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Peer-reviewed veterinary case report

Laparoscopic repair of scrotal hernia in two foals.

Journal:
Veterinary surgery : VS
Year:
1996
Authors:
Klohnen, A & Wilson, D G
Affiliation:
Department of Surgical Sciences · United States
Species:
horse

Plain-English summary

Two 4-week-old Percheron foals had nonstrangulating indirect scrotal hernias, which means their intestines were pushed into the scrotum but not trapped. The veterinarians used a minimally invasive laparoscopic technique to fix the hernias, carefully moving the intestines back into place and securing the testicles. They also used electrocautery to cut some tissue and ligated (tied off) the blood vessels and nerves to the testicles before closing the opening in the groin with staples. One foal also had a small surgery to remove leftover tissue from its umbilical cord. After 16 weeks, both foals showed no complications or signs of the hernia returning.

Abstract

Nonstrangulating indirect scrotal hernias were corrected in two 4-week-old Percheron foals by a laparoscopic technique. After laparoscopic reduction of herniated nonstrangulated small intestine each testes was retracted through the vaginal ring. The ligament of the tail of the epididymis was transected by electrocautery. The testicular vessels and nerves were isolated by cautery of the mesenteric portion of the mesorchium and then ligated. Staples were used to close the opening of the inguinal canal by apposing the peritoneal edges of the vaginal ring. Resection of umbilical stalk remnants via celiotomy performed in one foal after laparoscopic observation of enlargement of the right umbilical artery and urachus. No complications or recurrence of herniation had occurred 16 weeks after surgery.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/8879113/