ARTIGO ACESSO ABERTO
Acessos abdominais e cirurgias do trato digestivo de bovinos
Paulo José Bastos Queiroz, Antônio Carlos Lopes Câmara e Antônio Dionísio Feitosa Noronha Filho
Vol.2, Número 1, 2025


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Doi:10.70061/2763-955X.2025.010
Resumo

As doenças do sistema gastrointestinal representam a principal causa de atendimentos clínico-cirúrgicos em bovinos. Em muitos casos, o tratamento clínico não apresenta resultados satisfatórios, tornando necessária a intervenção cirúrgica. Ademais, a exploração cirúrgica do abdômen é frequentemente requerida em situações em que o diagnóstico não pôde ser confirmado por exame clínico e exames complementares. Portanto, é fundamental que o profissional buiatra tenha profundo conhecimento da anatomia e das técnicas cirúrgicas para tratamento das afecções do sistema gastrointestinal dos bovinos, que incluem principalmente a rumenotomia, as técnicas de correção de deslocamento de abomaso e, com menor frequência, as cirurgias intestinais. Esta revisão de literatura tem por objetivo descrever os acessos cirúrgicos à cavidade abdominal dos bovinos e as principais cirurgias realizadas nos órgãos do trato digestivo ali localizados (rúmen-retículo, abomaso e intestinos).

Palavras-chave: deslocamento de abomaso, dilatação de ceco, rumenostomia, rumenotomia, sistema digestivo.


Abstract

Gastrointestinal system diseases are the primary cause of clinical-surgical problems in cattle. Clinical treatment often does not show satisfactory results, requiring surgical intervention. Moreover, abdominal surgical exploration is frequently required when the diagnosis cannot be confirmed through clinical examination and complementary tests. Therefore, it is essential for bovine practitioners to deeply understand the anatomy and surgical techniques for treating gastrointestinal disorders in cattle. These techniques primarily include rumenotomy, surgeries to correct abomasum displacement, and, less frequently, intestinal surgeries. This literature review aims to describe the surgical approaches to the abdominal cavity of cattle and the main surgeries performed on the digestive tract organs located therein, specifically the rumen-reticulum, abomasum, and intestines.

Keywords: abomasum displacement, cecal dilation, rumenostomy, rumenotomy, digestive system.



1. SOARES, G.S.L. et al. Digestive diseases of cattle diagnosed at the “Clínica de Bovinos de Garanhuns” - UFRPE: retrospective study and influence of seasonality. Pesquisa Veterinária Brasileira, v.41, p.1-13, 2021.
2. MARQUES, A.L.A. et al. Enfermidades do sistema digestório de bovinos da região semiárida do Brasil. Pesquisa Veterinária Brasileira, v.38, n.3, p.407-416, 2018.
3. SHARMA, A.K. et al. Epidemiological studies on forestomach disorders in cattle and buffaloes. Veterinary World, v.8, n.9, p.1063-1067, 2015.
4. OLIVEIRA, M.C. et al. Enfermidades de bovinos e ovinos diagnosticadas no Estado do Tocantins. Acta Scientiae Veterinariae, v.47, n.1676, p.1-8, 2019.
5. RIET-CORREA, F. et al. Doenças de Ruminantes e Equídeos. 4ªed. São Paulo: MedVet, 2023. 1636p.
6. RIZZO, H. et al. Uso do ultrassom em bovinos com enfermidades gástricas. Ciência Animal, v.23, n.2, p.58-76, 2013.
7. SILVA, J.R.B. et al. Ultrasound with laparoscopy for the diagnosis of abdominal disorders in cattle. Pesquisa Veterinária Brasileira, v.41. p.1-7, 2021.
8. SILVA, T.V. et al. Clinical, laboratory, ultrasonographic, and anatomopathological aspects of 30 cases of traumatic reticulosplenitis in cattle. Pesquisa Veterinária Brasileira, v.40, n.9, p.669-676, 2020.
9. KÖNING, H.E.; LIEBICH, H.G. Veterinary Anatomy of Domestic Mammals: Textbook and Colour Atlas. 7ªed. Stuttgart: Tieme, 2020. 859p.
