Dystocia due to breech presentation and caesarean under local anaesthesia and sedation in a mare
2022
Akshay Sharma | Vijender Negi | Pururava Sharma | Harish Kumar | Ananya Sharma | Madhumeet Singh | Pravesh Kumar
A nulliparous non-descript mare presented at full term with a history of straining (utero-abdominalcontractions) for the last 24 hours. Vaginal examination revealed a dead foal in posteriorpresentation with bilateral hip flexion and dorso-iliac left position. Pre-operatively, 5 mL Tetanustoxoid as intramuscular injection, 3g Ceftriaxone and 4 mL Dexamethasone in 3L 5% Dextrosenormal saline (DNS) as intravenous infusion (i/v) was administered. The per-vaginal delivery ofthe foal could not be attempted due to breech presentation; therefore, caesarean section wasplanned. Local anaesthetic infiltration along with sedation was done for carrying out the caesareanby employing an oblique ventro-lateral approach in lateral recumbency. Intravenous fluids, antiinflammatory drugs and daily antiseptic dressing were included in post-operative management andled to uneventful recovery of mare. The authors would like to perorate the case as a rare breechpresentation induced dystocia in equine and emergency caesarean by employing an oblique ventrolateral approach under local anaesthesia and sedation.
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