Puppy in inguinal hernia

Re: Puppy in inguinal hernia

Gillian Mostyn — Mon, 19 Mar 2012 18:30:56 GMT

[quote user="Martin Atkinson"]The human uterus has two horns[/quote]

erm.....no, they really don't......not in the way our patients do

Re: Puppy in inguinal hernia

Martin Atkinson — Mon, 19 Mar 2012 16:03:15 GMT

[quote user="mariette asselbergs"]

It is not uncommon for "one uterine horn to be congenitally herniated in women" ?????

Martin where did you find this? Women with two uterus horns?

Mariette

[/quote]

The human uterus has two horns they may not be as long as in bitches but there are two ovaries and if one has a particularly lax ovarian ligament it is apparently possible for this to herniate in juveniles. Now of course I could be bull-shitting but I came across this gem when I was researching for my article. Can't remember where but you can have Google yourself if you really want to.

Re: Puppy in inguinal hernia

mariette asselbergs — Sun, 18 Mar 2012 21:32:10 GMT

It is not uncommon for "one uterine horn to be congenitally herniated in women" ?????

Martin where did you find this? Women with two uterus horns?

Mariette

Re: Puppy in inguinal hernia

Martin Atkinson — Sun, 18 Mar 2012 19:28:59 GMT

I saw one several years ago: the bitch was almost full term and we caesared the pup through the leg, opened her up and pulled the uterus through, completed the caesarian and repaired the hernia. All pups survived. Can't remember if we spayed her. I have built one of my amusing stories around it for Vet Times (well some people find then amusing) but the rate at which they publish them now I won't hold my breath waiting. I did a bit of research at the time and apparently its is not uncommon for one uterine horn to be congenitally herniated in women but there is little information on this in bitches so I'm not sure if they herniate prior to or during pregnancy.

Re: Puppy in inguinal hernia

Clive Ansell — Sat, 17 Mar 2012 09:34:10 GMT

[quote user="Ruta"]

Thank you, guys. The final decision was to spay the bitch and fixed hernia. The surgery was going well and now the bitch is fine. At least she will not have the similar problem in the future.

Once again - thank you a lot.

Ruta

[/quote]

Good call

Re: Puppy in inguinal hernia

Ruta — Sat, 17 Mar 2012 09:18:17 GMT

Thank you, guys. The final decision was to spay the bitch and fixed hernia. The surgery was going well and now the bitch is fine. At least she will not have the similar problem in the future.

Once again - thank you a lot.

Ruta

Re: Puppy in inguinal hernia

Robin Grimmer — Fri, 16 Mar 2012 14:20:07 GMT

I agree with Clive. Would spaying her now and fixing the hernia not be the best thing? If you leave it it could present as a surgical life-threatening emergency. You're not going to want to breed from her again anyway. OK so you lose all the pups but at least the bitch is fine,.

Re: Puppy in inguinal hernia

Clive Ansell — Fri, 16 Mar 2012 12:44:13 GMT

Surgical exploration and repair is needed here, preferably with speying at the same time. In earlier pregnancy the uterus and its contents may be unaffected and it may be possible to reduce it in to the abdomen and repair the hernia with an ongoing, uneventful and normal pregnancy, although the anaesthetic may pose some risk.

As the pregnancy advances and the gravid uterus increases dramatically in size, there is a very real risk that a part of it may become incarcerated, entrapped or torsed within the hernial sac, which could result in devascularization and present as a surgical emergency.

Re: Puppy in inguinal hernia

Dagmar Steele — Thu, 15 Mar 2012 20:14:55 GMT

hmmm, I'd guess if one puppy still incarcerated in the hernia there would be not much of a chance for a natural birth for the rest of them, so it would be necessary to get it in it's normal position. But I do have my doubts if you fix the hernia that the fix will survive the birth. It's not that far away and there are strong forces needed to bring the puppies out - might affect the hernia fix, too? All in all it doesn't sound like a pleasant situation, for anesthesia it might be possible to give an epidural injection of a local anesthetic?

I would definitely not recommended to breed this bitch again! Good luck,

Dagmar

Re: Puppy in inguinal hernia

John Rimmer — Thu, 15 Mar 2012 20:03:36 GMT

Guessing not. Also likely inheritance of defect? But I'm no expert.

Re: Puppy in inguinal hernia

Ruta — Thu, 15 Mar 2012 19:58:43 GMT

Thank you for your ideas. We have already done ultrasound examination, and as far as we could see - the puppy was not moving. Other question, if we will terminate pregnancy is it worth to mate her in the future if she has weak tummy muscularity?

Ruta

Re: Puppy in inguinal hernia

John Rimmer — Thu, 15 Mar 2012 18:06:40 GMT

Presuming you can't ultrasound to check life of puppies?

I'm guessing likelihood of pups surviving pretty slim with all this going on (stress not good for pregnancy, esp at such an early stage?), including anaesthesia and surgery. May be best to terminate the pregnancy medically after the surgery?? Alizin can be used up to 45 days.

I suppose if the puppy that is stuck out is still alive it might be worth giving it a go, but replacing the dead puppy or cutting it out - either way I wouldn't fancy the chances of the rest....

Hopefully a repro expert will come along, but they are few and far between :-/

Re: Puppy in inguinal hernia

Lucy K — Thu, 15 Mar 2012 17:48:22 GMT

Is there a reason why you should replace the puppy if it is dead?

Re: Puppy in inguinal hernia

mariette asselbergs — Thu, 15 Mar 2012 16:32:29 GMT

Hi Ruta,

Yes, an interesting puzzle you have there!

One thing I know for sure: hernias in humans can easily be repaired under local aneasthesia. So Depending on the bitches temperament you may sedate and use local. I would replace the puppy carefully, alive or dead, it will be a sterile dead and hopefully just mummify.

Good luck!!

Mariette