10. FUBINI, S.L.; DUCHARME, N. Farm Animal Surgery. 2aed. St. Louis: Elsevier, 2017. 662p.
11. ASHDOWN, R.R. et al. Color Atlas of Veterinary Anatomy: The Ruminants. 2ªed. v.1. London: Mosby Elsevier, 2010. 260p.
12. LOZIER, J.W.; NIEHAUS, A.J. Surgery of the forestomach. Veterinary Clinics of North America: Food Animal Practice, v.32, n.3, p.617-628, 2016.
13. BAIRD A.N. Bovine gastrointestinal surgery. In: HENDRICKSON, D.A., BAIRD, A.N. Turner and McIlwraiths’s Techniques in Large Animal Surgery. 4aed. Ames: Wiley Blackwell, 2013. p.211-235.
14. HABEL, R.E.; ST. CLAIR, L.E. Sistema digestivo do ruminante. In: GETTY, R. Sisson e Grossman: Anatomia dos Animais Domésticos. 5.ed. Rio de Janeiro: Interamericana, 1981. v.1, p. 807-858.
15. BUDRAS, K.D.; HABEL, R.E. Bovine Anatomy. 2ªed. Hannover: Schlütersche, 2011. 185p.
16. FRANDSON, R.D. et al. Anatomy and Physiology of Farm Animals. 7aed. Ames: Wiley-Blackwell, 2009. 528p.
17. TAZIMA, M.F.G.S. et al. Laparotomia. Medicina, v.44, n.1, p.33-38, 2011.
18. WEAVER, A.D. et al. Abdominal surgery. In: WEAVER, A.D. Bovine Surgery and Lameness. 2ªed. Ames: Blackwell Publishing, 2004. p.75-139.
19. SILVA, J.A. et al. Anestesia em ruminantes. Revista Brasileira de Buiatria, v.3, n.2, p.39-77, 2021.
20. MAMA K. Anesthesia and fluid therapy. In: HENDRICKSON, D.A., BAIRD, A.N. Turner and McIlwraith’s Techniques in Large Animal Surgery. 4aed. Ames: Wiley Blackwell, 2013. p.7-31.
21. EDMONDSON, M.A. Local, regional, and spinal anesthesia in ruminants. Veterinary Clinics of North America Food Animal Practice, v.32, n.3, p.535-552, 2016.
22. BOUREL, C. et al. Comparison of two surgical site protocols for cattle in a field setting. Veterinary Surgery, v.42, n.2, p.223-228, 2013.
23. PARISH, S.M. et al. Left oblique celiotomy approach for cesarean section in standing cows. Journal of the American Veterinary Medical Association, v.15, n.207, p.751-752, 1995.
24. NEWMAN, K.D.; ANDERSON, D.E. Cesarean section in cows. Veterinary Clinics of North America: Food Animal Practice, v.21, n.1, p.73-100, 2005.
25. VERMUNT, J.J. The caesarean operation in cattle: a review. Iranian Journal of Veterinary Surgery, Supl. 2º ISVS e 7º ISVSAR, p.82-100, 2008.
26. HENDRICKSON, D.A. Equine dental and gastrointestinal surgery. In: HENDRICKSON, D.A., BAIRD, A.N. Turner and McIlwraith’s Techniques in Large Animal Surgery. 4aed. Ames: Wiley Blackwell, 2013. p.191-233.
27. SCHULTZ, L.G. et al. Surgical approaches for cesarean section in cattle. The Canadian Veterinary Journal, v.49, n.6, p.565-568, 2008.
28. QUEIROZ, P.J.B. et al. Cesariana. In: QUEIROZ, A.K.L. et al. Principais Intervenções Cirúrgicas do Aparelho Reprodutor de Fêmeas Bovinas. Goiânia: Editora Espaço Acadêmico, 2019. p.97-110.
29. ADUGNA, S.A. et al. Review on a cesarean section in the cow: its incision approaches, relative advantage, and disadvantages, Veterinary Medice and Science. v.8, n.4, p.1626-1631, 2022.
