CLINICAL MANAGEMENT OF RARE CONGENITAL INGUINAL HERNIA IN A FEMALE CALF
A CLINICAL CASE REPORT SUBMITTED BY NAZMUL ISLAM
Intern ID: C-27 Roll No. : 12/30 Registration no. : 00752
Session: 2011 -2012
Report Presented in Partial Fulfillment for th Degree of Doctor of Veterinary Medicine
Faculty of Veterinary Medicine
CHITTAGONG VETERINARY AND ANIMAL SCIENCES UNIVERSITY Khulshi, Chittagong-4225
CLINICAL MANAGEMENT OF RARE CONGENITAL INGUINAL HERNIA IN A FEMALE CALF
Approved by-
……….
Professor Dr. Md. Masuduzzaman Dept. of Pathology and Parasitology
Chittagong Veterinary and Animal Sciences University
November, 2017
TITLES
PAGE NO.
List of contents ii
List of figures iii
List of abbreviations iv
Abstract v
Chapter 1: Introduction 1-2
Chapter 2: Case Presentation 3-4
2.1: Case history 3
2.2: Clinical examination of the calf 3
2.3: Anaesthesia 3
2.4: Suture materials 4
2.5: Surgical management 4
2.6: Post-operative management 4
Chapter 3: Results 5
Chapter 4: Discussion 6-7
Conclusion 8
Image gallery 9-11
References 12
Acknowledgement 13
Biography 14
LIST OF CONTENTS
P a g e |ii
SI TITLES PAGE NO.
4(a) Clipping & shaving for aseptic surgery 9
4(b) Local anaesthesia by ring block 9
4(c) Aseptic surgical site 9
4(d) Straight incision 9
4(e) Blunt dissection 10
4(f) Deformed muscle 10
4(g) Intestinal part 10
4(h) Urinary bladder 10
4(i) Herniorrhaphy by silk 10
4(j) Excess skin 10
4(k) Removing of excess skin 11
4(l) After removing of excess skin 11
4(m) Excess skin 11
4(n) Purse string suture 11
4(0) Suture line sealed with povidon iodine 11
4(p) After surgery 11
LIST OF FIGURES
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List of Abbreviations
Abbreviation Elaboration
GDP Gross domestic product
BBS Bangladesh Bureau of Statistics
SI Serial
MG milligram
KG kilogram
I/V Intravenous
I/M Intramuscular
IU International Unit
DR Doctor
CVASU Chittagong Veterinary and Animal Sciences
University
SAQTVH S.A. Qaderi Teaching Veterinary Hospital
P a g e |iv ABSTRACT
Inguinal hernia is rare in calf, which has the criteria of difficult correction and management. An intact five days old local female calf was presented in SAQTVH with the complaint of large swelling and bulging at the inguinal region. The swelling was noticed by the owner after birth, which was gradually increased in size. The swelling was firm, non-painful and irreducible on palpation with a large hernia mass measuring about 7.5 inches in length and 7.6 inches in width.
Under sedation and local anesthesia, a line incision was performed on dorsal to the hernia mass.
Hernial content mainly intestine and urinary bladder were separated from the overlying skin and muscles by blunt dissections. After reducing the hernia content with gentle pressure, herniorrhaphy was performed by using sterilized silk (size 2) with a horizontal mattress pattern.
After removal of extra covering of hernia sac, final closure was done by purse string suture on skin with non-absorbable prolene. Proper post-operative care with antibiotic and analgesic therapy was maintained for next five days and follow-up observation revealed normal urination and feeding after seven days of operation. Complete recovery with proper healing was found after 10 days of operation without any complication.
Key words: Hernia, urinary bladder, intestine, herniorrhaphy.
P a g e |v
