Higuchi Tohru, Nanao Yuki, Senba Hiroyuki
Mitsuishi Animal Clinic Center, Mitsuishi, Hokkaido, Japan.
Vet Surg. 2002 Jul-Aug;31(4):344-8. doi: 10.1053/jvet.2002.33593.
To report the clinical findings, surgical technique, and outcome after repair of urinary bladder rupture through a urethral incision in postpartum mares.
Retrospective study.
Four Thoroughbred broodmares.
Medical records were reviewed for clinical signs, surgical technique, medical therapy, and outcome. The bladder was everted into the vagina through a urethral incision that included a sphincterotomy. The bladder defect was repaired with absorbable suture material in a single-layer, full thickness, simple, continuous pattern. The urethral incision was closed similarly.
Depression, inappetence, signs of shock, dehydration, azotemia, and serum electrolyte abnormalities were consistent findings that increased temporally after bladder rupture. Each bladder defect was repaired successfully, and metabolic derangements were corrected with supportive medical therapy. All mares survived, conceived, and had more foals without further complications
Bladder rupture associated with parturition in mares can be repaired in a standing position by eversion of the bladder through a urethrotomy and urethral sphincterotomy.
报告经尿道切口修复产后母马膀胱破裂的临床发现、手术技术及结果。
回顾性研究。
4匹纯种繁殖母马。
回顾病历以了解临床症状、手术技术、药物治疗及结果。通过包括尿道括约肌切开术的尿道切口将膀胱翻入阴道。用可吸收缝合材料以单层、全层、单纯连续缝合法修复膀胱缺损。尿道切口同样进行缝合。
抑郁、食欲不振、休克体征、脱水、氮血症及血清电解质异常是膀胱破裂后随时间推移出现的一致发现。每个膀胱缺损均成功修复，代谢紊乱通过支持性药物治疗得到纠正。所有母马均存活、受孕且产下更多驹，无进一步并发症。
母马分娩相关的膀胱破裂可通过经尿道切开术和尿道括约肌切开术将膀胱翻出，在站立位进行修复。
