An article in the November/December issue of In Practice explained how to perform a bovine caesarean section on farm (In Practice, November/December 2013, vol 35, pp 574-588). This, the second article in this two-part series, considers ‘difficult’ bovine caesareans. Areas covered include: handling temperamental/dangerous cows; additional pre/perioperative medication; complications during surgery; fetid and emphysematous fetuses; suturing a torn or friable uterus; and postoperative care of the sick cow.
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