TOGGLE SUTURES

The Grymer/Stener toggle suture from Jorvet plays an important role in left displaced abomasum (LDA) repair of appropriately selected cows. The main advantage of this toggle suture LDA repair method over the blind stitch method is that it allows the surgeon to accurately identify that the abomasum has been correctly stabilized by using anatomical landmarks, and by testing the pH of the abomasum. It employs the speed and minimal invasiveness of the blind stitch method, coupled with the accuracy and effectiveness of the full laparotomy.