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How to Repair Cervical Tears Using a Trendelenburg Type Positioning
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1. Introduction
Cervical tears can be a potential cause of infertility in mares. Late-term abortion or a difficult dystocia has been associated with the development of cervical tears. The inability of the cervix to close properly will potentially result in a chronic uterine infection.1,2 Surgical repair of large cervical lacerations is needed to restore the future fertility of a mare. In most cases, cervical lacerations are repaired with the mare standing in stocks using epidural anesthesia. The cervix is retracted caudally, and the cervical repair is performed using two- to three-layer closures after the cervical defect has been debrided. Tears that involve the ventral aspect of the cervix are generally more difficult to repair because of lack of visibility of this area. In these cases, the cervix has to be retracted and rotated to allow visualization and accurate closure. In some cases, the temperament of the mare or a small vestibule (limiting visualization) makes standing surgical repair difficult. If the cervical repair is not successful, the mare will continue to be infertile. [...]
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