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1.
The following case report documents the clinical presentation, ultrasonographic appearance, surgical management and outcome of a horse with a traumatic tear extending from the superficial and deep inguinal rings, across the aponeurosis of the external abdominal oblique muscle and inguinal ligament, disrupting the femoral ring, vascular lacuna and peritoneum. This subsequently resulted in fluid accumulation within the femoral canal. This unusual injury and presentation gives rise to discussion of the aetiology and nomenclature that should be used to properly describe this injury.  相似文献   
2.
A 9-year-old multiparous Thoroughbred broodmare presented for evaluation of acute signs of colic. The patient had a 4-month history of poor appetite, weight loss, and decreased body condition after parturition, despite appropriate feeding by the farm to minimize weight loss associated with increased nutrient requirements. The patient was diagnosed with a diaphragmatic hernia through transabdominal and thoracic ultrasonography. The diaphragmatic hernia was repaired surgically under general anesthesia.  相似文献   
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【目的】通过基于单倍型的病例-对照全基因组关联分析(GWAS)鉴别白色杜洛克×二花脸F2资源家系中影响猪阴囊疝的易感位点及位置功能候选基因,并在远缘纯种猪阴囊疝三联体核心家系(Trio)群体中进行重复验证。【方法】利用Illumina porcine 60K SNP芯片对1 020头白色杜洛克×二花脸F2资源家系阴囊疝群体(包含19个阴囊疝患病个体)进行扫描获取基因型。通过Plink v1.07软件对基因型数据进行质量控制;剔除个体基因型检出率< 90%的个体,剔除SNP位点检出率< 90%、哈迪温伯格平衡卡方检验P≤10-3和最小等位基因频率< 0.05及性染色体上和无法定位的SNP位点。质控合格的SNP位点用PHASEBOOK构建出F2资源家系中每个个体的单倍型,并采用隐马尔可夫模型将其归类到数目预先定义的祖先单倍型中。使用基于广义线性混合模型的GLASCOW软件进行利用祖先单倍型的病例-对照全基因组关联分析。采用保守的Bonferroni校正方法得到基因组显著水平和染色体显著水平的阈值。对F2资源家系中达到染色体显著水平的易感SNP位点在包含237个患病个体的远缘纯种猪阴囊疝三联体核心家系(Trio)群体中进行同样的质控,并利用Haploview软件对质控合格的SNP位点分别展开基于单点和基于单倍型的传递不平衡分析(TDT),进行重复验证。【结果】白色杜洛克×二花脸F2资源家系中全部个体的38 033个SNP标记通过质控。在GWAS分析中,共发现108个达染色体显著水平(P<2.63×10-5)的猪阴囊疝关联SNP位点,分别位于染色体2、8和17上,最强相关的SNP位点位于17号染色体上。在远缘三联体核心家系群中,724个个体的96个SNP位点通过质控。对质控合格的SNP位点进行基于单点的TDT分析,结果发现5个显著相关的SNP位点得到重复验证(P<0.05),其中2号染色体上有1个SNP位点和17号染色体上有4个SNP位点,分别位于IQGAP2,CHMP4B,SERINC3,ZNF334 等4个基因内或其上下游。基于单倍型的TDT验证分析发现两个易感单倍型框,其中与基于单点TDT验证分析有重合的仅有SSC17上CHMP4B内及下游的两个易感位点。结合疝气发生机制及TDT分析结果,推测IQGAP2和CHMP4B可能是影响猪阴囊疝发生的两个重要的位置功能候选基因。【结论】本研究利用基于小样本的GWAS分析和较大样本群验证分析,在SSC2和SSC17上分别鉴别1个和4个阴囊疝易感位点,在SSC17上鉴别到两个易感单倍型。易感位点附近的2个基因IQGAP2和CHMP4B可能是影响猪阴囊疝发生的位置功能候选基因,值得进一步研究。  相似文献   
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5.