30. HARTNACK, A.K. et al. Indications for and factors relating to outcome after rumenotomy or rumenostomy in cattle: 95 cases (1999–2011). Journal of the American Veterinary Medical Association, v.247, n.6, p.659-664, 2015.
31. BRAUN, U. et al. Treatment of 503 cattle with traumatic reticuloperitonitis. Acta Veterinaria Scandinavica, v.60, n.55, p.1-8, 2018.
32. NIEHAUS, A.J. Rumenotomy. Veterinary Clinics of North America: Food Animal Practice, v.24, n.2, p.341-347, 2008.
33. DEHGHANI, S.N.; GHADRDANI, A.M. Bovine rumenotomy: comparison of four surgical techniques. The Canadian Veterinary Journal, v.36, n.11, p.693-697, 1995.
34. MIESNER, M.D. REPPERT, E.J. Diagnosis and treatment of hardware disease. Veterinary Clinics of North America: Food Animal Practice, v.33, n.3, p.513-523, 2017.
35. HAVEN, M.L. et al. Effects of antibiotic prophylaxis on postoperative complications after rumenotomy in cattle. Journal of the American Veterinary Medical Association, v.200, n.9, p.1332-1335, 1992.
36. SILVA, L.A.F. et al. Rumenotomia em bovinos: uso da paramentação e de oxitetraciclina parenteral na profilaxia de complicações pós-operatórias. Ciência Rural, v.35, n.3, p.611-617, 2005.
37. CALLAN, R.J.; APPLEGATE, T.J. Temporary rumenostomy for the treatment of forestomach diseases and enteral nutrition. Veterinary Clinics of North America: Food Animal Practice, v.33, n.3, p.525-537, 2017.
38. CHIGERWE, M. et al. Enteral feeding of 3 mature cows by rumenostomy. Journal of Veterinary Internal Medice, v.19, n.5, p.779-781, 2005.
39. FERREIRA, L.V.O. et al. Vagal indigestion in mini-cattle. Pesquisa Veterinária Brasileira, v.43, p.1-7, 2023.
40. RIZZO, H. et al. Indigestão vagal em mini-bovinos no estado de Pernambuco. Ciência Veterinária nos Trópicos, v.18, n.2, p.121-124, 2015.
41. CASTILLO, C.; HERNÁNDEZ, J. Ruminal fistulation and cannulation: a necessary procedure for the advancement of biotechnological research in ruminants. Animals, v.11, n.1870, p.1-13, 2021.
42. LAFLIN, S.L.; GNAD, D.P. Rumen cannulation: procedure and use of a cannulated bovine. Veterinary Clinics of North America: Food Animal Practice, v.24, n.2, p.335-340, 2008.
43. MUZZI, L.A.L. et al. Técnica de fistulação e canulação do rúmen em bovinos e ovinos. Ciência e Agrotecnologia, v.33. Edição Especial, p.2059-2064, 2009.
44. MARTINEAU, R. et al. Two-stage rumen cannulation technique in dairy cows. Veterinary Surgery, v.44, n.5, p.551-556, 2015.
45. SCHRAMM, H.H. et al. Influence of two rumen cannulation techniques on postoperative recovery in sheep. Veterinary Surgery, v.50, n.2, p.312-322, 2021.
46. TEIXEIRA, P. et al. Two-stage rumenostomy in buffaloes. Acta Scientiae Veterinariae, v.42 n.1210, p.1-5, 2014.
47. SANTOS, G.M.A. et al. Minimally invasive video-assisted rumenostomy in sheep. Small Ruminant Research, v.167, n.1, p.78-81, 2018.
48. SANTOS, G.M.A. et al. Percutaneous ruminostomy guided by rumenoscopy: study in an experimental model in bovine fetus. BMC Veterinary Research, v.18, n.41, p.1-6, 2022.
49. CÂMARA, A.C.L. et al. Fatores de risco, achados clínicos, laboratoriais e avaliação terapêutica em 36 bovinos com deslocamento de abomaso. Pesquisa Veterinária Brasileira, v.30, n.5, p.453-464, 2010.
