Treatment of Traumatic Umbilical Hernia with Peritonitis due to Intestinal Perforation in a Three-Month Old Calf
Treatment of Traumatic Umbilical Hernia with Peritonitis due to Intestinal Perforation in a Three-Month Old Calf
Muhammad Arif Zafar1*, Arfan Yousaf1, Murtaz-ul-Hasan1, Faisal Ayub Kiayani1, Matee ul Islam2 and Muhammad Farooq Iqbal1
ABSTRACT
This clinical report is about the evaluation of complications and survival after using a modified two-layer, hand-sewn, end-to-end anastomosis technique in a calf treated for traumatic umbilical hernia with peritonitis. A cross-bred calf was presented with peritonitis due to traumatic umbilical hernia. The decision to operate the calf was made after confirmation of umbilical hernia resulted in septic shock. Animal was first stabilized with supportive treatment prior to surgical decompression. A modified two-layer hand-sewn anastomosis technique was used. Herniorrhaphy was done with sliding mattress sutures. After first 10 days post-surgical decompression and administration of fluid, antibiotics and non-steroidal anti-inflammatory drug, good outcome in the calf was obtained. There was no postoperative complication suggesting that modified two-layer hand-sewn anastomosis technique was a successful technique. It was concluded that traumatic hernia may lead to septic shock and modified two-layer hand-sewn anastomosis technique may be recommended in calves with no postoperative complications and there is a good chance for long-term survival.
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