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Laparoscopic hernioplasty in recumbent horses using transposition of a peritoneal flap.
Abstract: To evaluate the efficacy of a laparoscopic peritoneal flap hernioplasty (PFH) to close anatomically the vaginal ring and to evaluate its protective effect in horses with a history of strangulated inguinal hernia (SIH) against future herniation. Methods: Prospective study. Methods: A first group of 5 ponies, 3 horses and 1 donkey with no history of SIH and a second group of 4 horses 'clinical cases' with a history of SIH. Methods: A laparoscopic PFH was effected on all horses under general anaesthesia. Peritoneum ventro-lateral to the vaginal ring was elevated and cut on 3 sides, separated from the underlying muscle, then inverted and attached dorso-medially and laterally to the parietal wall using intra-corporeal stitches (6 cases) or laparoscopic staples (7 cases). Animals of the first group (n=9) underwent a standing laparoscopy 7 days post-operatively to visualize the vaginal rings. Horses of the second group were followed to confirm the absence of re-herniation. Results: The laparoscopic check-up showed that the vaginal ring had been effectively and completely covered in all cases except the first one. No adhesions was observed. In the four clinical cases, none of the horses have had a reccurence of SIH at the time of writing (6 months to 4 years). Conclusions: Laparoscopic hernioplasty on a recumbent horse is feasible by closing the vaginal ring with a peritoneal flap. This technique was efficient in our cases to prevent recurrence of SIH but more cases are needed. This technique may reduce inflammation and irritation of the spermatic cord, which could otherwise jeopardise the animal's breeding career. Conclusions: Laparoscopic PFH coud be used in horses with a history of SIH.
Publication Date: 2007-08-10 PubMed ID: 17686129DOI: 10.1111/j.1532-950X.2007.00282.xGoogle Scholar: Lookup The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
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The research paper discusses a new technique of laparoscopic hernioplasty using a peritoneal flap for closing the vaginal ring in horses, particularly those with a history of strangulated inguinal hernia (SIH), and its effectiveness in preventing future herniation.
Methodology
The study is a prospective one involving two groups:
- Group 1 comprises of 9 animals (5 ponies, 3 horses and 1 donkey) with no history of SIH.
- Group 2 consists of 4 clinical cases involving horses that had a history of SIH.
All animals underwent a laparoscopic peritoneal flap hernioplasty (PFH) under general anesthesia. A peritoneum ventro-lateral to the vaginal ring was elevated and cut on 3 sides. This flap was then separated from the underlying muscle before being inverted and attached to the parietal wall using internal stitches (6 cases) or laparoscopic staples (7 cases).
Animals in the first group had a standing laparoscopy done 7 days after the procedure to check the status of the vaginal rings. The horses in the second group were followed to confirm the absence of herniation.
Results
The follow-up laparoscopic check-up revealed successful and complete coverage of the vaginal ring in all cases except the first one. No adhesions were observed.
Notably, there was no case of re-herniation observed in any of the horses from the second group for a period ranging from 6 months to 4 years post-procedure.
Conclusions
Thus, the study concludes that laparoscopic hernioplasty, using a peritoneal flap to close the vaginal ring, is a feasible procedure in recumbent horses. Based on the observed outcome, the technique appears efficient in preventing a recurrence of SIH. However, given the limited number of cases studied, the authors recommend more investigations.
The authors also suggest that this technique might help in reducing inflammation and irritation of the spermatic cord, which could otherwise hamper the animal’s breeding career.
Thus, the study proposes laparoscopic PFH as a potential method for treating horses with a history of SIH.
Cite This Article
APA
Rossignol F, Perrin R, Boening KJ.
(2007).
Laparoscopic hernioplasty in recumbent horses using transposition of a peritoneal flap.
Vet Surg, 36(6), 557-562.
https://doi.org/10.1111/j.1532-950X.2007.00282.x Publication
Researcher Affiliations
- Clinique de Grosbois, Boissy Saint Léger, France. fabrice.rossignol@worldonline.fr
MeSH Terms
- Animals
- Hernia, Inguinal / surgery
- Hernia, Inguinal / veterinary
- Horse Diseases / surgery
- Horses
- Laparoscopy / methods
- Laparoscopy / veterinary
- Male
- Orchiectomy / methods
- Orchiectomy / veterinary
- Prospective Studies
- Recurrence
- Surgical Flaps / veterinary
- Treatment Outcome
Citations
This article has been cited 5 times.- 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.
- Vitoria A, Barrachina L, Romero A, Fuente S, de Blas I, Gil L, Vázquez FJ. Laparoscopic Inguinal Hernioplasty with a Polyether Ether Ketone Anchoring Device in Intact Male Horses Does Not Compromise Testicular Perfusion, Sperm Production or Motility Characteristics. Animals (Basel) 2025 Jan 31;15(3).
- Vázquez FJ, Argüelles D, Muñoz JA, Genton M, Méndez Angulo JL, Climent F, Roquet I, Iglesias M, Velloso Álvarez A, Vitoria A, Bulnes F, Saitua A, Romero A, Ezquerra J, Prades M, López-Sanromán FJ, Rossignol F. Use of Knotless Barbed Sutures in Laparoscopic Inguinal Hernioplasty in Horses: 40 Cases. Animals (Basel) 2024 Jun 19;14(12).
- Straticò P, Guerri G, Palozzo A, Varasano V, Petrizzi L. Current Use of Equine Laparoscopy in Urogenital Disorders: A Scoping Review of the Literature from 2000 to 2021. Vet Sci 2022 Jan 22;9(2).
- Hendrickson DA. A review of equine laparoscopy. ISRN Vet Sci 2012;2012:492650.
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