Inguinal hernia in a collie x cocker puppy

RE: Inguinal hernia in a collie x cocker puppy

Anthony Dennison — Thu, 05 Nov 2020 10:06:31 GMT

[quote userid="8991" url="~/001/veterinary-clinical/small-animal/soft-tissue-surgery/f/discussions/29453/inguinal-hernia-in-a-collie-x-cocker-puppy/226345#226345"]Acquired inguinal hernias are mostly seen in intact bitches, and are seen most commonly during oestrus or pregnancy, likely due to sex hormone influence. Also any gravid uterus will increase the pressure on the inguinal canals. Any repair will not be as strong as a normal inguinal canal so if this dog has a season(s) or gets pregnant then it will put the repair at risk of failure (failure rate is relatively high in any case). Although this is a congenital hernia, the same post-operative considerations would app[/quote]

Would fit with what I've seen in practice - years ago a client had a mini dax that would have a swelling appear twice a year then go. Was the enlarged uterus coming through the inguinal hernia when she was in season.

RE: Inguinal hernia in a collie x cocker puppy

listhestar — Mon, 02 Nov 2020 22:05:06 GMT

Well I found it easier than incising over sac and easier to visualise stuff. Also makes dealing with say damaged intestines easier as already midline. But I've not done lots either.

Cheers

Lisa

RE: Inguinal hernia in a collie x cocker puppy

Evelyn Barbour-Hill — Mon, 02 Nov 2020 21:45:22 GMT

From pure interest – can someone explain why intra-abdominal approach is better?

RE: Inguinal hernia in a collie x cocker puppy

listhestar — Mon, 02 Nov 2020 21:29:11 GMT

Having just had to repeat repair one recently having approached from outside I'd tend to do midline approach. 2nd time the bitch was old enough to spey at same time. I did the bitch quite young the first time and she grew.... So the room id left for pudendal vessel etc was then too big!

They can have bilateral disease which is more easily checked from a midline approach.

Good luck

Cheers

Lisa

RE: Inguinal hernia in a collie x cocker puppy

David Mills — Sun, 01 Nov 2020 17:43:40 GMT

[quote userid="13609" url="~/001/veterinary-clinical/small-animal/soft-tissue-surgery/f/discussions/29453/inguinal-hernia-in-a-collie-x-cocker-puppy/226344#226344"]Genuine curiosity: what's the connection?[/quote]

Acquired inguinal hernias are mostly seen in intact bitches, and are seen most commonly during oestrus or pregnancy, likely due to sex hormone influence. Also any gravid uterus will increase the pressure on the inguinal canals. Any repair will not be as strong as a normal inguinal canal so if this dog has a season(s) or gets pregnant then it will put the repair at risk of failure (failure rate is relatively high in any case). Although this is a congenital hernia, the same post-operative considerations would apply.

Also it is an inherited problem so breeding (accidental or otherwise) would be unethical. It is an inherited trait particularly in Cockers, Retrievers, Daschies and Pugs/Frenchies though the latter may be partly due to increased pressure secondary to BOAS.

RE: Inguinal hernia in a collie x cocker puppy

Andreas Ege — Sun, 01 Nov 2020 16:56:15 GMT

Genuine curiosity: what's the connection?

To the OP: I've approached the 2 I had (one older dog, can't remember sex, with probably aquired though non-traumatic, one male puppy with acutely incarcerated intestines, incarceration resolved spontanously after pre-med, under 6 months) from outside.

In this case I'd discuss the risks of incarceration with the owner and decide time of surgery on owners will to take risks. If happy to monitor and if necerassy have it seen out of hours I'd wait until spay. If not I'd do it rather sooner than later.

RE: Inguinal hernia in a collie x cocker puppy

Gillian Mostyn — Sun, 01 Nov 2020 13:25:52 GMT

[quote userid="3607" url="~/001/veterinary-clinical/small-animal/soft-tissue-surgery/f/discussions/29453/inguinal-hernia-in-a-collie-x-cocker-puppy/226335#226335"]

A mongrel with significant surgical disease - they should be paid to take it.

The world is going mad!

[/quote]

Have to say I immediately thought the same. Paying for a pup that needs surgery? No thanks!

RE: Inguinal hernia in a collie x cocker puppy

Malcolm Ness — Sun, 01 Nov 2020 13:20:18 GMT

[quote userid="9440" url="~/001/veterinary-clinical/small-animal/soft-tissue-surgery/f/discussions/29453/inguinal-hernia-in-a-collie-x-cocker-puppy"]offered a puppy with a congenital inguinal hernia at a reduced price [/quote]

A mongrel with significant surgical disease - they should be paid to take it.

The world is going mad!

RE: Inguinal hernia in a collie x cocker puppy

David Mills — Sun, 01 Nov 2020 12:55:37 GMT

It needs spaying at the same time as this reduces risk of recurrence so you can do via a combined abdominal approach. Cut over from the outside including sack. Reduce. Repair with prolene. Spay.

RE: Inguinal hernia in a collie x cocker puppy

janine redman — Sun, 01 Nov 2020 12:53:37 GMT

The surgery text indicated an intra abdominal approach was better ?

RE: Inguinal hernia in a collie x cocker puppy

Beats — Sun, 01 Nov 2020 07:37:59 GMT

I cut over the hernia and repair. I've seen couple with intestinal entrapment so tend to do same day if presented. having said that never been presented one that young and would probably wait until 8 weeks old checking reducible each day? In theory should become incarcerated (trapped) before becomes strangulated, so in theory if reduced every day shouldn't get strangulated. pds oor nylon on swaged on appropriate needle.