未经证实:疝形成是一种众所周知的小牛腹壁疾病,最常见于脐部。此外,它发生在脐带区域以外的腹壁。据报道,它涉及后天因素,例如对下部或外侧腹壁的外力,创伤,肌肉无力,and,虽然罕见,先天或遗传因素。虽然已有关于肌肉形成异常引起的腹壁疝修复的报道,没有关于牛或其他反刍动物的椎骨和肋骨异常形成引起的腹壁疝的治疗报告。在这项研究中,第一次,我们描述了一例成功闭合由椎骨和肋骨畸形引起的左侧疝的病例。修复是通过使用手术线使肋骨变窄并用游离的网膜移植物覆盖缺损来进行的。
UASSIGNED:一名男性日本黑小腿在出生后立即显示左腹壁轻度隆起和左肋骨形态异常。在3个月大的时候,计算机断层扫描显示9号融合,第十,和第11个胸椎以及在胸椎融合部位的第10和第11个左肋骨的缺失形成。此外,腹壁形成了15.2×24.4cm的腹疝。手术期间,形成疝气的肋骨用手术线变窄,疝用大型自体游离网膜移植物覆盖,以防止腹内器官脱垂。在每月随访时(手术后11个月),小牛的发育与农场上其他同龄小牛相似,没有发现并发症。
UNASSIGNED:目前的案例表明,使用手术线进行肋骨矫正与游离的自体大网膜移植相结合,被证明是一种可能的治疗选择,可以手术修复由肋骨畸形引起的大腹壁疝。
UNASSIGNED: Hernia formation is a well-known abdominal wall disorder in calves and most often occurs in the umbilical region. In addition, it occurs in the abdominal wall outside the umbilical region. It has been reported to involve acquired factors, such as external force to the lower or lateral abdominal wall, trauma, muscle weakness, and, although rare, congenital or hereditary factors. Although there have been
reports on the repair of abdominal wall hernias caused by abnormal muscle formation, there have been no
reports on the treatment of abdominal wall hernias caused by abnormal vertebral and rib formation in cattle or other ruminants. In this study, for the first time, we describe a
case of successful closure of a hernia in the left flank caused by malformation of the vertebrae and ribs. The repair was performed by narrowing the ribs using a surgical wire and covering the defect with a free omental graft.
UNASSIGNED: A male Japanese Black calf showed a mild bulge of the left abdominal wall and abnormal morphology of the left ribs immediately after birth. At 3 months of age, computed tomography revealed fusion of the 9th, 10th, and 11th thoracic vertebrae and missing formation of the 10th and 11th left ribs at the thoracic vertebral fusion site. Additionally, a 15.2 × 24.4 cm abdominal hernia had formed in the abdominal wall. During surgery, the ribs forming the hernia were narrowed with a surgical wire, and the hernia was covered with a large autologous free omental graft to prevent intra-abdominal organ prolapse. At the monthly follow-up (11 months after surgery), the calf had developed similarly to other calves of the same age on the farm, and no complications were noted.
UNASSIGNED: The current
case shows that a combination of rib correction using a surgical wire combined with transplantation of a free autologous greater omentum graft was shown to be a possible treatment option for surgical repair of large abdominal wall hernias caused by rib malformation.