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Home / Equine Research Bank / Clin Case Rep / Hernia formation after single-stage umbilical vein marsupial...
Clinical case reports2022; 10(8); e6274; doi: 10.1002/ccr3.6274

Hernia formation after single-stage umbilical vein marsupialization in three Percheron foals diagnosed with septic omphalophlebitis.

Abstract: Septic omphalophlebitis is a common disease process with a variety of morbidities and possible mortality. Affected umbilical remnant resection is highly successful but may not always be possible. Umbilical marsupialization can be implemented when total resection cannot be accomplished with minimally reported complications. Umbilical vein marsupialization was performed on three Percheron foals with extensive septic omphalophlebitis using the one-stage paramedian translocation technique and prolonged postoperative antimicrobial therapy. Long-term follow-up revealed herniation at the marsupialization site in all foals. Two foals were subsequently treated with herniorrhaphy at the prior marsupialization site. One foal died due to septic peritonitis with hernia formation 3 months after marsupialization. This case series highlights hernia formation as a potential complication following one-stage umbilical vein marsupialization in foals diagnosed with septic omphalophlebitis and should be considered as a possible postoperative complication.
© 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.
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Publication Date: 2022-08-24 PubMed ID: 36034613PubMed Central: PMC9399783DOI: 10.1002/ccr3.6274Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research paper analyzes the correlation between hernia formation and umbilical vein marsupialization, a procedure used to treat septic omphalophlebitis in Percheron foals. The study gives an account of three such cases, wherein all the foals developed hernias post-surgery.

Overview of Septic Omphalophlebitis

  • Septic omphalophlebitis is a common disease in foals, causing various health complications and, potentially, death.
  • The disease affects the umbilical remnant, and its resection (removal) is considered a successful treatment method.
  • However, if total resection isn’t possible, umbilical marsupialization can be a viable alternative.

Umbilical Vein Marsupialization and the Study

  • Umbilical vein marsupialization was conducted on three Percheron foals diagnosed with extensive septic omphalophlebitis.
  • The process involved a one-stage paramedian translocation technique and subsequent long-term antimicrobial therapy.
  • Postoperative observations revealed that hernias formed at the marsupialization site in all the foals.

Hernia Formation and Related Complications

  • Two of the foals were treated with herniorrhaphy-a surgical procedure to repair the hernia-at the previous marsupialization site.
  • The third foal unfortunately died due to septic peritonitis (inflammation of the inner lining of the abdomen) combined with the hernia, three months post-surgery.
  • The research emphasizes that hernia formation is a plausible complication following umbilical vein marsupialization in foals with septic omphalophlebitis.
  • This is a significant point to be considered while evaluating potential postoperative complications.

Cite This Article

APA
Klein C, Caston S, Troy J. (2022). Hernia formation after single-stage umbilical vein marsupialization in three Percheron foals diagnosed with septic omphalophlebitis. Clin Case Rep, 10(8), e6274. https://doi.org/10.1002/ccr3.6274

Publication

Clinical case reports
ISSN: 2050-0904
NlmUniqueID: 101620385
Country: England
Language: English
Volume: 10
Issue: 8
Pages: e6274

Researcher Affiliations

Klein, Chelsea
  • Veterinary Clinical Sciences Iowa State University Ames Iowa USA.
Caston, Stephanie
  • Performance Equine Vets Aiken South Carolina USA.
Troy, Jarrod
  • Veterinary Clinical Sciences Iowa State University Ames Iowa USA.

Conflict of Interest Statement

The authors have no conflicts of interest to declare related to this report.

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Citations

This article has been cited 2 times.
  1. Saitua A, Sanchez de Medina A, Bulnes F, Buzon A, Miraz R, Argüelles D, Diez de Castro E. Urogenital surgery in foals. Front Vet Sci 2025;12:1520491.
    doi: 10.3389/fvets.2025.1520491pubmed: 40586037google scholar: lookup
  2. Buzon-Cuevas A, Duaso J, Sanchez de Medina A, Sierra JM, Perez-Ecija A, Mendoza FJ. Description of a Modified Two-Step Omphalectomy Technique Using the LigaSure(™) Device to Remove the Whole Extrahepatic Umbilical Vein: A Case Series Study in Equine and Donkey Foals. Animals (Basel) 2025 Mar 28;15(7).
    doi: 10.3390/ani15070981pubmed: 40218374google scholar: lookup
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