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Comparison of herniorrhaphy versus clamping of umbilical hernias in horses: a retrospective study of 93 cases (1982-1994).

Abstract: Many uncomplicated umbilical hernias have been managed successfully in foals by the application of a hernia clamp. Isolated reports of complications following clamp application have led some authors to suggest that it is an unsuitable method of treatment. Little information has been published comparing the complication rates associated with the use of hernia clamps and herniorrhaphy in the treatment of umbilical hernias. The purpose of this retrospective study was to report the characteristics of clinical cases of umbilical hernia and to compare the complication rates following these 2 treatment approaches. Information was collected from records or from owners to identify the occurrence of complications and owner satisfaction following treatment. Of 93 cases, 10 complicated and 18 uncomplicated hernias were treated by herniorrhaphy, 40 uncomplicated hernias were treated by clamping, 1 originally uncomplicated hernia was treated by both techniques, and 24 cases were untreated. Nineteen percent of uncomplicated hernias treated by herniorrhaphy, and 19% of those clamped developed minor complications. This study demonstrates that although minor complications may be associated with either technique, they generally do not result in significant morbidity.
Publication Date: 1996-05-01 PubMed ID: 8705974PubMed Central: PMC1576383
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  • Comparative Study
  • Journal Article

Summary

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This research looks at two methods of treating umbilical hernias in horses: herniorrhaphy and clamping. It compares the related complications and relies on retrospective data of 93 cases from 1982 to 1994.

Introduction and Background

  • The paper focuses on evaluating two primary treatment methodologies for umbilical hernias in foals – Herniorrhaphy and Clamping.
  • While clamping of uncomplicated umbilical hernias has been a usual practice, reports of complications arising from this method have been observed.
  • This has ignited an argument that Clamping may not be the most suitable method of treatment. However, there is little comparative data on complications arising from both Clamping and Herniorrhaphy.

Purpose of the study

  • The study is an exploration of the prevalence of complications associated with both procedures, aiming to present a clearer understanding of the outcomes of each treatment.
  • Using retrospective data and owner satisfaction as markers, the study emphasizes the overall effectiveness of each treatment.

Methodology

  • Data from 93 cases was collected, either from records or from the horse owners directly.
  • These cases included 10 complicated and 18 uncomplicated hernias treated by Herniorrhaphy, 40 uncomplicated hernias treated by Clamping, one originally uncomplicated hernia treated by both techniques, and 24 untreated cases.

Findings

  • The study found that 19% of uncomplicated hernias treated by Herniorrhaphy and 19% of those treated by Clamping developed minor complications.
  • This suggests that both treatments were associated with a similar rate of minor complications.

Conclusion

  • The research concludes that, despite the occurrence of minor complications, these did not significantly affect the health of the affected animals in the long term.
  • While complications may be present in both Herniorrhaphy and Clamping, they generally do not lead to significant morbidity.
  • Thus, both techniques can be considered effective, despite the presence of minor complications.

Cite This Article

APA
Riley CB, Cruz AM, Bailey JV, Barber SM, Fretz PB. (1996). Comparison of herniorrhaphy versus clamping of umbilical hernias in horses: a retrospective study of 93 cases (1982-1994). Can Vet J, 37(5), 295-298.

Publication

ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 37
Issue: 5
Pages: 295-298

Researcher Affiliations

Riley, C B
  • Department of Veterinary Anesthesiology, Radiology and Surgery, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon.
Cruz, A M
    Bailey, J V
      Barber, S M
        Fretz, P B

          MeSH Terms

          • Animals
          • Constriction
          • Female
          • Hernia, Umbilical / surgery
          • Hernia, Umbilical / veterinary
          • Horse Diseases / surgery
          • Horses
          • Male
          • Postoperative Complications / veterinary
          • Retrospective Studies
          • Surgery, Veterinary / methods
          • Treatment Outcome

          References

          This article includes 4 references
          1. J Am Vet Med Assoc. 1983 Sep 1;183(5):550-2
            pubmed: 6618986
          2. J Am Vet Med Assoc. 1987 Mar 15;190(6):692-4
            pubmed: 3570922
          3. J Am Vet Med Assoc. 1988 Mar 15;192(6):804-7
            pubmed: 3356601
          4. Am J Vet Res. 1991 Apr;52(4):637-9
            pubmed: 2053737

          Citations

          This article has been cited 1 times.
          1. Avison A. Richter's hernia in a 3-month-old colt - A rare event. Can Vet J 2019 Jun;60(6):651-653.
            pubmed: 31156267