Rodgerson D H, Spirito M A, Thorpe P E, Hanson R R
Department of Veterinary Medicine and Surgery, Clydesdale Hall, Columbia, MD 65211, USA.
Vet Surg. 1999 Mar-Apr;28(2):113-6. doi: 10.1053/jvet.1999.0113.
Two surgical techniques were used to evert the bladder into the vagina for observation and repair of bladder tears that were associated with parturition. One technique involved an incision through the vaginal floor into the peritoneal cavity just caudal to the cervix, and prolapse of the bladder into the vagina. The second technique involved a 3-cm incision through the urethra, 5 cm cranial to the urethral orifice, and digital exploration of the tear and finger traction to evert the bladder through the urethral incision. In both mares, the bladder defects were repaired in two layers, with use of 2-0 polyglycolic acid in a simple continuous pattern. After repositioning, the vaginal and urethral incisions were closed in single layers using absorbable suture material. A standing vaginal approach eliminates the need for general anesthesia and allows excellent observation and repair of bladder tears in adult mares.
采用两种手术技术将膀胱翻入阴道，以观察和修复与分娩相关的膀胱撕裂。一种技术是在阴道底部作切口，刚好在子宫颈尾侧进入腹腔，使膀胱脱垂至阴道。第二种技术是在尿道口上方5 cm处经尿道作3 cm切口，通过手指探查撕裂处并进行手指牵引，使膀胱经尿道切口翻出。在两匹母马中，均使用2-0聚乙醇酸以单纯连续缝合法分两层修复膀胱缺损。重新复位后，使用可吸收缝合材料单层缝合阴道和尿道切口。站立式阴道入路无需全身麻醉，便于对成年母马的膀胱撕裂进行良好的观察和修复。
