Laparoscopic Abomasopexy

An increasing number of reported left abomasal displacements (LDAs) in high production dairy cows suggests the potential for significant economic advantage to new technologies that treat the condition most effectively. Laparoscopic-assisted toggle pin placement offers the opportunity to treat the cow faster and with reduced morbidity compared to conventional open surgical procedures. The laparoscopic procedure also minimizes the risk of inadequate toggle placement. It combines the advantages of laparotomy (control of reposition and fixation) and the roll and suture treatment (quick, minimally invasive).

With the cow in a standing position, the laparoscope is inserted into the left paralumbar fossa and the abomasum is identified. Then under laparoscopic guidance, the cannula for toggle placement is inserted into the abomasum and the toggle is inserted through the cannula. The procedure can be finished in dorsal recumbency with caudolateral trocar placement, or the instrument for toggle placement (68160LS) can be used for completing this procedure in standing position.

The KARL STORZ abomasopexy set combines an excellent optical system with high quality instruments and toggle. The toggle is extra strong with very smooth suture holes, so that the risk of abomasal rupture at the suture site is minimized.