3.3 Case 3
Fifteen months post-marsupialization, the filly re-presented for a large
soft, reducible, fist-sized hernia at the site of the previous
marsupialization (Figure 3). Peri-operative phenylbutazone (2.2 mg/kg,
orally, q 12 hours) was administered. An open herniorrhaphy was
performed under general anesthesia and the body wall defect was closed
using 2 USP polyglactin 910 in a simple interrupted pattern. The filly
was discharged two days post-operation with phenylbutazone (2.2 mg/kg,
orally, q 12 hours, 5 days; then q 24 hours, 5 days) and instructions
for strict stall confinement for 30 days, followed by 30 days small
paddock turnout.
The filly presented for recheck evaluation 20 days post-hernia repair.
There was firm thickening of the previous surgical site, but the body
wall was noted to be intact and no dehiscence was appreciated. The filly
was discharged and instructed to be on stall rest for 2-3 more weeks
while the incision continued to heal. Follow-up evaluation 3 months
later revealed appropriate healing of the previous surgical site with
only mild thickening appreciated (Figure 4).