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|q1=How would you correct this problem?

|q1=How would you correct this problem?

|a1=

|a1=

The uterus is replaced after sacrococcygeal extradural injection of 6 mL of 2% lidocaine. The cow is haltered and rolled on to her sternum and the pelvic limbs positioned behind with the hips fully extended and the weight of the cow’s hindquarters taken on her stifle joints. The foetal membranes are carefully detached from the caruncles if possible. The prolapsed uterus is cleaned in warm dilute povidone–iodine solution and any gross contamination removed. The uterus is then held at the level of the vulva and replaced, starting at the cervical end. At first there seems to be little progress but eventually the uterine horn is replaced into the vagina and carefully returned to its normal ‘comma-shaped’ position. The pelvic limbs are returned to their normal flexed position. The prolapsed tissues can be retained using a Buhner suture of 5 mm umbilical tape but this is unnecessary when the prolapse is associated with hypocalcaemia.

The uterus is replaced after sacrococcygeal extradural injection of 6 mL of 2% lidocaine<ref>The 2% lidocaine is not licensed in farm animals any more in the UK. It should be 2% procaine solution</ref>. The cow is haltered and rolled on to her sternum and the pelvic limbs positioned behind with the hips fully extended and the weight of the cow’s hindquarters taken on her stifle joints. The foetal membranes are carefully detached from the caruncles if possible. The prolapsed uterus is cleaned in warm dilute povidone–iodine solution and any gross contamination removed. The uterus is then held at the level of the vulva and replaced, starting at the cervical end. At first there seems to be little progress but eventually the uterine horn is replaced into the vagina and carefully returned to its normal ‘comma-shaped’ position. The pelvic limbs are returned to their normal flexed position. The prolapsed tissues can be retained using a Buhner suture of 5 mm umbilical tape but this is unnecessary when the prolapse is associated with hypocalcaemia.

|l1=Reproductive_Tract_Prolapse#Uterine Prolapse

|l1=Reproductive_Tract_Prolapse#Uterine Prolapse

|q2=What treatments will you administer?

|q2=What treatments will you administer?

|l2=Reproductive_Tract_Prolapse#Uterine Prolapse

|l2=Reproductive_Tract_Prolapse#Uterine Prolapse

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