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Int.J.Curr.Microbiol.App.Sci (2017) 6(11): 1067-1070 International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 6 Number 11 (2017) pp. 1067-1070 Journal homepage: http://www.ijcmas.com Original Research Article https://doi.org/10.20546/ijcmas.2017.611.125 Management of Pre-Partum Vaginal Prolapse in a Crossbred Cow with Rope Truss Method Dipak Kumar Sarma*, Arunodoy Das and Nipjyoti Nath Department of A.R.G.O., College of Veterinary Science, Assam Agricultural University, Khanapara, Guwahati-22, Assam, India *Corresponding author ABSTRACT Keywords Holstein crossbred cow, Vaginal prolapse, Rope truss. Article Info Accepted: 10 September 2017 Available Online: 10 November 2017 A 6 years aged Holstein Friesian 7 month pregnant crossbred cow was suffering from recurrent vaginal prolapse since 5 months of her pregnancy. The cow was not responding to any of the conventional lines of treatment. Finally, rope truss method was applied. Additionally, 750 mg progesterone administered IM weekly for thrice along with Ceftiofur @ 2.2mg/kg IM for 5 days to reinforce the rope truss and no reoccurrence was observed. Rope truss was allowed to continue till parturition and during calving only and thereafter it was removed. Hence it can be concluded that the rope truss is very effective, non-invasive, easy and less expensive method for successful management of pre-partum vaginal prolapsed in cow. Introduction Prolapse of vagina alone or concomitantly with cervix is less frequently occurring one of the gestational complications in dairy animals. The etiological factors may be attributed to the condition like higher estrogen secretion from placenta, heredity, mineral deficiency, increased intra-abdominal pressure, excessive relaxation, weakening and atony of the vaginal musculature, pelvic ligaments and, vulvar sphincter muscles, bacterial or fungal infections, and ingestion of phyto-estrogens, hormonal imbalance, etc. (Roberts, 1971; Sharma et al., 1977; Arthur et al., 1989; Galhotra et al., 1991; Tyagi et al., 2002). In managing cervico-vaginal prolapse various surgical or nonsurgical techniques (Kumar, 2015) and medicines (Dhillon et al., 2006) have been practiced with varying degrees of result. The present communication has been placed to record a successful management of recurrent prepartum vaginal prolapse in a crossbred dairy cow using rope truss technique. Case history and clinical observations A 6 years aged Holstein crossbred cow, maintained in a private dairy farm, at seven months of pregnancy was being reported to had the problem of recurrent vaginal prolapse since last two months. Initially, according to history, the problem was intermittent with 1067 Int.J.Curr.Microbiol.App.Sci (2017) 6(11): 1067-1070 protrusion of the vagina between the vulvar lips when the animal was lying down or while on recumbency. In due course of time the vaginal prolapse became aggravated and the vagina prolapsed even on standing (Fig. 1). The cow had already been treated with calcium borogluconate, antibiotics, and progesterone injections with application of shoe lace vulvar suture for several occasions in last two months but failed to prevent reoccurrences with each of episodes of treatments. The owner also reported that with advancement of pregnancy the degree of protrusion of vagina was increasing along with the increased straining of the cow. The cow exhibited discomfort with frequent attempts to urinate. Clinical examination revealed swollen, edematous and congested vaginal mucosa with some lacerations. The temperature recorded was 102.9° C. Considering the not responding history to any conventional treatment and on the basis of present findings the rope truss method was decided to apply for management of the recurrence of the protrusion of the vagina in this present case. Treatment and Discussion The cow was restrained with the help of two attendants. The prolapsed mass