Hernioplasty with polypropylene implant after an abdominal trauma of a pregnant cat

Victor Manuel Lacerda Freitas ,Francisco Antônio Félix Xavier ,Francisco Lucio Mendes Maia Filho ,João Alison Moraes Silveira

doi:10.21708/avb.2017.11.1.6506

Abstract

The incidence of accidents with cats and its consequences on the health of these animals have been reported frequently in the literature. The abdominal hernia is an example of a condition developed as a result of trauma. Abdominal hernia is a defect of the inner wall of the abdomen that can allow part of the abdominal contents to protrude. In this case report, a pregnant cat has developed an abdominal hernia after disappearing for a week. The animal was clinically well, but the abdominal volume was considerable. Surgical intervention was necessary as soon as possible, because it was an irreducible hernia. A significant amount of devitalized muscle tissue and fragile tissue were observed. Because of the abdominal necrosis, there was no possibility to perform conventional suturing technique in the abdominal wall to correct the hernia. It was necessary to apply a polypropylene mesh implant, which is anchored by means of simple interrupted stitches. Besides hernioplasty, a lumpectomy and ovariohysterectomy were performed due to the presence of a suppurative inflammation of the mammary glands and fetal maceration in the uterus. The review of the patient, after 10 days, revealed no signs of infection of the surgical wound and the implant remained stable. The patient continued feeding and drinking water normally. The goal of this study is to describe the surgical technique of hernia repair using polypropylene implant in a cat that has lost approximately 50% of the abdominal muscle tissue caused by an abdominal trauma.

Highlights

Abdominal hernias generally occur due to trauma, for example, vehicular accidents, falls from high places or fights with other animals
The abdominal hernia is basically a defect of the inner wall of the abdomen, which may enable the protrusion of the abdominal content producing the features of an external abdominal hernia
Through physical examination of the animals that exhibit this type of hernia, it is possible to identify an asymmetry in the abdominal shape

Summary

INTRODUCTION

Abdominal hernias generally occur due to trauma, for example, vehicular accidents, falls from high places or fights with other animals. Through physical examination of the animals that exhibit this type of hernia, it is possible to identify an asymmetry in the abdominal shape. The aim of this study is to describe and discuss the surgical technique of hernia repair using polypropylene implant in a pregnant cat that lost approximately 50% of the abdominal muscle tissue. After the clinical examination and the results of laboratory tests, it was recommended to the owners the following surgical procedures: ovariosalpingohysterectomy (OSH), lumpectomy and abdominal hernia repair. The animal remained hospitalized for three days During this period, daily physical examination of the patient for early identification of any complication in. A pressure dressing was changed daily to aid the surgical wound cleaning This was initially performed with chlorhexidine 1% and DM Gel® (escin solution, dimethylsulfoxide, dexamethasone, prednisolone, lidocaine) and Furanil® ointment (chlorhexidine).

DISCUSSION

Findings

CONCLUSION