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Veterinary Surgery and Radilogy Education
#Veterinary video
#Surgery
#drrbkushwaha
#skuast jammu
#caesarean section in cow
#C-section in cow
#Delivery of partially macerated foetus in cow
#Cow
#C section
#caesarean section
#delivery of foetus by surgery
#Laparo-hysterotomy in cow
#C-section in 8 months pregnant cow
#animal surgery
#Is c section safe?
#who can perform c-section in cow
#Paramedian approach for c section in cow
#How C-section is to be performed?
#Suture material used in C-section
#Uterus repair
#Emergency C-section
#L/S Spinal analgesia
#Lox 2% injection
#dr r b kushwaha
#drrbkushwaha
#drrbk

[@sohrabsinghsmagh]

I am also a veterinary doctor. I have been posted as a veterinary officer in Punjab for the last 14 years, and I regularly watch your videos. You are doing a very good job, and I encourage you to keep providing your services to people and sharing your knowledge. By watching your videos, we are able to gain more and more knowledge and apply it in the field."

[@drrbkushwaha]

Thank you for nice words

[@TayyabVeterinary]

What a god gifted hands......
I have performed 20 successful case of medial patellar desmotomy by gaining experience from your vidoes......now i am perfect in MPD...
LOVE FROM PUNJAB PAKISTAN .......

[@drrbkushwaha]

Thanks for watching and nice words

[@kulvindersingh9636]

This small gift from my side boss ... thanks for sharing your experience with us at no cost .... thanks a lot sir ji 🙏🙏🙏

[@drrbkushwaha]

So nice of you 🙏

[@rakeshkumar-th6ci]

Sir, you are great surgen 🎉🎉

[@drrbkushwaha]

Its your greatness; Thank you for nice words

[@LeoMahmoud-w3j]

Very good work .I'm in third year in veterinary medicine and i acquire skills from your video .thank you❤

[@drrbkushwaha]

Thank you dear

[@Vetdoc23]

Best Surgeon

[@Palash-8421]

Your efforts are consistently appreciated, sir.
The Halstead suture is fantastic! ❤

[@drrbkushwaha]

Thanks

[@MohsinHameed-ee6mx]

Great Surgeon

[@sandeepthind8444]

Really its very hard to perform surgery sir

[@adnanjutt3932]

Alot of love from pakistan sir❤❤ I have applied alot knowledge in field gained from you sir

[@drrbkushwaha]

Thank you dear for nice words

[@balkaransingh986]

Hats off to u sir i have also been in that situation and it's the worst smell😂 love ur work sir❤❤❤

[@drrbkushwaha]

Thank you

[@nishabharti910]

Truly gifted hands sir

[@drrbkushwaha]

It's your greatness dr Nisha

[@saifullahshehzad2789]

Great work Dr sb ❤ Dr sb agar ap ye videos Urdu main banaa laty buhot acha hota q ki Indian Pak Ban Afg main Zyda tar logo Ki English strange nhi hai es Waja se Log zyda Apki Video main Interest nhi laty agar ap Urdu main bana lety buhot zyda logo ko Help melgy aur apki be Views aur subscribe improve ho jagya please sir Urdu main koshahsh kari❤

[@drrbkushwaha]

🙏🙏🙏

[@Dr.zahidparvaiz]

Proud to be your student sir, and i was assisting the surgery proudly
Thnku sir

[@drrbkushwaha]

Thanks to you and your batch and Dr Saharan.

[@Dr.zahidparvaiz]

@@drrbkushwaha wlkm sir❤️❤️❤️and thnkuu so much sir for always being there for us❤️

[@ShivDon-mh2bh]

Thank you so much sir i always wait for your video and i am learning new concept with you sir

[@drrbkushwaha]

welcome

[@AkbarZalil-x6v]

Really Hattsoff sir...❤❤❤🎉u r great surgeon

[@drrbkushwaha]

Thank you dear

[@rakeshkumar-th6ci]

Excellent Sir

[@MrMohit842]

Hats off sir 👍🏻. Next level

[@drrbkushwaha]

thank you

[@muhammadishaq2750]

Sir why not you prefered left lower flank instead of paramedian incision site

[@shafakatshaban9852]

Gifted hands ❤

[@mohamedgad9457]

Good job my dear doctor, but from my practical experiments , a double layers of Cushing pattern with chromic cat gut is preferred to lambert and Vicryl. It will not tear such uterine muscles ..

[@drrbkushwaha]

ok i respect your experience.

[@mohamedgad9457]

❤​@@drrbkushwaha

[@Drpaw-gd7nu]

Beautiful surgery 😀

[@drrbkushwaha]

Thank you

[@ayushpatel791]

Sir please mere AK 48 day ka German shepherd puppy he us ko parvo ke Vaccine kab lagay or ketni baar lagbai please bataya sir

[@kareemelhawary9394]

Good job sir, but why you didn't do the C section in standing position, is thier was a problem?!

[@drrbkushwaha]

standing is indicated where foetus condition is normal.

[@kareemelhawary9394]

​@@drrbkushwaha
Great work ❤

[@drgoldianimaldiseasesandtr7870]

Good vet

[@bhanuprakash3049]

How we find out whether the uterus is healthy are not sir .

[@drrbkushwaha]

By faint pinkish colour and progressive involution while suturing and no tearing during suturing. if foetus is live or recent death, then uterus would be normal

[@nagyal826]

Sir kindly tell the size of suture you use in uterus ,muscle and skin

[@drrbkushwaha]

No. 1

[@Bangla-l2g]

Sir what does ratio of anaesthesia in ml as you discussed in this video 3:2:1

[@drrbkushwaha]

xylazine 1 ml butorphanol 2 ml and ketamine 3 ml = 6 ml
now give 1 ml/50 kg body weight for deep sedation and 1 ml/100 kg for light sedation

[@kulvindersingh9636]

Sir can we perform CS in left PLF in uterine torsion 360 degree of right side condition..?

