3.2 Case 2
Fourteen months post-marsupialization, the colt was re-presented for a large soft, reducible, 8 cm hernia at the previous marsupialization site (Figure 1). Peri-operative phenylbutazone (2.2 mg/kg, orally, q 12 hours) was administered. An open herniorrhaphy was performed under general anesthesia with the body wall defect repaired using 2 USP polyglactin 910 in a simple interrupted pattern. A hernia belt was placed following recovery from anesthesia. The colt was discharged two days post-operatively with instructions to continue phenylbutazone (2.2 mg/kg, orally, q 12 hours, 5 days; then q 24 hours, 5 days) and stall confinement for 30 days followed small paddock turnout for 30 days.
The colt re-presented 20 days post-hernia repair for incisional dehiscence. Ultrasonographic examination verified the body wall remained intact. The colt was discharged with instructions for continuing stall rest for another 2-3 weeks. Follow-up evaluation 3 months later revealed a small, soft subcutaneous swelling at the location of the previous herniation with an intact body wall (Figure 2).