| The
presence of an LDA is characterized by a distinct 'pinging'
sound, or resonance, on striking the abdominal wall along
and on either side of an imaginary line drawn from the wing
of the ilium (hipbone), to the caudal end of the xiphoid
(breastbone). For an excellent animated depiction of the
LDA occurrence, vist Dr. Wolfgang Klee's site at the University
of Munich. [*Note: The text of this article is in German.
Scroll down to the animated drawing on the first page of
the article.]
[http://www.rinderskript.net/skripten/b5-15.html]
After
diagnosis is made of LDA in the bovine, it may be a candidate
for repair using the Grymer/Sterner Toggle Suture method,
as described in JAVMA - September 1982. The decision to
employ this method of repair should be based upon the facilities
and help available, and a careful evaluation of the concurrent
medical conditions of the cow. It is advised that the owner/herdperson
be consulted as to their assessment of the animal's condition,
and as to their preferred method of repair. It is better
to fully understand the concerns from both the management
and the surgeon's perspective BEFORE an LDA repair is started,
rather than to proceed under a wrong assumption.
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