Iso Hideo, Uchiyama Fumikazu, Yamashita Kouki, Kuba Rina, Tsuka Takeshi
Iso Veterinary Service, 451-14 Shimakata, Nasushiobara 329-3152, Japan.
Clinical Veterinary Sciences, Joint Department of Veterinary Medicine, Faculty of Agriculture, Tottori University, 4-101, Koyama-Minami, Tottori 680-8553, Japan.
Animals (Basel). 2025 Sep 16;15(18):2716. doi: 10.3390/ani15182716.
Although one-step laparoscopic abomasopexy is a highly effective method for correcting left displacement of the abomasum (LDA) in pregnant cows, it is not accessible to all veterinarians because of the need for expensive equipment and substantial experience. This study aimed to evaluate the clinical utility of a surgical toggle-pin suture (s-TPS) technique, inspired by the principles of one-step laparoscopic abomasopexy, in five pregnant cows with LDA. In the s-TPS technique, a commercial eyeleteer was used to secure the suture component of a toggle-pin suture device outside the ventral abdominal wall. This was achieved after guiding the device to the left-displaced abomasum through a surgical incision made in the left flank of the standing animals. The average surgical time for the sTPS technique was 17.2 ± 2.3 min. All cows treated with this method survived for more than two years postoperatively. The sTPS technique appears to be a practical and effective option for correcting LDA during pregnancy, as it allows a physically smaller surgeon to perform the procedure on standing pregnant cows, eliminating the need for dorsal recumbency required by the conventional (blind) toggle-pin suture method.
尽管一步法腹腔镜皱胃固定术是矫正怀孕母牛皱胃左移位（LDA）的一种高效方法，但由于需要昂贵的设备和丰富的经验，并非所有兽医都能采用。本研究旨在评估受一步法腹腔镜皱胃固定术原理启发的手术套索针缝合（s-TPS）技术在5头患有LDA的怀孕母牛中的临床实用性。在s-TPS技术中，使用一种商用打孔器将套索针缝合装置的缝合部件固定在腹侧壁外侧。这是在将该装置通过站立动物左腹侧的手术切口引导至左移位的皱胃后实现的。s-TPS技术的平均手术时间为17.2±2.3分钟。所有接受该方法治疗的母牛术后存活超过两年。s-TPS技术似乎是在怀孕期间矫正LDA的一种实用且有效的选择，因为它允许体型较小的外科医生对站立的怀孕母牛进行该手术，无需传统（盲法）套索针缝合方法所需的仰卧位。
