Efficacy of different treatments in preventing uterine adhesions following ceasarean section to relieve dystocia in buffaloes

Abstract

To study the adhesion preventing potential of different treatments, 20 buffaloes requiring caesarean section (CS) were divided randomly into 4 groups of 5 buffaloes each. Group 1 served as control in which no anti- adhesion measures were adopted. In groups 2, 3 and 4, peritoneal dialysis, sodium carboxymethyle cellulose (SCMC) and amniotic membrane, respectively, were employed for the prevention of adhesions. Fibrinogen and total protein concentrations were estimated in both plasma and peritoneal fluid, collected at 24 hr interval after CS (day 0) till day 4. Plasma fibrinogen levels after CS remained lower in all the treatment groups; being significantly lower in group 3 on day 3 as compared to the control group. The levels of fibrinogen in the peritoneal fluid were higher after CS till day 2 in all the groups as compared to day 0; subsequently the levels declined in groups 2 and 3 but rose in group 4 as compared to day 0, as also observed in the control group. Total plasma protein levels did not alter in any of the treatment groups. Total protein levels in groups 2 and 3 increased on day I but declined subsequently till day 4; being significant on day 4 as compared to control group. In group 4, the levels increased after CS and were significantly higher (P< 0.01) on days 3 and 4 as compared to day O. It is concluded that peritoneal dialysis was most successful followed by SCMC and amniotic membrane was ineffective.