XVIII. Ulusal-IV. Uluslararası Veteriner Cerrahi Kongresi , Antalya, Türkiye, 27 - 30 Ekim 2024, ss.232, (Özet Bildiri)
Objective: This case report aims to present the first application and outcomes of a cone-shaped
polypropylene mesh in a pregnant dog with an inguinal hernia containing the uterus, a technique
previously used successfully in perineal hernias.
Case Description: A 5-year-old female Pointer was presented to the Department of Surgery, Faculty of
Veterinary Medicine, Ankara University, with a complaint of progressively enlarging swelling in the
inguinal region. Examination revealed that the swelling was a herniated gravid uterus, which did not
affect the general condition. Following clinical and radiological examinations, surgery was decided.
During the operation, it was thought that the herniated uterine horn might have passed through the
inguinal canal before the fetus developed, and it was realized that it could not be returned to its normal
position due to the developing fetus. Therefore, the fetus was removed from the herniated section, and
the uterine horn was returned to its normal size. Subsequently, the uterus was repositioned, and an
ovariohysterectomy was performed. After the ovariohysterectomy, a cone-shaped polypropylene mesh
implant, previously used in perineal hernias, was applied using a herniorrhaphy technique to repair the
inguinal ring. Clinical findings were successfully controlled with the surgical procedure, and no
complications or hernia recurrence have been reported to date.
Discussion/Conclusion: In cases of inguinal hernia in pregnant dogs, particularly when the fetus is also
herniated, urgent surgical intervention is recommended to prevent the destructive ischemic damage that
may occur in the uterus as pregnancy progresses. Research indicates that, until now, no herniorrhaphy
technique using a cone-shaped polypropylene mesh implant has been applied in inguinal hernias, and
no results have been published on this subject. This study concluded that the applied technique is
particularly useful in cases where the surrounding tissues are weak, the region is not suitable for classical
suture techniques, and in ring-shaped hernias.