Farm Animal Surgery Farm Animal Surgery SECOND EDITION EDITORS Susan L. Fubini, DVM, Dipl ACVS Professor of Large Animal Surgery Department of Clinical Sciences College of Veterinary Medicine Cornell University Ithaca, New York Norm G. Ducharme, DMV, MSc, Dipl ACVS James Law Professor of Large Animal Surgery Department of Clinical Sciences College of Veterinary Medicine Cornell University Ithaca, New York 3251 Riverport Lane St. Louis, Missouri 63043 FARM ANIMAL SURGERY ISBN: 978-0-323-31665-1 Copyright © 2017 by Elsevier, Inc. All rights reserved. Professor Mary C. Smith retains copyright to her original photos. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Previous edition copyrighted 2004 Library of Congress Cataloging-in-Publication Data Names: Fubini, S. L. (Susan Lawson), editor. | Ducharme, N. G. (Norman Guy), editor. Title: Farm animal surgery / editors, Susan L. Fubini, Norm G. Ducharme. Description: Second edition. | St. Louis, Missouri : Elsevier, Inc., [2017] | Includes bibliographical references and index. Identifiers: LCCN 2015049613 | ISBN 9780323316651 (hardcover : alk. paper) Subjects: LCSH: Veterinary surgery. | Domestic animals–Surgery. | MESH: Animals, Domestic–surgery | Surgical Procedures, Operative–veterinary | Surgical Equipment–veterinary Classification: LCC SF911 .F925 2017 | NLM SF 911 | DDC 636.089/7–dc23 LC record available at http://lccn.loc.gov/2015049613 Content Strategy Director: Penny S. Rudolph Content Development Manager: Jolynn Gower Senior Content Development Specialist: Brian Loehr Publishing Services Manager: Hemamalini Rajendrababu Senior Project Manager: Saravanan Thavamani Book Designer: Brian Salisbury Marketing Manager: Kristen Oyirifi Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 To our Cornell “family” of colleagues, residents, technicians, staff, and students for their advice, friendship and guidance. And in honor of the memory of Dr. W.C. Rebhun and Dr. F.H. Fox for all they taught us and so many others- and for the care they provided to so many animals in Upstate NY and surrounding areas. Contributors David E. Anderson, DVM, MS, Dipl ACVS Thomas J. Divers, DVM, DACVIM, DACVECC Professor and Head, Large Animal Clinical Sciences Steffen Professor of Veterinary Medicine College of Veterinary Medicine Section Chief, Section of Large Animal Medicine University of Tennessee Cornell University Knoxville, Tennessee Ithaca, New York Marie Babkine, Dr Vet, MS Allison Rita Dotzel, DVM Department of Clinical Sciences Private Practice Faculty of Veterinary Medicine Williamsport, Pennsylvania Université de Montréal St-Hyacinthe, Canada Norm G. Ducharme, DMV, MSc, Dipl ACVS James Law Professor of Large Animal Surgery Emily A. Barrell, DVM, MS, Dipl DACVIM Department of Clinical Sciences Clinical Instructor College of Veterinary Medicine Department of Clinical Sciences Cornell University College of Veterinary Medicine and Biomedical Sciences Ithaca, New York Colorado State University Fort Collins, Colorado Gilles Fecteau, m.v., DACVIM Large Animal Internal Medicine Jordyn M. Boesch, DVM, DACVAA Université de Montréal Lecturer St. Hyacinthe, Quebec, Canada Department of Clinical Sciences College of Veterinary Medicine David Freeman, Ph. D MVB, MRCVS, DACVIM Cornell University Professor Ithaca, New York Large Animal Surgery Service Chief Director, Island Whirl Equine Colic Research Laboratory Christina Cable, DVM, Dipl ACVS Large Animal Clinical Sciences Veterinarian/Owner University of Florida Early Winter Equine, PLLC Gainesville, Florida Lansing, New York Susan L. Fubini, DVM, Dipl ACVS Robert J. Callan, DVM, MS, PhD, DACVIM Professor Professor Large Animal Surgery Livestock Medicine and Surgery Department of Clinical Sciences Department of Clinical Sciences College of Veterinary Medicine Colorado State University Cornell University Fort Collins, Colorado Ithaca, New York Luis Campoy, LV, CertVA, Dipl ECVAA, MRCVS Philippa Gibbons, BVetMed(Hons), MS, DACVIM Associate Clinical Professor Clinical Assistant Professor