have all cows vaccinated well ahead of the LDA repair for
perform this procedure where there is a likelihood of adhesions
or preexisting peritonitis.
give beta-lactam antibiotics 1-2 hours before anticipated
perform this repair method on animals with compromised respiratory
Do pull test each suture before use and check for any obvious and visible ‘fraying’ of the suture material. Cosmetic bends or kinks in the suture material will not reduce the strength of the suture itself.
tranquilize when it is not essential for the safety of the
cow or the practitioner. Best results occur when the cow stands
following repair and is ready to resume normal feeding.
place weight on the abdominal wall BEFORE forcing the trocar/cannula
through the abdomen. This will help to ensure that the abomasum
is in its proper anatomical location and tight against the
pull too hard on the toggle string after it has turned perpendicular
to the cannula. The edges of the needle are very sharp and
could sever the toggle string.
Do check the Ph of the abomasums when ever possible, using a Ph strip or Ph tester, to make sure you are not in the rumen!
Don't toggle the cow if your Ph sample reads >5. In such cases, it is best to remove any toggles and re-evaluate the cow, as you may have inserted the toggle into the rumen.
Do be careful when handling the trocar/cannula when it is in cold sterilization. The tip is very sharp.
perform this repair method without adequate assistance...the
safety of the practitioner and the cow is paramount.
perform the LDA procedure on a deeply bedded surface or on
a soft earth surface.
Do always leave 3-4 inches (8-10 cm) of suture material before tying the knots. This allows for normal shifting and swelling of the abomasum after repair.