[@drrbkushwaha]

Left PLF approach in standing position is normally preferred in elective or planned CS, where uterine contents are normal but in case of long standing dystocia or where foetus is dead then left paramedian approach in rt lateral recumbency is good site. This case was very bad but happy to perform without leakage of dirty. contents. In the text book you ll find seversl site for CS but this one is best in lateral recumbency.

[@kulvindersingh9636]

Thanks a lot sir ji 🙏

[@muhammadishaq2750]

2ndly there might be chancevof developed hernia on this site?

[@drrbkushwaha]

Yes i have mentioned this in video but if suturing is done properly as in this case no problem at all. I have tried all approaches but this one is best in Indian condition where C S is done as emergency not elective

[@muhammadishaq2750]

@@drrbkushwaha love u sir

[@muhammadishaq2750]

Sir please share your WhatsApp number please

[@muhammadishaq2750]

@@drrbkushwaha thanku sir

[@matheblitzy]

👍

[@Vetcattle]

❤❤👌👍👍

[@ghazali555]

excellent sir

[@thenosthenos9648]

👍

[@hemraj4298]

Wonder full surgery

[@muhammadishaq2750]

Sir why not you prefered left lower flank instead of paramedian incision site

[@murugana991]

Very nice explanation. Hats off to you. I would like to know how much of PGA needed.

[@drrbkushwaha]

3 of No. 1 size 180 cm long

[@murugana991]

For muscles also same PGA used

[@drrbkushwaha]

@murugana991 Yes sir for muscles and uterus no. 1 however, if possible no. 2 would be better for muscles but we have only no. 1

[@vetsurgeryatease]

Your hand knots are superb sir! 👌 It's very smooth.

[@drrbkushwaha]

Thanks a lot 😊

[@ayushpatel791]

Sir please bataya mere pass jarmen shfart ka 46 din ka puppy he us ke parvo ke Vaccine lag ba ne he please aap batay 2 Vaccine lage ke Kay 3 please help

[@dharmendrathakur9634]

Thank you sir for sharing.

[@KuntlShh]

Nicely done sir❤🎉

[@muhammadishaq2750]

Sir why not you prefered left lower flank instead of paramedian incision site

[@drrbkushwaha]

This would cause more difficulty in exteriorizing the uterus and difficult to evacuate the contents outside the abdominal cavity.

[@pawankushwaha6264]

Good 👍

[@Drrohityadav7575ry]

गुरुदेव आपकी जय हो जय हो ❤

[@viram2958]

Excellent sir

[@drrbkushwaha]

Thanks dear
This case was difficult as the uterus was very small, leathery and infected

[@adnanjutt3932]

Sir in case of uterine tortion, first we should go for detorion of uterus via incision or direct extraction of fetus?
Secondly sir most of cases in field I encounter are of 3-4 days old when calf had died. Ahould I go for c section or slaughtering?
Kindly sir

[@adnanjutt3932]

Kindly sir I need your opinion from your side

[@drrbkushwaha]

Uterine torsion is a very bad condition and should only detorted when the case is fresh. in a long standing case > 5 days only CS, though the survival rate decreases. 3-4 days old case i think you go for cs after proper discussion with owner and detortion is done after closure of uterus.

[@vangelispapachristos2599]

I can't imagine the difficulty and labor of this surgery! Since the holding power of the peritoneum snd muscle layer is minimal compared to fascia, why not suturing fascia only during abdominal wall closure?

[@drrbkushwaha]

As per textbook we can do that but in my personal experience it is always better if we suture peritoneum, muscle and external sheath all together as it gives more strength then sheath alone. Merely closure of sheath or fascia, underlying rectus abdominis muscle does not come together.
🙏🙏🙏

[@vangelispapachristos2599]

@drrbkushwaha thanks for your answer. My thought as a small animal vet is that if suture penentrates all 3 layers, then cheese wiring, i.e., the suture cutting the soft muscle and making suture loops loose and postoperative hernia possible.

[@eshtebahayezendegi2298]

Generally how many litr fluid /NS given iv during operation ? Dr shab

[@drrbkushwaha]

It depends on the condition but in india we give less amount than actual requirements. in this case we have given approximately 10 litres

[@eshtebahayezendegi2298]

@@drrbkushwaha Thank you for your valuable reply Sir

[@allenogric4526]

excellent, but I work in the paralumbar fossa with the application of paravertebral anesthesia in a standing position, I did this on Friday. Otherwise, when it's the season and when I work a night shift for a week, one, two or three cesarean sections are mandatory in one night, otherwise at night in the season I know have about 15 calls.

[@drrbkushwaha]

Sir
Left PLF under PVNB is good where C S is planned and foetus is live. But here, we never know the exact condition of the foetus particularly when the cervix is closed. This case was infected and putrified foetus inside, if i had performed via pLF this case, first very difficult to exteriorize the small uterus and all the dirty content would have been leaked inside the abdomen which eventually caused peritonitis. Paramedians are better in this regard though incision lines are always under tension but that could be avoided by proper suturing. i have too performed two case via PLF in TRP where we saved foetus though dam died after few days due to TRP.

[@murugana991]

Nice

[@drrbkushwaha]

@murugana991 thank u sir

[@bindassguy6095]

Next level sir❤

[@drrbkushwaha]

Thank you