was first cleaned and washed with potassium permanganate (1:1000) solution and lacerated wounds were dressed with Betadine ointment (10% povidone iodine, Win- Medicare Pvt. Ltd., New Delhi, India). Thereafter, the prolapsed mass was manually repositioned by gentle pushing with fisted hand simultaneously elevating the mass with the palm of other hand. Prevention of recurrence was achieved with the application of rope truss technique following standard operational procedure described by Kumar (2015) with a 3 mm diameter sized jute rope (Fig. 2). The cow was then administered daily with Ceftiofur (Xyrofur, Intas Pharmaceuticals Ltd. Gujarat, India) for 5 days @ 2.2 mg IM and Progesterone @ 750 mg, IM at 7 days interval for 3 occasions (Hyprogen plus, Vets Farma Ltd. Jalandhar, India). Fig.1 Prolapse of vagina 1068 Int.J.Curr.Microbiol.App.Sci (2017) 6(11): 1067-1070 Fig.2 Application of rope truss Fig.3 Safe parturition of twin calves at term Progesterone has also been successfully used by Bhattacharyya et al., (2012) in pre-partum vaginal prolapse in cattle. The rope truss was allowed to stay till initiation of parturition and it was removed during parturition. Lakde et al., (2014) stated the rope truss as very effective, safe, non-invasive and easy method for retention of ante-partum cervico- vaginal prolapse. Further, they observed neither any complications nor difficulties at parturition after application of this technique. The cow after 85 days of intervention delivered two normal live calves (Fig. 3) weighing 27 kg and 27.4 kg, respectively. Perhaps, the increased abdominal pressure from the twin foetuses predisposed the cow to have the vaginal prolapse since 5 months of her gestational age. Hence, from the above experience it can be concluded that the rope truss method can effectively be applied to control recurrent prepartum vaginal prolapse in cow without any complications and difficulties at parturition. References Arthur, G. H., Noakes, E. D., Pearson, H. and Parkinson, T. J. 1989. Veterinary Reproduction and obstetrics, 8th edn, 1069 Int.J.Curr.Microbiol.App.Sci (2017) 6(11): 1067-1070 WB Saunders Company Ltd. London. 134-140. Bhattacharyya, H. K., Fazili, M. R., Buchoo, B. A. and Akand, A. H. 2012. Genital prolapse in crossbred cows: prevalence, clinical picture and management by a modified Bühner’s technique using infusion (drip) set tubing as suture material. Vet. Arhiv, 82: 11-24. Dhillon, K. S., Singh, B. B., Kumar, H., Bal, M. S., and Singh, J. 2006. Treatment of vaginal prolapse in cows and buffaloes. The Veterinary Record, 158: 312. Galhotra, M. M., Georgie, G. C. and Dixit, V. P.1991. FSH, LH and prolactin in antepartum vaginal prolapse of buffaloes (Bubalus bubalis) in relation to cortisol and degree of stress. Indian Vet. J. 68: 332-335. Kumar, P. (2015). Applied Veterinary Gynaecology and Obstetrics. CBS Publishers and Distributors Pvt. Ltd. New Delhi-110002, PP: 258-271. Lakde, M. B., Markandeya, N. M., Sanap, N. A. and Chaudhari, R. J.2014. Comparative evaluation of techniques for management of cervico- vaginal prolapse in ante-partum buffaloes. Intas Polivet, 15: 456-458. Roberts, S. J. 1971. Veterinary obstetrics and genital Diseases (Theriogenology), 2ndedn. CBS Publishers and Distributers, India. PP: 189-196. Sharma, R. D., Singh, J. Rama Kumar, V. and Prasad, B. 1977. Threatened vaginal prolapse due to urinary infection in a buffalo. Ind. Vet. J. 54:758-59. Tyagi, R. P. S. and Jit, Singh. 2002. Ruminant Surgery, CBS publishers and Distributors, New Delhi, First edition, PP: 289. Woodward, R. R. and Quesenberry Jr. A. A. 1956. Study of vaginal and uterine prolapse in Hereford cattle. J. Anim. Sci. 15: 119-124. How to cite this article: Dipak Kumar Sarma, Arunodoy Das and Nipjyoti Nath. 2017. Management of Pre-Partum Vaginal Prolapse in a Crossbred Cow with Rope Truss Method. Int.J.Curr.Microbiol.App.Sci. 6(11): 1067-1070. doi: https://doi.org/10.20546/ijcmas.2017.611.125 1070