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  • Author or Editor: Lena F. Locher x
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Objective—To compare the effects of surgical correction of left displaced abomasum (LDA) by means of omentopexy via right flank laparotomy or 2-step laparoscopy-guided abomasopexy on postoperative abomasal emptying rate in lactating dairy cows.

Design—Controlled clinical trial.

Animals—30 lactating dairy cows with an LDA.

Procedures—Cows were alternately assigned to 2 groups of 15 cows each to receive surgical correction of LDA by means of 2-step laparoscopy-guided abomasopexy or omentopexy via right flank laparotomy. A 50% D-xylose solution (0.5 g/kg [0.23 g/lb]) was injected into the abomasal lumen during surgery. Jugular venous blood samples for determination of serum D-xylose concentration were periodically obtained after injection. Abomasal emptying rate was evaluated by pharmacokinetic determination of the time to modeled maximal serum D-xylose concentration (Tmax-model).

Results—Mean ± SD abomasal emptying rate was significantly faster after laparoscopy-guided abomasopexy (Tmax-model, 192 ± 51 minutes) than after omentopexy via right flank laparotomy (Tmax-model, 264 ± 94 minutes). Rumen contraction rate and milk yield increased faster after laparoscopy-guided abomasopexy, compared with values obtained after omentopexy; however, milk yield did not differ after the 2 procedures.

Conclusions and Clinical Relevance—Amelioration of abomasal hypomotility after laparoscopy-guided abomasopexy rather than omentopexy via right flank laparotomy may result in faster clinical improvement in the immediate postoperative period in cows undergoing correction of an LDA.

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in Journal of the American Veterinary Medical Association