Changes

|a3= (1) Contamination of abdominal cavity by uterine contents: expose the uterus and locate the feet, pull the uterus up and pack off with drapes; a heavy stay suture can also be placed each end of the intended incision to hold the uterine edges up after delivery of the foal.  

|a3= (1) Contamination of abdominal cavity by uterine contents: expose the uterus and locate the feet, pull the uterus up and pack off with drapes; a heavy stay suture can also be placed each end of the intended incision to hold the uterine edges up after delivery of the foal.  

(2) Tearing of the uterine wall due to too small an incision: make sure the uterine incision is enlarged by surgical cut, not tearing.  

(2) Tearing of the uterine wall due to too small an incision: make sure the uterine incision is enlarged by surgical cut, not tearing.  

(3) Control of uterine haemorrhage (which can be profuse): if the placenta is easily detached, remove it; if not, free back the placenta for 3 cm around the rim of the incision and place a continuous suture along each edge of the incision to control haemorrhage. Be very careful not to include allantochorion in the sutures.  

(3) Control of uterine haemorrhage (which can be profuse): if the placenta is easily detached, remove it; if not, free back the placenta for 3 cm around the rim of the incision and place a continuous suture along each edge of the incision to control haemorrhage. Be very careful not to include allantochorion in the sutures.  

(4) Leakage of uterine lochia: use an appropriate suture pattern to close the incision.  

(4) Leakage of uterine lochia: use an appropriate suture pattern to close the incision.  

(5) Peritonitis from uterine lochia: lavage the abdominal cavity with warm normal saline and aspirate; a final wash should contain penicillin and gentamycin.

(5) Peritonitis from uterine lochia: lavage the abdominal cavity with warm normal saline and aspirate; a final wash should contain penicillin and gentamycin.

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