LDA Toggle Suture

THE DA TROCAR / PUSH ROD (J-191 TM and J-191)


Fig. 1	Fig. 2

Fig. 3

The DA Trocar/Cannula consists of 3 separate components (Fig.1) 1. White Nylon handle. This serves as a hand grip plus a holder for the trocar and push rod. 2. Hollow trocar with sharp pointed end and flat plate on shaft. 3.Push rod: solid rod with handle. The J-191 TM trocar/cannula and J-191 toggle sutures are used in the Grymer/Sterner® method for nonsurgical percutaneous fixation of the left displaced abomasum (LDA). J-191 toggle sutures sold in pairs. Proper trocar assembly shown in Figure 2. The Toggle Suture Repair Button (J-191B) is used by some veterinarians to help distribute the pressure of the toggle suture over a wide area. (Figure 3)

	Restraint and Casting Ropes (NASCO)
	*Tranquilizer/Sedation (xylazine/Rompun, BAYER) (xylazine/AnaSed, Lloyd Laboratories)
	Surgical Site Preparation (Scrub and Disinfectant)
	Trocar, Cannula, and Push rod (Jorgensen Laboratories, Inc.) www.jorvet.com (Go to: Products / Bovine Abdominal Surgical Instruments)
	I pair (2) Toggle Sutures (Jorgensen Laboratories, Inc.) www.jorvet.com (Go to: Products / Bovine Abdominal Surgical Instruments)
	Toggle Suture Repair Button (Jorgensen Laboratories, Inc.) www.jorvet.com (Go to: Products / Bovine Abdominal Surgical Instruments)
	2 needle holders
	Stethoscope
	Ph strips or Ph tester
	* In the United States, the use of xylazine constitutes extra-label usage, and as such, must be used within the context of a valid Veterinarian Client-Patient Relationship (VCPR) in order to comply with the provisions of the Animal Medicinal Drug Use Clarification Act (AMDUCA).