J Vet Sci.  2009 Dec;10(4):343-347. 10.4142/jvs.2009.10.4.343.

Comparison between open and closed methods of herniorrhaphy in calves affected with umbilical hernia

Affiliations
  • 1Faculty of Veterinary Medicine, Chittagong Veterinary and Animal Sciences University, Chittagong -4202, Bangladesh, Korea. bibeksd@yahoo.com
  • 2Laboratory of Veterinary Surgery, College of Veterinary Medicine, Chungbuk National University, Cheongju 361-673, Korea.

Abstract

Umbilical hernias in calves commonly present to veterinary clinics, which are normally secondary to failure of the normal closure of the umbilical ring, and which result in the protrusion of abdominal contents into the overlying subcutis. The aim of this study was to compare the suitability of commonly-used herniorrhaphies for the treatment of reducible umbilical hernia in calves. Thirty-four clinical cases presenting to the Veterinary Teaching Hospital, Chittagong Veterinary and Animal Sciences University, Chittagong, Bangladesh from July 2004 to July 2007 were subjected to comprehensive study including history, classification of hernias, size of the hernial rings, presence of adhesion with the hernial sacs, postoperative care and follow-up. They were reducible, non-painful and had no evidence of infection present on palpation. The results revealed a gender influence, with the incidence of umbilical hernia being higher in female calves than in males. Out of the 34 clinical cases, 14 were treated by open method of herniorrhaphy and 20 were treated by closed method. Complications of hernia were higher (21%) in open method-treated cases than in closed method-treated cases (5%). Hernia recurred in three calves treated with open herniorrhaphy within 2 weeks of the procedure, with swelling in situ and muscular weakness at the site of operation. Shorter operation time and excellent healing rate (80%) were found in calves treated with closed herniorrhaphy. These findings suggest that the closed herniorrhaphy is better than the commonly-used open method for the correction of reducible umbilical hernia in calves.

Keyword

calves; herniorrhaphy; reducible umbilical hernia

MeSH Terms

Animals
Cattle
Cattle Diseases/*surgery
Female
Hernia, Umbilical/complications/surgery/*veterinary
Male
Surgical Procedures, Operative/adverse effects/*veterinary

Figure

  • Fig. 1 Umbilical hernia (A) was corrected by both open and closed methods of herniorrhaphy in calf. Horizontal mattress sutures were used to close the hernial ring in open herniorrhaphy (B) after exposing the skin. Vertical mattress sutures were used in closed herniorrhaphy (C) supporting with the quilt. Empty hernial sac was observed after suturing. No swelling (D) was observed after treatment with open method of herniorrhaphy.


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