Hernias in horses refer to the abnormal protrusion of an organ or tissue through a defect or opening in the surrounding muscle or connective tissue. They can occur in various forms, including umbilical, inguinal, and diaphragmatic hernias, each with distinct anatomical locations and characteristics. Umbilical hernias are often congenital, appearing near the navel, while inguinal hernias involve the groin area and can affect the intestines or reproductive organs. Diaphragmatic hernias involve the diaphragm and may impact respiratory function. The condition can arise due to congenital defects, trauma, or increased abdominal pressure. This page compiles peer-reviewed research studies and scholarly articles that explore the etiology, diagnosis, treatment options, and outcomes of hernias in equine species.
Coldman AJ, Elwood JM, Gallagher RP.The relationship of testicular seminoma with several factors was explored using a case-control study. Previously recognized associations with cryptorchidism and infantile inguinal hernia were confirmed and relationships were also found with cycling and horse-riding. These findings represent the first relationships of testicular cancer with well-defined postnatal risk factors.
Schneider RK, Milne DW, Kohn CW.Twenty-seven cases of acquired inguinal hernia in the horse were reviewed. The history, clinical signs, treatment, and complications were summarized. Mortality was 25.9%. Only 13 or the 27 cases were diagnosed prior to admission. With early diagnosis and treatment, mortality should approach zero. In 24 of these cases, the hernia was strangulated. In each case, the signs were colic, a firm slightly enlarged testicle in the scrotum, and small intestine displacement through the inguinal ring, as determined via rectal palpation. In was concluded that palpation of the scrotum and inguinal rings sho...
Breukink HJ, Németh F, van Dieten JS.The clinical examination, anaesthesia and surgery in a gelding with an incarcerated scrotal hernia are described. The results of examination of the blood at regular intervals are shown in a table. Surgery was performed without enterectomy. The postoperation course was uneventful. It is concluded that the possibility of scrotal hernia should be borne in mind, even in geldings with colic. The incarcerated portion of the small intestine is usually found to be the jejuno-ileal junction. The anaesthesiological and surgical features of equine scrotal hernia are discussed.
Scott EA.Incisional abdominal hernias in three horses were repaired, using synthetic mesh with a fascial flap overlay. The repair of large ventral abdominal hernias of horses can be accomplished by using synthetic mesh that is sutured across the defect. This material can be placed subperitoneally, retroperitoneal but subfascial, retrofascial and subfascial, or retroperitoneal but subfascial with a fascial overlay. Advantages of using this material are that it can be used for repair of large hernias, it is easy to apply, it is strong and flexible, and it is less likely to be rejected, when compared with...
Freeman DE, Koch DB, Boles CL.Volvulus of the jejunum and ileum in three horses was associated with intestinal strangulation in a mesenteric rent. The rent was in the jejunal mesentery at its point of attachment with an anomaly that was classified as a mesodiverticular band. The band also was attached to the dorsolateral surface of the jejunum, thus forming one side of a triangular hernial sac that was completed on the other side by the adjacent jejunal mesentery. Incarceration of a loop of small intestine in the hernial sac preceded rupture of the jejunal mesentery and subsequent intestinal strangulation. Surgical correct...
Bras GE, Kersjes AW.Comparative studies were done on healing of the wound following laparotomy through the ventral wall of the abdomen (paramedian incision or in the linea alba) in seventy horses and following surgical treatment of umbilical hernia in eighty-five (young) horses, in which perlon, (chromic) catgut, stainless steel wire and polyglycollic acid were used as suture material. Though with some reserve, as the study was concerned with the comparison of findings in clinical cases in which a number of conditions may vary, it is concluded that steel wire and polyglycollic acid are preferable to perlon and (c...
Wimberly HC, Andrews EJ, Haschek WM.Eighteen cases of equine diaphragmatic hernia were reviewed. Most of the cases were of long duration, with an additional factor precipitating acute abdominal crisis. History and physical examination were of little diagnostic significance. Radiography, if available, and exploratory laparotomy were the most useful diagnostic procedures. The prognosis for successful surgical repair and recovery was poor.
