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EQUINE VETERINARY EDUCATION / AE / OCTOBER 2014


519


Placing a subcutaneous drain at the time of surgery was considered but not performed since drains themselves are associated with complications, including foreign body response and ascending infections (Auer 2012). Nevertheless, placing a drain at the time of surgery or underlying running sutures to attach the subcutaneous tissue to the deeper layers could be considered in the future to control the amount of dead space and avoid seroma formation.


Conclusion


Congenital ventral abdominal wall defects, such as umbilical hernias, are fairly common in equine foals, yet a congenital lateral abdominal wall hernia should also be considered in an equine neonate with clinical signs similar to this case. Nonreducible body wall hernias should be surgically corrected to prevent intestinal strangulation. If the defect is not too large, primary apposition without a mesh implant can provide adequate strength and a cosmetically pleasing outcome to the owner.


Authors’ declaration of interests No conflicts of interest have been declared.


Acknowledgements


The authors would like to thank Dr Dale Rice for the referral of this case.


Manufacturers’ addresses


1IDEXX Laboratories, Inc., Westbrook, Maine, USA. 2Mila International, Inc., Erlanger, Kentucky, USA. 3G.C. Handford Manufacturing Co., Syracuse, New York, USA. 4Teva Generics, Philadelphia, Pennsylvania, USA. 5Santa Cruz Animal Health, Dallas, Texas, USA. 6Hospira, Inc., Lake Forest, Illinois, USA. 7Fort Dodge Animal Health, Fort Dodge, Iowa, USA. 8Abbott Animal Health, Abbott Park, Illinois, USA. 9Ethicon Inc., Somerville, New Jersey, USA. 10Johnson & Johnson, New Bruinswick, New Jersey, USA. 11Covidien, Mansfield, Maine, USA. 12Zoetis, Florham Park, New Jersey, USA.


References


Auer, J. (2012) Drains, bandages, and external coaptation. In: Equine Surgery, 4th edn., Eds: J. Auer and J. Stick, Elsevier Inc., St Louis. p 205.


Brewer, S. and Williams, T. (2004) Finally, a sense of closure? Animal models of human ventral body wall defects. Bioessays 26, 1307-1321.


Burger, J.W.A., Luijendijk, R.W., Hop, W.C.J., Halm, J.A., Verdaasdonk, E.G.G. and Jeekel, J. (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann. Surg. 240, 578-585.


Cook, G., Bowman, K.F., Bristoland, D.G. and Tate, L.P. (1996) Ventral midline herniorrhaphy following colic surgery in the horse. Equine Vet. Educ. 8, 304-307.


Elce, Y., Kraus, B. and Orsini, J. (2005) Mesh hernioplasty for repair of incisional hernias of the ventral body wall in large horses. Equine Vet. Educ. 17, 252-256.


Enzerink, E., van Weeren, P.R. and van der Velden, M. (2000) Closure of the abdominal wall at the umbilicus and the development of umbilical hernias in a group of foals from birth to 11 months of age. Vet. Rec. 147, 37-39.


Freeman, D. and Spencer, P. (1991) Evaluation of age, breed, and gender as risk factors for umbilical hernia in horses of a hospital population. Am. J. Vet. Res. 52, 637-639.


Kummer, M. and Stick, J. (2012) Abdominal hernias. In: Equine Surgery, 4th edn., Eds: J. Auer and J. Stick, Elsevier Inc., St Louis. pp 506-513.


Luijendijk, R., Hop, W., van den Tol, M., de Lange, D., Braaksma, M., Ijzermans, J. and Jeekel, J. (2000) A comparison of suture repair with mesh repair for incisional hernia. N. Engl. J. Med. 343, 392-398.


Markel, M., Pascoe, J. and Sams, A. (1987) Strangulated umbilical hernias in horses: 15 cases (1974-1985). J. Am. Vet. Med. Ass. 190, 692-694.


Mortellaro, V.E., St Peter, S.D., Fike, F.B. and Islam, S. (2011) Review of the evidence on the closure of abdominal wall defects. Pediatr. Surg. Int. 27, 391-397.


Nicksa, G.A., Christensen, E.P. and Buchmiller, T.L. (2009) A case report of a congenital left subcostal hernia in a neonate. J. Pediatr. Surg. 44, 1653-1655.


Raghu, S.R., Alladi, A., Vepakomma, D., Siddappa, O.S. and Tilak, P. (2013) Embryogenesis and types of subcostal hernia – a rare entity. J. Pediatr. Surg. 48, 533-537.


Tulleners, E. and Fretz, P. (1983) Prosthetic repair of large animal wall defects in horses and food animals. J. Am. Vet. Med. Assoc. 182, 258-262.


Whitfield-Cargile, C.M., Rakestraw, P.C., Hardy, J., Cohen, N.D. and Davis, B.E. (2011) Comparison of primary closure of incisional hernias in horses with and without the use of prosthetic mesh support. Equine Vet. J. 43, 69-75.


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