Department of Clinical Sciences Food Animal Medicine and Surgery College of Veterinary Medicine Large Animal Clinical Sciences Cornell University Texas A&M University Ithaca, New York College Station, Texas Josepha DeLay, DVM, DVSc, DACVP Robert O. Gilbert, BVSc, MMedVet, DACT, MRCVS Veterinary Pathologist Professor Animal Health Laboratory Department of Clinical Sciences Laboratory Services Division College of Veterinary Medicine University of Guelph Cornell University Guelph, Ontario, Canada Ithaca, New York André Desrochers, DMV, MS, ACVS, Dipl ECBHM Chuck Guard, DVM, PhD Professor Chief, Ambulatory & Production Medicine Clinic Clinical Sciences North American Hoof Trimmers Association Faculty of Veterinary Medicine Cornell University Université de Montréal Ithaca, New York St-Hyacinthe, Québec, Canada vi Contributors vii Catherine Helen Hackett, DVM, PhD, Dipl ACVS-LA Sylvain Nichols, DMV, MS, DACVS Surgeon and Practice Owner Associate professor Primus Equine Veterinary Surgery, PLLC Clinical Sciences Ithaca, New York University of Montréal, St-Hyacinthe, Québec, Canada Richard P. Hackett, DVM, MS, Dipl ACVS Professor of Surgery Karl Nuss, Prof Dr Med Vet, Dipl ECVS Department of Clinical Sciences Section Head, Farm Animal Surgery College of Veterinary Medicine Farm Animal Department Cornell University Vetsuisse Faculty University of Zürich Ithaca, New York Zürich, Switzerland Amanda Hartnack, DVM Charles W. Nydam, DVM Resident, Food Animal Medicine and Surgery Summer Dairy Institute Department of Veterinary Clinical Sciences Cornell University The Ohio State University Veterinary Medical Center Ithaca, New York Columbus, Ohio Daryl Van Nydam, DVM, PhD Jacqueline A. Hill, DVM Senior Extension Associate Resident Department of Population Medicine and Diagnostic Equine and Farm Animal Surgery Science College of Veterinary Medicine College of Veterinary Medicine Cornell University Cornell University Ithaca, New York Ithaca, New York Nita L. Irby, DVM, Dipl ACVO Kyla Ortved, BSc, DVM, PhD, DACVS Senior Lecturer Assistant Professor of Equine Surgery Department of Clinical Sciences Clinical Sciences College of Veterinary Medicine Cornell Ruffian Equine Specialists Cornell University Elmont, New York Ithaca, New York Lisa K. Pearson, DVM, MS, PhD, Dipl ACT Meredyth Jones, DVM, MS, DACVIM Clinical Instructor of Comparative Theriogenology Assistant Professor Veterinary Clinical Sciences Food Animal Field Services College of Veterinary Medicine Veterinary Large Animal Clinical Sciences Washington State University Texas A&M University Pullman, Washington College Station, Texas Anthony Paul Pease, DVM, MS, DACVR Steve Kraus, BS, CJF Section Chief Head of Farrier Services Veterinary Diagnostic Imaging Lecturer of Large Animal Surgery Small and Large Animal Clinical Sciences Department of Clinical Sciences Michigan State University College of Veterinary Medicine East Lansing, Michigan Cornell University Ithaca, New York Gillian A. Perkins, DVM, Dipl ACVIM Director, Equine and Nemo Farm Animal Hospital Linda A. Mizer, DVM, MSc, PhD Director of Biosecurity Senior Lecturer Cornell University Hospital for Animals Department of Biomedical Science Ithaca, New York College of Veterinary Medicine Cornell University Rolfe M. Radcliffe, DVM, DACVS, DACVECC Ithaca, New York Lecturer Large Animal Surgery and Emergency Critical Care Pierre-Yves Mulon, Dr.Vet. DES, Dipl ACVS Department of Clinical Sciences Hopital Veterinaire Lachute College of Veterinary Medicine Lachute, Québec, Canada Cornell University Ithaca, New York SallyAnne L. Ness, DVM, DACVIM Instructor Jennifer E. Rawlinson, BS, DVM, Dipl AVDC, Large Animal Internal Medicine AVDC-Eq Department of Clinical Sciences Assistant Professor College of Veterinary Medicine Dentistry and Oral Surgery Cornell University Department of Clinical Sciences Ithaca, New York College of Veterinary Medicine and Biomedical Sciences Colorado State University Fort Collins, Colorado viii Contributors Heidi Reesink, VMD, Dipl ACVS-LA Ava Michelle