Left oblique celiotomy approach for cesarean section in standing cows.

A left oblique celiotomy approach was used for cesarean section in 18 standing cows (15 beef cows and 3 dairy cows). Indications for cesarean section included oversized or emphysematous fetus and uterine inertia. Poor body condition was identified as a contributing factor for dystocia in 4 cows. Abdominal wall hernias did not develop in any of the cows. Because the incision in this approach extends further cranial and ventral than in the standard left celiotomy approach, the left oblique celiotomy readily permitted manipulation and exteriorization of the gravid uterine horn. Additionally, apposition of the transversus abdominis and internal abdominal oblique muscles was facilitated by use of this technique. Closure of the incision was readily accomplished in all cows.