50. GONZÁLEZ-MARTÍN, J.V. et al. An investigation into the development of right displaced abomasum by rolling 268 dairy cows with left displaced abomasum. Journal of Dairy Science, v.102, n.12, p.11268-11279, 2019.
51. HULL, B.C. Closed suturing technique for correction of left abomasal displacement. Iowa State University Veterinarian: Digital Repository, v.34, n.3, p.142-144,1972.
52. GRYMER, J.; STERNER, K.E. Percutaneous fixation of left displaced abomasum using a bar suture. Journal of the American Veterinary Medical Association, v.180, n.12, p.1458-1562, 1982.
53. NEWMAN, K.D. et al. Minimally invasive field abomasopexy techniques for correction and fixation of left displacement of the abomasum in dairy cows. Veterinary Clinics of North America: Food Animal Practice, v.24, n.2, p.359-382, 2008.
54. GRYMER, J.; STERNER, K.E. Grymer/Sterner toggle suture: repair of left displaced abomasum (LDA) in the bovine. 2007.
55. KELTON, D.F.; FUBINI, S.L. Pyloric obstruction after toggle pin fixation of left displaced abomasum in a cow. Journal of the American Veterinary Medical Association, v.194, n.5, p.677-678, 1989.
56. JANOWITZ, H. Laparoskopische reposition und fixation des nach links verlagerten labmagens beim rind. Tierärztl Prax, v.26, p.308-313, 1998.
57. NEWMAN, K.D. et al. One-step laparoscopic abomasopexy for correction of left-sided displacement in dairy cows. Journal of the American Veterinary Medical Association, v.227, n.7, p.1142-1147, 2005.
58. GIESTEIRA, A.M. et al. One-step laparoscopy-guided abomasopexy versus omentopexy via right flank laparotomy to treat left displaced abomasum in dairy cows in relation to return of milk yield. The Veterinary Journal, v.296-297, n.105991, p.1-8, 2023.
59. PEROTTA, J.H. et al. One-step laparoscopic abomasopexy versus abomasopexy via right paralumbar fossa to treat left abomasal displacement in dairy cows. Pesquisa Veterinária Brasileira, v.38, n.6, p.1068-1076, 2018.
60. ISO, H. et al. One-step laparoscopic abomasopexy for left displacements of the abomasum in pregnant cattle: a retrospective study. Animals, v.12, n.3264, p.1-8, 2022.
61. CHRISTIANSEN, K. Laparosckopisch kontrollierte operation des nach links verlagerten Labmagens (Janowitz-operation) ohn ablegen des patienten. Tierärztl Praxis, v.32, n.2, p.118-121, 2004.
62. BABKINE, M. et al. Ventral laparoscopic abomasopexy on adult cows. The Canadian Veterinary Journal, v.47, n.4, p.343-348, 2006.
63. MULON, P.Y. et al. Ventral laparoscopic abomasopexy in 18 cattle with displaced abomasum. Veterinary Surgery, v.35, n.4, p.347-355, 2006.
64. NIEHAUS, A.J. Surgical management of abomasal disease. Veterinary Clinics of North America: Food Animal Practice, v.32, n.3, p.629-644, 2016.
65. NICHOLS, S.; FECTEAU, G. Surgical management of abomasal and small intestinal disease. Veterinary Clinics of North America: Food Animal Practice, v.34, n.1, p.55-81, 2018.
66. TSUKANO, K. et al. Retrospective study on the outcomes and risk factors of right paramedian abomasopexy for right abomasal disorders in 47 dairy cows. The Journal of Veterinary Medical Science, v.83, n.10, p.1521-1525, 2021.
67. DIRKSEN, G. et al. Medicina Interna y Cirugía del Bovino. 4ªed. v.1, Buenos Aires: Intermédica, 1993. 427p.
68. ROHN, M. et al. Survival of dairy cows after surgery to correct abomasal displacement: 1. Clinical and laboratory parameters and overall survival. Journal of Veterinary Medicines Series A, v.51, n.6, p.294-299, 2004.
69. PROIOS, I.; GRÜNBERG, W. Preoperative and surgical predictors of the treatment outcome of dairy cows with right abomasal displacement - a retrospective study of 234 cases. Animals, v.13, n.2887, p.1-14, 2023.
