TraumaticVentral Herniation in Foals as a Complication of Dystocia

نویسندگان

  • Stefan Witte
  • Dwayne Rodgerson
  • Michael Spirito
چکیده

dominal wall, known as ventral hernias, often result from previous surgery (e.g., ventral midline celiotomy, umbilical herniorrhaphy) or from trauma.1–7 Although acute dehiscence after abdominal surgery or intestinal incarceration requires immediate surgical attention, ventral hernias tend to develop slowly in most affected horses, and 2 to 3 months are usually allowed to elapse before surgical correction of the condition is attempted.1,8 This delay allows fibrous tissue to form at the hernial ring, thereby increasing the likelihood that closure will be successful.9 In patients with acute dehiscence after abdominal surgery or intestinal incarceration, suture herniorrhaphy is possible only when there is minimal tension on the suture line.5 Placement of synthetic mesh may be necessary to augment and strengthen the repair,10 which may be guided by laparoscopy.11 “Closed” trauma–induced herniation is most common secondary to kicking, jumping, straining associated with parturition, hydrallantois, or excessive edema of the ventral abdomen.1,7,9 If immediate intervention is not necessary, surgical correction is delayed for months. In contrast, herniation in foals is generally congenital, with the most commonly affected sites being the inguinal canal and the umbilicus.

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تاریخ انتشار 2008