Can a veterinarian cut the skin open?
Because of the inner pressure it also is nearly impossible to help with a caesarean section at an elephant´s birth. The entrails would flow out and could hardly be pushed back into the abdomen. What can be done is a perineal section between anus and vagina, but this operation is very risky as well and is used only in the most extreme case to save the elephant mother´s life. For example, the cut cannot be sewed up using threads, but has to be fixed with wire.