Laparoscopic Right Inguinal and Left Abdominal Hernia Repair and Ovariohysterectomy in a Bitch
Inguinal hernia is a common defect affecting middle-aged non-spayed bitches. Treatment is based on spay, as the uterus is commonly incarcerated within the hernia sac and due to ethical concerns, besides hernia repair. Although common in human patients, information regarding laparoscopic treatment of hernias in small animals is sparse.
The aim of the present study was to report a case of successful laparoscopic right inguinal and left abdominal hernia repair, associated to ovariohysterectomy in a bitch.
A 3.3-kg, 9-year-old, non-spayed, mongrel bitch was presenting unilateral asymmetry at the right inguinal area. No previous trauma was reported. A three-port laparoscopic approach was indicated. Ports were positioned in triangulation on the ventral abdomen cranially to the umbilicus and directed towards the pelvic cavity. Uterus was swollen and the right uterine horn and part of the jejunum were within the right hernia ring, and mesometrium was within the left hernia ring. The hernia contents were reduced and both inner hernia rings were partially closed using interrupted cushion mattress sutures (0 USP nylon thread). Finally, total laparoscopic ovariohysterectomy was performed using bipolar electrocoagulation. Incisions were sutured routinely.
Mild subcutaneous emphysema developed during surgery due to gas leakage and was completely drained on the early port-op. The patient recovered uneventfully under mild signs of pain and was discharged following 48 hours.
Laparoscopic bilateral hernia repair and ovariohysterectomy were feasible and safe and should be considered as an option for minimally invasive and less painful of bitches bearing inguinal hernias.