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).