Cesariana no tratamento de torção uterina em bovino leiteiro: relato de caso

Abstract

Uterine torsion is a common cause of dystocia, which mainly affects dairy cows, obstetric maneuvers are the treatment of choice, but when there is no success, surgical correction is necessary, using flank laparotomy and cesarean section. In this way it is reported a case of a follow-up of the cesarean section technique in a female bovine with dystocia due to uterine torsion. It was attended in Coronel Vivida, through follow-up with the veterinarian, a black and white Holstein female bovine, 7 years old, in her third pregnancy with a history of dystocia. After the anamnesis, the vital signs were measured. The female presented 90 heart beats per minute (bpm), 45 respiratory movements per minute and 39.5ºC of body temperature. After physical examination and transrectal palpation, it was verified that this was a case of uterine torsion and it was decided to perform a cesarean section. For the surgical procedure, a wide trichotomy was performed, followed by local anesthesia with lidocaine, through the inverted L technique, and also low epidural anesthesia. An incision of approximately 25 cm in the skin was made, along with the external, internal oblique and transverse abdominis muscles, and the peritoneum, to gain access to the uterus. Subsequently the calf was removed. In evaluations the calf was already dead, possibly due to the owner's delay in requesting veterinary case. The uterus was sutured in Cushing's invaginating pattern the muscles were sutured with absorbable thread (catgut 3) and the skin was sutured with cotton thread. In the post-surgical period, supportive therapy was performed, using electrolytic therapy of the animal with Ringer Lactate®, anti-inflammatory and antibiotic therapy, being chosen Flunexin neglumine and penicillin, respectively. The prescribed treatment was 5 days of antibiotic and 4 days of anti-inflammatory. After the surgical and drug treatment the animal recovered well, feeding normally in the following days.