Trent, DVM, MVSc, Dipl ACVS, CVSMT Department of Clinical Sciences Associate Professor College of Veterinary Medicine Veterinary Population Medicine Cornell University College of Veterinary Medicine Ithaca, New York University of Minnesota St. Paul, Minnesota Marjolaine Rousseau, DMV, MS Lecturer Beth A. Valentine, DVM, PhD Department of Clinical Sciences Professor Faculty of Veterinary Medicine Department of Biomedical Sciences University of Montreal College of Veterinary Medicine Saint-Hyacinthe, Quebec, Canada Oregon State University Corvallis, Oregon Jean-Philippe Roy, DVM, MSc., Dipl ECBHM Associate Professor David C. Van Metre, DVM, DACVIM Faculty of Veterinary Medicine Professor Université de Montréal Animal Population Health Institute St-Hyacinthe, Québec, Canada Department of Clinical Sciences Colorado State University Mary C. Smith, DVM Fort Collins, Colorado Professor Ambulatory and Production Medicine Wade Walker, DVM Department of Population Medicine and Diagnostic Large Animal Surgery Resident Sciences Department of Clinical Sciences College of Veterinary Medicine College of Veterinary Medicine Cornell University Cornell University Ithaca, New York Ithaca, New York Adrian Steiner, Dr Med Vet, MS, DrHabil, DECVS, Richard Wheeler, DVM, DACT DECBHM Faculty Professor Clinical Sciences Farm Animal Clinic Poudre River Veterinary Clinic Vetsuisse-Faculty of the University of Bern College of Veterinary Medicine and Biomedical Sciences Bern, Switzerland Colorado State University Fort Collins, Colorado Ahmed Tibary, DMV, MS, DSc, PhD, DACT Professor Veterinary Clinical Science Washington State University Pullman, Washington Preface In the 2nd Edition of Farm Animal Surgery we strive to theriogenologists. We encourage readers to seek advice and update, correct, and improve upon the first edition. The consultation from appropriate veterinarians, specialists, and contributors to our efforts include outstanding veterinary paramedical support (veterinary technicians, surgical nurses, surgeons and clinicians from around the globe. We are so physical therapists, and orthotists). grateful for their input and shared experience. We also want to recognize our surgical residents. We We hope this serves as a useful tool for veterinary stu- have, over many years, been fortunate to have these unique, dents, practitioners, and residents-in-training as well as indi- extraordinarily talented young veterinarians to work with. viduals dealing with comparative species such as zoo They have gone on to outstanding careers, and we are very medicine and surgery. We have attempted to provide a com- proud of their accomplishments. We also work day in and prehensive array of surgical options for the most common day out with our veterinary technicians, who are such an conditions of farm animals, with an emphasis on dairy cattle. integral part of our team. Our students are bright and engag- In the past, single-animal treatment in commercial herds and ing, keeping us on our toes and challenging us every day. hobby farms formed the basis of our emphasis in traditional Both residents and students offer a promising view of the farm animals. The advent of rescue organizations has been a future of veterinary medicine major event since the last edition that has “pushed us” at This edition would not have been possible without the Cornell University Nemo Hospital for Farm Animals to substantial efforts of the team at Elsevier: Penny Rudolph, develop and deliver a level of care that was not previously Brian Loehr, and Cindy Mosher. Patty Reynolds from Cor- possible in production animals. Therefore, sophisticated pro- nell’s imaging section has been invaluable in finding radio- cedures are appearing in all farm animal species and are graphs. Lisa Mitchell from Cornell helped immensely with reflected in this edition. Some of the described procedures editing text and arranging figures for each chapter. may not be appropriate in management of traditional farm We want to mention two of the farm