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Laparoscopic inguinal herniorrhaphy with barbed suture in a ram
Benjamin T Jakobek1, Rebecca C McOnie1, Susan L Fubini1
1Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, 14853 USA.
The Canadian Veterinary Journal = La Revue Veterinaire Canadienne
|December 3, 2021
Summary
A laparoscopic inguinal herniorrhaphy using barbed suture effectively treated scrotal hernia in a ram. This minimally invasive surgery offers a safe solution, preserving anatomy and promoting a swift recovery for affected sheep.
Area of Science:
- Veterinary Surgery
- Small Ruminant Medicine
- Surgical Innovation
Background:
- Scrotal swelling in rams can indicate inguinal or scrotal hernias, potentially impacting reproductive health.
- Traditional surgical approaches may involve significant post-operative discomfort and extended recovery times.
Observation:
- A 7-month-old Hampshire ram presented with acute, unilateral scrotal swelling.
- Ultrasound revealed normal testicles but fluid accumulation within the vaginal tunic, suggestive of herniation.
- Physical examination noted a non-reducible swelling of the proximal scrotum.
Findings:
- Unilateral laparoscopic inguinal herniorrhaphy was successfully performed under general anesthesia.
- Herniated omentum was reduced, and barbed suture was used for internal inguinal and vaginal ring imbrication.
- No recurrence of the hernia was observed at the 5-month post-operative follow-up.
Implications:
- Laparoscopic inguinal herniorrhaphy with barbed suture presents a safe and effective treatment for scrotal hernias in rams.
- This minimally invasive technique may reduce post-operative pain and accelerate return to function.
- The procedure aids in preserving normal testicular and scrotal anatomy, crucial for breeding soundness.
