Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, 14853 USA.
Can Vet J. 2021 Dec;62(12):1292-1297.
A 7-month-old Hampshire ram, with no history of trauma or breeding, was referred for treatment of acute, unilateral scrotal swelling. Physical examination revealed a moderately sized, soft, left-sided, non-reducible swelling of the proximal scrotum and mild swelling of the scrotal neck. Ultrasound evaluation of the scrotum revealed morphologically normal testicles and a mild accumulation of free fluid in the left vaginal tunic. Unilateral, laparoscopic inguinal herniorrhaphy under general anesthesia was performed. The herniated omentum was reduced and barbed suture was used to imbricate the internal inguinal ring and the vaginal ring. No recurrence of herniation was reported 5 months after surgery. Key clinical message: Laparoscopic inguinal herniorrhaphy with barbed suture can be a safe and effective means of scrotal hernia resolution in a ram. When performed by a competent surgeon experienced in laparoscopy, this treatment for inguinal and scrotal herniation may minimize post-operative pain, provide a rapid return to function, and preserve normal testicular and scrotal anatomy.
一只 7 月龄的汉普夏公羊，无创伤或配种史，因急性、单侧阴囊肿胀而被转诊治疗。体格检查发现左侧阴囊近端有一个中等大小、柔软、不可复性的肿胀，阴囊颈部有轻度肿胀。阴囊的超声评估显示睾丸形态正常，左侧阴道鞘内有轻度游离液体积聚。在全身麻醉下进行了单侧腹腔镜腹股沟疝修补术。疝出的大网膜被还纳，使用带刺缝线使内环和阴道环重叠。术后 5 个月无疝复发报告。关键临床信息：带刺缝线的腹腔镜腹股沟疝修补术可作为公羊阴囊疝的一种安全有效的治疗方法。当由有经验的腹腔镜手术专家进行时，这种腹股沟和阴囊疝的治疗方法可能会最大限度地减少术后疼痛，快速恢复功能，并保持正常的睾丸和阴囊解剖结构。
