Graduate School of Medicine and Veterinary Medicine, University of Miyazaki, Miyazaki, Japan.
Faculty of Agriculture, University of Miyazaki, Miyazaki, Japan.
J Vet Med Sci. 2024 Nov 1;86(11):1156-1161. doi: 10.1292/jvms.24-0256. Epub 2024 Sep 17.
This study describes a novel surgical method to remove urinary bladder-related urachal abscesses in a cow. Traditional methods, such as the midline or paramedian approach in calves and the preinguinal approach, can be challenging in adult cattle, especially for lesions situated near the pelvic cavity. In this case, a 4-year-old cow had a urachal abscess attached to the bladder apex, making it difficult to approach via abdominal wall incision. Colpotomy and pulling the abscess through a vaginal wall incision allowed for complete exteriorization of the lesion and comfortable accessibility of the abscess and the resection site. This report suggests that colpotomy is an effective new route in adult cattle for accessing urachal abscesses not accessible via traditional surgical approaches.
本研究描述了一种用于移除牛的膀胱相关脐尿管脓肿的新型手术方法。在小牛中，传统方法（如中线或旁中线入路）在成年牛中可能具有挑战性，特别是对于靠近盆腔的病变。在这种情况下，一头 4 岁的奶牛有一个附着在膀胱顶点的脐尿管脓肿，使得通过腹壁切口进行接近变得困难。阴道切开术的膀胱切开术和脓肿通过阴道壁切口的牵拉，使得病变完全外露，脓肿和切除部位的可触及性舒适。本报告表明，对于传统手术方法无法触及的脐尿管脓肿，膀胱切开术是成年牛的一种有效新途径。
