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For this technique the cow is sedated and cast onto her back. An incision is made to the right of midline caudal to the most posterior part of the sternum. The abomasum is located, repositioned and sutured to the body wall.  
 
For this technique the cow is sedated and cast onto her back. An incision is made to the right of midline caudal to the most posterior part of the sternum. The abomasum is located, repositioned and sutured to the body wall.  
 
   
 
   
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It is important that post-operatively the cow is given a large amount of roughage and slowly given increasing amounts of concentrate.
 
==Prevention==
 
==Prevention==
 
On farms with a high incidence of LDAs or RDAs it is likely that there is a problem with the diet of cows in early lactation and this should be addressed. Overall cases can be reduced by  maintaining adequate roughage, avoiding a rapid decrease in rumen volume following calving hence avoiding rapid dietary changes and postparturient illness( hypocalcaemia, ketosis, metritis).
 
On farms with a high incidence of LDAs or RDAs it is likely that there is a problem with the diet of cows in early lactation and this should be addressed. Overall cases can be reduced by  maintaining adequate roughage, avoiding a rapid decrease in rumen volume following calving hence avoiding rapid dietary changes and postparturient illness( hypocalcaemia, ketosis, metritis).
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