Surgical repair of a congenital lateral abdominal wall hernia in a neonatal foal

A 16‐hour‐old Quarter Horse filly presented for evaluation of a soft mass in the right caudoventral lateral abdominal wall. Radiography and ultrasonography confirmed the presence of a nonreducible lateral abdominal wall hernia with small intestine located between the skin and body wall. The size of the defect itself could not be imaged and the filly was taken to surgery. A 4 cm vertical defect that appeared congenital was found in the transverse abdominal muscle and was repaired by primary apposition. This case report describes the repair and outcome of this unusual type of congenital hernia.     

产房仔猪阴囊疝快速手术操作细则

阴囊疝是产房仔公猪常见的一种外科疾病,患有阴囊疝的仔公猪生长缓慢,饲料报酬低,肉的品质差。因此,文章从生产实际出发,就产房患有阴囊疝仔公猪的诊断要点、手术流程、注意事项进行阐述,以期为一线兽医人员提供借鉴,对猪场生产管理者有所帮助。     

犊牛脐疝的诊断和治疗

[目的]探索犊牛脐疝的诊断与治疗方法。[方法]从临床特征、鉴别诊断、治疗措施等方面,总结出犊牛脐疝的诊断与治疗方法。[结果]犊牛脐疝的临床特征表现为局限性半球形肿胀;鉴别诊断较容易,但注意与脐部组织增生、淋巴外渗、蜂窝织炎、脓肿的区别;治疗措施可分为非手术疗法(保守疗法)和手术疗法。[结论]犊牛发生脐疝要及时治疗,该研究成果值得在兽医临床中推广应用。     

Single‐port laparoscopic incisional hernia repair in a horse

A 16‐year‐old Italian Saddle Horse gelding was referred for treatment of an incisional hernia that developed 7 months after a ventral midline laparotomy for treatment of acute abdominal pain. Physical examination revealed a hernia approximately 20 cm long and 15 cm wide on the ventral aspect of the abdomen. Ultrasonography revealed the dimensions of the hernia ring to be approximately 15 cm in length and 10 cm in width. A single‐port laparoscopic incisional hernia repair using an operating 0° laparoscope was performed with an appropriately sized (24 × 18 cm) piece of mesh fixed in place with simple interrupted transabdominal sutures. At 4 weeks post operatively, follow‐up physical examination and ultrasonography confirmed healing of the surgical site with no evidence of hernia recurrence. The same evaluation was done 6 months post operatively, and the horse returned to its previous level of activity 8 months post operatively. In horses, laparoscopic application of mesh should be considered among the treatment options for incisional hernia. In the present case, this technique was performed with a single port using an operative laparoscope, in contrast to the multiportal techniques reported previously. The case presented here demonstrates that single‐port laparoscopic herniorrhaphy is feasible, and allows proper placement of an expanded polytetrafluoroethylene intraperitoneal mesh in horses     

创伤性膈疝21例临床诊治分析

目的探讨创伤性膈疝的诊断治疗方法及经验教训,方法对1992年至2008年间吉林中西医结合医院收治的21例创伤性膈疝患者进行回顾性分析,结果21例中18例治愈;1例死于复合伤过重;4例延迟诊治,其中2例死——结论医生应提高对膈疝的认识,一经确诊应及时手术．     

Abdominal wall herniation in working Moroccan equids: 14 cases (2016–2017)

Hernia of the abdominal musculature was seen in 14 working equids (1% of total admissions) during the 14-month period between October 2016 and December 2017. Animals with hernias of less than 2 months’ duration (six animals) were treated conservatively with compressive abdominal bandaging whereas those with hernias of more than 2 months’ duration (five animals) were treated surgically with a primary closure of the defect. Surgical repair was not possible in three individuals due to the large size of the defect, location and lack of availability of prosthetic mesh. Of the 11 equidae treated, all showed complete resolution of the hernia by the time of discharge, and follow-up with owners, between 5 and 16 months post-treatment, revealed that no recurrence of the ruptures.     

脑疝后脑梗死的危险因素分析

目的探讨脑疝后脑梗死发生的危险因素。方法脑疝患者109例,其中发生脑梗死18例,收集这些患者的临床和影像学资料,分析脑疝后脑梗死发生的危险因素。结果糖尿病史、外伤所致脑疝及脑疝时大脑脚池、环池受压明显者脑疝后脑梗死发生率高于阴性患者(P<0.01或0.05)。结论糖尿病史、外伤所致脑疝及脑疝时大脑脚池、环池受压明显是脑疝后脑梗死的危险因素。     

Direct preputial hernia associated with a ventral abdominal wall defect in a two‐year‐old gelding

The case of a 2‐year‐old gelding with acute onset of preputial swelling and prolapse is presented. After initiating conservative management using a penile repulsion device, the horse repeatedly displayed signs of mild abdominal discomfort with sudden deterioration to an episode of violent colic after 5 days of hospitalisation. Ultrasonographic examination of the preputial swelling at that time demonstrated the presence of small intestine between the internal and external laminae of the prepuce and led to the diagnosis of a direct preputial hernia. The contents of the hernia were readily reduced through a defect in the ventral abdominal wall after the anaesthetised horse was placed in dorsal recumbency. The historical information, clinical progression and surgical findings were supportive of an acquired ventral abdominal wall defect. To the authors' knowledge, this is the first reported case of a direct preputial hernia associated with an acquired ventral abdominal wall defect.