animal clinicians animals versus zoo animal versus animals at rescue centers. who have come before us from Cornell University. They The readers should take this into account. were “giants” in the field of Farm Animal Medicine and We feel fortunate to have spent the majority of our Surgery and truly pioneers in their time. These include Dr. professional careers at Cornell University and would like Bill Rebhun, our beloved friend, an internist and ophthal- to acknowledge our colleagues in our own and all associ- mologist, whom we miss every day. Dr. Francis Fox, recently ated specialties, who provide us with advice, guidance, and passed, was an iconic figure in ambulatory medicine, with friendship every day and willingly share their expertise. astonishing powers of observation, all the while being sly and We could not practice our specialty at the desired level mischievous. With this book we honor them and all they without the advice and recommendations of fellow anes- taught us and so many generations of veterinarians. thesiologists, internists, radiologists, ophthalmologists, and ix Contents PARTI 16 Surgeroyft heB ovinRee productSiyvset eamn d UrinarTyr act4,3 9 GENERALC ONSIDERATIONTSO ALLS PECIES RoberOt. G ilbeCr/tl,r isClaibulCel, SL.u sFaunb ini 1 Examinatoifot nh eS urgicPaalt ien1t , [mdA draiI'! Stiener GilliAa.nP erkiTnhso,m a1s. D iverMsa,r yC .S mith andR ober1t.C allan PARTI II 2 DiagnosItmiacg in2g3, CALF AnthonPye ase 17 Surgeroyft heC alGfa strointeSsytsitneaml5, 0 5 3 PresurgCiocnasli derat2i9o ns, AvaM . TrenHti,ic :tl(rdW heeleArn,d rDee srochers, AvaM . TrenNto,r mG .D ucharmSeu,s aL.H FufJilli aldl AdriaSnt einer GillFeesc teaGui,l liAa.lP le krills{ lIIEdm ilAy. B arrell 4 FluiTdh erapy5,5 18 Surgeroyft heC nlfM usculoskeSlyesttaelm 5,1 9 NormG .D ucharmAel,l dDrees roclawnrds SallyAlLl.Nl elscs DaviFdr eeman 5 Sedaotni,G eneraAln esthesainadA, n alges6i0a , 19 Miscellaneous Abnoorf'tm haelC iatlif5e�4s 0 JordYIvIlI .B oescahl lLdu iCsa mpoy KyftOlr tved 6 GeneraPlr incipolfMe isn imalIlnyv asive Surger8y1, PARTI V AlIdDrees rocJMwarrsi,Be a bkialllclS dy ivalilN ichols SHEEPA ND GOAT 7 PostoperaMtainvaeg emen8t9, SallyAmLu.N: e ssa mIA driaSnt einer 20 Surgeroyf 'tShhee ep and IGnotaetg umcntary Systcm5,5 1 g Neoplas9i9a , MeredyitOllil Pe/s,,; IiGpipbab onlsi nd BetAh. V alellatlil,Edlm ei lEy. B arrell AmandaH arltlcka 9 Dentist1r2y7, 21 Surge,orfty h eS heeapn dG oatD igestive AllisDooltlt aenld l am/iRlaewrl illsoJl System5,6 1 10 Surgeroyft heE yes7,4 5 A11ItIHI(lldrltlll ltilncMdke redyJtmlrl es NitaL .I rby 22 Surgeroyft heS heeapn dG oatM usculoskeletal 11P ostmortem Ex�)m1i7n4<l tion, System5,6 8 JosepDheaL ay \lVade \lVa/ker 23 Surgeroyft heS heeapn dG OM Reproductive PARTI I Syste�mH lUdr illHry T5r7]a ct', BOVINE( ADULT) AllllTliebda rLyi,s Ka. P earsoDlavlid, C.V anM etre aliKdy la Ortued 12 Surgeroyft heB ovin(eA dulItn)t egumentary 24 Congenital Anoimnat lhieS ehse eapn d SystemJ7, 9 Goat5,9 6 CatheriHn.He acketRitcl,u m/P .H ac:ketl, f1mal'lda Hartla/ntidjc \tkf ereJdOyltlhe s Charle\s4' N.y c/amD,ary ll IaNny c/tHalnfd RoberOt. G ilbert PARTV 13 Surgeroyft heB ovin(eA dulRte)s pifilatnodr y Cardiov'lsScyushtlerm1 ,9 3 SWINE NormG .f )uc:!UlrAmuet,i Dne!s rocclrsl, 25 Surgeroyft heS winDei gestSiyvset em6,0 1 PierrcY4uesM ulo1aln dS yluaiu Nicohls HeidLi. R eesink 14 Surgeroyft heB ovinDei gestSiyvset em2,2 3 26 Surgeroyft heS winMeu sculoskeSlyesttaelm 6,0 8 NormC .D ucharmAeI,/ dDrees rochers, NormG .D uclflirme SlIsLa.lF /u binAil,/ tJlPO.Pn eya se, LindAa. M izerH,i ndWea lkeArl,i Ma. Trellt, 27 Surgeroyft heS wineR eproductSiyvset el.ml Ild Jew l·Philpipe Hoy, M'lrjo/t;lil1e Housseau, UrinaTrrya ct6,1 7 RolfMe. I{(ulc(llilitf!df reAai n Steiller Rul:Je1r.lC allaRni, clwP.rH da ckcatnld 15 Surgeroyft heB ovinMeu sculoskeletal SusaLn. F ubini System3,4 4 AlldDne�s rochAedrrsi,m Slt eilDlaevri,Ed . A nderson, ChuckG uardS,y lvaNiinc hoNlosr,m G .D ucharme, KarNlu ssP,i erre-MYuvloells, StevKer auasn d JacquelAi.nH ei ll x