title: Comparison of laparoscopic-guided abomasopexy versus omentopexy via right flank laparotomy for the treatment of left abomasal displacement in dairy cows.
abstract: OBJECTIVE
  To compare results obtained by use of laparoscopyassisted abomasopexy versus omentopexy via right flank laparotomy for the treatment of dairy cows with left displaced abomasum (LDA).
  
  
  METHODS
  120 dairy cows with an LDA.
  
  
  METHODS
  In a prospective clinical trial, cows were randomly allocated to the abomasopexy group (laparoscopy-assisted abomasopexy) or to the control group (omentopexy via right flank). Data were obtained during the first 5 days after surgery and 6 weeks and 6 months after surgery.
  
  
  RESULTS
  59 of 60 cows in the abomasopexy group and all 60 cows in the control group were treated successfully. Median duration was shorter for the laparoscopic procedure (27.5 minutes), compared with that for the control group (38 minutes). Five cows in the abomasopexy group had wound complications and 2 had LDA relapses, compared with 2 wound complications and no relapses in the control group. During the 5 days after surgery, the abomasopexy group had a significantly higher increase in rate of energy intake and milk yield and a more rapid return to reference range for serum glutamic dehydrogenase activity and total bilirubin concentration, compared with results for the control group.
  
  
  CONCLUSIONS
  Success rates were almost equal for both methods. Advantages of the laparoscopic abomasopexy procedure include practicality, low risk of complications, and rapid postoperative recovery. Contraindications are cardiopulmonary diseases. Other disadvantages include the cost of the instruments and inability to perform the procedure in cows with abomasal adhesions.
authors.affiliation: Clinic for Ruminants and Swine, University of Giessen, 35392 Giessen, Germany.
authors.forename: Torsten
authors.initials: T
authors.lastname: Seeger
authors.forename: Harald
authors.initials: H
authors.lastname: Kümper
authors.forename: Klaus
authors.initials: K
authors.lastname: Failing
authors.forename: Klaus
authors.initials: K
authors.lastname: Doll
mesh_terms: D000018:Abomasum / Q000601:surgery*; D000818:Animals; D002417:Cattle; D002418:Cattle Diseases / Q000601:surgery*; D005260:Female; D005767:Gastrointestinal Diseases / Q000601:surgery / Q000662:veterinary*; D010535:Laparoscopy / Q000379:methods / Q000662:veterinary*