Speirs VC, Reynolds WT.The diagnosis and successful surgical treatment of a diaphragmatic hernia in a 12 weeks old standardbred foal are described. The clinical syndrome in horses generally is contrasted with that seen in the foal described in this paper. Some of the factors contributing to the clinical signs are discussed.
Firth EC.The clinical and necropsy findings of three cases of diaphragmatic hernia admitted to Ontario Veterinary College between September 1973 and August 1974 are described. The physical signs of these and other reported cases are discussed, as are methods of diagnosis. Definitive diagnosis is best arrived at by exploratory laparotomy.
Wheat JD.The migration of strongyle larvae is the most common or basic underlying cause of colic in the horse. Disease conditions producing symptoms of colic occur in all sections of the intestinal tract and consist of impactions, torsions, herniations and foreign bodies. Colic also occurs as a result of pre- and post-partum diseases such as torsion of the uterus, haemorrhage, rupture and inversion of the uterus. In general, lesions resulting in circulatory obstruction are the types requiring surgical intervention. There are six general types of small intestine obstruction that lend themselves to surgi...
Azizi S, Hashemi-Asl SM, Torabi E.Surgical treatment of traumatic abdominal hernias is usually delayed for 2-3 months following injury. The residual defects are then repaired by herniorrhaphy or mesh herniorrhaphy. Objective: To describe the outcome following herniorrhaphy (without a mesh) within 21 days of initial injury to repair external traumatic lateral abdominal hernias in horses and mules. Methods: Descriptive case series. Methods: Twenty-two cases were included. Surgical treatment involved exposure of the hernia sac and closing of the abdominal wall defect with interrupted Mayo mattress or cruciate sutures after redu...
Kolus CR, MacLeay JM, Hackett ES.A foal born with assisted delivery developed rib fractures and a diaphragmatic hernia. The hernia was repaired using surgical mesh. The filly was healthy 42 months later. Dystocia is a risk factor for rib fractures and traumatic acquired diaphragmatic herniation. Surgical mesh repair is an option for diaphragmatic defects. Un poulain né lors d’une parturition assistée a développé des fractures des côtes et une hernie diaphragmatique. La hernie a été réparée à l’aide d’un treillis chirurgical. La pouliche était en santé 42 mois plus tard. La dystocie est un facteur de risque ...
McClure JJ, Koch C, Powell M, McClure JR.Associations were sought between ELA A1-A10 and W11 antigens and the presence of laryngeal hemiplegia, arytenoid chondritis, umbilical hernias and cryptorchidism in Thoroughbreds and/or Quarter Horses. No significant associations were detected between laryngeal hemiplegia and any ELA antigen in Thoroughbreds. The association between arytenoid chondritis and A9 was significant with a relative risk (RR) of 15.6 and aetiologic fraction (EF) of 0.80 in Thoroughbreds. There were apparent associations based on RR between A4 and A5 in Quarter Horses with umbilical hernias (RR = 7.5 and 6.1 respective...
Orlandini CF, Steiner D, Boscarato AG, Gimenes GC, Alberton LR.Defects in the abdominal wall of horses have high relapse rate. This is mainly in lateral eventrations and hernias caused by trauma from kicks of other horses or installation structures. The eventration region normally becomes swollen and there may be complications due to intestinal loop incarceration. The surgical treatment, consisting of reconstruction of the abdominal wall, frequently require biological or synthetic materials for the reinforcement of the suture line and tension support. Therefore, several studies have reported new materials for the repair of the abdominal wall, with the aim...
Robinson E, Carmalt JL.To report inguinal herniation of the ascending colon in a Standardbred colt. Methods: Case report. Methods: A 6-month-old Standardbred colt. Methods: The colt underwent surgical exploration of the hernia with large colon resection and anastomosis. Results: A successful large colon resection and anastomosis was completed, however, the colt was euthanatized at the end of surgery upon owner request. Conclusions: Although uncommon, indirect inguinal herniation of the ascending colon can occur in young horses.
van der Velden MA, van der Harst MR.A literature review is given concerning the occurrence, clinical signs and possible treatment of the different types of inguinal herniation in foals. A six-week old filly with a reducible inguinal hernia is described in detail.