70. FUBINI, S.L. et al. Right displacement of the abomasum and abomasal volvulus in dairy cows: 458 cases (1980 - 1987). Journal of the American Veterinary Medical Association, v.198, n.3, p.460-464,1991.
71. BORGES, J.R.J. et al. Compactação de abomaso em bovinos leiteiros: descrição de cinco casos. Ciência Animal Brasileira, v.8, n.4, p.859-864, 2007.
72. CÂMARA, A.C.L. et al. Compactação primária do abomaso em 14 bovinos no Estado de Pernambuco. Pesquisa Veterinária Brasileira, v.29, n.5, p.387-394, 2009.
73. HELAYEL, M.A. et al. Compactação ruminoabomasal pela ingestão de caule de bananeira (Musa sp.) em bovinos: relato de dois casos. Revista Brasileira de Ciência Veterinária, v.19, n.3, p.127-132, 2012.
74. MESQUITA, L.P. et al. Surto de compactação primária de abomaso em bovinos leiteiros associado ao consumo de silagem de girassol. Pesquisa Veterinária Brasileira, v.32, n.6, p.510-514, 2012.
75. SARMENTO, N.M.F.P. et al. Digestive disorders associated with the consumption of palm fiber (Elaeis guineensis) in feedlot cattle. Pesquisa Veterinária Brasileira, v.41, p.1-5, 2021.
76. WITTEK, T. et al. Abomasal impaction in Holstein-Friesian cows: 80 cases (1980-2003). Journal of the American Veterinary Medice Association, v.227, n.2, p.287-291, 2005.
77. ANDERSON, D.E. Surgical diseases of the small intestine. Veterinary Clinics of North America: Food Animal Practice, v.24, n.2, p.382-401, 2008.
78. UBIALI, D.G. et al. Obstrução intestinal em bovinos associada ao consumo de Stylosanthes sp. (Fabaceae Papilionoideae). Pesquisa Veterinária Brasileira, v.33, n.2, p.148-154, 2013.
79. VOGEL, S.R. et al. Duodenal obstruction caused by duodenal sigmoid flexure volvulus in dairy cattle: 29 cases (2006–2010). Journal of the American Veterinary Medical Association, v.241, n.5, p.621-625, 2012.
80. BOERBOOM, D. et al. Duodenal obstruction caused by malposition of the gallbladder in a heifer. Journal of the American Veterinary Medical Association, v.223, n.10, p.1475-1477, 2003.
81. JONGE, B.D. et al. Hemorrhagic bowel syndrome in dairy cattle: gross, histological, and microbiological characterization. Veterinary Pathology, v.60, n.2, p.235-244, 2023.
82. PEEK, S.F. et al. Surgical finding and outcome for dairy cattle with jejunal hemorrhage syndrome: 31 cases (2000-2007). Journal of the American Veterinary Medical Association, v.234, n.10, p.1308-1312, 2009.
83. BRAUN, U. et al. Clinical findings and treatment in 63 cows with haemorrhagic bowel syndrome. Schweizer Archiv fur Tierheilkunde, v.152, n.11, p.515-522, 2010.
84. ZANELATTO, G.O. et al. Síndrome do jejuno hemorrágico em bovinos: estudo retrospectivo (2013-2020). Boletim de Diagnóstico Laboratório de Patologia Veterinária, v.3, n.1, p.89-98, 2022.
85. CONCEIÇÃO, A.I. et al. Síndrome do jejuno hemorrágico em bovinos no estado de Pernambuco: relato de dois casos. Medicina Veterinária (UFRPE), v.15, n,2. p.88-93, 2021.
86. PIRES, O.S. et al. Jejunal hemorrhage syndrome in a Zebu cow in Brazil. Ciência Rural, v.45, n.8, p.1476-1479, 2015.
87. RUF-RITZ, J. et al. Internal herniation of the small and large intestines in 18 cattle. The Veterinary Journal, v.197, n.2, p.374-377, 2013.