Hepatic myelolipoma incarcerated in a peritoneopericardial diaphragmatic hernia was diagnosed in an 11-year-old, desexed female Persian cat. The cat was initially referred for investigation of tachypnoea and dyspnoea. Peritoneopericardial diaphragmatic hernia is a common incidental finding in cats and is usually asymptomatic. Myelolipoma is an extremely rare benign tumour, composed of extramedullary haematopoietic cells and adipose tissue. Myelolipomas are hypothesised to result from metaplastic alteration, rather than a neoplastic process, although this theory cannot be substantiated. The present case is only the fourth report of such an unusual occurrence in cats and displays significant differences to previous reports. Hepatic entrapment and burgeoning of the mass within the pericardial sac resulted in cardiac tamponade and overt signs of right-sided cardiac failure. Surgical intervention was successful and despite concerns regarding the cat's clinical presentation and the gross appearance of the lesion(s), a good long-term outcome is anticipated.  相似文献   
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7.
The objective of this retrospective study is to describe a surgical technique to correct large, recurrent, incisional hernias in horses using a polypropylene mesh. The study sample included 15 horses with large hernias (range, 16−43 cm in length) developed after failure of previous abdominal closure. A double-layer polypropylene mesh was inserted between the internal rectus abdominis muscle sheath and peritoneum. Wound healing was assessed using clinical and ultrasonographic examinations. During a follow-up period of 6 months, no major complications related to the surgical procedure were observed. Subfascial retroperitoneal insertion of a double-layer polypropylene mesh is a valuable treatment option in cases of large and complicated incisional hernias in horses.  相似文献   
8.
会阴疝是老年犬临床常见病,手术是唯一的修复办法。目前常用的修复手术采用俯卧保定,手术难度大,一般一次只能修复一侧疝孔,术后容易复发。作者介绍了一种创新的术式:通过修复前进行结肠、膀胱腹腔固定术,极大地减小了复杂会阴疝修复手术的难度和术后复发的可能性;通过两后肢向前保定的仰卧保定术式,可以一次性修复双侧会阴疝。  相似文献   
9.
Congenital sliding, oesophageal or type I hiatal hernia was diagnosed in a five-month-old pug puppy presented for evaluation of dyspnoea post feeding. The diagnosis was confirmed using plain film radiography. Surgical reduction of the hernia followed by plication of the oesophageal hiatus, oesophagopexy and left flank gastropexy permitted restoration of normal function. At 12 months of age, the dog was asymptomatic. This article describes the diagnosis and treatment of a congenital type 1 oesophageal hiatal herniation with unusual clinical presentation.  相似文献   
10.
OBJECTIVE: To evaluate the effectiveness of a herniorrhaphy technique, using an autogenous fascia lata graft (FLG) for perineal hernia (PH) repair in dogs. STUDY DESIGN: Prospective clinical study. ANIMALS: Twelve dogs with PH. METHOD: PHs were repaired with FLG harvested from the dog's ipsilateral thigh and sutured directly into the perineal defect. Correction of associated conditions, and castration were performed. Surgical time, pain, inflammation, pattern of defecation, lameness, hospitalization time, postoperative complications, and owner satisfaction were recorded. Histopathologic examination was performed in 1 dog euthanatized 10 months after repair. RESULTS: Hernia did not recur (mean follow-up, 5.8 months). Lameness was the most frequent minor complication, and was resolved within a few days. Transient rectal prolapse occurred in 2 dogs with bilateral PH. The mean (+/-SD) hospitalization was 1.8+/-0.9 days, and the surgical time was 76.5+/-9.8 minutes. Histopathologic examination in 1 dog revealed perfect integration of FLG into adjacent tissues without substantial tissue reaction. CONCLUSIONS: FLG reconstruction of PH is a simple, effective method of treatment. CLINICAL RELEVANCE: FLG can be used without major complications for primary repair of PH, as an augmentation procedure when the internal obturator muscle is thin or friable, or when herniation has recurred after another repair technique.  相似文献   
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