before doing operation the animal should be stabilized. 
Most of the post operative failures were due to lack of preoperative care. For that 
we have to stabilize the animal by giving fluids, preoperative broad spectrum
antibiotics and analgesic by I/V route 2-4 hours before operation.

        2. Selection of site:
              On foetus site ie by doing external palpation at left lower flank the foetal 
mass can be find out and the oblique incision can be made on the site. Mostly the site 
will fall on left lower flank between a straight horizontal line from the stifle joint and 
10-15cm away from mid ventral line laterally.
             Advantage of selection of this site
       1. Easy access of foetus.
2. Less internal organs manipulation.
3. Avoid prolapse of internal organs.
4. Less/small operative opening is enough.
5. Lesser thickness of muscles in that site for easy suturing
6. And avoid soiling.

( Preferable site - On foetus site,
  Preferable Side - Left side lower flank,
  Incission type - Oblique)

        3. Preparation of the site:
                Left side lower flank, on foetus site was prepared for operation 

        4. Anaesthesia:
                1. The epidural anaesthesia with 5ml of Lignocane 2% solution.
                2. The local infiltration anaesthesia with 30 ml of 2% lignocaine in the form
of inverted "L" block.

        5. Lapro-hysterotomy:
                1. After desensitizing the area as per the standard procedure the skin, 
muscles and the uterus were incised.
                2. The anomaly foetus was removed through the incision.
                3. The suturing of the uterine muscles using 2 size absorbable chromic 
catgut adopting cushing and lembert method of suturing.
                4. The peritoneum and the muscles were sutured separately using 2 size 
chromic catgut adopting horizontal mattress and continuous lock stitch.
                5. The skin was sutured using silk threat adopting cross matters.
                       - Skin suturing is very toughest job to easing we used 18 G needle( 
puncturing the skin with hypodermic needle and inserting the suture needle in to the
18G Needle by this way we can complete  skin suture.)
                       - Apply Pendistrin-SH on the suture line of the uterus to avoid 
adhesion with surroundings.
                       - Infuse 5gm of diluted Streptopenicillin intra peritonially to avoid

Post Operative Care:
              1.I/V Fliuds of 5 bottles of DNS was given for 5 days.
              2.3gms of Ceftifur was given I/m for 5 days.
              3.15ml of Meloxicam was given I/m for 3 days.
              4.10ml of Antihistamine was given I/m for 3 days.
              5.Third day onwards in addition to the above medicines
                   a)      Inj.AD3 10ml was given I/m for 1 day.
                   b)      Inj.Phosphorous 15ml was given I/m for 1 day.
                   c)      Inj.Bcomplex with Liver extract 10ml I/m for 3 days.
                   d)      Bol.TRP 2 in numbers oid for 2 days.
                   e)      po.Rumicare 1 pocket oid for 1 day.         


Dr.R.Kalirajan M.V.Sc., (O&G)
( Mobile: 99436 15552 )
Veterinary Asst.Surgeon,
Veterinary Dispensary,
S.Melapatti, Madurai Dt – 625 703.