88. BRAUN, U. et al. A retrospective review of small intestinal intussusception in 126 cattle in Switzerland. Veterinary Record Open, v.10, n.1, p.1-11, 2023.
89. SILVA-FILHO, A.P. et al. Análise clínica e patológica em 20 casos de intussuscepção em bovinos. Veterinária e Zootecnia, v.17, n.3, p.421-430, 2010.
90. BRAUN, U. et al. Small intestinal volvulus in 47 cows. The Canadian Veterinary Journal, v.65, n.3, p.267-277, 2024.
91. BRAUN, U. et al. Small intestinal strangulation in 60 cattle - clinical, laboratory and ultrasonographic findings, treatment and outcome. BMC Veterinary Research, v.19, n.233, p.1-16, 2023.
92. BRAUN, U. et al. Dilated small and large intestines combined with a severely abnormal demeanor are characteristic of mesenteric torsion in cattle. Journal of the American Veterinary Medical Association, v.261, n.10, p.1531-1158, 2023.
93. NUSS, K. et al. Ileal impaction in 22 cows. The Veterinary Journal, v.171, n.3, p.456-461, 2006.
94. AFONSO, J.A.B. et al. Alterações clínicas e laboratoriais na obstrução gastrintestinal por fitobezoários em bovinos. Revista Brasileira de Saúde e Produção Animal, v.9, n.1, p.91-102, 2008.
95. NASCIMENTO, E.M. et al. Compactação ruminal e obstrução intestinal em bovinos, associadas ao consumo de Agave sisalana Perrine (Agavaceae). Pesquisa Veterinária Brasileira, v.36, n.8, p.719-723, 2016.
96. ABUTARSH, S.M.; RADOSTITIS, O.M. Obstruction of the small intestine caused by a hairball in 2 young beef calves. The Canadian Veterinary Journal, v.45, n.4, p.324-325, 2004.
97. BRAUN, U. et al. Duodenal ileus caused by a calf feeding nipple in a cow. BMC Veterinary Research, v.7, n.2, p.1-4, 2011.
98. MILNES, E.L.; MCLACHLAN, A. Surgical management of small intestinal intussusception associated with jejunal adenocarcinoma in a dairy cow. New Zealand Veterinary Journal, v.63, n.5, p.288-290, 2015.
99. SILVA-FILHO, A.P. et al. Obstrução intestinal por linfossarcoma em bovinos: estudo retrospectivo, Veterinária e Zootecnia, v.18, n.2, p.264-274, 2011.
100. CÂMARA, A.C.L. et al. Intestinal obstruction caused by neoplasms in two cows. Ciência Rural, v.46, n.7, p.1252-1255, 2016.
101. SILVA, R.J. et al. Dilatação do ceco em bezerros: relato de casos. Revista Brasileira de Ciência Veterinária, v.21, n.2, p.76-81, 2014.
102. BRAUN, U. et al. Clinical findings and treatment in cattle with caecal dilatation. BMC Veterinary Research, v.8, n.75, p.1-9, 2012.
103. WATERLOO, M.M.L. et al. Dilatação e torção de ceco associada à obstrução por fitobezoar em bezerra. Acta Scientiae Veteriariae, v.48, Supl.1, p.1-6, 2020.
104. CONCEIÇÃO, A.I. et al. Cecocolic intussusception and cecal torsion in cattle. Acta Veterinaria Brasilica, v.15, n.4, p.287-291, 2021.
105. MEYLAN, M. Surgery of the bovine large intestine. Veterinary Clinics of North America: Food Animal Practice, v.24, n.3, p.479-496, 2008.
106. DESROCHERS; A. ST-JEAN, G. Cecal impaction in a cow. The Canadian Veterinary Journal, v.36, n.7, p.430-431, 1995.
107. SINGH, G. et al. Differential diagnosis and surgical management of cecal dilatation vis-a-vis cecal impaction in bovine. Veterinary World, v.11, n.9, p.1244-1249, 2018.
108. BRAUN, U. et al. Torsion of the spiral colon in cattle - a retrospective analysis of 58 cases. Acta Veterinaria Scandinavica, v.66, n.1, p.1-13, 2024.