Bovis ISSN 2398-2993

Episiotomy

Contributor(s): Ash Phipps , John Tulloch

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Introduction

  • Episiotomy may be required when calving an animal that has had a Caslick’s procedure Caslick’s procedure.
  • More rarely it may be required in cases of dystocia related to stenosis and/or constriction of the vulva and vestibule.

Uses

  • To aid in the delivery of an oversized fetus through the vulva and vestibule.
  • To aid in the delivery of a fetus through an inadequately relaxed or stenotic (developmental issue or scarring from the previous parturition) vulva and vestibule.

Advantages

  • Relatively easy procedure to carry out.
  • When used under the correct circumstances; it may be an effective procedure for delivering a fetus through a narrowed birth canal.
  • The surgical wound created can be easily repaired.
  • Minimal injury to the dam and fetus.

Disadvantages

  • Creation of a surgical wound at a region that is prone to frequent fecal contamination.
  • Inappropriate use or inappropriate repair, after the procedure, may impact on the vulval conformation.
  • Although regularly performed by vets around the world, there is little evidence base to support the use of this procedure.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good - low incidence of complications.

Further Reading

Publications

Refereed Papers

  • Recent references from PubMed and VetMed Resource.
  • Prado T M, Schumacher J & Dawson L J (2016) Surgical Procedures of the Genital Organs of Cows. Veterinary Clinics of North America: Food Animal Practice32 (3), pp 727-752 PubMed.

Other sources of information

  • Fubini S L & Ducharme N (2004) Farm animal surgery. Elsevier Health Sciences, St Louis, Missouri, USA.


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