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Dharmaceelan Saravanamuthu
Tamil Nadu Veterinary and Animal Sciences University
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Fig 1: Congenital Lateral Hernia in a Pup Fig 2: Hernial defect along with Hepato - enterocele
that develop sometime after the dog is born. for 6 and 3 hours respectively. The puppy was
Acquired hernias typically are caused by some sedated using Xylazine Hydrochloride @1mg/kg
sort of blunt traumatic injury, such as exposure bwt i.m. General anaesthesia was induced with
to automobile accidents (Shaw, 2003). Lateral Ketamine Hydrochloride @ 5mg/kg and Diaze-
abdominal hernias may involve abdominal wall pam @ 0.5 mg/kg bwt intravenously. Anaesthesia
anywhere other than the umbilicus, inguinal was maintained with inhalant anaesthesia using
ring, femoral canal or scrotum (Fossum, 2002). isourane in circle system. Patient positioned
for surgery in right lateral recumbency and
Case History and Observations surgical site was prepared by scrubbing with
A forty day old Chippiparai breed female puppy 5% povidone iodine. A sharp linear incision was
was brought to the small animal surgical unit of made over the proximal swelling and extended
Teaching Veterinary Clinical Complex, Veteri- distally up to end of mass. Subcutaneous tissue
nary College and Research Institute, Tirunelveli dissected and hernia sac was incised and
with the history of a pendulous semi-circular contents were found to be intestine loops and
and unilateral swelling on the left mid abdomi- liver lobe (Fig 2). The contents were reduced in to
nal region that had progressively increased in the abdominal cavity. Hernia ring was debrided
size since birth (Fig 1). Clinical examination and sutured using Non- absorbable Polyamide
revealed that the patient was well hydrated. 2-0 by overlapping suture pattern (Sutradhar,
Rectal temperature, femoral pulse and respira- 2009) followed by subcutaneous tissue PGA
tory rate was 39.8° c, 110 beats/per minute and 2-0 in simple continuous pattern and skin
30 breaths/per minute respectively. The swell- was closed using Polyamide 2-0 in horizontal
ing was painless with palpable intestine loop matters. Pre-operatively antibiotic Ceftriaxone
and hard mass, and contents retracted in to the @ 22 mg /kg bwt and Opioid analgesic Tramadol
abdominal cavity upon placing the patient on @ 2 mg /kg bwt administered were administered
right lateral recumbency. The animal’s feeding, and intra operatively uid Ringer’s Lactate 100
urination, and defecation acts normal. Haemato- ml was administered. Post operatively antibiotic
logical and biochemical parameters were within was advised orally for 5 days and sutures were
the normal physiological range, except mild removed on 10th post operatively. Animal recov-
decrease in total protein. Lateral and ventrodor- ered uneventfully without any complications
sal radiographs revealed herniation of intestinal except mild oedema for rst three days. Very
loops and the case was conrmed as congenital large hernial rings or small defects rarely cause
lateral abdominal hernia, and was subjected for clinical problems; however, hernias just large
surgical correction. enough to entrap viscera and obstruct blood
supply to the contents (strangulation) are most
Treatment and Discussion dangerous to the patient (Parks, 1981). In the
Pre-operatively food and water were withheld- present case no gastrointestinal tract distur-
68 The Indian Veterinary Journal (May, 2018)
M.Bharathidasan et al.
bance was observed. nias in cattle, horse, swine, dogs, and cats: risk by breed and
sex among hospital patients. Am. J. Vet. Res., 35, 839-842.
Summary Parks, J. (1981) “Herniation”, Pathophysiology in Small
Congenital lateral hernia was corrected by Animal Surgery. In Bojrab M J (Ed.), Lea & Febiger, Philadel-
phia, pp. 420-424.
Herniorrhaphy under inhalant anaesthesia.
Animal was recovered uneventfully. Shaw, S.P., Rozanski, E.A. and Rush, J.E. (2003) Traumat-
ic Body Wall Herniation in 36 Dogs and Cats. J. Am. Anim.
References Hosp. Assoc., Jan-Feb; 39(1):35-46.
Fossum, T.W., Choyl, S.H., Doland, A.H., Ann, L.J., Howard, Sutradhar, B.C., Hossain, M.F., Das, B.C., Kim, G., and Hos-
B.S and Michael, D.W (2002) Small Animal Surgery, 2 nd Edi- sain, M.A. (2009) Comparison between open and closed
tion, Mosby Inc. Missouri, pp. 261-267. methods of herniorrhaphy in calves affected with umbilical
hernia. J. Vet. Sci., 10(4), 343-347.
Hayes, H. M. Jr. (1974) Congenital umbilical and inguinal her-