Wiemer P, Bergman HJ, van der Veen H, Pruissen L.In the period from January 1995 until December 2000, 272 horses underwent a laparotomy for gastrointestinal disorders. The results of these surgeries were evaluated. From these 272 patients 176 (= 65%) were discharged in good health from the hospital. When the patients that were euthanized immediately after the start of the surgery, because of a fatal deterioration, were not taken into account, the short time survival rate was 77%. Strangulated small and large intestinal obstructions (48%) had a lower short time survival rate than non-strangulated obstructions (87%). Fatal postoperative compli...
Moll HD, Juzwiak JS, Santschi EM, Slone DE.Volvulus of the small intestine was diagnosed as a complication of acquired inguinal herniation in 2 horses. One of the horses continued to have signs of pain after reduction of the hernia. The volvulus was diagnosed at a second surgery, but the intestine was devitalized, and the horse was euthanatized. Ventral midline exploratory surgery was performed on the second horse, in conjunction with an inguinal approach. The small-intestinal volvulus was diagnosed and corrected at this time. It is suggested that ventral midline abdominal exploration be performed when acquired inguinal herniation caus...
Perkins NR, Frazer GS.Topics addressed in this article include complications of castration, scrotal and inguinal hernias, torsion of the spermatic cord, traumatic injuries to the external genitalia, and posthumous collection of spermatozoa. A concise overview of the clinical management of emergency cases is provided.
Everett KA, Chaffin MK, Brinsko SP.A diaphragmatic hernia in which 90% of the large colon had herniated through a 16-cm linear tear in the diaphragm was found in a 12-year-old Quarter Horse mare. Clinical signs included lethargy and exercise intolerance. Diagnosis of diaphragmatic hernia was made based on careful thoracic auscultation, combined with ultrasonographic and radiographic examination of the thorax.
Lanci A, Ingallinesi M, Morini M, Freccero F, Castagnetti C, Mariella J.Hydramnios is an excessive accumulation of fluid within the amniotic compartment. It is a rare condition in mares, often associated with fetal anomalies. Hydrops of fetal membranes predisposes to the rupture of the prepubic tendon, and many authors suggest the induction of parturition to preserve mare's reproductive career. This report presents the case of a 15-year-old multiparous Quarter Horse mare, referred at 268 days of gestation for suspected hydrops. Repeated ultrasonographic exams confirmed an increase in the depth of the amniotic fluid and reduced fetal viability. During the hospitali...
van der Velden MA, Stolk PW.Three horses with different and unusual types of inguinal herniation outside the vaginal cavity are described in detail. Attention is paid to the differences between these conditions and the more commonly occurring inguinal herniation inside the vaginal cavity.
Hammock PD, Freeman DE, Magid JH, Foreman JH.A 12-year old 573-kg (1,261-lb) Quarter Horse gelding was referred with colic of 12 hours' duration and with poor response to medical treatment. On the basis of physical and laboratory findings, a pelvic flexure impaction was suspected. The horse was treated medically. Because signs of mild abdominal pain persisted and the heart rate had increased, an exploratory celiotomy was performed 30 hours after signs of colic were first noticed. At surgery, the ileum was found partially entrapped within the epiploic foramen, in a left-to-right direction, to form a parietal hernia. The entrapped intestin...
Dória RGS, Freitas SH, Laskoski LM, Arruda LP, Shimano AC.Surgical site infection of abdominal incisions is an important complication after laparotomy with increased risk of incisional hernia formation in horses. This study aims to evaluate the healing process of abdominal incisions and correlate peritonitis with the occurrence of surgical site infection and incisional hernias. Nine horses underwent standardized laparotomy, intestinal exploration, and induced septic peritonitis. Standardized relaparotomy was performed two (n = 3), four (n = 3), and six (n = 3) months later to evaluate the abdominal cavity for adhesions and to collect the sutured v...
