Case Report
MANAGEMENT OF A SEVERE POST-PARTUM VAGINO-CERVICAL PROLAPSE IN A
GRADED MURRAH BUFFALO WITH RENAULT’S TRUSS
AND ANTIBIOTIC THERAPY
S. Dharani1, G. Suman Kumar2, K. Sambasivarao3, and K. Moulikrishna4
ABSTRACT
A parous graded Murrah buffalo was
brought to the Teaching Veterinary Clinics, C.V.Sc.,
Tirupati with severe cervico- vaginal prolapse
lacerated on the ventral side of the mass. The
animal was treated as per the procedure, and the
lacerated area was closed with continuous Lembert
and horizontal mattress using chromic catgut
(No.3). Then the mass was reduced and replaced
into its normal position. To prevent the recurrence,
a rope truss was applied on the animal. The buffalo
was treated with antibiotic and anti-inflammatory
drugs as per recommended dose. After treatment,
the animal recovered uneventfully.
Keyword: rope truss, vaginal prolapse, post
partum, cervical prolapse, buffalo
INTRODUCTION
Prolapse of the vagina in important
maternal abnormality in cattle and buffaloes. It
was observed most commonly in least 2 to 3 months
of gestation (Arthur et al., 1989 ). Sha and Nakao
(2003) reported around 65% of Nepali buffaloes
expressed vaginal prolapse at the last trimester.
The incidence of post partum prolapse after 48 to
72 h was rare (Roberts et al., 1971). Chauhan et al.
Department of Animal Reproduction, Gynaecology and Obstetrics, College of Veterinary Sciences, Tirupati,
India
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Buffalo Bulletin (December 2010) Vol.29 No.
(1967) reported a case of post partum prolapse of
vagina in a female buffalo; the exact etiological
factors for prolapse had not been ascertained.
Jacono and Robertson (1987) reported a negative
correlation between the serum calcium, phosphorus
and estrogen levels. The increased level of estrogen
during third trimester of pregnany may result in
greater relaxation of pelvic structures and the
decreased level of calcium can lead to reduced
vaginal and uterine muscle tone which predisposes
the animals to vaginal prolapse (Roberts, 1986)
whatever may be the cause treatment is the most
important area to veterinarians, should concentrate
for better results. The treatment should be hygienic
and should not affect the future breeding life of the
animal. Early detection and prompt treatment may
be imperative to control the vaginal prolapse in
buffaloes (Sha and Nakao, 2003).
CASE HISTORY AND OBSERVATION
A parous Murrah graded buffalo brought
to the Teaching Veterinary Clinics, C.V.Sc.,
Tirupati with the history of vagino-cervical
prolapse 3 days after normal calving with out
retained placenta and the mass was tear on ventral
side (Figure 1). Animal did not take feed and water
and did not micturate normally. The buffalo had a
101oF body temperature and congested conjunctival
Buffalo Bulletin (December 2010) Vol.29 No.4
mucous membrane. Appearance of the animal was
dull without rumination. On gynaeco-clinical
observation, the prolapsed mass was dry, stained
with dung, congested, inflamed, edematous and
lacerated around 20 cm, on the ventral side of the
mass.
TREATMENTS AND DISCUSSION
The animal was restrained in standing
position followed by epidural anesthesia in sacro-
coccygeal space with 2% lignocaine. Then, the
necrosed tissue, and dung were completely removed
from the mass with mild antiseptic (1:1000
potassium permanganate) solution. The urine was
drained by raising the prolapsed mass above the
ischial arch (Figure 2). By massaging with warm
saline water edema was reduced (Figure 3). The
Figure 1. Vagino- cervical prolapse with
lacerated wound on the ventral side of the mass.
312
lacerated area was closed with continuous Lembert
sutures and horizontal mattress using chromic
catgut (No. 3). Before the end of the suture AC Vet
max, 4 gm (Ampicillin 2 gm+cloxacillin 2 gm)
powder was poured inside the lacerated area. After
completion of suture, the mass was reduced and
replaced into its normal position as per procedure
explained by Roberts et al. (1971) and Kumbhar et
al. (2009). To prevent the recurrence, Renault’s
rope truss described by Renault was applied on the
animal (Craig et al., 2000 and Kumbhar et al.,
2009). The truss exerted pressure upon the sides of
the vulva and kept it closed, without interfering
with defecation or micturition (Craig et al., 2000).
Gram negative anaerobes and other facultative
pathogens including Arcanobacterium pyogenes
are important pathogens that cause severe uterine
inflammation. Azawi et al. (2007) reported around
2.4% buffaloes with vaginal prolapse were
Figure 2. Releasing of urine by raising the mass
above or nearer to ischial arch.

Figure 3. Picture representing reduced mass size after releasing of urine.
predisposed to uterine infections.The buffalo was
treated with 0.5% dextrose (2000 ml) i/v, Inj.
Calcium borogluconate (200 ml) i/v, Ampicillin 2
gm+cloxacillin 2 gm (Ac vet max-4 gm) i/m BID
for the first 3 days and SID for the next 2 days, Inj.
Chlorphenaramine maleate 0.4 to 0.5 mg / kg bw,
once daily for 5 days, by IM, Inj. Melonex 0.5 mg/
kg b.wt, i/m SID for 3 days with advise of oral
administration of cyclomin-7 (4 boluses) once in
two days. Lower calcium (Mandali et al., 2002 and
Ahmed et al., 2005), lower phosphorus and higher
magnesium (Akhtar et al., 2008) concentration
were observed in buffaloes suffering from vaginal
prolapse. Among micro minerals, serum copper
and zinc were lower in prolapsed buffaloes (Bhatti
et al., 2006). The animal showed excellent response
to the treatment. Straining of the animal was
gradually reduced and ceased after 96 h. The rope
truss was removed after completion of 5 days of
treatment. The animal recovered uneventfully.
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CONCLUSION
It was observed that the hygienic handling,
proper management and treatment should definitely
prevent further reproductive tract damage and aid
in quick recovery.
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